RESUMO
PURPOSE: This study evaluated the immunohistochemical presence of Indian Hedgehog (IHH), transforming growth factor-ß (TGF-ß), and parathyroid-1 receptor (PTH1R) in calvaria bone repair, and compared these results with the histological bone matrix features in defects treated with autograft in the presence or absence of L-PRP. MATERIAL AND METHODS: An artificial bone defect measuring 5 × 1 mm was produced in the calvaria of 28 Wistar rats. Randomly the defects were treated with autograft and autograft mixed with L-PRP. The animals were euthanized at 15 and 40 days post-surgery. Data were analyzed by Student-Newman-Keuls test (p ≤ .05) for immunohistochemical interpretation. RESULTS: The results revealed that the histological characteristic of bone matrix deposited in the defect was different in the defects treated with L-PRP. The group that received only the autograft demonstrated larger haversian bone matrix deposited, whereas the group that received autograft mixed with L-PRP revealed trabecular bone deposition. These results coincided with significantly higher immunopositivity for IHH, TGF-ß1, and PTH1R in the L-PRP group. CONCLUSION: These results suggest that L-PRP altered the biological characteristic of the autograft, increasing the bone cells IHH+ but inducing a trabecular bone associated with intense quantities of TGF-ß and PTH1R.
Assuntos
Autoenxertos/transplante , Matriz Óssea/fisiologia , Proteínas Hedgehog/análise , Leucócitos/fisiologia , Osteogênese/fisiologia , Plasma Rico em Plaquetas/fisiologia , Receptor Tipo 1 de Hormônio Paratireóideo/análise , Crânio/cirurgia , Fator de Crescimento Transformador beta1/análise , Animais , Doenças Ósseas/cirurgia , Matriz Óssea/patologia , Osso Esponjoso/patologia , Osso Esponjoso/fisiologia , Ósteon/patologia , Ósteon/fisiologia , Processamento de Imagem Assistida por Computador/métodos , Imuno-Histoquímica , Masculino , Fotografação/métodos , Distribuição Aleatória , Ratos , Ratos Wistar , Crânio/patologia , Crânio/fisiologiaRESUMO
An adolescent boy with an Angle Class II Division 1 malocclusion had a hyperdivergent growth pattern with an excessive lower facial height and an anterior open bite. Combined orthodontic and surgical treatment should be considered for patients with a skeletal anterior open-bite malocclusion. For patients who do not want surgery, however, a 0.022 × 0.028-in nontorqued, nonangulated fixed appliance with a chincup as adjunct therapy is an alternative that can have excellent results. The final outcome of this treatment were great improvements in function, esthetics, and posttreatment stability after 8 years.