负载重组人骨形态发生蛋白-2的水凝胶复合材料对小型猪下颌骨缺损处牙种植体周围骨形成的疗效。

The efficacy of rhBMP-2 loaded hydrogel composite on bone formation around dental implants in mandible bone defects of minipigs.

作者信息

Lyu Hao-Zhen, Lee Jae Hyup

机构信息

1Department of Orthopedic Surgery, College of Medicine, SMG-SNU Boramae Medical Center, Seoul National University, Boramae-ro 5-gil 20, Dongjak-gu, Seoul, 07061 Korea.

2Institute of Medical and Biological Engineering, Medical Research Center, Seoul National University, Seoul, Korea.

出版信息

Biomater Res. 2020 Feb 3;24:5. doi: 10.1186/s40824-020-0183-9. eCollection 2020.

Abstract

BACKGROUND

In dental or orthopedic surgery, bone substitutes are inserted with implants to promote osteogenesis and enhance osseointegration. The purpose of this research was to evaluate the efficacy of rhBMP-2 (recombinant human bone morphogenetic protein-2) loaded hydrogel composite for bone formation around dental implant in minipig mandible bone defect models.

METHODS

We made bone defects with a diameter of 4 mm in minipig mandibles and inserted implants of the same size, to mimic the cases of inserting the screws in the bone defect or poor-quality bone. The rhBMP-2 (300 μg) loaded hydrogel composite (0.5 cc) inserted in the bone defect with the implant in the rhBMP-2 group. After 4 weeks, the mandibles were harvested to evaluate the new bone mass around implants using plain radiographs, micro-CT, and histology.

RESULTS

The micro-CT analysis result showed that the quantity of new bone generation around the implant in the rhBMP-2 group was greater than that in the other groups. Comparing the ratios of bone to implant area in three groups by histology, the amount of newly formed bone in the rhBMP-2 group was the most.

CONCLUSION

The rhBMP-2 loaded hydrogel composite promotes osteogenesis around dental implant in minipig mandible bone defect, and enhance osseointegration between the dental implant and host bone.

摘要

背景

在牙科或整形外科手术中,骨替代物与植入物一起植入以促进骨生成并增强骨整合。本研究的目的是评估负载重组人骨形态发生蛋白-2(rhBMP-2)的水凝胶复合材料在小型猪下颌骨缺损模型中对牙种植体周围骨形成的疗效。

方法

我们在小型猪下颌骨中制造直径为4毫米的骨缺损,并插入相同尺寸的种植体,以模拟在骨缺损或骨质不佳的情况下拧入螺钉的情况。在rhBMP-2组中,将负载rhBMP-2(300μg)的水凝胶复合材料(0.5cc)与种植体一起插入骨缺损中。4周后,收获下颌骨,使用平片、显微CT和组织学评估种植体周围的新骨量。

结果

显微CT分析结果显示,rhBMP-2组种植体周围的新骨生成量大于其他组。通过组织学比较三组骨与种植体面积的比例,rhBMP-2组新形成的骨量最多。

结论

负载rhBMP-2的水凝胶复合材料可促进小型猪下颌骨缺损中牙种植体周围的骨生成,并增强牙种植体与宿主骨之间的骨整合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fc5/6998194/056ffa681fe0/40824_2020_183_Fig1_HTML.jpg

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