Research Article

OZONE IMPROVES AUTOGENOUS GRAFT HEALING IN EXPERIMENTAL DIABETES MELLITUS: A MORPHOMETRIC AND IMMUNOHISTOCHEMICAL STUDY

Volume: 7 Number: 1 April 1, 2020
TR EN

Abstract

Backround: Diabetes mellitus (DM) is a metabolic disorder which plays crucial role in the pathogenesis of periodontitis. Ozone have several actions such as antimicrobial ,immunostimulating, antihypoxic effects, and activates antioxidant enzymes and angiogenesis

Aim: The aim of this study is to investigate the effect of gaseous ozone on bone healing in diabetic rat calvarial defects treated with autogenous bone graft, morphometrically and immunohistochemically.

Material and Methods: Diabetes was induced and critical size defects were created on rats. Study groups: 1-Empty defect (Control, n=14) group, 2-Autograft (AG, n=14) group, 3-Empty defect+ozone therapy (Control+Ozone, n=14) group, 4-Autograft+ozone application (AG+Ozone, n=14) group. Gaseous ozone was applied on the operation day and the following 2 weeks daily (140ppm @ 2L/d, 2.24 mg). Total bone area was measured. Osteocalcin and Bone morphogenic protein-2  protein expressions were evaluated.

Results: Control and Control+Ozone groups had no osteoclast and residuel lacunae during the study . Osteoblasts in AG+Ozone group were higher than AG group at 4th week (p>0.05). AG+Ozone group had more total bone area than AG group at 4th week. AG+Ozone group revealed more BMP-2 immune positivity compared to the other groups. Osteocalcin immune positivity in AG groups was higher than those of the Control groups.

Conclusion: Within the limitations of this study, gaseous ozone application decreased osteoclast number and increased osteoblast number and bone regeneration, especially, in early stages of bone regeneration in diabetic rats.

KEYWORDS: autograft, bone regeneration, calvarial defect, experimental diabetes mellitus, ozone

Keywords

References

  1. REFERENCES 1. Gurav AN. Management of diabolical diabetes mellitus and periodontitis nexus: Are we doing enough? World J Diabetes 2016;7:50-66.
  2. 2. Jiao H, Xiao E, Graves DT. Diabetes and Its Effect on Bone and Fracture Healing. Curr Osteoporos Rep 2015;13:327-335.
  3. 3. Daugela P, Cicciu M, Saulacic N. Surgical Regenerative Treatments for Peri-Implantitis: Meta-analysis of Recent Findings in a Systematic Literature Review. J Oral Maxillofac Res 2016;7:e15.
  4. 4. Dimitriou R, Jones E, McGonagle D, Giannoudis PV. Bone regeneration: current concepts and future directions. BMC Med 2011;9:66.
  5. 5. Yin W, Qi X, Zhang Y, et al. Advantages of pure platelet-rich plasma compared with leukocyte- and platelet-rich plasma in promoting repair of bone defects. J Transl Med 2016;14:73.
  6. 6. Peng W, Kim IK, Cho HY, et al. Assessment of the autogenous bone graft for sinus elevation. J Korean Assoc Oral Maxillofac Surg 2013;39:274-282.
  7. 7. Keskiner I, Alkan A, Acikgoz G, Arpak N, Kaplan S, Arslan H. Platelet-rich plasma and autogenous bone graft combined with guided tissue regeneration in periodontal fenestration defects in dogs. Int J Periodontics Restorative Dent 2014;34:e112-120.
  8. 8. Kokdere NN, Baykul T, Findik Y. The use of platelet-rich fibrin (PRF) and PRF-mixed particulated autogenous bone graft in the treatment of bone defects: An experimental and histomorphometrical study. Dent Res J (Isfahan) 2015;12:418-424.

Details

Primary Language

English

Subjects

Dentistry

Journal Section

Research Article

Publication Date

April 1, 2020

Submission Date

April 29, 2018

Acceptance Date

January 17, 2019

Published in Issue

Year 2020 Volume: 7 Number: 1

APA
Lektemür Alpan, A., Toker, H., & Özer, H. (2020). OZONE IMPROVES AUTOGENOUS GRAFT HEALING IN EXPERIMENTAL DIABETES MELLITUS: A MORPHOMETRIC AND IMMUNOHISTOCHEMICAL STUDY. Selcuk Dental Journal, 7(1), 44-53. https://doi.org/10.15311/selcukdentj.419582
AMA
1.Lektemür Alpan A, Toker H, Özer H. OZONE IMPROVES AUTOGENOUS GRAFT HEALING IN EXPERIMENTAL DIABETES MELLITUS: A MORPHOMETRIC AND IMMUNOHISTOCHEMICAL STUDY. Selcuk Dent J. 2020;7(1):44-53. doi:10.15311/selcukdentj.419582
Chicago
Lektemür Alpan, Aysan, Hülya Toker, and Hatice Özer. 2020. “OZONE IMPROVES AUTOGENOUS GRAFT HEALING IN EXPERIMENTAL DIABETES MELLITUS: A MORPHOMETRIC AND IMMUNOHISTOCHEMICAL STUDY”. Selcuk Dental Journal 7 (1): 44-53. https://doi.org/10.15311/selcukdentj.419582.
EndNote
Lektemür Alpan A, Toker H, Özer H (April 1, 2020) OZONE IMPROVES AUTOGENOUS GRAFT HEALING IN EXPERIMENTAL DIABETES MELLITUS: A MORPHOMETRIC AND IMMUNOHISTOCHEMICAL STUDY. Selcuk Dental Journal 7 1 44–53.
IEEE
[1]A. Lektemür Alpan, H. Toker, and H. Özer, “OZONE IMPROVES AUTOGENOUS GRAFT HEALING IN EXPERIMENTAL DIABETES MELLITUS: A MORPHOMETRIC AND IMMUNOHISTOCHEMICAL STUDY”, Selcuk Dent J, vol. 7, no. 1, pp. 44–53, Apr. 2020, doi: 10.15311/selcukdentj.419582.
ISNAD
Lektemür Alpan, Aysan - Toker, Hülya - Özer, Hatice. “OZONE IMPROVES AUTOGENOUS GRAFT HEALING IN EXPERIMENTAL DIABETES MELLITUS: A MORPHOMETRIC AND IMMUNOHISTOCHEMICAL STUDY”. Selcuk Dental Journal 7/1 (April 1, 2020): 44-53. https://doi.org/10.15311/selcukdentj.419582.
JAMA
1.Lektemür Alpan A, Toker H, Özer H. OZONE IMPROVES AUTOGENOUS GRAFT HEALING IN EXPERIMENTAL DIABETES MELLITUS: A MORPHOMETRIC AND IMMUNOHISTOCHEMICAL STUDY. Selcuk Dent J. 2020;7:44–53.
MLA
Lektemür Alpan, Aysan, et al. “OZONE IMPROVES AUTOGENOUS GRAFT HEALING IN EXPERIMENTAL DIABETES MELLITUS: A MORPHOMETRIC AND IMMUNOHISTOCHEMICAL STUDY”. Selcuk Dental Journal, vol. 7, no. 1, Apr. 2020, pp. 44-53, doi:10.15311/selcukdentj.419582.
Vancouver
1.Aysan Lektemür Alpan, Hülya Toker, Hatice Özer. OZONE IMPROVES AUTOGENOUS GRAFT HEALING IN EXPERIMENTAL DIABETES MELLITUS: A MORPHOMETRIC AND IMMUNOHISTOCHEMICAL STUDY. Selcuk Dent J. 2020 Apr. 1;7(1):44-53. doi:10.15311/selcukdentj.419582