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蛋壳衍生羟基磷灰石:骨再生的新时代。

Eggshell-Derived Hydroxyapatite: A New Era in Bone Regeneration.

作者信息

Kattimani Vivekanand, Lingamaneni Krishna Prasad, Chakravarthi Pandi Srinivas, Kumar T S Sampath, Siddharthan Arjunan

机构信息

*Department of Oral and Maxillofacial Surgery, Sibar Institute of Dental Sciences, Guntur †Medical Materials Laboratory, Department of Metallurgical and Materials Engineering, Indian Institute of Technology Madras ‡Department of Production Technology, MIT Campus, Anna University, Chennai, India.

出版信息

J Craniofac Surg. 2016 Jan;27(1):112-7. doi: 10.1097/SCS.0000000000002288.

Abstract

BACKGROUND

Defects of maxillofacial skeleton lead to personal (functional and aesthetic), social and behavioral problems; which make the person to isolate from the main stream of society. So, bone regeneration is the need for proper structure, function, and aesthetics following cyst enucleation, trauma, and tumor ablative surgery; which helps for overall health of the individual.

AIM AND OBJECTIVES

The preliminary study is planned to evaluate and compare the efficacy of eggshell-derived hydroxyapatite (EHA) and synthetic hydroxyapatite (SHA) following cystectomy.

MATERIAL AND METHODS

Microwave-processed calcium deficient EHA and commercially available SHA are used for grafting. Total 20 patients enrolled in this study, consisting 10 in each group between 20 and 45 years of age. All the patients were evaluated for bone regeneration at first, second, third, and sixth month's interval, postsurgically, using radiovisiograph and clinical parameters.

RESULTS

The bone formation characteristics vary at second month when compared to SHA. This difference may be because of the kinetics involved in the regeneration pattern. The pattern of bone healing was trabecular after third month, indicating complete bone formation. The study showed constant raise of density and remained same at the end of study period.

CONCLUSIONS

Both EHA and SHA graft materials are equally efficient in early bone regeneration. Within the limitations of this study the EHA showed promising results. Which indicates the eggshell waste-bio mineral is worthwhile raw material for the production of HA and is a Go Green procedure. Eggshell-derived hydroxyapatite is economic, compared with SHA.

摘要

背景

颌面骨骼缺陷会导致个人(功能和美观)、社会及行为问题,使人脱离社会主流。因此,在囊肿摘除、创伤及肿瘤切除手术后,骨再生对于恢复正常结构、功能和美观是必要的,这有助于个体的整体健康。

目的

本初步研究计划评估并比较囊肿切除术后蛋壳衍生羟基磷灰石(EHA)和合成羟基磷灰石(SHA)的疗效。

材料与方法

采用微波处理的缺钙EHA和市售SHA进行移植。本研究共纳入20例患者,年龄在20至45岁之间,每组10例。术后分别在第1、2、3和6个月,使用放射成像仪和临床参数对所有患者的骨再生情况进行评估。

结果

与SHA相比,EHA在第2个月时骨形成特征有所不同。这种差异可能是由于再生模式中的动力学因素。第3个月后骨愈合模式为小梁状,表明骨已完全形成。研究显示密度持续升高,在研究期末保持稳定。

结论

EHA和SHA移植材料在早期骨再生方面同样有效。在本研究的局限性内,EHA显示出有前景的结果。这表明蛋壳废料生物矿物质是生产HA的有价值原材料,且是一种绿色环保方法。与SHA相比,蛋壳衍生羟基磷灰石更经济。

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