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Bone Regeneration in Iliac Crestal Defects: An Experimental Study on Sheep

Identifieur interne : 002918 ( Pmc/Curation ); précédent : 002917; suivant : 002919

Bone Regeneration in Iliac Crestal Defects: An Experimental Study on Sheep

Auteurs : Antonio Scarano [Italie] ; Felice Lorusso [Italie] ; Lorenzo Ravera [Italie] ; Carmen Mortellaro [Italie] ; Adriano Piattelli [Italie]

Source :

RBID : PMC:4931071

Abstract

Background. Oral rehabilitation of partially fully edentulous patients with dental implants has become a routine procedure in clinical practice. In a site with a lack of bone GBR is a surgical procedure that provides an augmentation in terms of volume for the insertion of dental implants. Materials and Methods. In the iliac crest of six sheep 4 defects were created where an implant was inserted, three of them with different biomaterials and a control site. All animals were sacrificed after a 4-month healing period. All specimens were processed and analyzed with histomorphometry. Statistical evaluation was done to evaluate percentage of bone defect filled by new bone. Results. All experimental groups showed an increase of the new bone. Higher and highly statistically significant differences were found in the percentages of bone defect filled by new bone in group filled with corticocancellous 250–1000 microns particulate porcine bone mix. Conclusions. This study demonstrates that particulate porcine bone mix and porcine corticocancellous collagenate prehydrated bone mix when used as scaffold are able to induce bone regeneration. Moreover, these data suggest that these biomaterials have higher biocompatibility and are capable of inducing faster and greater bone formation.


Url:
DOI: 10.1155/2016/4086870
PubMed: 27413746
PubMed Central: 4931071

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PMC:4931071

Le document en format XML

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<italic>Background</italic>
. Oral rehabilitation of partially fully edentulous patients with dental implants has become a routine procedure in clinical practice. In a site with a lack of bone GBR is a surgical procedure that provides an augmentation in terms of volume for the insertion of dental implants.
<italic> Materials and Methods</italic>
. In the iliac crest of six sheep 4 defects were created where an implant was inserted, three of them with different biomaterials and a control site. All animals were sacrificed after a 4-month healing period. All specimens were processed and analyzed with histomorphometry. Statistical evaluation was done to evaluate percentage of bone defect filled by new bone.
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. All experimental groups showed an increase of the new bone. Higher and highly statistically significant differences were found in the percentages of bone defect filled by new bone in group filled with corticocancellous 250–1000 microns particulate porcine bone mix.
<italic> Conclusions</italic>
. This study demonstrates that particulate porcine bone mix and porcine corticocancellous collagenate prehydrated bone mix when used as scaffold are able to induce bone regeneration. Moreover, these data suggest that these biomaterials have higher biocompatibility and are capable of inducing faster and greater bone formation.</p>
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<issn pub-type="epub">2314-6141</issn>
<publisher>
<publisher-name>Hindawi Publishing Corporation</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">27413746</article-id>
<article-id pub-id-type="pmc">4931071</article-id>
<article-id pub-id-type="doi">10.1155/2016/4086870</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Bone Regeneration in Iliac Crestal Defects: An Experimental Study on Sheep</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-5528-0853</contrib-id>
<name>
<surname>Scarano</surname>
<given-names>Antonio</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lorusso</surname>
<given-names>Felice</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ravera</surname>
<given-names>Lorenzo</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mortellaro</surname>
<given-names>Carmen</given-names>
</name>
<xref ref-type="aff" rid="I3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Piattelli</surname>
<given-names>Adriano</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1">
<sup>1</sup>
Department of Medical, Oral and Biotechnological Sciences and CeSI-MeT, University of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy</aff>
<aff id="I2">
<sup>2</sup>
Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy</aff>
<aff id="I3">
<sup>3</sup>
Oral Surgery Unit, University of Eastern Piedmont, Viale Piazza d'Armi 1, 28100 Novara, Italy</aff>
<author-notes>
<corresp id="cor1">*Antonio Scarano:
<email>ascarano@unich.it</email>
</corresp>
<fn fn-type="other">
<p>Academic Editor: Seong-Hun Kim</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>5</month>
<year>2016</year>
</pub-date>
<volume>2016</volume>
<elocation-id>4086870</elocation-id>
<history>
<date date-type="received">
<day>18</day>
<month>3</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>9</day>
<month>5</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2016 Antonio Scarano et al.</copyright-statement>
<copyright-year>2016</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>
<italic>Background</italic>
. Oral rehabilitation of partially fully edentulous patients with dental implants has become a routine procedure in clinical practice. In a site with a lack of bone GBR is a surgical procedure that provides an augmentation in terms of volume for the insertion of dental implants.
<italic> Materials and Methods</italic>
. In the iliac crest of six sheep 4 defects were created where an implant was inserted, three of them with different biomaterials and a control site. All animals were sacrificed after a 4-month healing period. All specimens were processed and analyzed with histomorphometry. Statistical evaluation was done to evaluate percentage of bone defect filled by new bone.
<italic> Results</italic>
. All experimental groups showed an increase of the new bone. Higher and highly statistically significant differences were found in the percentages of bone defect filled by new bone in group filled with corticocancellous 250–1000 microns particulate porcine bone mix.
<italic> Conclusions</italic>
. This study demonstrates that particulate porcine bone mix and porcine corticocancellous collagenate prehydrated bone mix when used as scaffold are able to induce bone regeneration. Moreover, these data suggest that these biomaterials have higher biocompatibility and are capable of inducing faster and greater bone formation.</p>
</abstract>
</article-meta>
</front>
<floats-group>
<fig id="fig1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>(a) Placement of dental implants into surgically created defects. Dental implants were installed after implant osteotomy and surgical induction of standardized circumferential defect, with the size of 7 mm width and 4 mm depth. (b) All of the surgically created defects were covered with collagen barrier membranes.</p>
</caption>
<graphic xlink:href="BMRI2016-4086870.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>(a) Control sites of gap defects without any grafting. The defects were only partially filled by newly formed trabecular bone. Acid fuchsin and toluidine blue 5x. (b) In the portions where the defect was not filled by newly formed bone, no contact with the implant surface was observed. Acid fuchsin and toluidine blue 50x.</p>
</caption>
<graphic xlink:href="BMRI2016-4086870.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float">
<label>Figure 3</label>
<caption>
<p>(a) Bone regeneration around a dental implant in the empty defect group with corticocancellous 250–1000 microns particulate porcine bone mix. Acid fuchsin and toluidine blue 5x. (b) Newly formed bone is present in the coronal portion of the implant. Acid fuchsin and toluidine blue 50x.</p>
</caption>
<graphic xlink:href="BMRI2016-4086870.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float">
<label>Figure 4</label>
<caption>
<p>(a) Newly formed trabecular bone is present, with wide marrow spaces. Acid fuchsin and toluidine blue 5x. (b) The cancellous equine bone blocks are completely surrounded by the newly formed bone. Acid fuchsin and toluidine blue 50x.</p>
</caption>
<graphic xlink:href="BMRI2016-4086870.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float">
<label>Figure 5</label>
<caption>
<p>(a) The defect is only partially filled by the newly formed bone with wide marrow spaces. Acid fuchsin and toluidine blue 5x. (b) A small quantity of residual biomaterial particles is present. Acid fuchsin and toluidine blue 50x.</p>
</caption>
<graphic xlink:href="BMRI2016-4086870.005"></graphic>
</fig>
<fig id="fig6" orientation="portrait" position="float">
<label>Figure 6</label>
<caption>
<p>Mean percentage of soft tissues representing, newly formed bone, the residual biomaterial particles represented, and marrow spaces.</p>
</caption>
<graphic xlink:href="BMRI2016-4086870.006"></graphic>
</fig>
</floats-group>
</pmc>
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