Análise histológica e histomorfométrica do processo de reparo de defeitos ósseos em ratos diabéticos preenchidos com osso autógeno e recobertos por membrana de matriz óssea homógena ou por membrana de politetrafluoretileno

• Autor(a) principal: Timóteo, Carlos Alberto [UNESP]
• Data de Publicação: 2014
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://hdl.handle.net/11449/124056; http://www.athena.biblioteca.unesp.br/exlibris/bd/cathedra/20-05-2015/000829111.pdf
• topic: Diabetes; Ossos - Enxerto; Transplante homologo; Transplante autólogo; Regeneração tecidual guiada

Purpose: To carry out histological and histomorphometric analysis of the bone repair process in diabetic rats filled with autogenous bone graft and covered with homogenous demineralized bone matrix membrane or expanded polytetrafluoroethylene membrane (e-PTF). Materials and Methods: In order to obtain the homogenous membrane, 40 healthy animals not included in the experimental group were used. In the experiment 120 male rats (Rattus norvegicus albinus, Wistar) weighing approximately 250g were divided into two groups. Group I (IC) had no systemic alterations (Control) and received an intravenous citrate buffer injection at 0.01 M, pH 4.5, while Group II (Diabetic) or IID received an intravenous injection of streptozotocin (Sigma-Aldrich) dissolved in citrate buffer at 0.01M, ph 4.5 in a concentration of 35 mg/kg. After glycemic control, the rats with no systemic alterations (Control group) and the diabetic rats were subdivided into three subgroups, as follows: SM - surgical cavity of left tibia was filled with autogenous bone grafting not covered by membrane; MH - bone grafting covered by homogenous membrane; and MX - bone grafting covered by expanded polytetrafluoroethylene membrane (e-PTFE). The animals were euthanized at 10 and 60 days and the tibiae were submitted to routine laboratorial processing for histological and histomorphometric analysis. Results: At 10 days, there were no statistically significant differences between diabetic and non-diabetic rats which had their wounds covered or not covered with the membranes. However, at 10 days the bone tissue of the diabetic group was qualitatively worse in comparison to that of the control group. At 60 days a delay was found in the bone repair process in wounds covered by membranes when compared to the group without membrane, regardless of the systemic state. At 60 days...