Influence of different carrier materials on biphasic calcium phosphate induced bone regeneration

被引:8
作者
Schorn, Lara [1 ]
Fienitz, Tim [2 ]
Gerstenberg, Maximilian F. [3 ]
Sterner-Kock, Anja [4 ,5 ]
Maul, Alexandra C. [4 ,5 ]
Lommen, Julian [1 ]
Holtmann, Henrik [2 ]
Rothamel, Daniel [1 ,2 ]
机构
[1] Univ Hosp Dusseldorf, Dept Oral Maxillofacial & Facial Plast Surg, Moorenstr 5, Dusseldorf, Germany
[2] Evangel Krankenhaus Bethesda, Dept Oral Maxillofacial & Facial Plast Surg, Ludwig Weber Str 15, D-41061 Monchengladbach, Germany
[3] Univ Hosp Cologne, Dept Oral Maxillofacial & Facial Plast Surg, Kerpener Str 64, D-50937 Cologne, Germany
[4] Univ Cologne, Fac Med, Ctr Expt Med, Kerpener Str 64, D-50937 Cologne, Germany
[5] Univ Cologne, Univ Hosp Cologne, Kerpener Str 64, D-50937 Cologne, Germany
关键词
Critical size defects; Biphasic calcium phosphate; Nano-hydroxyapatite; Type I; III collagen; Bone augmentation; Bone substitute material; ALVEOLAR RIDGE AUGMENTATION; IN-VITRO; DEFECTS; TRICALCIUM; MEMBRANE; CELLS;
D O I
10.1007/s00784-020-03700-y
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Objectives Biphasic calcium phosphate (BCP) is a bioceramic material successfully used in alloplastic bone augmentation. Despite many advantages, a disadvantage of BCP seems to be a difficult application and position instability. The aim of this study was to determine how different carrier materials influence BCP-induced quantitative and qualitative bone regeneration. Materials and methods A total of 70 critical size defects were set in the frontal bone of 14 domestic pigs (5 each) and filled randomly with either BCP alone (BCP), BCP in combination with nano-hydroxyapatite (BCP + NHA), BCP embedded in native porcine type I/III collagen blocks (BCP + C), autologous bone (AB), or were left empty (ED). Specimens were harvested after 4 and 8 weeks and were evaluated histologically as well as histomorphometrically. Results Significantly lowest rate of new bone formation was found in ED (p = < 0.001) and BCP + NHA groups (p = 0.05). After 8 weeks, the highest percentage of new bone formation was observed in the BCP + C group. Fibrous matrix was detected highest in BCP alone. The lowest residual bone substitute material was found in BCP + C after 8 weeks. Conclusions BCP-induced bone regeneration is indeed affected by different carrier types. Surface morphology and bioactive characteristics influence osseointegration and new bone formation in vivo. The combination of type I/III collagen seems most suitable for qualitative and quantitative bone regeneration.
引用
收藏
页码:3729 / 3737
页数:9
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