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Sinus Augmentation with Biomimetic Nanostructured Matrix: Tomographic, Radiological, Histological and Histomorphometrical Results after 6 Months in Humans

Identifieur interne : 000067 ( Main/Exploration ); précédent : 000066; suivant : 000068

Sinus Augmentation with Biomimetic Nanostructured Matrix: Tomographic, Radiological, Histological and Histomorphometrical Results after 6 Months in Humans

Auteurs : Antonio Scarano [Italie] ; Felice Lorusso [Italie] ; Giorgio Staiti [Italie] ; Bruna Sinjari [Italie] ; Anna Tampieri [États-Unis] ; Carmen Mortellaro [Italie]

Source :

RBID : PMC:5541018

Abstract

Background: Many bone substitutes have been applied for sinus regeneration procedures, such as autogenous bone, inorganic bovine bone, porous and resorbable hydroxyapatite, tricalcium phosphate, bioactive glass, and blood clots. The aim of the present study was a tomographic, histological and histomorphometrical evaluation in humans, of specimens retrieved from sinuses augmented with MgHA/collagen-based scaffolds, after a healing period of 6 months.

Materials and Methods: Eleven healthy patients and a total of 15 sinuses were included in this study. The maxillary sinuses were filled with commercial MgHA/collagen-based scaffolds (RegenOss) with a porous three-dimensional (3D) structure (Fin-Ceramica Faenza S.p.A., Faenza, Italy). These grafts have a composite design, that replicate the organization of bone structure, obtained by a technique in which a specific hybrid organic–inorganic composite is spontaneously built by a biological mechanism. The CBCT scans were done before the procedure, after the surgical protocol (T1), and 6 months after sinus surgery (T2) for implantology. Bone specimens were stored in 10% formalin solution, embedded in a glycolmethacrylate resin and sectioned by a high-precision diamond disc. Histologic and histomorphometric analysis were carried out to evaluate the graft reabsorption and bone healing.

Results: The mean volume after graft elevation, calculated for each of the 15 sinuses, was 2,906 mm3 in the immediate postoperative period (5–7 days), ranging from 2,148.8 to 3,146.4 mm3. In the late postoperative period (6 months) it was 2,806.7 mm3, ranging from 2,010.9 to 3,008.9 mm3. The sinuses were completely healed and no residual MgHA/collagen-based scaffolds were visible. Osteoblasts appeared actively secreting bone matrix and marrow spaces contained moderate numbers of stromal cells and vascular network. Osteoblasts were observed actively secreting osteoid matrix. The tissues present in the samples were composed of 1.9 ± 1.9% of lamellar bone, 36 ± 1% of woven bone and 58 ± 3.8% of marrow spaces.

Conclusion: Mg-MgHA/collagen-based scaffolds can successfully be used for sinus augmentation procedures.


Url:
DOI: 10.3389/fphys.2017.00565
PubMed: 28824459
PubMed Central: 5541018


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<p>
<bold>Background:</bold>
Many bone substitutes have been applied for sinus regeneration procedures, such as autogenous bone, inorganic bovine bone, porous and resorbable hydroxyapatite, tricalcium phosphate, bioactive glass, and blood clots. The aim of the present study was a tomographic, histological and histomorphometrical evaluation in humans, of specimens retrieved from sinuses augmented with MgHA/collagen-based scaffolds, after a healing period of 6 months.</p>
<p>
<bold>Materials and Methods:</bold>
Eleven healthy patients and a total of 15 sinuses were included in this study. The maxillary sinuses were filled with commercial MgHA/collagen-based scaffolds (RegenOss) with a porous three-dimensional (3D) structure (Fin-Ceramica Faenza S.p.A., Faenza, Italy). These grafts have a composite design, that replicate the organization of bone structure, obtained by a technique in which a specific hybrid organic–inorganic composite is spontaneously built by a biological mechanism. The CBCT scans were done before the procedure, after the surgical protocol (T1), and 6 months after sinus surgery (T2) for implantology. Bone specimens were stored in 10% formalin solution, embedded in a glycolmethacrylate resin and sectioned by a high-precision diamond disc. Histologic and histomorphometric analysis were carried out to evaluate the graft reabsorption and bone healing.</p>
<p>
<bold>Results:</bold>
The mean volume after graft elevation, calculated for each of the 15 sinuses, was 2,906 mm
<sup>3</sup>
in the immediate postoperative period (5–7 days), ranging from 2,148.8 to 3,146.4 mm
<sup>3</sup>
. In the late postoperative period (6 months) it was 2,806.7 mm
<sup>3</sup>
, ranging from 2,010.9 to 3,008.9 mm
<sup>3</sup>
. The sinuses were completely healed and no residual MgHA/collagen-based scaffolds were visible. Osteoblasts appeared actively secreting bone matrix and marrow spaces contained moderate numbers of stromal cells and vascular network. Osteoblasts were observed actively secreting osteoid matrix. The tissues present in the samples were composed of 1.9 ± 1.9% of lamellar bone, 36 ± 1% of woven bone and 58 ± 3.8% of marrow spaces.</p>
<p>
<bold>Conclusion:</bold>
Mg-MgHA/collagen-based scaffolds can successfully be used for sinus augmentation procedures.</p>
</div>
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<name sortKey="Scarano, A" uniqKey="Scarano A">A. Scarano</name>
</author>
<author>
<name sortKey="Valbonetti, L" uniqKey="Valbonetti L">L. Valbonetti</name>
</author>
<author>
<name sortKey="Marchetti, M" uniqKey="Marchetti M">M. Marchetti</name>
</author>
<author>
<name sortKey="Lorusso, F" uniqKey="Lorusso F">F. Lorusso</name>
</author>
<author>
<name sortKey="Ceccarelli, M" uniqKey="Ceccarelli M">M. Ceccarelli</name>
</author>
</analytic>
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<analytic>
<author>
<name sortKey="Serre, C M" uniqKey="Serre C">C. M. Serre</name>
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<author>
<name sortKey="Papillard, M" uniqKey="Papillard M">M. Papillard</name>
</author>
<author>
<name sortKey="Chavassieux, P" uniqKey="Chavassieux P">P. Chavassieux</name>
</author>
<author>
<name sortKey="Boivin, G" uniqKey="Boivin G">G. Boivin</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Tatum, H" uniqKey="Tatum H">H. Tatum</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Toba, Y" uniqKey="Toba Y">Y. Toba</name>
</author>
<author>
<name sortKey="Kajita, Y" uniqKey="Kajita Y">Y. Kajita</name>
</author>
<author>
<name sortKey="Masuyama, R" uniqKey="Masuyama R">R. Masuyama</name>
</author>
<author>
<name sortKey="Takada, Y" uniqKey="Takada Y">Y. Takada</name>
</author>
<author>
<name sortKey="Suzuki, K" uniqKey="Suzuki K">K. Suzuki</name>
</author>
<author>
<name sortKey="Aoe, S" uniqKey="Aoe S">S. Aoe</name>
</author>
</analytic>
</biblStruct>
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<analytic>
<author>
<name sortKey="Xie, J" uniqKey="Xie J">J. Xie</name>
</author>
<author>
<name sortKey="Baumann, M J" uniqKey="Baumann M">M. J. Baumann</name>
</author>
<author>
<name sortKey="Mccabe, L R" uniqKey="Mccabe L">L. R. McCabe</name>
</author>
</analytic>
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<list>
<country>
<li>Italie</li>
<li>États-Unis</li>
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</list>
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<country name="Italie">
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<name sortKey="Scarano, Antonio" sort="Scarano, Antonio" uniqKey="Scarano A" first="Antonio" last="Scarano">Antonio Scarano</name>
</noRegion>
<name sortKey="Lorusso, Felice" sort="Lorusso, Felice" uniqKey="Lorusso F" first="Felice" last="Lorusso">Felice Lorusso</name>
<name sortKey="Mortellaro, Carmen" sort="Mortellaro, Carmen" uniqKey="Mortellaro C" first="Carmen" last="Mortellaro">Carmen Mortellaro</name>
<name sortKey="Sinjari, Bruna" sort="Sinjari, Bruna" uniqKey="Sinjari B" first="Bruna" last="Sinjari">Bruna Sinjari</name>
<name sortKey="Staiti, Giorgio" sort="Staiti, Giorgio" uniqKey="Staiti G" first="Giorgio" last="Staiti">Giorgio Staiti</name>
</country>
<country name="États-Unis">
<noRegion>
<name sortKey="Tampieri, Anna" sort="Tampieri, Anna" uniqKey="Tampieri A" first="Anna" last="Tampieri">Anna Tampieri</name>
</noRegion>
</country>
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</record>

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