Histological evaluation following treatment of recession-type defects with coronally advanced flap and a novel human recombinant amelogenin

Objectives To histologically evaluate the effects of a novel human recombinant amelogenin (rAmelX) on periodontal wound healing / regeneration in recession-type defects. Materials and methods A total of 17 gingival recession-type defects were surgically created in the maxilla of three minipigs. The...

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Veröffentlicht in:Clinical oral investigations 2023-09, Vol.27 (9), p.5041-5048
Hauptverfasser: Chackartchi, Tali, Bosshardt, Dieter D., Imber, Jean-Claude, Stähli, Alexandra, Sacks, Hagit, Nagy, Katalin, Sculean, Anton
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container_end_page 5048
container_issue 9
container_start_page 5041
container_title Clinical oral investigations
container_volume 27
creator Chackartchi, Tali
Bosshardt, Dieter D.
Imber, Jean-Claude
Stähli, Alexandra
Sacks, Hagit
Nagy, Katalin
Sculean, Anton
description Objectives To histologically evaluate the effects of a novel human recombinant amelogenin (rAmelX) on periodontal wound healing / regeneration in recession-type defects. Materials and methods A total of 17 gingival recession-type defects were surgically created in the maxilla of three minipigs. The defects were randomly treated with a coronally advanced flap (CAF) and either rAmelX (test), or a CAF and placebo (control). At three months following reconstructive surgery, the animals were euthanized, and the healing outcomes histologically evaluated. Results The test group yielded statistically significantly ( p  = 0.047) greater formation of cementum with inserting collagen fibers compared with the control group (i.e., 4.38 mm ± 0.36 mm vs. 3.48 mm ± 1.13 mm). Bone formation measured 2.15 mm ± 0.8 mm in the test group and 2.24 mm ± 1.23 mm in the control group, respectively, without a statistically significant difference ( p  = 0.94). Conclusions The present data have provided for the first-time evidence for the potential of rAmelX to promote regeneration of periodontal ligament and root cementum in recession-type defects, thus warranting further preclinical and clinical testing. Clinical relevance The present results set the basis for the potential clinical application of rAmelX in reconstructive periodontal surgery.
doi_str_mv 10.1007/s00784-023-05123-x
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Materials and methods A total of 17 gingival recession-type defects were surgically created in the maxilla of three minipigs. The defects were randomly treated with a coronally advanced flap (CAF) and either rAmelX (test), or a CAF and placebo (control). At three months following reconstructive surgery, the animals were euthanized, and the healing outcomes histologically evaluated. Results The test group yielded statistically significantly ( p  = 0.047) greater formation of cementum with inserting collagen fibers compared with the control group (i.e., 4.38 mm ± 0.36 mm vs. 3.48 mm ± 1.13 mm). Bone formation measured 2.15 mm ± 0.8 mm in the test group and 2.24 mm ± 1.23 mm in the control group, respectively, without a statistically significant difference ( p  = 0.94). Conclusions The present data have provided for the first-time evidence for the potential of rAmelX to promote regeneration of periodontal ligament and root cementum in recession-type defects, thus warranting further preclinical and clinical testing. Clinical relevance The present results set the basis for the potential clinical application of rAmelX in reconstructive periodontal surgery.</description><identifier>ISSN: 1436-3771</identifier><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-023-05123-x</identifier><identifier>PMID: 37421492</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Animals ; Bone growth ; Cementum ; Dental enamel ; Dentistry ; Ligaments ; Local anesthesia ; Maxilla ; Medicine ; Osteogenesis ; Periodontal ligament ; Periodontics ; Reconstructive surgery ; Regeneration ; Statistical analysis ; Surgeons ; Surgery ; Sutures ; Wound healing</subject><ispartof>Clinical oral investigations, 2023-09, Vol.27 (9), p.5041-5048</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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Materials and methods A total of 17 gingival recession-type defects were surgically created in the maxilla of three minipigs. The defects were randomly treated with a coronally advanced flap (CAF) and either rAmelX (test), or a CAF and placebo (control). At three months following reconstructive surgery, the animals were euthanized, and the healing outcomes histologically evaluated. Results The test group yielded statistically significantly ( p  = 0.047) greater formation of cementum with inserting collagen fibers compared with the control group (i.e., 4.38 mm ± 0.36 mm vs. 3.48 mm ± 1.13 mm). Bone formation measured 2.15 mm ± 0.8 mm in the test group and 2.24 mm ± 1.23 mm in the control group, respectively, without a statistically significant difference ( p  = 0.94). 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Materials and methods A total of 17 gingival recession-type defects were surgically created in the maxilla of three minipigs. The defects were randomly treated with a coronally advanced flap (CAF) and either rAmelX (test), or a CAF and placebo (control). At three months following reconstructive surgery, the animals were euthanized, and the healing outcomes histologically evaluated. Results The test group yielded statistically significantly ( p  = 0.047) greater formation of cementum with inserting collagen fibers compared with the control group (i.e., 4.38 mm ± 0.36 mm vs. 3.48 mm ± 1.13 mm). Bone formation measured 2.15 mm ± 0.8 mm in the test group and 2.24 mm ± 1.23 mm in the control group, respectively, without a statistically significant difference ( p  = 0.94). Conclusions The present data have provided for the first-time evidence for the potential of rAmelX to promote regeneration of periodontal ligament and root cementum in recession-type defects, thus warranting further preclinical and clinical testing. Clinical relevance The present results set the basis for the potential clinical application of rAmelX in reconstructive periodontal surgery.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37421492</pmid><doi>10.1007/s00784-023-05123-x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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source SpringerNature Journals
subjects Animals
Bone growth
Cementum
Dental enamel
Dentistry
Ligaments
Local anesthesia
Maxilla
Medicine
Osteogenesis
Periodontal ligament
Periodontics
Reconstructive surgery
Regeneration
Statistical analysis
Surgeons
Surgery
Sutures
Wound healing
title Histological evaluation following treatment of recession-type defects with coronally advanced flap and a novel human recombinant amelogenin
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