American Journal of Emergency Medicine
Volume 26, Issue 5 , Pages 574-577, June 2008

Thymosin alpha 1 provides short-term and long-term benefits in the reimplantation of avulsed teeth: a double-blind randomized control pilot study

  • Wings T.Y. Loo, DDS, MSc, PhD

      Affiliations

    • Jinhua Dentistry, Kowloon, Hong Kong, People’s Republic of China
  • ,
  • Y.D. Dou, DDS, MDS

      Affiliations

    • Jinhua Dentistry, Kowloon, Hong Kong, People’s Republic of China
  • ,
  • W.K.J. Chou, BSc (Pharmacy)

      Affiliations

    • Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada
  • ,
  • Min Wang, DDS, MDS

      Affiliations

    • State Key Laboratory of Oral Diseases, West China Stomatology College, Sichuan University, Chengdu, People’s Republic of China
    • Corresponding Author InformationCorresponding author. State Key Laboratory of Oral Diseases Engineering, Ministry of Education, West China of Stomatology College, Sichuan University, Chengdu 610041, People's Republic of China. Tel.: +86 852 2345 7671; fax: +86 852 3176 7247.

Received 30 July 2007; accepted 13 September 2007.

Abstract 

Background

This study investigates the short-term and long-term effects of thymosin alpha 1 (Talpha1) on reimplantation of avulsed teeth.

Methods and Material

Seventy-three patients with avulsed teeth were double-blind randomly assigned to a control group and group that used Talpha1. The teeth were reimplanted after treatment with Talpha1 or saline. Patients were monitored for both short-term and long-term parameters.

Results

The thymosin group demonstrated a lower interferon, tumor necrosis factor α and interleukin-6 levels (P < .05) and higher white blood cell levels than the control group (P < .05). The thymosin group demonstrated greater periodontal healing (P < .05), less ankylosis (P < .05), less tooth movement, and greater lifetime of the replanted teeth.

Conclusion

The use of Talpha1 has both short-term and long-term beneficial effects during reimplantation of avulsed teeth.

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PII: S0735-6757(07)00599-2

doi:10.1016/j.ajem.2007.09.007

American Journal of Emergency Medicine
Volume 26, Issue 5 , Pages 574-577, June 2008