[Electron microscopic observation for periodontal tissue regeneration after implantation of atelocollagen membrane]. 1990

M Ooba
Department of Periodontology, Kanagawa Dental College.

The purpose of the present study was to clarify wound healing process of periodontal tissue following experimental flap surgery, when applied the guided tissue regeneration (GTR) technique using a cross-linked atelocollagen membrane (AM). Mucoperiosteal flaps were made on the palatal gingiva of maxillary first molars of rats. The cementum was removed by curettage in order to expose the dentin surface. An AM was implanted into the site of dissection in the experimental group, while the control group received no implantation. The resorption processes of AM and wound healing processes of exposed root surface in the experimental group were examined by electron microscopic observation, 1, 3, 5, 7, 14 and 21 days, and 2, 3 months after the implantation. While the wound healing processes of periodontal tissue in the control group were examined at the fine structural level, 2 and 3 months after the flap surgery. The results were as follows. At the resorption processes of AM, the early invasion of a large number of neutrophils appeared in the site of of implantation. Neutrophils were attracted to and adhered to the AM fibers over the first few days after. AM was resolved to fine fibrous structure by the neutrophils between 1 and 3 days. A large number of macrophages appeared in the implanted site between 3 and 7 days, and neutrophils subsided after 5 days. The implanted material was rapidly resolved be macrophages with active phagocytosis, sometimes forming giant cells. Fibroblasts were invading to peripheral gingival connective tissue and were development of microfilament were observed. The implanted materials were completely resolved after 14 days. In light microscopical findings, of the experimental group, epithelial downgrowth was markedly inhibited, fibrous bundles of the gingival connective tissue were clearly arranged vertical to the root surface and new cementum tissue deposited to the root surface after 21 days. At electron microscopic observation in early stage of healing, dens granular layer (d. g. l.) was presented to the dentin surface. After 2 or 3 months of the control group, high density fibrous layer increased to the root surface. Connective tissue fiber bundles were paralleled to the root surface. The above results indicate that the GTR technique using an atelocollagen membrane may provide an effective method to promote periodontal tissue regeneration after periodontal surgery.

UI MeSH Term Description Entries
D008567 Membranes, Artificial Artificially produced membranes, such as semipermeable membranes used in artificial kidney dialysis (RENAL DIALYSIS), monomolecular and bimolecular membranes used as models to simulate biological CELL MEMBRANES. These membranes are also used in the process of GUIDED TISSUE REGENERATION. Artificial Membranes,Artificial Membrane,Membrane, Artificial
D010510 Periodontal Diseases Pathological processes involving the PERIODONTIUM including the gum (GINGIVA), the alveolar bone (ALVEOLAR PROCESS), the DENTAL CEMENTUM, and the PERIODONTAL LIGAMENT. Parodontosis,Pyorrhea Alveolaris,Disease, Periodontal,Diseases, Periodontal,Parodontoses,Periodontal Disease
D010513 Periodontal Ligament The fibrous CONNECTIVE TISSUE surrounding the TOOTH ROOT, separating it from and attaching it to the alveolar bone (ALVEOLAR PROCESS). Alveolodental Ligament,Alveolodental Membrane,Gomphosis,Alveolodental Ligaments,Alveolodental Membranes,Gomphoses,Ligament, Alveolodental,Ligament, Periodontal,Membrane, Alveolodental,Periodontal Ligaments
D003094 Collagen A polypeptide substance comprising about one third of the total protein in mammalian organisms. It is the main constituent of SKIN; CONNECTIVE TISSUE; and the organic substance of bones (BONE AND BONES) and teeth (TOOTH). Avicon,Avitene,Collagen Felt,Collagen Fleece,Collagenfleece,Collastat,Dermodress,Microfibril Collagen Hemostat,Pangen,Zyderm,alpha-Collagen,Collagen Hemostat, Microfibril,alpha Collagen
D004846 Epithelial Attachment A wedge-shaped collar of epithelial cells which form the attachment of the gingiva to the tooth surface at the base of the gingival crevice. Epithelium, Junctional,Junctional Epithelium,Attachment, Epithelial,Attachments, Epithelial,Epithelial Attachments
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D014945 Wound Healing Restoration of integrity to traumatized tissue. Healing, Wound,Healings, Wound,Wound Healings
D016557 Guided Tissue Regeneration, Periodontal Techniques for enhancing and directing cell growth to repopulate specific parts of the PERIODONTIUM that have been damaged by PERIODONTAL DISEASES; TOOTH DISEASES; or TRAUMA, or to correct TOOTH ABNORMALITIES. Repopulation and repair is achieved by guiding the progenitor cells to reproduce in the desired location by blocking contact with surrounding tissue by use of membranes composed of synthetic or natural material that may include growth inducing factors as well. Guided Periodontal Tissue Regeneration,Periodontal Guided Tissue Regeneration,Regeneration, Periodontal Guided Tissue
D051381 Rats The common name for the genus Rattus. Rattus,Rats, Laboratory,Rats, Norway,Rattus norvegicus,Laboratory Rat,Laboratory Rats,Norway Rat,Norway Rats,Rat,Rat, Laboratory,Rat, Norway,norvegicus, Rattus

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