وثيقة

Regeneration of critical-sized grade II furcation using a novel injectable melatonin-loaded scaffold

مؤلف
وكيل مرتبط
El-Fattah, A.A, مؤلف مشارك
Kotry, G, مؤلف مشارك
Ramadan, O, مؤلف مشارك
Essawy, M, مؤلف مشارك
Kamaldin, J, مؤلف مشارك
Kandil, S, مؤلف مشارك
عنوان الدورية
Oral Diseases
دولة النشر
Kingdom of Bahrain
مكان النشر
Sakhir, Bahrain
الناشر
University of Bahrain
تاريخ النشر
2023
اللغة
English
الملخص الإنجليزي
Abstract: Background: Periodontal regenerative therapy using bone-substituting materials has gained favorable clinical significance in enhancing osseous regeneration. These materials should be biocompatible, osteogenic, malleable, and biodegradable. This study assessed the periodontal regenerative capacity of a novel biodegradable bioactive hydrogel template of organic–inorganic composite loaded with melatonin. Materials and methods: A melatonin-loaded alginate-chitosan/beta-tricalcium phosphate composite hydrogel was successfully prepared and characterized. Thirty-six critical-sized bilateral class II furcation defects were created in six Mongrel dogs, and were randomly divided and allocated to three cohorts; sham, unloaded composite, and melatonin-loaded. Periodontal regenerative capacity was evaluated via histologic and histomorphometric analysis. Results: Melatonin-treated group showed accelerated bone formation and advanced maturity, with a significant twofold increase in newly formed inter-radicular bone compared with the unloaded composite. The short-term regenerative efficacy was evident 4 weeks postoperatively as a significant increase in cementum length concurrent with reduction of entrapped epithelium. After 8 weeks, the scaffold produced a quality of newly synthesized bone similar to normal compact bone, with potent periodontal ligament attachment. Conclusions: Melatonin-loaded hydrogel template accelerated formation and enhanced quality of newly formed bone, allowing complete periodontal regeneration. Furthermore, the scaffold prevented overgrowth and entrapment of epithelial cells in furcation defects.
المجموعة
المعرف
https://digitalrepository.uob.edu.bh/id/832949e0-646d-47bf-aea1-4facbcae701c