TW200530401A - Method of self cells transplantation for periodontosis - Google Patents

Method of self cells transplantation for periodontosis Download PDF

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TW200530401A
TW200530401A TW93106659A TW93106659A TW200530401A TW 200530401 A TW200530401 A TW 200530401A TW 93106659 A TW93106659 A TW 93106659A TW 93106659 A TW93106659 A TW 93106659A TW 200530401 A TW200530401 A TW 200530401A
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periodontal
culture
tissue
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scope
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TW93106659A
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Chinese (zh)
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Fu Feng
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Forward Medical Consultant Co Ltd
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Abstract

This invention is related to provide a method of self cells transplantation for periodontosis which is mainly related to directly collect self healthy periodontal fibrous cells of patients and sequentially pass the cells through cultivation steps of dividing and cutting, centrifugal filtration, immersing in the cultivation solution, and sealed conservation. And add the freeze-dried decalcified bone (DFDBA), then transplant it back to the original suffering defect regions to achieve the purpose of repairing periodontal tissues.

Description

200530401 五、發明說明α) 【發明所屬之技術領域】 本發明係有關於一種牙周病自體細胞移植方法,尤指 一種利用自體細胞移植來修復受損牙周組織之培養方法。 【先前技術】 就醫學上的解釋,牙周病乃是一種牙周組織產生病理 變化的疾病(如第一圖所示),按一般牙周組織5主要包 括:牙齦(Gingival tissue) 1、牙周動帶( periodontal ligament’PDL) 2 、齒槽骨(Aiveolar bone ) 3及牙骨質(cementum )所組成;其病因主要係由 牙菌斑(Dental PlaqUe )造成,其會對牙周組織產生侵 蚀 現^初期症狀包括為牙齦發紅、腫脹、刷牙流A和口臭的 除上述症狀外,更進而侵蝕牙齦下方 私 周韌帶2形成囊袋,嚴重時甚齒槽月3和牙 動現象。 嚴$ μ至會發生骨質流失及牙齒鬆 目前牙周病的治療目的,包括中 二防止復發及達到促進牙周組織再生的 即俗稱的"洗牙",或用牙牙銀上的結石, 菌斑及牙結石刮除,促使牙周組镟瘉人耆在牙根表面的牙 的牙周病,便無法於初級的 ' 二,倘若罹患了嚴重 周手術方式’ I底將牙周囊袋深::以及:需,牙 巩^、纟U石元全清 【發明内容】 本發明之 植方法,其主 行培養後,再 到促進修復牙 a、 擷取 b、 將前 f内; c 、藉由 織分離; d、 將前 液之封閉培養 e、 進行 母細胞數目成 200530401 五、發明說明(2) 二卜並:需將遭到破壞呈不規則之齒槽骨〜 現U係利用不同牙周病辦膜手術,並配重建,如 植(bone graft)及再生膜(GTR membrane)】用骨粉移 處理(root conditi〇ning)的方式 或牙根表 X知的牙周組織。 餐修復先前 雖然、這些方法可以修復牙周组織 別 些瓶頸待突破。 仕/〇療上仍有 是故,如何提供一種可促使牙周組 為本發明之研發動機所在。 、、生之方法,即 主要目的即在於提供一種 要係透過擷取患者自體::::自體細胞移 周組織之目的,其典::患部缺陷處,以達 J 瑨脣步驟儀句括: 病患自身之牙周組織所含、 述之牙周組織進行“;f維母細胞; 再個別分裝至離心 高速旋轉的離心Μ吏該雜質及細菌與牙周組 過滤的牙周級織浸置於含有培養 次培養(subculture), 長且滿佈整個培養m内; 使牙周組織的纖維 瞧 麵 第6頁 200530401 五、發明說明(3) f、於滿佈含有牙周纖維母細胞之培養皿内添加冷束 乾燥脫鈣骨(D F D B A )共同培養。 g、待牙周纖維母細胞覆蓋冷凍乾燥脫鈣骨後,再藉由牙 周手術植回原患者之牙周組織缺陷處。 其中所述之培養液成分主要包含培養基、生長激素及 抗生素。 其中所述之培養的環境約為37 °C、5 % C〇2的潮濕條 件,以利細胞得到良好之生長。 【實施方式】 各,及所能達 詳細介紹說明 為使貴審查委員充分了解本發明之内容 成之功效、茲配合圖式列舉一具體實施例,詳 如下:200530401 V. Description of the invention α) [Technical field to which the invention belongs] The present invention relates to a method for autologous cell transplantation of periodontal disease, in particular to a culture method for repairing damaged periodontal tissue using autologous cell transplantation. [Previous technology] According to medical explanation, periodontal disease is a disease that produces pathological changes in periodontal tissue (as shown in the first picture). According to the general periodontal tissue 5 mainly includes: Gingival tissue 1. Tooth Periodontal ligament'PDL 2, Aliveolar bone 3 and cementum; its cause is mainly caused by dental plaque (Dental PlaqUe), which causes erosion of periodontal tissue The current initial symptoms include redness, swelling, tooth brushing A, and bad breath. In addition to the above symptoms, the private peripheral ligament 2 under the gums is eroded to form a capsular bag. In severe cases, alveolar months 3 and tooth movement. Strict $ μ until bone loss and tooth loosening currently occur in the treatment of periodontal disease, including Secondary II to prevent recurrence and achieve periodontal tissue regeneration, commonly known as " washing teeth ", or using calculus on the tooth silver, The plaque and calculus scraping caused the periodontal group to heal the periodontal disease of the teeth on the surface of the tooth roots, which could not be the primary 'two, if severe periodontal surgery was suffered', the periodontal pocket was deepened :: and: need, dental sclerosis ^, 纟 U, Shi Yuanquan [Content of the invention] After the main method of cultivation of the present invention is to promote the restoration of teeth a, extraction b, and the front f; c, by Weaving and separation; d. Closed culture of the anterior fluid e. The number of mother cells is 200530401 V. Description of the invention (2) Binning: The alveolar bone that is damaged must be irregular ~ Now U system uses different periodontal Patients undergo membrane surgery and are equipped with reconstruction, such as bone graft and GTR membrane, using the method of root conditioning or periodontal tissue known on the root surface. Meal repairs have been previously, though, these methods can repair periodontal tissues and some bottlenecks need to be broken. There is still a reason in the treatment, how to provide a periodontal group is the research engine of the present invention. The method of living, that is, the main purpose is to provide a way to capture the patient's own body :::: the transfer of autologous tissue from the patient's body. Include: The periodontal tissue contained in the patient ’s own periodontal tissue is described as “f dimension mother cells; and then individually divided into centrifugation at high speed and centrifugation. The impurities and bacteria are filtered with periodontal grade in the periodontal group. Weaving and immersion is placed in a subculture containing culture, which is long and covered with the whole culture m; make the periodontal tissue fibers look at page 6 200530401 V. Description of the invention (3) f. Add cold beam dry decalcified bone (DFDBA) to the cell culture dish for co-cultivation. G. After periodontal fibroblasts are covered with freeze-dried decalcified bone, the periodontal tissue defect of the original patient will be implanted by periodontal surgery The components of the culture medium mainly include medium, growth hormone and antibiotics. The culture environment is about 37 ° C, 5% C02 humid conditions, so that cells can grow well. [Embodiment 】 Each, In order to make your reviewers fully understand the effectiveness of the content of the present invention, a specific embodiment is listed with the drawings, as follows:

藉以擷取牙周韌帶或牙齦組織所内含 進行培養。 3 細腮秒植方法(請同時 其係包括下列步驟·· 勒帶2或牙銀1組織, 含之纖維母細胞(A )The periodontal ligament or gingival tissue is harvested for cultivation. 3 Fine cheek second implantation method (please also include the following steps .. 1) Leash 2 or dental silver 1 tissue, containing fibroblasts (A)

藉由高速旋 ’如使用轉速 號刀片,分 置入離心管内, 組織完整分離(C ) 離心丨〇分鐘共3次,藉 藉以達到過濾雜 200530401By using a high-speed spinner, if using a speed blade, divide it into a centrifuge tube, and completely separate the tissue (C). Centrifuge it for 3 times for 0 minutes to achieve filtration. 200530401

質及細菌之目的。 d、將經由前述切分的牙周勒帶或或牙齦組織浸置於 含有培養液的培養孤中(D),再依序將其封蓋後,儲放 於一培養箱内(該培養箱的環境為37 I、5 % c〇2的潮濕環 境條件,於本實施例中培養皿的直徑係為6cm ),其中該 培養液成分主要包含培養基因(如:a_MEMALpHA_ Medium)量約占89% 、成長激素(如:FB S FetalQuality and bacteria. d. Immerse the periodontal leashes or gum tissues that have been divided into the culture orphan (D) containing the culture solution, and then cover them in order and store them in an incubator (the incubator) The environment is a humid environment of 37 I and 5% co2. In this example, the diameter of the petri dish is 6 cm), and the culture medium mainly contains culture genes (such as a_MEMALpHA_ Medium), which accounts for about 89%. , Growth hormone (such as: FB S Fetal

Bovine Serum)量約占1〇 %及抵抗細菌的抗生素(如: =/3’1^1^61^11/3忖61^〇町(^〇11,盤尼西林/鏈黴素)量 e 細胞數 培養皿 f 内添加 10^14 乾燥脫 藉 牙周病 胞的混 可促進 再 後,再 目成長 為例, 、於滿 冷凍乾 天後, 鈣骨。 由上述 瓣膜手 合體, 該牙周 者,由 移植回Bovine Serum) accounts for about 10% of the amount of bacteria and antibiotics (such as: = / 3'1 ^ 1 ^ 61 ^ 11/3 忖 61 ^ 〇 (^ 〇11, penicillin / streptomycin)) e cell number Adding 10 ^ 14 of dried periodontal diseased cells to culture dish f can promote the growth of the later, and then grow again, for example, after the freeze-dried days, calcium bones. By transplanting back

天後進行次培養(subculture),使纖維母 且滿佈(E)整個培養皿内(以直徑6cm的 約為5x104的細胞密合度)。 佈含有牙周韌帶或牙齦纖維母細胞的培養m 燥脫轉骨(DFDBA)(F)共同培養約 使牙周動帶或牙齦纖維母細胞完全覆蓋冷凉Subculture was performed the next day, so that the fibroblasts were covered with (E) the entire petri dish (with a cell density of approximately 5x104 with a diameter of 6 cm). Cloth culture containing periodontal ligaments or gingival fibroblasts m Co-cultivation with dry bone removal (DFDBA) (F) to completely cover the periodontal band or gingival fibroblasts

之步驟即可形成類膠狀的混合體,俾以配合 術搁取適量含有冷凍乾燥脫鈣骨及纖維母細 將其種回原患者齒槽骨的缺陷處(G ),即 組織再生現象。 於本發明係利用病患自體之細胞進行培養 自體的缺陷處,不會有排斥現象的產生。In this step, a gel-like mixture can be formed, and the appropriate amount of freeze-dried decalcified bone and fibroblasts can be collected to restore the defect (G) of the alveolar bone of the original patient, which is the phenomenon of tissue regeneration. In the present invention, the cells of the patient's body are used for culturing the defects of the body, and no rejection will occur.

200530401 五、發明說明(5) 本發明係提供一種牙周病自體細胞移植方 法’其係猎由自體細胞修復牙周組織缺陷處,提昇牙周病 之治癒率,其極具產業利用價值,實應已充分符合新穎性 ^進步性之法定發明專利要件,爰依法提出申請,懇請 貝局核准本件發明專利申請案,以勵發明,至感德便。 上列詳細說明係針對本發明之一可行實施例之具體說 明’惟該貫施例並非用以限制本發明之專利範圍,凡未脫 離本發明技藝精神所為之等效實施或變更,均應包含於本 案之專利範圍中。 i200530401 V. Description of the invention (5) The present invention provides a method of autologous cell transplantation for periodontal disease, which is to repair periodontal tissue defects by autologous cells and improve the cure rate of periodontal disease, which has great industrial application value. In fact, it has fully met the requirements of novelty and progressive statutory invention patents, and submitted an application in accordance with the law. It is imperative that the Beihai Bureau approve this invention patent application to encourage inventions, and to the greatest extent. The above detailed description is a specific description of one of the feasible embodiments of the present invention, but this embodiment is not intended to limit the patent scope of the present invention. Any equivalent implementation or change that does not depart from the technical spirit of the present invention shall include Within the scope of the patent in this case. i

200530401 圖式簡單說明 【圖式簡單說明】 第一圖係為人體牙齒構造之剖面示意圖。 第二圖係為本發明之實施步驟流程圖。 【主要部分代表符號】 1 ......牙周組織 2 ......牙周韌帶 3 ......齒槽骨 4 ......牙骨質 5 ......牙齒 (A )擷取牙周韌帶或牙齦組織所含之纖維母細胞 (B )進行分切成適量大小,再個別分裝至離心管内 (C )高速旋轉的離心使該雜質細菌與纖維母細胞完整分 離 (D)浸置於含有培養液的培養孤中 (E )進行次培養(subculture)使纖維母細胞數目成長 滿 (F )添加冷束乾燥脫約骨 (G )植回原患者牙骨質的缺陷處200530401 Simple illustration of the drawing [Simplified illustration of the drawing] The first diagram is a schematic cross-sectional view of the human tooth structure. The second figure is a flow chart of the implementation steps of the present invention. [Representative symbols of main parts] 1 ...... periodontal tissue 2 ...... periodontal ligament 3 ...... alveolar bone 4 ...... cementum 5 .... .. Tooth (A) extracts fibroblasts (B) contained in periodontal ligament or gingival tissue, cuts them into an appropriate amount, and then separately distributes them into a centrifuge tube (C). High-speed centrifugation makes the impurity bacteria and fibers Complete isolation of mother cells (D) Immersion in a culture orphan containing culture medium (E) Subculture to make the number of fibroblasts grow to full (F) Add cold beam to dry out bone (G) Defective cementum

第10頁Page 10

Claims (1)

200530401 六、申請專利範圍 ,^β 1、牙周病自體細胞移植方法,係包括 、擷取病患自體之牙周組織; 卜步驟: 、將前述之牙周組織進行分切,再個 刀裝至離 a b 心 管内 c 織分 藉由高速旋轉的離心’使該雜質;5 貝及細菌與牙周組 d、 將前述經由切分過濾、的牙周組織浸、 液之封閉培養皿中培養; 有培養 e、 進行次培養(subculture),使牙 母細胞數目成長且滿佈整個培養皿内; 周、组織的纖維 f、 於滿佈含有牙周纖維母細胞之的拉 凍乾燥脫鈣骨(DFDBA)共同培養。"養皿内添加冷 g、待牙周纖維母細胞覆蓋冷康乾燥脫詞骨, * 手術植回原患者之牙周組織缺陷處者。 再藉由牙周 2、 如申請專利範圍第1項所述之牙周 植方法,其中該培養液成分主要包含谇基I自體、、、田胞移 及抗生素者。 ° 土因、成長激素 3、 如申請專利範圍第1項所述之牙 植方法,其中浸置於培養液的時間約為1 5 ^ 、、、田胞移 4、 如申請專利範圍第i項所述之牙 植方法,其中培養的環境約為37 t、5 % 〇 f L移 。 L U2的潮濕條件 5、 如申請專利範圍第1頂所沭夕;m 植方♦,装中該擁取之牙η ^ f胃’病έ胃$田&移 植方法’纟中/擷取之牙周(織包括牙周㈣及牙銀組織 200530401200530401 6. Scope of patent application, ^ β 1. The method of autologous cell transplantation of periodontal disease, including, extracting the patient's own periodontal tissue; Steps: 1. Dividing the aforementioned periodontal tissue, and then The knife is placed in the c-weave from the heart tube of ab, and the impurities are removed by centrifugation at high speed; 5 shells and bacteria and periodontal group d. The periodontal tissue dipped and immersed in the liquid through a closed Petri dish Cultivation: There are culture e, subculture, so that the number of dental mother cells grows and spreads throughout the entire petri dish; the fibers of the tissues and tissues f, freeze-dried drying Calcium bone (DFDBA) co-culture. " Add cold g to the culture dish and wait for periodontal fibroblasts to cover Lengkang's dry and dehydrated bones. * Surgical implantation will return to the periodontal tissue defect of the original patient. With periodontal 2, the periodontal implantation method as described in item 1 of the scope of the patent application, wherein the culture fluid components mainly include stilbene I autologous, cytoplasmic, and antibiotics. ° Soil, growth hormone 3, The dental implant method described in item 1 of the scope of patent application, wherein the time of immersion in the culture solution is about 15 ^, ,, and cell transfer 4, such as item i of the scope of patent application In the dental implantation method, the culture environment is about 37 t, and 5% 〇f L shift. The wet condition of L U2 5. As the first day of the patent application scope; m Implantation ♦ Installed in the tooth η ^ f stomach 'sick stomach $ field & transplantation method' Periodontal (weaving including periodontal palate and dental silver tissue 200530401 第12頁Page 12
TW93106659A 2004-03-12 2004-03-12 Method of self cells transplantation for periodontosis TW200530401A (en)

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