DOI QR코드

DOI QR Code

토끼의 하악골체부에 식립된 임플란트 주위에서 Beta-tricalciumphosphate 골이식재의 골형성효과에 대한 조직계측학적 연구

Histomorphometric Analysis on Bone Formation Effect of Beta-tricalciumphosphate around Dental Implants in Rabbit Mandibular Body: Pilot Study

  • 편영훈 (인하대학교 의과대학 치과학교실 구강악안면외과) ;
  • 김일규 (인하대학교 의과대학 치과학교실 구강악안면외과) ;
  • 조현영 (인하대학교 의과대학 치과학교실 구강악안면외과) ;
  • 주상현 (인하대학교 의과대학 치과학교실 구강악안면외과) ;
  • 정범상 (인하대학교 의과대학 치과학교실 구강악안면외과) ;
  • 배상필 (인하대학교 의과대학 치과학교실 구강악안면외과) ;
  • 조현우 (인하대학교 의과대학 치과학교실 구강악안면외과)
  • Pyun, Young-Hoon (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Inha University School of Medicine) ;
  • Kim, Il-Kyu (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Inha University School of Medicine) ;
  • Cho, Hyun-Young (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Inha University School of Medicine) ;
  • Ju, Sang-Hyun (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Inha University School of Medicine) ;
  • Jung, Bum-Sang (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Inha University School of Medicine) ;
  • Pae, Sang-Pill (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Inha University School of Medicine) ;
  • Cho, Hyun-Woo (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Inha University School of Medicine)
  • 투고 : 2013.01.10
  • 심사 : 2013.09.26
  • 발행 : 2013.09.30

초록

Purpose: The purpose of this study is to assess the effectiveness of beta-tricalciumphosphate (${\beta}$-TCP) as a bone graft material on new bone formation and regeneration of mandible bone defect around dental implants. Methods: Both mandibular sites of ten rabbits were exposed. The experimental subjects were divided into two groups. Rabbits in the control group (right site of the mandible) had dental implants around cortical bone defects, without treatment, while, in the experimental group (left site of the mandible), ${\beta}$-TCP was grafted into the bone defect around the implant. Rabbits were sacrificed after one, two, three, four, and eight weeks, and histomorphometric evaluation and analysis of the bone implant contact rate were performed using an optical microscope. Results: Bone formation rates in the experimental group were greater than those in the control group from one to eight weeks, and percentages of implant surface contacted to bone were greater in the experimental group than in the control group from three weeks after implantation. Conclusion: These results suggest that the bone formation activity around dental implants was increased by osteoconduction activity of ${\beta}$-TCP.

키워드

참고문헌

  1. Branemark PI, Adell R, Breine U, Hansson BO, Lindstrom J, Ohlsson A. Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand J Plast Reconstr Surg 1969;3:81-100. https://doi.org/10.3109/02844316909036699
  2. Albrektsson T, Branemark PI, Hansson HA, Lindström J. Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand 1981;52:155-70. https://doi.org/10.3109/17453678108991776
  3. Brånemark PI, Lindström J, Hallen O, Breine U, Jeppson PH, Ohman A. Reconstruction of the defective mandible. Scand J Plast Reconstr Surg 1975;9:116-28. https://doi.org/10.3109/02844317509022776
  4. Enneking WF, Eady JL, Burchardt H. Autogenous cortical bone grafts in the reconstruction of segmental skeletal defects. J Bone Joint Surg Am 1980;62:1039-58. https://doi.org/10.2106/00004623-198062070-00001
  5. Sculean A, Stavropoulos A, Windisch P, Keglevich T, Karring T, Gera I. Healing of human intrabony defects following regenerative periodontal therapy with a bovine-derived xenograft and guided tissue regeneration. Clin Oral Investig 2004;8:70-4.
  6. Hallman M, Nordin T. Sinus floor augmentation with bovine hydroxyapatite mixed with fibrin glue and later placement of nonsubmerged implants: a retrospective study in 50 patients. Int J Oral Maxillofac Implants 2004;19:222-7.
  7. Merkx MA, Maltha JC, Stoelinga PJ. Assessment of the value of anorganic bone additives in sinus floor augmentation: a review of clinical reports. Int J Oral Maxillofac Surg 2003;32:1-6. https://doi.org/10.1054/ijom.2002.0346
  8. Ogose A, Hotta T, Hatano H, et al. Histological examination of beta-tricalcium phosphate graft in human femur. J Biomed Mater Res 2002;63:601-4. https://doi.org/10.1002/jbm.10380
  9. Jung UW, Choi SY, Pang EK, Kim CS, Choi SH, Cho KS. The effect of varying the particle size of beta tricalcium phosphate carrier of recombinant human bone morphogenetic protein-4 on bone formation in rat calvarial defects. J Periodontol 2006;77:765-72. https://doi.org/10.1902/jop.2006.050268
  10. Somanathan RV, Simůnek A. Evaluation of the success of beta-tricalciumphosphate and deproteinized bovine bone in maxillary sinus augmentation using histomorphometry: a review. Acta Medica (Hradec Kralove) 2006;49:87-9.
  11. Jeon IS, Heo MS, Han KH, Kim JH. Vertical ridge augmentation with simultaneous implant placement using {beta}-TCP$ and PRP: a report of two cases. J Oral Maxillofac Sur Med Pathol 2013;25:226-31. https://doi.org/10.1016/j.ajoms.2012.05.016
  12. Proussaefs P, Lozada J. The use of intraorally harvested autogenous block grafts for vertical alveolar ridge augmentation: a human study. Int J Periodontics Restorative Dent 2005;25:351-63.
  13. Tencer AF, Woodard PL, Swenson J, Brown KL. Mechanical and bone ingrowth properties of a polymer-coated, porous, synthetic, coralline hydroxyapatite bone-graft material. Ann N Y Acad Sci 1988;523:157-72. https://doi.org/10.1111/j.1749-6632.1988.tb38509.x
  14. Le Huec JC, Clément D, Brouillaud B, et al. Evolution of the local calcium content around irradiated beta-tricalcium phosphate ceramic implants: in vivo study in the rabbit. Biomaterials 1998;19:733-8. https://doi.org/10.1016/S0142-9612(97)00189-0
  15. Hoexter DL. Bone regeneration graft materials. J Oral Implantol 2002;28:290-4. https://doi.org/10.1563/1548-1336(2002)028<0290:BRGM>2.3.CO;2
  16. Wang S, Zhang Z, Zhao J, et al. Vertical alveolar ridge augmentation with beta-tricalcium phosphate and autologous osteoblasts in canine mandible. Biomaterials 2009;30:2489-98. https://doi.org/10.1016/j.biomaterials.2008.12.067
  17. Ghanaati S, Barbeck M, Orth C, et al. Influence of $\beta$-tricalcium phosphate granule size and morphology on tissue reaction in vivo. Acta Biomater 2010;6:4476-87. https://doi.org/10.1016/j.actbio.2010.07.006
  18. Chazono M, Tanaka T, Kitasato S, Kikuchi T, Marumo K. Electron microscopic study on bone formation and bioresorption after implantation of beta-tricalcium phosphate in rabbit models. J Orthop Sci 2008;13:550-5. https://doi.org/10.1007/s00776-008-1271-1
  19. Handschel J, Wiesmann HP, Stratmann U, Kleinheinz J, Meyer U, Joos U. TCP is hardly resorbed and not osteoconductive in a non-loading calvarial model. Biomaterials 2002;23:1689-95. https://doi.org/10.1016/S0142-9612(01)00296-4
  20. Lu J, Descamps M, Dejou J, et al. The biodegradation mechanism of calcium phosphate biomaterials in bone. J Biomed Mater Res 2002;63:408-12. https://doi.org/10.1002/jbm.10259
  21. Zerbo IR, Bronckers AL, de Lange G, Burger EH. Localisation of osteogenic and osteoclastic cells in porous beta-tricalcium phosphate particles used for human maxillary sinus floor elevation. Biomaterials 2005;26:1445-51. https://doi.org/10.1016/j.biomaterials.2004.05.003
  22. Szabó G, Suba Z, Hrabák K, Barabás J, Németh Z. Autogenous bone versus beta-tricalcium phosphate graft alone for bilateral sinus elevations (2- and 3-dimensional computed tomographic, histologic, and histomorphometric evaluations): preliminary results. Int J Oral Maxillofac Implants 2001;16:681-92.
  23. Uckan S, Deniz K, Dayangac E, Araz K, Ozdemir BH. Early implant survival in posterior maxilla with or without beta-tricalcium phosphate sinus floor graft. J Oral Maxillofac Surg 2010;68:1642-5. https://doi.org/10.1016/j.joms.2009.08.028