Bone tissue is a rather dynamic tissue that has the ability to recover from injury without scarring. The differentiation of multipotent mesenchymal stromal cells (MМSC) into osteoblasts plays a crucial role in bone regeneration and remodeling. MМSC derived from adipose tissue are considered to be an adequate source for bone tissue engineering because of their capacity for osteogenic differentiation. The effectiveness of osteogenic differentiation of different human MMSC has been demonstrated in the settlement of biocompatible polymer matrices. It was found that MMSC derived from adipose tissue showed a high efficiency of differentiation into osteoblasts. These cells are typically transplanted into three-dimensional porous scaffolds that provide the necessary extracellular environment that contains physical and chemical signals for tissue development and regeneration.The aim of the study: to analyze the results of morphometric studies to determine the effectiveness of the use of tissue equivalents of bone tissue based on multipotent mesenchymal stromal fat cells in dental practice.Material and methods. The experiment was conducted on the Wistar line rats, weighing 200–250 grams, which were divided into VI groups. A bone defect model was formed in the parietal section of the skull of rats. The formed defect implanted the harvested material. Morphometric studies were performed in accordance with the principles of systematic quantitative analysis (Avtandilov GG, 2002). To do this, we used the automatic image processing system „Videotest-Morpho 3.0” (Russia), which contains a binocular research microscope „Biolam”, an analog-to-digital converter, a computer with a high-resolution color printer and software. In the regenerate, the volume particles (Vp, μm3/μm3) of connective tissue, vessels and bone beams, as well as the numerical density of cellular elements (1/μm3) were determined using morphometric methods. The obtained results are processed statistically.Results. After 3 months of observations, clear quantitative positive changes in the structure of the regenerates were observed in the skull defect area of the experimental animals. Thus, in animals of groups IV and VI the volume fraction of bone beams in regenerates increased to 43,90 ± 1,68%, p1 — p2 <0,01 and to 45,10 ± 1,74%, p1, p2, p4 <0,01, respectively, was equal to that in control rats. A decrease in the connective tissue volume fraction was observed in the bone tissue regenerators of the experimental rats, with the minimum values of this parameter in the IV and VI experimental groups: 12,45 ± 2,20% and 10,00 ± 2,15%, p1<0,05, p4< 0,01, respectively, p>0.05. On the 90th day of observation there was a significant decrease in the volume fraction of vessels, which in the IV and VI groups with values 7,44 ± 0.82% and 6,15 ± 0,90%, p2<0.01, respectively, was equal to the data in rats of the control group, p>0,05. In animals of group VI, where the combination of MMSC-AT +PRP + Kolapan was used to repair the bone defect, the maximum increase was determined: the number of osteoblasts and osteocytes, the number of osteoclasts against the background of reduction of fibroblasts and fibrocytes. The normalization of cellular element cell density in group IV rats, where bone defect replacement occurred due to the combination of MMSC-AT +PRP, was quite significant. At the same time, in the animals of this group the number of osteoclasts, р1<0,05 and fibroblasts and fibrocytes was equal to the data in intact animals of the first group, p>0.05, with 1,2 times smaller number of osteoblasts and osteocytes, р>0,05 р1 — р2>0,01.Conclusions. Therefore, by the results of morphometric studies on the model defects of the skull bone of rats proved the suitability of the investigated implants for use, especially with the combination of MMSC-AT +PRP and MMSC-AT +PRP + Kolapan, which provided complete closure of the defect in 90 days.
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