INTRODUCTION: studies concerning healing of extraction sockets revealed that sockets were filled with new bone by as much as two thirds in 40 days and completely filled with new bone in 10 weeks. There have been many studies demonstrating the bone-promoting effect of simvastatin local application in animal models. Simvastatin was shown to increase bone volume, bone formation rate, and bone compressive strength. The use of statins for bone regeneration is a promising and growing area of research. OBJECTIVES: The aim of this study was to compare between the amounts of resorption that occurs in the healing extraction socket left to heal spontaneously to the amount of resorption that occurs in the healing extraction socket filled with simvastatin gel. MATERIALS AND METHODS: Right and left first molars were extracted from 20 rats' mandibles'. Right side extraction sockets (Experimental) were filled with 2.5% simvastatin gel, while the left side sockets (Controls) were allowed to heal spontaneously. The rats were humanely sacrificed at 1 st ,2 nd ,3 rd and 4 th week postoperatively, and the specimens' height and width were measured using a bone caliper.
RESULTS:The mid-buccal height as well as the buccolingual width of the alveolar bone on the simvastatin-treated side was relatively higher and thicker than the control side indicating that less resorption had occurred on that side. CONCLUSIONS: The present study provided evidence that a single topical application of 2.5% simvastatin gel improve the quality of the new bone of the healing extraction socket and decreases bone resorption.
INTRODUCTION:The use of platelet concentrates remains controversial. Several techniques for platelet concentrates are available and each method leads to a different product with different biology and potential uses. Platelet rich fibrin (PRF) is an autologous biomaterial composed of a fibrin clot matrix entrapping leukocytes, cytokines, living progenitor cells, and platelets capable of releasing various growth factors. One of the recent platelet concentrates is the mineralized plasmatic matrix (MPM) which has a different way of preparation. It creates a stable homogeneous single-moldable compound. OBJECTIVES: The aim of this experimental study was to compare the effect of PRF to MPM when combined with biphasic calcium phosphate alloplast in treating horizontal critical sized ridge defects in a canine model. MATERIALS AND METHODS: A split mouth design was carried out using the third and fourth mandibular premolars of two healthy mongrel dogs. A total of eight horizontal critical sized ridge defects were surgically created. The defects on the left side (group I); were managed with MPM composite, MPM compact layer, then collagen membrane. On the right side (group II); defects were managed with PRF mixed with biphasic calcium phosphate alloplast followed by the application of PRF compact strips, then collagen membrane. The dogs were sacrificed after 4 weeks. Samples were dissected and prepared for histological evaluation. RESULTS: Histological results showed that quality of bone formed in MPM group was superior to PRF. This was evident with the formation of well-organized compact bone in MPM specimens versus immature woven trabecular bone in PRF ones.
CONCLUSIONS:The fibrin network that is produced in the MPM composite allows for its homogeneity. This offers a very good stability for the graft which was found to be more effective in enhancing wound healing during guided bone regeneration of horizontal ridge defects.
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