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J Clin Periodontol ; 38(2): 163-72, 2011 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21133980

RESUMO

AIM: the objective of the study was to evaluate the safety and efficacy of a formulation containing recombinant human platelet-derived growth factor (rhPDGF-BB) and ß-tricalcium phosphate (ß-TCP) in patients with periodontal defects and to compare it with those of ß-TCP alone. MATERIALS AND METHODS: in this double-blind, prospective, parallel, active-controlled, randomized, multi-centre clinical trial, 54 patients with periodontal osseous defects were randomly assigned to rhPDGF-BB+ß-TCP or ß-TCP. Following periodontal surgery, respective implantation was performed. The primary and secondary end points of treatment were evaluated at the third and the sixth month. RESULTS: among the outcome measures, the extent of linear bone growth (p<0.01) and per cent bone fill (p<0.004) at the sixth month over baseline were significantly higher in the rhPDGF-BB+ß-TCP group when compared with the ß-TCP group. Similarly, it also resulted in significantly higher area under the curve clinical attachment level gain at 0-6 months (p<0.01), CAL gain and greater reduction in probing depth at the third and the sixth month than that with ß-TCP treatment alone. The incidence of adverse events was similar in both the groups and no serious adverse events were reported in any of the patients. CONCLUSIONS: rhPDGF-BB+ß-TCP is safe and effective in the treatment of periodontal defects. It increases bone formation and soft tissue healing (clinicaltrials.gov, number NCT00496847; CTRI No.: CTRI/2008/091/000152).


Assuntos
Perda do Osso Alveolar/tratamento farmacológico , Regeneração Óssea/efeitos dos fármacos , Substitutos Ósseos/uso terapêutico , Fosfatos de Cálcio/uso terapêutico , Regeneração Tecidual Guiada Periodontal/métodos , Fator de Crescimento Derivado de Plaquetas/fisiologia , Implantes Absorvíveis , Adulto , Idoso , Perda do Osso Alveolar/cirurgia , Área Sob a Curva , Becaplermina , Materiais Biocompatíveis/uso terapêutico , Método Duplo-Cego , Combinação de Medicamentos , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Periodontais/tratamento farmacológico , Doenças Periodontais/cirurgia , Fator de Crescimento Derivado de Plaquetas/uso terapêutico , Proteínas Proto-Oncogênicas c-sis , Proteínas Recombinantes , Estatísticas não Paramétricas , Alicerces Teciduais , Resultado do Tratamento
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