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논문 기본 정보

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학술저널
저자정보
Abraão Moratelli Prado (Implant Dentistry, Private Practice) Cimara Fortes Ferreira (Department of Periodontics, University of Tennessee Health Science Center (UTHSC) College of Dentistry) Luismar Marques Porto (Chemical and Food Engineering Department, Federal University of Santa Catarina) Elena Riet Correa Rivero (Pathology Department, Federal University of Santa Catarina) Ricardo de Souza Magini (Dentistry Department, Federal University of Santa Catarina) Cesar Augusto Magalhães Benfatti (Dentistry Department, Federal University of Santa Catarina) Jair Rodriguez-Ivich (Implant Dentistry, Private Practice)
저널정보
대한치주과학회 Journal of Periodontal & Implant Science Journal of Periodontal & Implant Science Vol.54 No.1
발행연도
2024.2
수록면
25 - 36 (12page)
DOI
10.5051/jpis.2200940047

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Purpose: Mucogingival defects (MGDs), such as dental root recessions, decreased vestibular depth, and absence of keratinized tissues, are commonly seen in dental clinics. MGDs may result in functional, aesthetic, and hygienic concerns. In these situations, autogenous soft tissue grafts are considered the gold-standard treatment. This study compares the healing process of free gingival grafts (FGGs) to bacterial cellulose matrix (BCM) and human acellular dermal matrix (ADM) seeded with fibroblasts from culture supplemented with platelet-rich plasma in a rat model. Methods: Surgical defects were made in rats, which received the following treatments in a randomized manner: group I, negative control (defect creation only); group II, positive control (FGG); group III, BCM; group IV, BCM + fibroblasts; group V, ADM; and group VI, ADM + fibroblasts. Clinical, histological, and immunological analyses were performed 15 days after grafting. Clinical examinations recorded epithelium regularity and the presence of ulcers, erythema, and/or edema. Results: The histological analysis revealed the degree of reepithelization, width, regularity, and presence of keratin. The Fisher exact statistical test was applied to the results (P<0.05). No groups showed ulcers except for group I. All groups had regular epithelium without erythema and without edema. Histologically, all groups exhibited regular epithelium with keratinization, and myofibroblasts were present in the connective tissue. The groups that received engineered grafts showed similar clinical and histological results to the FGG group. Conclusions: Within the limitations of this study, it was concluded that BCM and ADM can be used as cell scaffolds, with ADM yielding the best results. This study supports the use of this technical protocol in humans.

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