Nam Jin-Woo, Kim Moon-Young, Han Se-Jin
Department of Oral and Maxillofacial Surgery, College of Dentistry, Dankook University, 119 Dandae-ro, Dongnam-gu, Cheonan, Chungnam South Korea.
Maxillofac Plast Reconstr Surg. 2016 Jul 5;38(1):27. doi: 10.1186/s40902-016-0073-1. eCollection 2016 Dec.
The objective of this study was to place bone graft materials in cranial defects in a rabbit model and compare their bone regenerating ability according to the size and density of demineralized dentin matrix (DDM).
We selected nine healthy male rabbits that were raised under the same conditions and that weighed about 3 kg. Two circular defects 8 mm in diameter were created in each side of the cranium. The defects were grafted with DDM using four different particle sizes and densities: 0.1 mL of 0.25- to 1.0-mm particles (group 1); 0.2 mL of 0.25- to 1.0-mm particles (group 2); 0.1 mL of 1.0- to 2.0-mm particles (group 3); and 0.2 mL of 1.0- to 2.0-mm particles (group 4). After 2, 4, and 8 weeks, the rabbits were sacrificed, and bone samples were evaluated by means of histologic, histomorphometric, and quantitative RT-PCR analysis.
In group 1, osteoblast activity and bone formation were greater than in the other three groups on histological examination. In groups 2, 3, and 4, dense connective tissue was seen around original bone even after 8 weeks. Histomorphometric analysis of representative sections in group 1 showed a higher rate of new bone formation, but the difference from the other groups was not statistically significant. RT-PCR analysis indicated a correlation between bone formation and protein (osteonectin and osteopontin) expression.
DDM with a space between particles of 200 μm was effective in bone formation, suggesting that materials with a small particle size could reasonably be used for bone grafting.
本研究的目的是在兔模型的颅骨缺损处植入骨移植材料,并根据脱矿牙本质基质(DDM)的大小和密度比较其骨再生能力。
我们选择了9只在相同条件下饲养、体重约3千克的健康雄性兔子。在每只兔子颅骨的两侧制造两个直径8毫米的圆形缺损。使用四种不同粒径和密度的DDM对缺损进行移植:0.1毫升粒径为0.25至1.0毫米的颗粒(第1组);0.2毫升粒径为0.25至1.0毫米的颗粒(第2组);0.1毫升粒径为1.0至2.0毫米的颗粒(第3组);0.2毫升粒径为1.0至2.0毫米的颗粒(第4组)。在2周、4周和8周后,处死兔子,并通过组织学、组织形态计量学和定量逆转录聚合酶链反应(RT-PCR)分析对骨样本进行评估。
组织学检查显示,第1组的成骨细胞活性和骨形成高于其他三组。在第2组、第3组和第4组中,即使在8周后,原始骨周围仍可见致密结缔组织。第1组代表性切片的组织形态计量学分析显示新骨形成率较高,但与其他组的差异无统计学意义。RT-PCR分析表明骨形成与蛋白质(骨连接蛋白和骨桥蛋白)表达之间存在相关性。
颗粒间距为200μm 的DDM对骨形成有效,这表明粒径小的材料可合理用于骨移植。