Back‐scattered electron imaging and elemental analysis of retrieved bone tissue following sinus augmentation with deproteinized bovine bone or biphasic calcium phosphate
Identifieur interne : 002727 ( Istex/Corpus ); précédent : 002726; suivant : 002728Back‐scattered electron imaging and elemental analysis of retrieved bone tissue following sinus augmentation with deproteinized bovine bone or biphasic calcium phosphate
Auteurs : Christer Lindgren ; Mats Hallman ; Lars Sennerby ; Rachel SammonsSource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2010-09.
English descriptors
- KwdEn :
- Adjacent bone, Alveolar crest, Anorganic, Anorganic bone, Augmentation, Autogenous, Autogenous bone, Biomaterials, Biphasic, Biphasic calcium phosphate, Bone, Bone core, Bone formation, Bone grafts, Bone mineral, Bone substitute material, Bone substitutes, Bone tissue, Bovine bone, Bovine origin, Bovine spongiform encephalopathy, Calcium phosphate, Calcium phosphate ratio, Calcium sulphate, Central areas, Central regions, Clin, Dental implants, Dentistry, Deproteinized, Different biomaterials, Direct contact, Edentulous patients, Electron imaging, Electron microscopy, Electron scanning electron, Elemental analysis, Energy dispersive spectroscopy, Fragmentation process, Full study, Graft, Graft material, Graft materials, Graft particles, Graft site, Graft substitute, Ground sections, Hallman, Healing period, Healing process, Histological results, Histomorphometric, Histomorphometric results, Human bone, Imaging, Impl, Implant, Implant dentistry, Implant placement, Implants research, Individual grains, Interface, Interface data, International journal, Intrabony defects, John wiley sons, Lateral window, Lindgren, Local anaesthesia, Many years, Maxillary, Maxillary sinus, Maxillofacial, Maxillofacial surgery, Median values, Multinucleated cells, Novel biphasic calcium phosphate, Oral impl, Oral maxillofacial implants, Particle size, Phosphate, Pilot study, Point analysis data, Posterior maxilla, Present study, Previous study, Prospective study, Rank test, Regional ethics committee, Residual, Residual bone, Residual graft material, Residual particles, Resorption, Restorative dentistry, Scanning electron microscopy, Several months, Sinus, Sinus augmentation, Small particles, Smaller particles, Surface fragmentation, Synthetic materials, Typical examples, University hospital.
- Teeft :
- Adjacent bone, Alveolar crest, Anorganic, Anorganic bone, Augmentation, Autogenous, Autogenous bone, Biomaterials, Biphasic, Biphasic calcium phosphate, Bone, Bone core, Bone formation, Bone grafts, Bone mineral, Bone substitute material, Bone substitutes, Bone tissue, Bovine bone, Bovine origin, Bovine spongiform encephalopathy, Calcium phosphate, Calcium phosphate ratio, Calcium sulphate, Central areas, Central regions, Clin, Dental implants, Dentistry, Deproteinized, Different biomaterials, Direct contact, Edentulous patients, Electron imaging, Electron microscopy, Electron scanning electron, Elemental analysis, Energy dispersive spectroscopy, Fragmentation process, Full study, Graft, Graft material, Graft materials, Graft particles, Graft site, Graft substitute, Ground sections, Hallman, Healing period, Healing process, Histological results, Histomorphometric, Histomorphometric results, Human bone, Imaging, Impl, Implant, Implant dentistry, Implant placement, Implants research, Individual grains, Interface, Interface data, International journal, Intrabony defects, John wiley sons, Lateral window, Lindgren, Local anaesthesia, Many years, Maxillary, Maxillary sinus, Maxillofacial, Maxillofacial surgery, Median values, Multinucleated cells, Novel biphasic calcium phosphate, Oral impl, Oral maxillofacial implants, Particle size, Phosphate, Pilot study, Point analysis data, Posterior maxilla, Present study, Previous study, Prospective study, Rank test, Regional ethics committee, Residual, Residual bone, Residual graft material, Residual particles, Resorption, Restorative dentistry, Scanning electron microscopy, Several months, Sinus, Sinus augmentation, Small particles, Smaller particles, Surface fragmentation, Synthetic materials, Typical examples, University hospital.
Abstract
Objectives: To compare resorption of a synthetic biphasic calcium phosphate (BCP) bone–graft substitute with deproteinized bovine bone (DBB) used for human maxillary sinus augmentation.
Url:
DOI: 10.1111/j.1600-0501.2010.01933.x
Links to Exploration step
ISTEX:4FA8A670B37857B85125B4E8A46DA367286460C6Le document en format XML
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spectroscopy</term><term>Fragmentation process</term><term>Full study</term><term>Graft</term><term>Graft material</term><term>Graft materials</term><term>Graft particles</term><term>Graft site</term><term>Graft substitute</term><term>Ground sections</term><term>Hallman</term><term>Healing period</term><term>Healing process</term><term>Histological results</term><term>Histomorphometric</term><term>Histomorphometric results</term><term>Human bone</term><term>Imaging</term><term>Impl</term><term>Implant</term><term>Implant dentistry</term><term>Implant placement</term><term>Implants research</term><term>Individual grains</term><term>Interface</term><term>Interface data</term><term>International journal</term><term>Intrabony defects</term><term>John wiley sons</term><term>Lateral window</term><term>Lindgren</term><term>Local anaesthesia</term><term>Many years</term><term>Maxillary</term><term>Maxillary sinus</term><term>Maxillofacial</term><term>Maxillofacial surgery</term><term>Median values</term><term>Multinucleated cells</term><term>Novel biphasic calcium phosphate</term><term>Oral impl</term><term>Oral maxillofacial implants</term><term>Particle size</term><term>Phosphate</term><term>Pilot study</term><term>Point analysis data</term><term>Posterior maxilla</term><term>Present study</term><term>Previous study</term><term>Prospective study</term><term>Rank test</term><term>Regional ethics committee</term><term>Residual</term><term>Residual bone</term><term>Residual graft material</term><term>Residual particles</term><term>Resorption</term><term>Restorative dentistry</term><term>Scanning electron microscopy</term><term>Several months</term><term>Sinus</term><term>Sinus augmentation</term><term>Small particles</term><term>Smaller particles</term><term>Surface fragmentation</term><term>Synthetic materials</term><term>Typical examples</term><term>University hospital</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Adjacent bone</term><term>Alveolar 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Oral and Maxillofacial Surgery, Linköping, Sweden</json:string></affiliations></json:item><json:item><name>Mats Hallman</name><affiliations><json:string>Department of Oral and Maxillofacial Surgery, County Hospital, Gävle, Sweden</json:string><json:string>Department of Oral and Maxillofacial Surgery, Umeå University, Umeå, Sweden</json:string><json:string>Centre for Research and Development, Uppsala University/Gävleborg County Council, Sweden</json:string></affiliations></json:item><json:item><name>Lars Sennerby</name><affiliations><json:string>Department of Biomaterials, Institute for Surgical Sciences, Sahlgrenska Academy, Gothenburg, Sweden</json:string></affiliations></json:item><json:item><name>Rachel Sammons</name><affiliations><json:string>School of Dentistry, University of Birmingham, Birmingham, UK</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>bone implant interactions</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>bone substitutes</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>sinus elevation</value></json:item></subject><articleId><json:string>CLR1933</json:string></articleId><arkIstex>ark:/67375/WNG-8GDZHTHV-4</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Objectives: To compare resorption of a synthetic biphasic calcium phosphate (BCP) bone–graft substitute with deproteinized bovine bone (DBB) used for human maxillary sinus augmentation.</abstract><qualityIndicators><score>7.288</score><pdfWordCount>5142</pdfWordCount><pdfCharCount>32609</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>7</pdfPageCount><pdfPageSize>595.276 x 782.362 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Research</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1600-0501</json:string></doi><issn><json:string>0905-7161</json:string></issn><eissn><json:string>1600-0501</json:string></eissn><publisherId><json:string>CLR</json:string></publisherId><volume>21</volume><issue>9</issue><pages><first>924</first><last>930</last><total>7</total></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>2010</json:string><json:string>4200</json:string></date><geogName></geogName><orgName><json:string>SPSS Inc., Chicago</json:string><json:string>County Hospital, Ga</json:string><json:string>Minitab Inc.</json:string><json:string>Biomedical Materials Research Part B</json:string><json:string>Sweden Lars Sennerby, Department of Biomaterials, Institute for Surgical Sciences, Sahlgrenska Academy, Gothenburg, Sweden Rachel Sammons, School of Dentistry, University of Birmingham, Birmingham, UK 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(2007, 2009)</json:string><json:string>Jensen et al. 2007</json:string><json:string>Arc et al. 2004</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-8GDZHTHV-4</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - engineering, biomedical</json:string><json:string>2 - dentistry, oral surgery & medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - dentistry</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Dentistry</json:string><json:string>3 - Oral Surgery</json:string></scopus></categories><publicationDate>2010</publicationDate><copyrightDate>2010</copyrightDate><doi><json:string>10.1111/j.1600-0501.2010.01933.x</json:string></doi><id>4FA8A670B37857B85125B4E8A46DA367286460C6</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/4FA8A670B37857B85125B4E8A46DA367286460C6/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/4FA8A670B37857B85125B4E8A46DA367286460C6/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/4FA8A670B37857B85125B4E8A46DA367286460C6/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Back‐scattered electron imaging and elemental analysis of retrieved bone tissue following sinus augmentation with deproteinized bovine bone or biphasic calcium phosphate</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><availability><licence>© 2010 John Wiley & Sons A/S</licence></availability><date type="published" when="2010-09"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Back‐scattered electron imaging and elemental analysis of retrieved bone tissue following sinus augmentation with deproteinized bovine bone or biphasic calcium phosphate</title><title level="a" type="short">Resorption of biphasic calcium phosphate vs. anorganic bone</title><author xml:id="author-0000"><persName><forename type="first">Christer</forename><surname>Lindgren</surname></persName><affiliation>Department of Oral and Maxillofacial Surgery, Linköping, Sweden<address><country key="SE"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Mats</forename><surname>Hallman</surname></persName><affiliation>Department of Oral and Maxillofacial Surgery, County Hospital, Gävle, Sweden<address><country key="SE"></country></address></affiliation><affiliation>Department of Oral and Maxillofacial Surgery, Umeå University, Umeå, Sweden<address><country key="SE"></country></address></affiliation><affiliation>Centre for Research and Development, Uppsala University/Gävleborg County Council, Sweden<address><country key="SE"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Lars</forename><surname>Sennerby</surname></persName><affiliation>Department of Biomaterials, Institute for Surgical Sciences, Sahlgrenska Academy, Gothenburg, Sweden<address><country key="SE"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Rachel</forename><surname>Sammons</surname></persName><affiliation>School of Dentistry, University of Birmingham, Birmingham, UK<address><country key="GB"></country></address></affiliation></author><idno type="istex">4FA8A670B37857B85125B4E8A46DA367286460C6</idno><idno type="ark">ark:/67375/WNG-8GDZHTHV-4</idno><idno type="DOI">10.1111/j.1600-0501.2010.01933.x</idno><idno type="unit">CLR1933</idno><idno type="supplier">1933</idno><idno type="toTypesetVersion">file:CLR.CLR1933.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="pISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><idno type="book-DOI">10.1111/(ISSN)1600-0501</idno><idno type="book-part-DOI">10.1111/clr.2010.21.issue-9</idno><idno type="product">CLR</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">21</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="924">924</biblScope><biblScope unit="page" to="930">930</biblScope><biblScope unit="page-count">7</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2010-09"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head><p><hi rend="bold">Objectives: </hi> To compare resorption of a synthetic biphasic calcium phosphate (BCP) bone–graft substitute with deproteinized bovine bone (DBB) used for human maxillary sinus augmentation.</p><p><hi rend="bold">Materials and methods: </hi> Eleven patients underwent bilateral maxillary sinus floor augmentation with DBB in one side and a BCP (40%β‐tricalcium phosphate (β‐TCP) and 60% hydroxyapatite) in the contralateral side. Simultaneously, with the augmentation on each side a microimplant was placed vertically from the top of the alveolar crest penetrating the residual bone and the grafting material. Eight months after initial surgery the microimplants were retrieved with a surrounding bone core. The composition of residual graft material and surrounding bone was analysed by scanning electron microscopy and energy dispersive X‐ray spectroscopy.</p><p><hi rend="bold">Results: </hi> Residual graft material of both types was present as 10–500 μm particles in direct contact with, or completely surrounded by, newly formed bone; smaller particles were also present in non‐mineralized tissue. In the case of BCP the bone–graft substitute interface showed evidence of superficial disintegration of particles into individual grains. Median Ca/P ratios (at.%), determined from >200 discreet sites within residual graft particles and adjacent bone, were: DBB: 1.61 (confidence interval [CI] 1.59–1.64); BCP: 1.5 (CI 1.45–1.52); DBB‐augmented bone: 1.62 (CI 1.59–1.66); BCP‐augmented bone: 1.52 (CI 1.47–1.55); <hi rend="italic">P</hi>=0.028 for DBB vs. BCP and DBB‐ vs. BCP‐augmented bone. The reduction in Ca/P ratio for BCP over the healing period is consistent with the dissolution of β‐TCP and reprecipitation on the surface of calcium‐deficient hydroxyapatite.</p><p><hi rend="bold">Conclusion: </hi> The β‐TCP component of BCP may be gradually substituted by calcium‐deficient hydroxyapatite over the healing period. This process and superficial degranulation of BCP particles may influence the progress of resorption and healing.</p><p>
<hi rend="bold">To cite this article:</hi>
Lindgren C, Hallman M, Sennerby L, Sammons R. Back‐scattered electron imaging and elemental analysis of retrieved bone tissue following sinus augmentation with deproteinized bovine bone or biphasic calcium phosphate.
<hi rend="italic">Clin. Oral Impl. Res</hi>. <hi rend="bold">21</hi>, 2010; 924–930.
doi: 10.1111/j.1600‐0501.2010.01933.x</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">bone implant interactions</term><term xml:id="k2">bone substitutes</term><term xml:id="k3">sinus elevation</term></keywords><keywords rend="tocHeading1"><term>Original Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/4FA8A670B37857B85125B4E8A46DA367286460C6/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-0501</doi><issn type="print">0905-7161</issn><issn type="electronic">1600-0501</issn><idGroup><id type="product" value="CLR"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="CLINICAL ORAL IMPLANTS RESEARCH">Clinical Oral Implants Research</title></titleGroup></publicationMeta><publicationMeta level="part" position="09109"><doi origin="wiley">10.1111/clr.2010.21.issue-9</doi><numberingGroup><numbering type="journalVolume" number="21">21</numbering><numbering type="journalIssue" number="9">9</numbering></numberingGroup><coverDate startDate="2010-09">September 2010</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="7" status="forIssue"><doi origin="wiley">10.1111/j.1600-0501.2010.01933.x</doi><idGroup><id type="unit" value="CLR1933"></id><id type="supplier" value="1933"></id></idGroup><countGroup><count type="pageTotal" number="7"></count></countGroup><titleGroup><title type="tocHeading1">Original Articles</title></titleGroup><copyright>© 2010 John Wiley & Sons A/S</copyright><eventGroup><event type="firstOnline" date="2010-05-09"></event><event type="publishedOnlineFinalForm" date="2010-08-03"></event><event type="publishedOnlineAcceptedOrEarlyUnpaginated" date="2010-05-09"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.25 mode:FullText source:FullText result:FullText" date="2010-10-27"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-12"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-17"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="924">924</numbering><numbering type="pageLast" number="930">930</numbering></numberingGroup><correspondenceTo><b>Corresponding author:</b>
<i>Rachel Sammons</i>
School of Dentistry
University of Birmingham
St Chad's Queensway
Birmingham
B4 6NN
UK
e‐mail: <email normalForm="r.l.sammons@bham.ac.uk">r.l.sammons@bham.ac.uk</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CLR.CLR1933.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory><b>Date:</b> Accepted 17 January 2010</unparsedEditorialHistory><countGroup><count type="figureTotal" number="6"></count><count type="tableTotal" number="1"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="27"></count><count type="wordTotal" number="6398"></count><count type="linksCrossRef" number="43"></count></countGroup><titleGroup><title type="main">Back‐scattered electron imaging and elemental analysis of retrieved bone tissue following sinus augmentation with deproteinized bovine bone or biphasic calcium phosphate</title><title type="shortAuthors">Lindgren et al.</title><title type="short">Resorption of biphasic calcium phosphate vs. anorganic bone</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Christer</givenNames><familyName>Lindgren</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2 #a3 #a4"><personName><givenNames>Mats</givenNames><familyName>Hallman</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a5"><personName><givenNames>Lars</givenNames><familyName>Sennerby</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a6"><personName><givenNames>Rachel</givenNames><familyName>Sammons</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="SE"><unparsedAffiliation>Department of Oral and Maxillofacial Surgery, Linköping, Sweden</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="SE"><unparsedAffiliation>Department of Oral and Maxillofacial Surgery, County Hospital, Gävle, Sweden</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="SE"><unparsedAffiliation>Department of Oral and Maxillofacial Surgery, Umeå University, Umeå, Sweden</unparsedAffiliation></affiliation><affiliation xml:id="a4" countryCode="SE"><unparsedAffiliation>Centre for Research and Development, Uppsala University/Gävleborg County Council, Sweden</unparsedAffiliation></affiliation><affiliation xml:id="a5" countryCode="SE"><unparsedAffiliation>Department of Biomaterials, Institute for Surgical Sciences, Sahlgrenska Academy, Gothenburg, Sweden</unparsedAffiliation></affiliation><affiliation xml:id="a6" countryCode="GB"><unparsedAffiliation>School of Dentistry, University of Birmingham, Birmingham, UK</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">bone implant interactions</keyword><keyword xml:id="k2">bone substitutes</keyword><keyword xml:id="k3">sinus elevation</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p><b>Objectives: </b> To compare resorption of a synthetic biphasic calcium phosphate (BCP) bone–graft substitute with deproteinized bovine bone (DBB) used for human maxillary sinus augmentation.</p><p><b>Materials and methods: </b> Eleven patients underwent bilateral maxillary sinus floor augmentation with DBB in one side and a BCP (40%β‐tricalcium phosphate (β‐TCP) and 60% hydroxyapatite) in the contralateral side. Simultaneously, with the augmentation on each side a microimplant was placed vertically from the top of the alveolar crest penetrating the residual bone and the grafting material. Eight months after initial surgery the microimplants were retrieved with a surrounding bone core. The composition of residual graft material and surrounding bone was analysed by scanning electron microscopy and energy dispersive X‐ray spectroscopy.</p><p><b>Results: </b> Residual graft material of both types was present as 10–500 μm particles in direct contact with, or completely surrounded by, newly formed bone; smaller particles were also present in non‐mineralized tissue. In the case of BCP the bone–graft substitute interface showed evidence of superficial disintegration of particles into individual grains. Median Ca/P ratios (at.%), determined from >200 discreet sites within residual graft particles and adjacent bone, were: DBB: 1.61 (confidence interval [CI] 1.59–1.64); BCP: 1.5 (CI 1.45–1.52); DBB‐augmented bone: 1.62 (CI 1.59–1.66); BCP‐augmented bone: 1.52 (CI 1.47–1.55); <i>P</i>=0.028 for DBB vs. BCP and DBB‐ vs. BCP‐augmented bone. The reduction in Ca/P ratio for BCP over the healing period is consistent with the dissolution of β‐TCP and reprecipitation on the surface of calcium‐deficient hydroxyapatite.</p><p><b>Conclusion: </b> The β‐TCP component of BCP may be gradually substituted by calcium‐deficient hydroxyapatite over the healing period. This process and superficial degranulation of BCP particles may influence the progress of resorption and healing.</p><p> <b>To cite this article:</b>
Lindgren C, Hallman M, Sennerby L, Sammons R. Back‐scattered electron imaging and elemental analysis of retrieved bone tissue following sinus augmentation with deproteinized bovine bone or biphasic calcium phosphate.
<i>Clin. Oral Impl. Res</i>. <b>21</b>, 2010; 924–930.
doi: 10.1111/j.1600‐0501.2010.01933.x</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Back‐scattered electron imaging and elemental analysis of retrieved bone tissue following sinus augmentation with deproteinized bovine bone or biphasic calcium phosphate</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Resorption of biphasic calcium phosphate vs. anorganic bone</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Back‐scattered electron imaging and elemental analysis of retrieved bone tissue following sinus augmentation with deproteinized bovine bone or biphasic calcium phosphate</title></titleInfo><name type="personal"><namePart type="given">Christer</namePart><namePart type="family">Lindgren</namePart><affiliation>Department of Oral and Maxillofacial Surgery, Linköping, Sweden</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Mats</namePart><namePart type="family">Hallman</namePart><affiliation>Department of Oral and Maxillofacial Surgery, County Hospital, Gävle, Sweden</affiliation><affiliation>Department of Oral and Maxillofacial Surgery, Umeå University, Umeå, Sweden</affiliation><affiliation>Centre for Research and Development, Uppsala University/Gävleborg County Council, Sweden</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Lars</namePart><namePart type="family">Sennerby</namePart><affiliation>Department of Biomaterials, Institute for Surgical Sciences, Sahlgrenska Academy, Gothenburg, Sweden</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Rachel</namePart><namePart type="family">Sammons</namePart><affiliation>School of Dentistry, University of Birmingham, Birmingham, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2010-09</dateIssued><edition>Date: Accepted 17 January 2010</edition><copyrightDate encoding="w3cdtf">2010</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">6</extent><extent unit="tables">1</extent><extent unit="formulas">0</extent><extent unit="references">27</extent><extent unit="linksCrossRef">43</extent><extent unit="words">6398</extent></physicalDescription><abstract>Objectives: To compare resorption of a synthetic biphasic calcium phosphate (BCP) bone–graft substitute with deproteinized bovine bone (DBB) used for human maxillary sinus augmentation.</abstract><abstract>Materials and methods: Eleven patients underwent bilateral maxillary sinus floor augmentation with DBB in one side and a BCP (40%β‐tricalcium phosphate (β‐TCP) and 60% hydroxyapatite) in the contralateral side. Simultaneously, with the augmentation on each side a microimplant was placed vertically from the top of the alveolar crest penetrating the residual bone and the grafting material. Eight months after initial surgery the microimplants were retrieved with a surrounding bone core. The composition of residual graft material and surrounding bone was analysed by scanning electron microscopy and energy dispersive X‐ray spectroscopy.</abstract><abstract>Results: Residual graft material of both types was present as 10–500 μm particles in direct contact with, or completely surrounded by, newly formed bone; smaller particles were also present in non‐mineralized tissue. In the case of BCP the bone–graft substitute interface showed evidence of superficial disintegration of particles into individual grains. Median Ca/P ratios (at.%), determined from >200 discreet sites within residual graft particles and adjacent bone, were: DBB: 1.61 (confidence interval [CI] 1.59–1.64); BCP: 1.5 (CI 1.45–1.52); DBB‐augmented bone: 1.62 (CI 1.59–1.66); BCP‐augmented bone: 1.52 (CI 1.47–1.55); P=0.028 for DBB vs. BCP and DBB‐ vs. BCP‐augmented bone. The reduction in Ca/P ratio for BCP over the healing period is consistent with the dissolution of β‐TCP and reprecipitation on the surface of calcium‐deficient hydroxyapatite.</abstract><abstract>Conclusion: The β‐TCP component of BCP may be gradually substituted by calcium‐deficient hydroxyapatite over the healing period. This process and superficial degranulation of BCP particles may influence the progress of resorption and healing.</abstract><abstract>To cite this article:
Lindgren C, Hallman M, Sennerby L, Sammons R. Back‐scattered electron imaging and elemental analysis of retrieved bone tissue following sinus augmentation with deproteinized bovine bone or biphasic calcium phosphate.
Clin. Oral Impl. Res. 21, 2010; 924–930.
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