Cavalcanti Samantha Cristine Santos Xisto Braga, Pereira Cecília Luiz, Mazzonetto Renato, de Moraes Marcio, Moreira Roger William Fernandes
Division of Oral and Maxillofacial Surgery, Department of Oral Diagnosis, Piracicaba Dental School, Campinas State University, Avenue Limeira 901, Piracicaba, SP, Brazil.
J Craniomaxillofac Surg. 2008 Sep;36(6):354-9. doi: 10.1016/j.jcms.2008.02.005. Epub 2008 Apr 21.
To assess bone regeneration in critical sized defects in the rabbit calvarium, filled with the bone substitute calcium phosphate cement.
Circular bone defects (8mm) were made in both parietal bones of 10 rabbits. One of the defects was filled with the calcium phosphate cement, and the other received autogenous bone harvested from the calvaria. The animals were killed at 3 or 6 weeks (n=5). Data analysis included qualitative assessment of the calvarial specimens and histomorphometric analysis was used to quantify the amount of new bone within the defects.
The microscopic analysis of the samples showed bone healing with both calcium phosphate cement and autogenous bone graft. Data obtained from the histomorphometric analysis were statistically analyzed using 2-way analysis of variance and the Tukey's test. Data analysis showed that the autogenous bone graft had significantly more new bone compared with calcium phosphate cement at 3 and 6 weeks. Calcium phosphate cement at 6 weeks presented similar results to autogenous bone at 3 weeks. Both treatments presented an increase in bone healing with time.
Treatments allowed bone regeneration that increased with time, however surgical cavities treated with the autogenous graft had more bone formation than those with calcium phosphate cement.
评估用骨替代物磷酸钙骨水泥填充兔颅骨临界尺寸骨缺损后的骨再生情况。
在10只兔子的双侧顶骨上制作圆形骨缺损(8毫米)。其中一个缺损用磷酸钙骨水泥填充,另一个缺损填充取自颅骨的自体骨。在3周或6周时处死动物(n = 5)。数据分析包括对颅骨标本的定性评估,并使用组织形态计量分析来量化缺损内新骨的量。
对样本的显微镜分析显示,磷酸钙骨水泥和自体骨移植均能促进骨愈合。使用双向方差分析和Tukey检验对组织形态计量分析获得的数据进行统计分析。数据分析表明,在3周和6周时,自体骨移植产生的新骨明显多于磷酸钙骨水泥。6周时的磷酸钙骨水泥与3周时的自体骨结果相似。两种治疗方法的骨愈合均随时间增加。
治疗可促进骨再生,且随时间增加,然而,用自体移植治疗的手术腔隙比用磷酸钙骨水泥治疗的有更多的骨形成。