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Engineered bone by autologous osteoblasts on polymeric scaffolds in maxillary sinus augmentation: histologic report.

Identifieur interne : 004D29 ( Main/Exploration ); précédent : 004D28; suivant : 004D30

Engineered bone by autologous osteoblasts on polymeric scaffolds in maxillary sinus augmentation: histologic report.

Auteurs : Carlo Mangano [Italie] ; Adriano Piattelli ; Lucia Tettamanti ; Francesco Mangano ; Alessandro Mangano ; Fábio Borges ; Giovanna Iezzi ; Susana D'Avila ; Jamil Awad Shibli

Source :

RBID : pubmed:20545540

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English descriptors

Abstract

Several regenerative therapies have been used for maxillary sinus grafting. However, recent advances in modern bone tissue engineering techniques have been evaluated. The aim of this histologic report was to evaluate the bone obtained by a culture of autogenous osteoblasts seeded on polyglycolic-polylactid scaffolds in maxillary sinus augmentation. A 56-year-old partially edentulous male with severe atrophy of the posterior maxilla received 6 polyglycolid-polylactid disks (8 mm diameter × 2 mm depth, Oral Bone), each carrying 1.5 million autogenous osteoblasts into the depth of the sinus cavity. After 6 months healing, a bone core was harvested and histologically evaluated. The augmented maxillary sinus with engineered bone presented a mean of 28.89% and 71.11% of bone and medullary spaces, respectively. Data from this case report demonstrate that the newly formed bone provided by engineered bone tissue allowed proper initial stability for dental implant placement. However, the role of this new bone in the long-term success of dental implant anchorage needs further investigation.

DOI: 10.1563/AAID-JOI-D-09-00028
PubMed: 20545540


Affiliations:


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Le document en format XML

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<term>Biopsy</term>
<term>Bone Density (physiology)</term>
<term>Cell Culture Techniques</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Retention</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Lactic Acid (chemistry)</term>
<term>Male</term>
<term>Maxilla (pathology)</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Sinus (pathology)</term>
<term>Maxillary Sinus (surgery)</term>
<term>Middle Aged</term>
<term>Osteoblasts (pathology)</term>
<term>Osteoblasts (transplantation)</term>
<term>Polyglycolic Acid (chemistry)</term>
<term>Tissue Engineering (methods)</term>
<term>Tissue Scaffolds</term>
<term>Transplantation, Autologous</term>
<term>Wound Healing (physiology)</term>
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<term>Acide lactique ()</term>
<term>Acide polyglycolique ()</term>
<term>Adulte d'âge moyen</term>
<term>Biopsie</term>
<term>Cicatrisation de plaie (physiologie)</term>
<term>Densité osseuse (physiologie)</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Ingénierie tissulaire ()</term>
<term>Matériaux biocompatibles ()</term>
<term>Maxillaire ()</term>
<term>Maxillaire (anatomopathologie)</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Ostéoblastes (anatomopathologie)</term>
<term>Ostéoblastes (transplantation)</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Rétention de prothèse dentaire</term>
<term>Sinus maxillaire ()</term>
<term>Sinus maxillaire (anatomopathologie)</term>
<term>Structures d'échafaudage tissulaires</term>
<term>Techniques de culture cellulaire</term>
<term>Transplantation autologue</term>
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<term>Lactic Acid</term>
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<term>Ostéoblastes</term>
<term>Sinus maxillaire</term>
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<term>Alveolar Ridge Augmentation</term>
<term>Tissue Engineering</term>
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<term>Maxilla</term>
<term>Maxillary Sinus</term>
<term>Osteoblasts</term>
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<term>Cicatrisation de plaie</term>
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<term>Osteoblasts</term>
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<term>Dental Prosthesis Retention</term>
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<term>Adulte d'âge moyen</term>
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<term>Humains</term>
<term>Implants dentaires</term>
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<front>
<div type="abstract" xml:lang="en">Several regenerative therapies have been used for maxillary sinus grafting. However, recent advances in modern bone tissue engineering techniques have been evaluated. The aim of this histologic report was to evaluate the bone obtained by a culture of autogenous osteoblasts seeded on polyglycolic-polylactid scaffolds in maxillary sinus augmentation. A 56-year-old partially edentulous male with severe atrophy of the posterior maxilla received 6 polyglycolid-polylactid disks (8 mm diameter × 2 mm depth, Oral Bone), each carrying 1.5 million autogenous osteoblasts into the depth of the sinus cavity. After 6 months healing, a bone core was harvested and histologically evaluated. The augmented maxillary sinus with engineered bone presented a mean of 28.89% and 71.11% of bone and medullary spaces, respectively. Data from this case report demonstrate that the newly formed bone provided by engineered bone tissue allowed proper initial stability for dental implant placement. However, the role of this new bone in the long-term success of dental implant anchorage needs further investigation.</div>
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