Journal List > J Korean Acad Periodontol > v.39(Suppl) > 1049806

Gu, Sohn, Lim, Um, Jung, Kim, Lee, and Choi: The effects of bone regeneration in rabbit calvarial defect with particulated and block type of hydroxyapatite

Abstract

Purpose

The purpose of this study was to evaluate the bone regeneration of particulated hydroxyapatite(HA) and block type of hydroxyapatite graft in rabbit calvarial defects.

Methods

An 8 mm calvarial circular defects were created in sixteen young adult New Zealand white male rabbits (weight 3.0~3.5 kg). Each defects were filled with Bio-Oss, particulated HA and block type HA. Sham surgery control defects were filled with blood clots. The specimens were harvested at 4 weeks and 8 weeks for histologic and histomorphometric evaluation.

Results

Histomorphometric analysis demonstrated statistical differences in defect closure, new bone formation, and bone density of the four groups. Block type of HA group showed increased bone formation and bone density at 4 weeks and 8 weeks compared with Bio-Oss group or sham surgery control group(p<0.05).

Conclusions

Block type of HA is an effective material for osteoconduction in rabbit calvarial defects, which may acts as a guide in use of these products in human application.

Figures and Tables

Figure 1
Calvarial defect formation.
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Figure 2
Calvarial defects were filled with block type HA, particulated HA, Bio-Oss.
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Figure 3
Histologic section of control group at 4 weeks (×10, H-E). Arrow head: defect margin.
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Figure 4
Histologic section of control group at 8 weeks (×10, H-E). Arrow head: defect margin.
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Figure 5
Histologic section of Bio-Oss group 4 weeks (×10, H-E). Arrow head: defect margin.
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Figure 6
Histologic section of Bio-Oss group at 8 weeks (×10, H-E). Arrow head: defect margin.
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Figure 7
Higher magnification of Bio-Oss group presenting new bone (NB) with Bio-Oss remnants (arrow). (×100, H-E).
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Figure 8
Histologic section of particulated HA group at 4 weeks (×10, H-E). Arrow head: defect margin.
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Figure 9
Histologic section of particulated HA group at 8 weeks (×10, H-E). Arrow head: defect margin.
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Figure 10
Higher magnification of particulated HA group presenting new bone (NB) with HA remnants (arrow). (×100, H-E).
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Figure 11
Histologic section of block type HA group at 4 weeks (×10, H-E). Arrow head: defect margin.
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Figure 12
Histologic section of block type HA group at 8 weeks (×10, H-E). Arrow head: defect margin.
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Figure 13
Higher magnification of block type HA group presenting new bone (NB) with osteoblastic steam (arrow). (×100, H-E).
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Figure 14
Higher magnification of block type HA group showing new bone with numerous blood vessel (×100, H-E).
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Table 1
Histomorphometric Analysis of Defect closure (%) (Mean±Standard Deviation; n=8)
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*Statistically significant difference compared to sham surgery control group (p<0.05)

Statistically significant difference compared to Bio-Oss group (p<0.05)

Table 2
Histomorphometric Analysis of Augmented area (mm2) (Mean±Standard Deviation; n=8)
jkape-39-321-i002

*Statistically significant difference compared to sham surgery control group (p<0.05)

Statistically significant difference compared to Bio-Oss group (p<0.05)

Table 3
Histomorphometric Analysis of New bone area (mm2) (Mean±Standard Deviation; n=8)
jkape-39-321-i003

*Statistically significant difference compared to sham surgery control group (p<0.05)

Statistically significant difference compared to Bio-Oss group (p<0.05)

Table 4
Histomorphometric Analysis of Bone density (%) (Mean±Standard Deviation; n=8)
jkape-39-321-i004

*Statistically significant difference compared to sham surgery control group (p<0.05)

Statistically significant difference compared to Bio-Oss group (p<0.05)

References

1. Hiatt WH, Schallhorn RG. Intraoral transplants of cancellous bone and marrow in periodontal lesions. J Periodontol. 1973. 44:194–208.
crossref
2. Mellonig JT. Periodontal bone graft technique. Int J Periodontics Restorative Dent. 1990. 10:288–299.
3. Hoexter DL. Bone regeneration graft materials. J Oral Implantol. 2002. 28:290–294.
crossref
4. Pinholt EM, Solheim E, Bang G, Sudmann E. Bone induction by composites of bioresorbable carriers and demineralized bone in rats: a comparative study of fibrin-collagen paste, fibrin sealant, and polyorthoester with gentamicin. J Oral Maxillofac Surg. 1992. 50:1300–1304.
crossref
5. Schwartz Z, Somer A, Mellonig JT, Carnes DL Jr, Dean DD, Cochran DL, Boyan BD. Ability of commercial demineralized freeze-dried bone allograft to induce new bone formation is dependent on age but not gender. J Periodontol. 1998. 69:470–478.
crossref
6. Somerman MJ. Is there a role for DFDBA in periodontal regenerative therapy? J Periodontol. 1996. 67:946–948.
7. Yildirim M, Spiekermann H, Biesterfeld S, Edelhoff D. Maxillary sinus augmentation using xenogenic bone substitute material Bio-Oss in combination with venous blood. A histologic and histomorphometric study in humans. Clin Oral Implants Res. 2000. 11:217–229.
crossref
8. Pinholt EM, Bang G, Haanaes HR. Alveolar ridge augmentation in rats by Bio-Oss. Scand J Dent Res. 1991. 99:154–161.
crossref
9. Haas R, Mailath G, Dortbudak O, Watzek G. Bovine hydroxyapatite for maxillary sinus augmentation: Analysis of interfacial bond strength of dental implants using pull-out tests. Clin Oral Implants Res. 1998. 9:117–122.
10. Artzi Z, Nemcovsky CE, Dayan D. Bovine-HA spongiosa blocks and immediate implant placement in sinus augmentation procedures. Histopathological and histomorphometric observations on different histological stainings in 10 consecutive patients. Clin Oral Implants Res. 2002. 13:420–427.
crossref
11. Carmagnola D, Berglundh T, Lindhe J. The effect of a fibrin glue on the integration of Bio-Oss with bone tissue. A experimental study in Labrador dogs. J Clin Periodontol. 2002. 29:377–383.
crossref
12. Reynolds MA, Aichelmann-Reidy ME, Branch-Mays GL, Gunsolley JC. The efficacy of bone replacement grafts in the treatment of periodontal osseous defects. A systematic review. Ann Periodontol. 2003. 8:227–265.
crossref
13. Carranza FA Jr, Kennedy EB, Lekovic V, Taltmante E, Valencia J, Dimitrijevic B. Histologic study of the healing of human periodontal defect after placement of porous hydroxyapatite implants. J Periodontol. 1987. 58:682–688.
crossref
14. Stahl SS, Froum SJ. Histologic evaluation of human intraosseous healing response to the placement of tricalcium phosphate ceramic implant. J Periodontol. 1986. 57:211–217.
crossref
15. de Bruijn JD, van Blitterswijk CA, Davies JE. Initial bone matrix formation at the hydroxyapatite interface in vivo. J Biomed Mater Res. 1995. 29:89–99.
16. Cerroni L, Filocamo R, Fabbri M, Piconi C, Caropresso S, Condo SG. Growth of osteoblast like cells on porous htdroxyapatite ceramics: an in vitro study. Biomol Eng. 2002. 19:119–124.
crossref
17. Ducheyne P, Qiu Q. Bioactive ceramics: the effect of surface reactivity on bone formation and bone cell function. Biomaterials. 1999. 20:2287–2303.
crossref
18. Moskow BS, Bubarr A. Histological assessment of human periodontal defects after durapatite ceramic implants. J Periodontol. 1983. 54:455–462.
crossref
19. Yukna RA, Harrison BG, Caudill RF. Evaluation of durapatite ceramic as an alloplastic implant in periodontal osseous defects. Twelve month reentry results. J Periodontol. 1985. 56:540–547.
crossref
20. Choi Jung-Yoo, Chae Gyung-Joon, Kim Chang-Sung, et al. The effects of novel biodegradable amorphorous calcium phosphate on bone regeneration in rat calvarial defects. J Korean Acad Periodontol. 2007. 37:871–879.
crossref
21. Monroe EA, Votava W, Bass DB. New calcium phosphate ceramic material for bone and tooth implants. J Dent Res. 1971. 50:860–861.
crossref
22. Um Yoo-Jung, Hong Ji-Yeon, Kim Sung-Tae, et al. Bone formation of newly developed biphasic calcium phosphate in rabbit calvarial defect model: pilot study. J Korean Acad Periodontol. 2008. 38:163–170.
crossref
23. Lee Kwang-Ho, Jang Hyun-Seon, Park Joo-Cheol, et al. Bone formation effects of HA/β-TCP composite powder in rabbit calvarial bone defects: Histologic study. J Korean Acad Periodontol. 2006. 36:1–14.
crossref
24. Fabbi M, Celotti GC, Ravaglioli A. Hydroxyapatite-based porous aggregates -physicochemical nature, structure, texture and architecture. Biomaterials. 1995. 16:225–228.
crossref
25. Gauthier O, Bouler JM, Aguado E, Pilet P, Daculsi G. Macroporous biphasic calcium phosphate ceramics: influence of macropore diameter and macroporosity percentage on bone ingrowth. Biomaterials. 1998. 19:133–139.
crossref
26. Tsuruga E, Takita H, Itoh H, Wakisaka Y, Kuboki Y. Pore size of porous hydroxyapatite as the cell substatum controls BMP-induced osteogenesis. J Biochem. 1997. 121:317–324.
crossref
27. Scarano A, Pecora G, Piattelli M. Osseointegration in a sinus augmented with bovine porous bone mineral: histological results in an implant retrieved 4 years after insertion. A case report. J Periodontol. 2004. 75:1161–1166.
crossref
28. Zaffe D, Leghissa GC, Pradelli J, Botticelli AR. Histological study on sinus lift grafting by Fisiograft and Bio-Oss. J Mater Sci Mater Med. 2005. 16:789–793.
crossref
29. Yildrim M, Spiekermann H, Handt A, Edelhoff D. Maxillary sinus augmentation with the xenograft Bio-Oss and autogenous intraoral bone for qualitative improvement of the implant site: a histological and histomorphometric clinical study in humans. Int J Oral Maxillofac Implants. 2001. 16:23–33.
30. Lundgren D, Nyman S, Mathisen T, et al. Guided bone regeneration of cranial defects, using biodegradable barriers: an experimental pilot study in the rabbit. J Craniomaxillofacial Surg. 1992. 20:257–260.
crossref
31. Cavalcanti SC, Pereira CL, Mazzonetto R, de Moraes M, Moreira RW. Histological and histomorphometric analyses of calcium phosphate cement in rabbit calvaria. J Craniomaxillofac Surg. 2008. 36:354–359.
crossref
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