Kamadjaja David Buntoro, Satriyo Handhito, Setyawan Aris, Lesmaya Yeni Dian, Safril Jefry Wahyudi, Sumarta Ni Putu Mira, Rizqiawan Andra, Danudiningrat Coen Pramono, Tran Ta To
Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
Department of Oral Surgery, Faculty of Dentistry, Van Lang University, Ho Chi Minh, Vietnam.
Eur J Dent. 2022 May;16(2):403-413. doi: 10.1055/s-0041-1736291. Epub 2021 Nov 23.
This study aimed to evaluate bone regeneration capacity of FDBX granules compared to composite DBBM/DFDBX granules for filling of bone defect in rabbit mandible.
Critical size defects were created in 45 rabbits' mandible. The defect in the control group is left untreated, while in other groups the defects were filled with FDBX granules and composite DBBM/DFDBX granules, respectively. Specimens were collected at 2, 4, and 8 weeks for histology and immunohistochemical analyses. Significant difference is set at -value < 0.05.
The osteoblast-osteoclast quantification, osteoblast expression of Runx2, alkaline phosphatase, collagen-I, and osteocalcin, and osteoclast expression of receptor activator of NF-kB ligand (RANKL) and osteoprotegerin (OPG) in FDBX groups were statistically comparable ( > 0.05) with the composite group, while OPG/RANKL ratio, bone healing scores, and trabecular area were significantly higher ( < 0.05) in the composite compared to FDBX group.
Composite DBBM/DFDBX granules, within the limitation of this study, has better bone forming capacity than FDBX granules for filling of bone defects in the mandible.
本研究旨在评估与复合双相磷酸钙/脱细胞冻干骨颗粒相比,脱细胞冻干骨颗粒填充兔下颌骨骨缺损的骨再生能力。
在45只家兔的下颌骨制造临界尺寸骨缺损。对照组的缺损不做处理,而其他组的缺损分别用脱细胞冻干骨颗粒和复合双相磷酸钙/脱细胞冻干骨颗粒填充。在第2、4和8周采集标本进行组织学和免疫组织化学分析。显著性差异设定为P值<0.05。
脱细胞冻干骨组中成骨细胞-破骨细胞定量、成骨细胞中Runx2、碱性磷酸酶、I型胶原蛋白和骨钙素的表达以及破骨细胞中核因子κB受体活化因子配体(RANKL)和骨保护素(OPG)的表达与复合组相比具有统计学可比性(P>0.05),而复合组中的OPG/RANKL比值、骨愈合评分和小梁面积显著高于脱细胞冻干骨组(P<0.05)。
在本研究的局限性内,复合双相磷酸钙/脱细胞冻干骨颗粒在下颌骨骨缺损填充方面比脱细胞冻干骨颗粒具有更好的骨形成能力。