Kuchler Ulrike, Heimel Patrick, Stähli Alexandra, Strauss Franz Josef, Luza Bernadette, Gruber Reinhard
Department of Oral Surgery, University Clinic of Dentistry, Medical University of Vienna, 1090 Vienna, Austria.
Core Facility Hard Tissue and Biomaterial Research, Karl Donath Laboratory, University Clinic of Dentistry, Medical University of Vienna, 1090 Vienna, Austria.
Materials (Basel). 2020 Oct 23;13(21):4748. doi: 10.3390/ma13214748.
Deproteinized bovine bone mineral (DBBM) is brittle and can break into fragments. Here, we examined whether DBBM fragments have an impact on mice calvarial bone during bone augmentation. DBBM was either randomly crushed (DBBM fragments) or left undisturbed (DBBM granules). Then, DBBM fragments or original DBBM granules were placed onto calvarial bone in 20 BALB/c mice. Following random allocation, ten mice received DBBM fragments and ten mice received original DBBM granules. After fourteen days of healing, micro computed tomography (micro-CT) and histological analysis of the augmented sites were performed. The primary outcome was the porosity of the calvarial bone. The micro-CT analysis revealed that DBBM fragments failed to significantly change the porosity of the calvarial bone as compared with original DBBM granules, despite the slightly higher bone resorption in the DBBM fragment group, 10.3% (CI 6.3-11.6) versus 6.1% (CI 4.1-7.8, = 0.355), respectively. The cortical bone volume was not altered by DBBM fragments as compared with original DBBM granules, i.e., 79.0% (CI 78.9-81.2) versus 81.5% (CI 80.1-83.3, = 0.357), respectively. The DBBM fragment group revealed similar bone thickness values as compared with the DBBM granules group, i.e., 0.26 mm (CI 0.23-0.29) versus 0.25 mm (CI 0.22-0.27, = 0.641), respectively. The histological evaluation supported the micro-CT observations, displaying minor signs of porosity and resorption. The particle-size distribution analysis confirmed a shift towards smaller particle sizes in the DBBM fragment group. These findings suggest that DBBM fragments behave similarly to original DBBM granules in terms of bone morphological changes at augmented sites.
脱蛋白牛骨矿物质(DBBM)质地脆,会破碎成碎片。在此,我们研究了DBBM碎片在骨增量过程中对小鼠颅骨是否有影响。将DBBM随机碾碎(DBBM碎片)或保持原状(DBBM颗粒)。然后,将DBBM碎片或原始DBBM颗粒置于20只BALB/c小鼠的颅骨上。随机分配后,10只小鼠接受DBBM碎片,10只小鼠接受原始DBBM颗粒。愈合14天后,对骨增量部位进行显微计算机断层扫描(micro-CT)和组织学分析。主要观察指标是颅骨的孔隙率。micro-CT分析显示,与原始DBBM颗粒相比,DBBM碎片未能显著改变颅骨的孔隙率,尽管DBBM碎片组的骨吸收略高,分别为10.3%(CI 6.3 - 11.6)和6.1%(CI 4.1 - 7.8,P = 0.355)。与原始DBBM颗粒相比,DBBM碎片未改变皮质骨体积,分别为79.0%(CI 78.9 - 81.2)和81.5%(CI 80.1 - 83.3,P = 0.357)。DBBM碎片组的骨厚度值与DBBM颗粒组相似,分别为0.26 mm(CI 0.23 - 0.29)和0.25 mm(CI 0.22 - 0.27,P = 0.641)。组织学评估支持了micro-CT的观察结果,显示出轻微的孔隙率和吸收迹象。粒度分布分析证实DBBM碎片组的颗粒尺寸向更小尺寸偏移。这些发现表明,在骨增量部位的骨形态变化方面,DBBM碎片与原始DBBM颗粒的表现相似。
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