脱蛋白骨矿物质(DBM)作为兔下颌骨内嵌骨移植物的评价

Badr A. Al-jandan , Abdullah Al-Harkan , Julia Pompura , Letitia Z. Lim , Jaime S. Guerrero , Hesham F. Marei , Imran Farooq
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引用次数: 2

摘要

目的评价异质脱蛋白骨矿物质(DBM)作为贴体移植骨的再生情况。材料与方法8只家兔分别在下颌骨左外侧和右外侧植入2个钛骨支架(TBGHs)。每个TBGH具有两个圆柱形腔室,其中有许多亚毫米孔。在颚的实验侧,腔室填充DBM颗粒(Bio-Oss®,Geistlich Pharmaceutical AG, Walhusen, Switzerland)。在颌骨的另一侧(对照)的腔室是空的(无DBM)。在放置TBGH后,对照和实验TBGH均被胶原膜屏障层覆盖(Bio-Gide®,Geistlich Pharmaceutical AG, Walhusen, Switzerland)。12周后,采集下颌骨切片进行x线摄影和组织形态学评估。结果试验室和对照组均可见新生骨形成。然而,实验组(DBM)的新生骨量(18.41%)高于对照组(5.31%)。差异有统计学意义(p <0.001)。根据x线片放射密度区域的量化,实验组的骨和/或移植物(12.96 mm2±1.48)明显多于对照组(8.59 mm2±3.54)(p <0.001)。同样,DBM腔的填充高度(2.73 mm±0.24)明显高于对照组(1.83 mm±0.72)(p <0.001)。结论dbm作为硬屏障下的嵌体移植物可促进新骨形成。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of deproteinized bone mineral (DBM) as an onlay bone-graft in the rabbit mandible

Objective

To evaluate bone regeneration in a heterogenous, deproteinized bone mineral (DBM) when used as an onlay graft.

Materials and methods

In this study, eight rabbits received two titanium bone graft holders (TBGHs), one on the left and one on the right lateral surface of the mandible. Each TBGH possessed two cylindrical chambers, which were perforated with numerous sub-millimeter pores. On the experimental side of the jaw, the chambers were filled with DBM particles (Bio-Oss®, Geistlich Pharmaceutical AG, Walhusen, Switzerland). Chambers on the opposite (control) side of the jaw were empty (no DBM). Following TBGH placement both the control and experimental TBGHs were covered with a barrier layer of collagen membrane (Bio-Gide®, Geistlich Pharmaceutical AG, Walhusen, Switzerland). After twelve weeks, sections of the mandible were harvested for radiographic and histomorphometric evaluation.

Results

New bone formation was seen in both test and control chambers. However, the newly generated bone was greater in the experimental (DBM) group (18.41%) than in the control group (5.31%). The difference was statistically significant (p < 0.001). Upon quantification of the radio-dense area from the radiographs, there was significantly more bone and/or graft in the experimental group (12.96 mm2 ± 1.48) than the control group (8.59 mm2 ± 3.54) (p < 0.001). Similarly, the DBM chambers were filled to a significantly greater height (2.73 mm ± 0.24) than the control chambers (1.83 mm ± 0.72) (p < 0.001).

Conclusion

DBM can enhance greater new bone formation when used as an onlay graft, underneath a rigid barrier.

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