Asikainen A J, Noponen J, Mesimäki K, Laitinen O, Peltola J, Pelto M, Kellomäki M, Ashammakhi N, Lindqvist C, Suuronen R
Department of Oral and Maxillofacial Surgery, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland.
J Mater Sci Mater Med. 2005 Aug;16(8):753-8. doi: 10.1007/s10856-005-2613-6.
Standardized bilateral through-and-through defects (12x6 mm) were created extraorally in the mandibular angle of 18 New Zealand White rabbits. Animals were divided in to three groups (n=6) according to the intended healing time. On the left side, defects were covered with a poly(desaminotyrosyl-tyrosine-ethyl ester carbonate) (PDTE carbonate) membrane wrapped around the inferior border of the mandible and fixed with bioabsorbable sutures. On the right side, the defects were filled with a mesh made of bioactive glass 13-93 and 3 wt% chitosan. The defects were covered with the same membranes. Periosteal flap was sutured over the membrane. Radiographically, bone ingrowth was seen in all specimens at 12 weeks postoperatively. At 24 weeks, completely ossified area remained approximately at the same level as at 12 weeks, but the non-ossified area decreased to almost zero. However, the bioactive glass mesh did not improve the results. Nevertheless, enveloping the defect with PDTE carbonate membrane seemed to play a crucial role in new bone formation. Based on these results, we conclude that tyrosine polycarbonate is a promising new material for guided bone regeneration.
在18只新西兰白兔的下颌角经口外制造标准化的双侧贯通性缺损(12×6毫米)。根据预期愈合时间将动物分为三组(n = 6)。在左侧,缺损用聚(脱氨基酪氨酸 - 酪氨酸 - 碳酸乙酯)(PDTE碳酸盐)膜覆盖,该膜包裹在下颌骨下缘周围并用生物可吸收缝线固定。在右侧,缺损用由生物活性玻璃13 - 93和3 wt%壳聚糖制成的网填充。缺损用相同的膜覆盖。骨膜瓣缝合在膜上。影像学检查显示,术后12周所有标本均可见骨长入。在24周时,完全骨化区域与12周时大致保持在同一水平,但未骨化区域几乎降至零。然而,生物活性玻璃网并未改善结果。尽管如此,用PDTE碳酸盐膜包裹缺损似乎在新骨形成中起关键作用。基于这些结果,我们得出结论,酪氨酸聚碳酸酯是一种有前途的引导骨再生新材料。