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从合成到临床试验:新型生物诱导性缺钙羟基磷灰石/β-磷酸三钙骨移植纳米材料

From Synthesis to Clinical Trial: Novel Bioinductive Calcium Deficient HA/β-TCP Bone Grafting Nanomaterial.

作者信息

Mishchenko Oleg, Yanovska Anna, Sulaieva Oksana, Moskalenko Roman, Pernakov Mykola, Husak Yevheniia, Korniienko Viktoriia, Deineka Volodymyr, Kosinov Oleksii, Varakuta Olga, Ramanavicius Simonas, Varzhapetjan Suren, Ramanaviciene Almira, Krumina Dzanna, Knipše Gundega, Ramanavicius Arunas, Pogorielov Maksym

机构信息

Department of Surgical And Propaedeutic Dentistry, Zaporizhzhia State Medical and Pharmaceutical University, 26, Prosp. Mayakovskogo, 69035 Zaporizhzhia, Ukraine.

Theoretical and Applied Chemistry Department, Sumy State University, R-Korsakova Street, 40007 Sumy, Ukraine.

出版信息

Nanomaterials (Basel). 2023 Jun 17;13(12):1876. doi: 10.3390/nano13121876.

Abstract

Maxillary sinus augmentation is a commonly used procedure for the placement of dental implants. However, the use of natural and synthetic materials in this procedure has resulted in postoperative complications ranging from 12% to 38%. To address this issue, we developed a novel calcium deficient HA/β-TCP bone grafting nanomaterial using a two-step synthesis method with appropriate structural and chemical parameters for sinus lifting applications. We demonstrated that our nanomaterial exhibits high biocompatibility, enhances cell proliferation, and stimulates collagen expression. Furthermore, the degradation of β-TCP in our nanomaterial promotes blood clot formation, which supports cell aggregation and new bone growth. In a clinical trial involving eight cases, we observed the formation of compact bone tissue 8 months after the operation, allowing for the successful installation of dental implants without any early postoperative complications. Our results suggest that our novel bone grafting nanomaterial has the potential to improve the success rate of maxillary sinus augmentation procedures.

摘要

上颌窦提升术是一种常用于种植牙植入的手术。然而,在此手术中使用天然和合成材料导致术后并发症的发生率在12%至38%之间。为了解决这个问题,我们采用两步合成法开发了一种新型的缺钙HA/β-TCP骨移植纳米材料,其具有适用于窦底提升应用的结构和化学参数。我们证明了我们的纳米材料具有高生物相容性,能促进细胞增殖并刺激胶原蛋白表达。此外,我们纳米材料中β-TCP的降解促进了血凝块的形成,这有助于细胞聚集和新骨生长。在一项涉及八例患者的临床试验中,我们观察到术后8个月形成了致密骨组织,从而能够成功植入种植牙且无任何早期术后并发症。我们的结果表明,我们新型的骨移植纳米材料有潜力提高上颌窦提升手术的成功率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1690/10326822/8f64ad7d1bab/nanomaterials-13-01876-g001.jpg

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