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Synthetic bone substitute material comparable with xenogeneic material for bone tissue regeneration in oral cancer patients: First and preliminary histological, histomorphometrical and clinical results

Identifieur interne : 002185 ( Main/Exploration ); précédent : 002184; suivant : 002186

Synthetic bone substitute material comparable with xenogeneic material for bone tissue regeneration in oral cancer patients: First and preliminary histological, histomorphometrical and clinical results

Auteurs : Shahram Ghanaati [Allemagne] ; Mike Barbeck [Allemagne] ; Jonas Lorenz [Allemagne] ; Stefan Stuebinger [Suisse] ; Oliver Seitz [Allemagne] ; Constantin Landes [Allemagne] ; Adorján F. Kovács [Allemagne] ; Charles J. Kirkpatrick [Allemagne] ; Robert A. Sader [Allemagne]

Source :

RBID : PMC:3814660

Abstract

Background:

The present study was first to evaluate the material-specific cellular tissue response of patients with head and neck cancer to a nanocrystalline hydroxyapatite bone substitute NanoBone (NB) in comparison with a deproteinized bovine bone matrix Bio-Oss (BO) after implantation into the sinus cavity.

Materials and Methods:

Eight patients with tumor resection for oral cancer and severely resorbed maxillary bone received materials according to a split mouth design for 6 months. Bone cores were harvested prior to implantation and analyzed histologically and histomorphometrically. Implant survival was followed-up to 2 years after placement.

Results:

Histologically, NB underwent a higher vascularization and induced significantly more tartrate-resistant acid phosphatase-positive (TRAP-positive) multinucleated giant cells when compared with BO, which induced mainly mononuclear cells. No significant difference was observed in the extent of new bone formation between both groups. The clinical follow-up showed undisturbed healing of all implants in the BO-group, whereas the loss of one implant was observed in the NB-group.

Conclusions:

Within its limits, the present study showed for the first time that both material classes evaluated, despite their induction of different cellular tissue reactions, may be useful as augmentation materials for dental and maxillofacial surgical applications, particularly in patients who previously had oral cancer.


Url:
DOI: 10.4103/2231-0746.119221
PubMed: 24205471
PubMed Central: 3814660


Affiliations:


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Le document en format XML

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<title>Background:</title>
<p>The present study was first to evaluate the material-specific cellular tissue response of patients with head and neck cancer to a nanocrystalline hydroxyapatite bone substitute NanoBone (NB) in comparison with a deproteinized bovine bone matrix Bio-Oss (BO) after implantation into the sinus cavity.</p>
</sec>
<sec id="st2">
<title>Materials and Methods:</title>
<p>Eight patients with tumor resection for oral cancer and severely resorbed maxillary bone received materials according to a split mouth design for 6 months. Bone cores were harvested prior to implantation and analyzed histologically and histomorphometrically. Implant survival was followed-up to 2 years after placement.</p>
</sec>
<sec id="st3">
<title>Results:</title>
<p>Histologically, NB underwent a higher vascularization and induced significantly more tartrate-resistant acid phosphatase-positive (TRAP-positive) multinucleated giant cells when compared with BO, which induced mainly mononuclear cells. No significant difference was observed in the extent of new bone formation between both groups. The clinical follow-up showed undisturbed healing of all implants in the BO-group, whereas the loss of one implant was observed in the NB-group.</p>
</sec>
<sec id="st4">
<title>Conclusions:</title>
<p>Within its limits, the present study showed for the first time that both material classes evaluated, despite their induction of different cellular tissue reactions, may be useful as augmentation materials for dental and maxillofacial surgical applications, particularly in patients who previously had oral cancer.</p>
</sec>
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<country>
<li>Allemagne</li>
<li>Suisse</li>
</country>
<region>
<li>District de Darmstadt</li>
<li>Hesse (Land)</li>
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<li>Francfort-sur-le-Main</li>
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<tree>
<country name="Allemagne">
<region name="Hesse (Land)">
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<name sortKey="Barbeck, Mike" sort="Barbeck, Mike" uniqKey="Barbeck M" first="Mike" last="Barbeck">Mike Barbeck</name>
<name sortKey="Barbeck, Mike" sort="Barbeck, Mike" uniqKey="Barbeck M" first="Mike" last="Barbeck">Mike Barbeck</name>
<name sortKey="Ghanaati, Shahram" sort="Ghanaati, Shahram" uniqKey="Ghanaati S" first="Shahram" last="Ghanaati">Shahram Ghanaati</name>
<name sortKey="Kirkpatrick, Charles J" sort="Kirkpatrick, Charles J" uniqKey="Kirkpatrick C" first="Charles J." last="Kirkpatrick">Charles J. Kirkpatrick</name>
<name sortKey="Kovacs, Adorjan F" sort="Kovacs, Adorjan F" uniqKey="Kovacs A" first="Adorján F." last="Kovács">Adorján F. Kovács</name>
<name sortKey="Landes, Constantin" sort="Landes, Constantin" uniqKey="Landes C" first="Constantin" last="Landes">Constantin Landes</name>
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<name sortKey="Lorenz, Jonas" sort="Lorenz, Jonas" uniqKey="Lorenz J" first="Jonas" last="Lorenz">Jonas Lorenz</name>
<name sortKey="Sader, Robert A" sort="Sader, Robert A" uniqKey="Sader R" first="Robert A." last="Sader">Robert A. Sader</name>
<name sortKey="Seitz, Oliver" sort="Seitz, Oliver" uniqKey="Seitz O" first="Oliver" last="Seitz">Oliver Seitz</name>
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<name sortKey="Stuebinger, Stefan" sort="Stuebinger, Stefan" uniqKey="Stuebinger S" first="Stefan" last="Stuebinger">Stefan Stuebinger</name>
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</record>

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