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A prospective study on the effectiveness of newly developed autogenous tooth bone graft material for sinus bone graft procedure

Identifieur interne : 002F05 ( Pmc/Curation ); précédent : 002F04; suivant : 002F06

A prospective study on the effectiveness of newly developed autogenous tooth bone graft material for sinus bone graft procedure

Auteurs : Sang-Ho Jun [Corée du Sud] ; Jin-Soo Ahn [Corée du Sud] ; Jae-Il Lee [Corée du Sud] ; Kyo-Jin Ahn [Corée du Sud] ; Pil-Young Yun [Corée du Sud] ; Young-Kyun Kim [Corée du Sud]

Source :

RBID : PMC:4279053

Abstract

PURPOSE

The purpose of this prospective study was to evaluate the effectiveness of newly developed autogenous tooth bone graft material (AutoBT)application for sinus bone graft procedure.

MATERIALS AND METHODS

The patients with less than 5.0 mm of residual bone height in maxillary posterior area were enrolled. For the sinus bone graft procedure, Bio-Oss was grafted in control group and AutoBT powder was grafted in experimental group. Clinical and radiographic examination were done for the comparison of grafted materials in sinus cavity between groups. At 4 months after sinus bone graft procedure, biopsy specimens were analyzed by microcomputed tomography and histomorphometric examination for the evaluation of healing state of bone graft site.

RESULTS

In CT evaluation, there was no difference in bone density, bone height and sinus membrane thickness between groups. In microCT analysis, there was no difference in total bone volume, new bone volume, bone mineral density of new bone between groups. There was significant difference trabecular thickness (0.07 µm in Bio-Oss group Vs. 0.08 µm in AutoBT group) (P=.006). In histomorphometric analysis, there was no difference in new bone formation, residual graft material, bone marrow space between groups. There was significant difference osteoid thickness (8.35 µm in Bio-Oss group Vs. 13.12 µm in AutoBT group) (P=.025).

CONCLUSION

AutoBT could be considered a viable alternative to the autogenous bone or other bone graft materials in sinus bone graft procedure.


Url:
DOI: 10.4047/jap.2014.6.6.528
PubMed: 25551014
PubMed Central: 4279053

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PMC:4279053

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<title>PURPOSE</title>
<p>The purpose of this prospective study was to evaluate the effectiveness of newly developed autogenous tooth bone graft material (AutoBT)application for sinus bone graft procedure.</p>
</sec>
<sec>
<title>MATERIALS AND METHODS</title>
<p>The patients with less than 5.0 mm of residual bone height in maxillary posterior area were enrolled. For the sinus bone graft procedure, Bio-Oss was grafted in control group and AutoBT powder was grafted in experimental group. Clinical and radiographic examination were done for the comparison of grafted materials in sinus cavity between groups. At 4 months after sinus bone graft procedure, biopsy specimens were analyzed by microcomputed tomography and histomorphometric examination for the evaluation of healing state of bone graft site.</p>
</sec>
<sec>
<title>RESULTS</title>
<p>In CT evaluation, there was no difference in bone density, bone height and sinus membrane thickness between groups. In microCT analysis, there was no difference in total bone volume, new bone volume, bone mineral density of new bone between groups. There was significant difference trabecular thickness (0.07 µm in Bio-Oss group Vs. 0.08 µm in AutoBT group) (
<italic>P</italic>
=.006). In histomorphometric analysis, there was no difference in new bone formation, residual graft material, bone marrow space between groups. There was significant difference osteoid thickness (8.35 µm in Bio-Oss group Vs. 13.12 µm in AutoBT group) (
<italic>P</italic>
=.025).</p>
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<sec>
<title>CONCLUSION</title>
<p>AutoBT could be considered a viable alternative to the autogenous bone or other bone graft materials in sinus bone graft procedure.</p>
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<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Adv Prosthodont</journal-id>
<journal-id journal-id-type="iso-abbrev">J Adv Prosthodont</journal-id>
<journal-id journal-id-type="publisher-id">JAP</journal-id>
<journal-title-group>
<journal-title>The Journal of Advanced Prosthodontics</journal-title>
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<issn pub-type="ppub">2005-7806</issn>
<issn pub-type="epub">2005-7814</issn>
<publisher>
<publisher-name>The Korean Academy of Prosthodontics</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">25551014</article-id>
<article-id pub-id-type="pmc">4279053</article-id>
<article-id pub-id-type="doi">10.4047/jap.2014.6.6.528</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>A prospective study on the effectiveness of newly developed autogenous tooth bone graft material for sinus bone graft procedure</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Jun</surname>
<given-names>Sang-Ho</given-names>
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<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ahn</surname>
<given-names>Jin-Soo</given-names>
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<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lee</surname>
<given-names>Jae-Il</given-names>
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<xref ref-type="aff" rid="A3">3</xref>
<xref ref-type="aff" rid="A4">4</xref>
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<contrib contrib-type="author">
<name>
<surname>Ahn</surname>
<given-names>Kyo-Jin</given-names>
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<contrib contrib-type="author">
<name>
<surname>Yun</surname>
<given-names>Pil-Young</given-names>
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<contrib contrib-type="author" corresp="yes">
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<surname>Kim</surname>
<given-names>Young-Kyun</given-names>
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<xref ref-type="aff" rid="A5">5</xref>
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</contrib-group>
<aff id="A1">
<label>1</label>
Department of Oral and Maxillofacial Surgery, Section of Dentistry, Korea University Anam Hospital, Seoul, Republic of Korea.</aff>
<aff id="A2">
<label>2</label>
Department of Dental Biomaterials Science and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea.</aff>
<aff id="A3">
<label>3</label>
Department of Dentistry & Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea.</aff>
<aff id="A4">
<label>4</label>
Department of Oral Pathology and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea.</aff>
<aff id="A5">
<label>5</label>
Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.</aff>
<author-notes>
<corresp>Corresponding author: Young-Kyun Kim. Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, 300, Gumi-dong, Bundang-gu, Seongnam 463-707, Republic of Korea. Tel. 82 31 787 7541:
<email>kyk0505@snubh.org</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>12</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>17</day>
<month>12</month>
<year>2014</year>
</pub-date>
<volume>6</volume>
<issue>6</issue>
<fpage>528</fpage>
<lpage>538</lpage>
<history>
<date date-type="received">
<day>07</day>
<month>5</month>
<year>2014</year>
</date>
<date date-type="rev-recd">
<day>08</day>
<month>8</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>18</day>
<month>8</month>
<year>2014</year>
</date>
</history>
<permissions>
<copyright-statement>© 2014 The Korean Academy of Prosthodontics</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
<license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>PURPOSE</title>
<p>The purpose of this prospective study was to evaluate the effectiveness of newly developed autogenous tooth bone graft material (AutoBT)application for sinus bone graft procedure.</p>
</sec>
<sec>
<title>MATERIALS AND METHODS</title>
<p>The patients with less than 5.0 mm of residual bone height in maxillary posterior area were enrolled. For the sinus bone graft procedure, Bio-Oss was grafted in control group and AutoBT powder was grafted in experimental group. Clinical and radiographic examination were done for the comparison of grafted materials in sinus cavity between groups. At 4 months after sinus bone graft procedure, biopsy specimens were analyzed by microcomputed tomography and histomorphometric examination for the evaluation of healing state of bone graft site.</p>
</sec>
<sec>
<title>RESULTS</title>
<p>In CT evaluation, there was no difference in bone density, bone height and sinus membrane thickness between groups. In microCT analysis, there was no difference in total bone volume, new bone volume, bone mineral density of new bone between groups. There was significant difference trabecular thickness (0.07 µm in Bio-Oss group Vs. 0.08 µm in AutoBT group) (
<italic>P</italic>
=.006). In histomorphometric analysis, there was no difference in new bone formation, residual graft material, bone marrow space between groups. There was significant difference osteoid thickness (8.35 µm in Bio-Oss group Vs. 13.12 µm in AutoBT group) (
<italic>P</italic>
=.025).</p>
</sec>
<sec>
<title>CONCLUSION</title>
<p>AutoBT could be considered a viable alternative to the autogenous bone or other bone graft materials in sinus bone graft procedure.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Tooth</kwd>
<kwd>Bio-Oss</kwd>
<kwd>Sinus</kwd>
</kwd-group>
<funding-group>
<award-group>
<funding-source country="KR">Ministry of Health and Welfare</funding-source>
<award-id>A102065</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
<floats-group>
<fig id="F1" orientation="portrait" position="float">
<label>Fig. 1</label>
<caption>
<p>Measurement of bone density by Simplant software.</p>
</caption>
<graphic xlink:href="jap-6-528-g001"></graphic>
</fig>
<fig id="F2" orientation="portrait" position="float">
<label>Fig. 2</label>
<caption>
<p>Measurement of bone height by Simplant software.</p>
</caption>
<graphic xlink:href="jap-6-528-g002"></graphic>
</fig>
<fig id="F3" orientation="portrait" position="float">
<label>Fig. 3</label>
<caption>
<p>Measurement of sinus membrane thickness by INFINITT PACS software.</p>
</caption>
<graphic xlink:href="jap-6-528-g003"></graphic>
</fig>
<fig id="F4" orientation="portrait" position="float">
<label>Fig. 4</label>
<caption>
<p>MicroCT image.</p>
</caption>
<graphic xlink:href="jap-6-528-g004"></graphic>
</fig>
<fig id="F5" orientation="portrait" position="float">
<label>Fig. 5</label>
<caption>
<p>Matured lamellar bone showing bony integration between residual bone and maxillary sinus was detected. Bone formation was found surrounding both enamel and dentin portion of AutoBT material. New bone bridges between graft materials were also detected (Masson's trichrome staining, ×35).</p>
</caption>
<graphic xlink:href="jap-6-528-g005"></graphic>
</fig>
<fig id="F6" orientation="portrait" position="float">
<label>Fig. 6</label>
<caption>
<p>Newly-formed and matured lamellar bone was detected surrounding AutoBT material, osteoblasts covering newly-formed bone accumulated osteoid. Active woven bone formation was also detected. Medullary space formation composed of well vascularized connective tissue was also detected within new bone (Masson's trichrome staining, ×400).</p>
</caption>
<graphic xlink:href="jap-6-528-g006"></graphic>
</fig>
<table-wrap id="T1" orientation="portrait" position="float">
<label>Table 1</label>
<caption>
<p>CT evaluation on bone density, bone height, and sinus membrane thickness</p>
</caption>
<graphic xlink:href="jap-6-528-i001"></graphic>
<table-wrap-foot>
<fn>
<p>RBH: residual bone height, GBH: grafted bone height, BH: bone height, SMT: sinus membrane thickness.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T2" orientation="portrait" position="float">
<label>Table 2</label>
<caption>
<p>MicroCT evaluation on volume-related, density-related and architecture-related parameters</p>
</caption>
<graphic xlink:href="jap-6-528-i002"></graphic>
<table-wrap-foot>
<fn>
<p>
<italic>P</italic>
value:
<sup>**</sup>
<.01 by Mann-Whitney U test.</p>
<p>BMD: Bone mineral density.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T3" orientation="portrait" position="float">
<label>Table 3</label>
<caption>
<p>Histomorphometric analysis</p>
</caption>
<graphic xlink:href="jap-6-528-i003"></graphic>
<table-wrap-foot>
<fn>
<p>
<italic>P</italic>
value:
<sup>*</sup>
<.05 by Mann-Whitney U test.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
</record>

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