Higeuchi Miho, Namaki Shunsuke, Furukawa Akihiko, Yonehara Yoshiyuki
Division of Oral Structural and Functional Biology, Nihon University Graduate School of Dentistry.
Department of Oral and Maxillofacial Surgery II, Nihon University School of Dentistry.
J Oral Sci. 2023 Mar 30;65(2):90-95. doi: 10.2334/josnusd.22-0447. Epub 2023 Mar 15.
The purpose of this study was to conduct basic research on the possibility of using cartilage tissue for hard-tissue reconstruction and to observe morphological changes in the transition of the cartilage to bone.
A 4-mm diameter bone defect was created in the right mandibular angle of rats. Cartilage, autologous bone, and artificial bone were grafted into the defect. Computed tomography (CT) was performed to measure the increase in bone volume. Further histological evaluation of the grafted site was performed.
At 12 weeks, CT show that bone formation in the costal cartilage group was comparable to that in the autogenous bone group. Histologically, in the artificial bone group, a clear boundary was observed between the existing bone and defect, whereas in the costal cartilage and autologous bone groups, laminar plate bone repair of the defect was observed.
The findings in this study suggest that bone reconstruction achieved with cartilage grafting is almost equivalent to that with autogenous bone grafting and that bone reconstruction using cartilage is clinically feasible. In future, if regenerated cartilage is successfully applied clinically, bone reconstruction using regenerated cartilage may be feasible.
本研究旨在对使用软骨组织进行硬组织重建的可能性开展基础研究,并观察软骨向骨转变过程中的形态学变化。
在大鼠右下颌角制造一个直径4毫米的骨缺损。将软骨、自体骨和人工骨植入缺损处。进行计算机断层扫描(CT)以测量骨体积的增加。对移植部位进行进一步的组织学评估。
在12周时,CT显示肋软骨组的骨形成与自体骨组相当。组织学上,在人工骨组中,在现有骨与缺损之间观察到清晰的边界,而在肋软骨和自体骨组中,观察到缺损的层状板骨修复。
本研究结果表明,软骨移植实现的骨重建几乎等同于自体骨移植,并且使用软骨进行骨重建在临床上是可行的。未来,如果再生软骨成功应用于临床,使用再生软骨进行骨重建可能是可行的。