Aragoneses Javier, Suárez Ana, López-Valverde Nansi, Martínez-Martínez Francisco, Aragoneses Juan Manuel
Department of Medicine and Medical Specialties, Faculty of Health Sciences, University of Alcalá, 28801 Madrid, Spain.
Department of Preclinical Dentistry, School of Biomedical Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, 28670 Madrid, Spain.
Biology (Basel). 2021 Apr 23;10(5):358. doi: 10.3390/biology10050358.
The aim of this study was to evaluate the effect of implant surface treatment with carboxyethylphosphonic acid and fibroblast growth factor 2 on the bone-implant interface during the osseointegration period in vivo using an animal model. The present research was carried out in six minipigs, in whose left tibia implants were inserted as follows: eight implants with a standard surface treatment, for the control group, and eight implants with a surface treatment of carboxyethylphosphonic acid and immobilization of FGF-2, for the test group. At 4 weeks after the insertion of the implants, the animals were sacrificed for the histomorphometric analysis of the samples. The means of the results for the implant-bone contact variable (BIC) were 46.39 ± 17.49% for the test group and 34.00 ± 9.92% for the control group; the difference was not statistically significant. For the corrected implant-bone contact variable (BICc), the mean value of the test group was 60.48 ± 18.11%, and that for the control group, 43.08 ± 10.77%; the difference was statistically significant (-value = 0.035). The new bone formation (BV/TV) showed average results of 27.28 ± 3.88% for the test group and 26.63 ± 7.90% for the control group, meaning that the differences were not statistically significant (-value = 0.839). Regarding the bone density at the interthread level (BAI/TA), the mean value of the test group was 32.27 ± 6.70%, and that of the control group was 32.91 ± 7.76%, with a -value of 0.863, while for the peri-implant density (BAP/TA), the mean value of the test group was 44.96 ± 7.55%, and that for the control group was 44.80 ± 8.68%, without a significant difference between the groups. The current research only found a significant difference for the bone-implant contact at the cortical level; therefore, it could be considered that FGF-2 acts on the mineralization of bone tissue. The application of carboxyethylphosphonic acid on the surface of implants can be considered a promising alternative as a biomimetic coating for the immobilization of FGF-2. Despite no differences in the new bone formation around the implants or in the interthread or peri-implant bone density being detected, the biofunctionalization of the implant surface with FGF-2 accelerates the mineralization of the bone-implant interface at the cortical level, thereby reducing the osseointegration period.
本研究的目的是使用动物模型,评估在体内骨整合期用羧乙基膦酸和成纤维细胞生长因子2对种植体表面进行处理对骨-种植体界面的影响。本研究在6只小型猪中进行,在其左胫骨中植入种植体,具体如下:对照组植入8个经标准表面处理的种植体,试验组植入8个经羧乙基膦酸表面处理并固定FGF-2的种植体。种植体植入4周后,处死动物以对样本进行组织形态计量分析。种植体-骨接触变量(BIC)的结果均值,试验组为46.39±17.49%,对照组为34.00±9.92%;差异无统计学意义。对于校正后的种植体-骨接触变量(BICc),试验组的平均值为60.48±18.11%,对照组为43.08±10.77%;差异具有统计学意义(P值=0.035)。新骨形成(BV/TV)的平均结果,试验组为27.28±3.88%,对照组为26.63±7.90%,这意味着差异无统计学意义(P值=0.839)。关于螺纹间水平的骨密度(BAI/TA),试验组的平均值为32.27±6.70%,对照组为32.91±7.76%,P值为0.863,而对于种植体周围密度(BAP/TA),试验组的平均值为44.96±7.55%,对照组为44.80±8.68%,两组之间无显著差异。当前研究仅发现皮质水平的骨-种植体接触存在显著差异;因此,可以认为FGF-2作用于骨组织的矿化。在种植体表面应用羧乙基膦酸可被视为一种有前景的替代方法,作为固定FGF-2的仿生涂层。尽管未检测到种植体周围新骨形成或螺纹间及种植体周围骨密度存在差异,但用FGF-2对种植体表面进行生物功能化可加速皮质水平骨-种植体界面的矿化,从而缩短骨整合期。