In situ soft tissue regeneration using periosteal distraction: A preliminary study in the rat calvarial model

Aim: In this study, we aimed to evaluate soft tissue generated by periosteal distraction. Background: Management of soft tissue defects represents a challenge in dentistry. Previous periosteal distraction studies documented partial fill of the distraction space with newly-generated bone and fibrous...

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Autor principal: Osama Zakaria
Formato: article
Lenguaje:EN
Publicado: Elsevier 2021
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R
Acceso en línea:https://doaj.org/article/44b1cc865ffe4ae886fc9ba68e9e9af1
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Sumario:Aim: In this study, we aimed to evaluate soft tissue generated by periosteal distraction. Background: Management of soft tissue defects represents a challenge in dentistry. Previous periosteal distraction studies documented partial fill of the distraction space with newly-generated bone and fibrous connective tissue. Material and methods: Titanium meshes were inserted in subperiosteal tunnels in the calvaria of 20 rats through coronal incision. The devices were immediately activated after insertion by elevation of one side at 1 mm/day for 3 days. Rats were then divided into two groups (n = 10). Animals were sacrificed after 2 weeks (Group 1) and after 4 weeks (Group 2). Distraction sites specimens were embedded in paraffin and analyzed histologically and histomorphometrically. Results: In both groups, new periosteum was regenerated and covered the original bone surface in the distraction site. Distraction spaces showed a predomination of hyper-vascularized connective tissue and little new bone formation near to the stable end of the device. The 4-week findings showed more organized collagen fibers with less vascularity compared to the 2-week findings. Conclusion: The periosteal distraction technique can effectively regenerate connective tissue. It may open a new modality in the guided tissue regeneration for soft tissue augmentation.