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一种新型合成颗粒状磷酸钙化合物在兔鼻窦提升模型中诱导新骨形成。

A new synthetic granular calcium phosphate compound induces new bone in a sinus lift rabbit model.

机构信息

Department of Surgical Sciences, Plastic & Oral and Maxillofacial Surgery, Uppsala University, 751 85 Uppsala, Sweden.

Swedish University of Agricultural Sciences, Department of Clinical Sciences, PO Box 7054, 750 07 Uppsala, Sweden.

出版信息

J Dent. 2018 Mar;70:31-39. doi: 10.1016/j.jdent.2017.12.009. Epub 2017 Dec 16.

Abstract

OBJECTIVES

The aim of this study was to investigate if a synthetic granular calcium phosphate compound (CPC) and a composite bisphosphonate-linked hyaluronic acid-calcium phosphate hydrogel (HABP·CaP) induced similar or more amount of bone as bovine mineral in a modified sinus lift rabbit model.

MATERIAL AND METHODS

Eighteen adult male New Zeeland White rabbits, received randomly one of the two test materials on a random side of the face, and bovine mineral as control on the contralateral side. In a sinus lift, the sinus mucosa was elevated and a titanium mini-implant was placed in the alveolar bone. Augmentation material (CPC, HABP·CaP or bovine bone) was applied in the space around the implant. The rabbits were euthanized three months after surgery and qualitative and histomorphometric evaluation were conducted. Histomorphometric evaluation included three different regions of interest (ROIs) and the bone to implant contact on each installed implant.

RESULTS

Qualitative assessment (p = <.05), histomorphometric evaluations (p = < .01), and implant incorporation (p = <.05) showed that CPC and bovine mineral induced similar amount of bone and more than the HABP·CaP hydrogel.

CONCLUSION

CPC induced similar amount of bone as bovine mineral and both materials induced more bone than HABP·CaP hydrogel.

CLINICAL SIGNIFICANCE

The CPC is suggested as a synthetic alternative for augmentations in the maxillofacial area.

摘要

目的

本研究旨在探讨合成颗粒状磷酸钙化合物(CPC)和复合双膦酸盐连接透明质酸-磷酸钙水凝胶(HABP·CaP)在改良兔鼻窦提升模型中是否能诱导与牛骨矿物相同或更多的骨量。

材料与方法

18 只成年雄性新西兰白兔,随机将两种测试材料之一应用于面部的随机侧,将牛骨矿物作为对照应用于对侧。在鼻窦提升术中,提升鼻窦黏膜,并将钛迷你植入物放置在牙槽骨中。在植入物周围的空间中应用增强材料(CPC、HABP·CaP 或牛骨)。手术后三个月处死兔子,并进行定性和组织形态计量评估。组织形态计量评估包括三个不同的感兴趣区域(ROI)和每个植入物上的骨与植入物的接触。

结果

定性评估(p = <.05)、组织形态计量评估(p = < .01)和植入物结合(p = <.05)表明 CPC 和牛骨矿物诱导的骨量相似,且均多于 HABP·CaP 水凝胶。

结论

CPC 诱导的骨量与牛骨矿物相似,两种材料诱导的骨量均多于 HABP·CaP 水凝胶。

临床意义

CPC 被推荐作为颌面区域增强的合成替代物。

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