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三种磷酸钙合成块状骨移植物材料在兔颅骨骨再生中的比较评价。

Comparative evaluation of three calcium phosphate synthetic block bone graft materials for bone regeneration in rabbit calvaria.

机构信息

Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University, Seoul120-752, Korea.

出版信息

J Biomed Mater Res B Appl Biomater. 2012 Nov;100(8):2044-52. doi: 10.1002/jbm.b.32768. Epub 2012 Aug 2.

Abstract

Various synthetic materials were developed to be used for implant dentistry and periodontal treatments. Among the various synthetic bone substitutes, calcium phosphate ceramics have been extensively investigated because their mineral chemistry resembles that of human bone. We evaluated the regeneration of three calcium phosphate synthetic block bone grafts in rabbit calvarial noncritical size defects. Four 8-mm-diameter defects were created in each rabbit (N = 10). Three defects, hydroxyapatite (HA), beta-tricalcium phosphate (β-TCP), and biphasic calcium phosphate (BCP), were randomly filled with one of three fabricated synthetic block bone graft materials. The fourth defect was filled with blood clots. Specimens were harvested at 4 and 8 weeks postsurgery. Histological and histometrical findings indicated that all three calcium phosphate block bone graft materials were able to maintain space significantly better than the control group at both 4 and 8 weeks. In the BCP group, the amount of newly formed bone was increased more than for the other groups. Additionally, β-TCP showed a large resorption of graft materials after 4 weeks postsurgery, while there were only small resorption for HA and BCP.

摘要

各种合成材料被开发用于植入牙科和牙周治疗。在各种合成骨替代物中,磷酸钙陶瓷已被广泛研究,因为其矿物化学与人体骨骼相似。我们评估了三种磷酸钙合成块状骨移植物在兔颅骨非临界大小缺损中的再生情况。每只兔子(N=10)都创建了四个 8 毫米直径的缺损。三个缺陷(HA)、β-磷酸三钙(β-TCP)和双相磷酸钙(BCP)分别随机用三种制造的合成块状骨移植物材料之一填充。第四个缺陷填充了血凝块。标本在手术后 4 周和 8 周时采集。组织学和组织计量学结果表明,在 4 周和 8 周时,所有三种磷酸钙块状骨移植物材料都能够比对照组更好地保持空间。在 BCP 组中,新形成的骨量比其他组增加更多。此外,β-TCP 在手术后 4 周时表现出大量的移植物材料吸收,而 HA 和 BCP 仅表现出少量吸收。

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