Influência do plasma rico em plaquetas derivado do aspirado de medula óssea na cicatrização de defeitos periodontais: estudo histológico, histométrico e imunoistoquímico em ratos

This study evaluated the influence of platelet-rich plasma derived from bone marrow aspirate (PRP-bma) on the healing of periodontal fenestration defects (PFD) in rats. PFD were surgically created in the mandible of 40 rats. The animals were randomly divided into 2 groups: C and PRP-bma - defects we...

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Detalles Bibliográficos
Autor: Campos, Natália de [UNESP]
Tipo de recurso: tesis doctoral
Estado:Versión publicada
Fecha de publicación:2014
País:Brasil
Institución:Universidade Estadual Paulista (UNESP)
Repositorio:Repositório Institucional da UNESP
Idioma:portugués
OAI Identifier:oai:repositorio.unesp.br:11449/123401
Acceso en línea:http://hdl.handle.net/11449/123401
Access Level:acceso abierto
Palabra clave:Plasma Rico em Plaquetas
Medula ossea
Cemento dentario
Periodontia
Cicatrização de ferimentos
Platelet-Rich Plasma
Descripción
Sumario:This study evaluated the influence of platelet-rich plasma derived from bone marrow aspirate (PRP-bma) on the healing of periodontal fenestration defects (PFD) in rats. PFD were surgically created in the mandible of 40 rats. The animals were randomly divided into 2 groups: C and PRP-bma - defects were filled with blood clot or PRP-bma, respectively. Animals were euthanized at either 10 or 30 days post-operative. Histologic, histometric and immunohistochemical analyses were performed. Percentage of new bone (NB), density of newly formed bone (DNB), new cementum (NC) and extension of remaining defect (ERD) were histometrically evaluated. Proliferating cell nuclear antigen (PCNA), bone sialoprotein (BSP), osteocalcin (OCN), and tartrate-resistant acid phosphatase (TRAP) immunohistochemical staining were performed. Immunolabeled cells were quantified. Data were statistically analyzed (ANOVA; Tukey, P < 0.05). At 10 days, groups C and PRP-bma presented similar amounts of NB and DNB, NC formation was not observed. At 30 days, groups C and PRP-bma presented similar amounts of NB and DNB; Group PRP-bma showed significant NC formation, with collagen fibers inserted obliquely or perpendicularly to the root surface, while NC formation was not observed in any Group C specimen. Group PRP-bma presented a significantly higher number of PCNA-positive (at 10 days) and BSP-positive cells (at 10 and 30 days) than Group C. No significant differences in the number of either OCN-positive or TRAP-positive cells were observed between groups at 10 or 30 days. It can be concluded that PRP-bma promoted NC formation with a functional periodontal ligament