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Guided bone generation in a rabbit mandible model after periosteal expansion with an osmotic tissue expander

Identifieur interne : 007537 ( Istex/Corpus ); précédent : 007536; suivant : 007538

Guided bone generation in a rabbit mandible model after periosteal expansion with an osmotic tissue expander

Auteurs : Peter Abrahamsson ; Sten Isaksson ; Gunilla Andersson

Source :

RBID : ISTEX:EC9BCBE42A373AF3C33BFE8D7615B0114216F464

English descriptors

Abstract

Objectives: To evaluate the space‐maintaining capacity of titanium mesh covered by a collagen membrane after soft tissue expansion on the lateral border of the mandible in rabbits, and to assess bone quantity and quality using autogenous particulate bone or bone‐substitute (Bio‐Oss®), and if soft tissue ingrowth can be avoided by covering the mesh with a collagen membrane.

Url:
DOI: 10.1111/j.1600-0501.2010.02108.x

Links to Exploration step

ISTEX:EC9BCBE42A373AF3C33BFE8D7615B0114216F464

Le document en format XML

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<hi rend="bold">Material and methods: </hi>
In 11 rabbits, a self‐inflatable soft tissue expander was placed under the lateral mandibular periosteum via an extra‐oral approach. After 2 weeks, the expanders were removed and a particulated onlay bone graft and deproteinized bovine bone mineral (DBBM) (Bio‐Oss
<hi rend="superscript">®</hi>
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<hi rend="bold">Results: </hi>
The osmotic soft tissue expander created a subperiosteal pocket and a ridge of new bone formed at the edges of the expanded periosteum in all sites. After the healing period of 3 months, no soft tissue dehiscence was recorded. The mean bone fill was 58.1±18% in the bone grafted area and 56.9±13.7% in the DBBM area. There was no significant difference between the autologous bone graft and the DDBM under the titanium mesh with regard to the total bone area or the mineralized bone area. Scanning electron microscopy showed that new bone was growing in direct contact with the DBBM particles and the titanium mesh. There is a soft tissue ingrowth even after soft tissue expansion and protection of the titanium mesh with a collagen membrane.</p>
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<hi rend="bold">Conclusion: </hi>
This study confirms that an osmotic soft tissue expander creates a surplus of periosteum and soft tissue, and that new bone can subsequently be generated under a titanium mesh with the use of an autologous bone graft or DBBM.</p>
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<hi rend="bold">To cite this article:</hi>

Abrahamsson P, Isaksson S, Andersson G. Guided bone generation in a rabbit mandible model after periosteal expansion with an osmotic tissue expander.

<hi rend="italic">Clin. Oral Impl. Res</hi>
.
<hi rend="bold">22</hi>
, 2011; 1282–1288.
doi: 10.1111/j.1600‐0501.2010.02108.x</p>
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<i>Peter Abrahamsson</i>

Department of Maxillofacial Surgery
Maxillofacial Unit
Länssjukhuset
SE‐30185 Halmstad
Sweden
Tel.:+46 0 35 134 000
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<b>Objectives: </b>
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<sup>®</sup>
), and if soft tissue ingrowth can be avoided by covering the mesh with a collagen membrane.</p>
<p>
<b>Material and methods: </b>
In 11 rabbits, a self‐inflatable soft tissue expander was placed under the lateral mandibular periosteum via an extra‐oral approach. After 2 weeks, the expanders were removed and a particulated onlay bone graft and deproteinized bovine bone mineral (DBBM) (Bio‐Oss
<sup>®</sup>
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<p>
<b>Results: </b>
The osmotic soft tissue expander created a subperiosteal pocket and a ridge of new bone formed at the edges of the expanded periosteum in all sites. After the healing period of 3 months, no soft tissue dehiscence was recorded. The mean bone fill was 58.1±18% in the bone grafted area and 56.9±13.7% in the DBBM area. There was no significant difference between the autologous bone graft and the DDBM under the titanium mesh with regard to the total bone area or the mineralized bone area. Scanning electron microscopy showed that new bone was growing in direct contact with the DBBM particles and the titanium mesh. There is a soft tissue ingrowth even after soft tissue expansion and protection of the titanium mesh with a collagen membrane.</p>
<p>
<b>Conclusion: </b>
This study confirms that an osmotic soft tissue expander creates a surplus of periosteum and soft tissue, and that new bone can subsequently be generated under a titanium mesh with the use of an autologous bone graft or DBBM.</p>
<p>
<b>To cite this article:</b>

Abrahamsson P, Isaksson S, Andersson G. Guided bone generation in a rabbit mandible model after periosteal expansion with an osmotic tissue expander.

<i>Clin. Oral Impl. Res</i>
.
<b>22</b>
, 2011; 1282–1288.
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<abstract>Conclusion: This study confirms that an osmotic soft tissue expander creates a surplus of periosteum and soft tissue, and that new bone can subsequently be generated under a titanium mesh with the use of an autologous bone graft or DBBM.</abstract>
<abstract>To cite this article: 
Abrahamsson P, Isaksson S, Andersson G. Guided bone generation in a rabbit mandible model after periosteal expansion with an osmotic tissue expander.
Clin. Oral Impl. Res. 22, 2011; 1282–1288.
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