Jung Gyu-Un, Hong Seong-Jin, Hong Ji-Youn, Pang Eun-Kyoung
1Department of Periodontology, Mokdong Hospital, Ewha Womans University, Seoul, Korea.
2Department of Periodontology, School of Medicine, Ewha Womans University, Seoul, Korea.
Tissue Eng Regen Med. 2016 Feb 2;13(1):70-77. doi: 10.1007/s13770-016-9021-0. eCollection 2016 Feb.
The aim of this study was to evaluate the effect of human freeze-dried bone block (FDBB) and deproteinized bovine bone with collagen (DBBC) on bone formation when applied as an onlay graft in rat calvariums. Thirty male Sprague-Dawley rats received collagen sponge (control), FDBB, or DBBC onlay grafts trimmed into 8-mm disks measuring 4-mm height. Each graft was secured onto the calvarium surface using horizontal mattress sutures. Rats in each group were killed at 2 (n=5) or 8 (n=5) weeks postoperatively for histologic and histomorphometric analysis. The total augmented area (mm), new bone area (mm), and bone density (%) were measured. The FDBB and DBBC groups showed significantly more new bone formation and bone density than the control group at 2 and 8 weeks. The increased new bone area was significantly greater in the FDBB group than in the DBBC group (<0.05). The total augmented area was significantly higher in the FDBB and DBBC groups at 2 and 8 weeks than in the control group (<0.05), and at 8 weeks, the area was significantly decreased in the DBBC group compared to that in the FDBB group and the area at 2 weeks (<0.05). Within the limitations of the present study, we concluded that onlay FDBB and DBBC grafts caused new bone formation through an osteoconductive mechanism. In addition, compared to FDBB, DBBC had less capacity to form new bone and maintain the space.
本研究的目的是评估人冻干骨块(FDBB)和含胶原蛋白的脱蛋白牛骨(DBBC)作为覆盖移植物应用于大鼠颅骨时对骨形成的影响。30只雄性Sprague-Dawley大鼠接受胶原蛋白海绵(对照组)、FDBB或DBBC覆盖移植物,将其修剪成高度为4 mm、直径为8 mm的圆盘。使用水平褥式缝线将每个移植物固定在颅骨表面。每组大鼠在术后2周(n = 5)或8周(n = 5)处死,进行组织学和组织形态计量学分析。测量总的增大面积(mm)、新骨面积(mm)和骨密度(%)。在2周和8周时,FDBB组和DBBC组的新骨形成和骨密度均显著高于对照组。FDBB组的新骨面积增加显著大于DBBC组(<0.05)。在2周和8周时,FDBB组和DBBC组的总的增大面积显著高于对照组(<0.05),且在8周时,DBBC组的面积与FDBB组及2周时的面积相比显著减小(<0.05)。在本研究的局限性范围内,我们得出结论,FDBB和DBBC覆盖移植物通过骨传导机制导致新骨形成。此外,与FDBB相比,DBBC形成新骨和维持空间的能力较弱。