Department of Oral Implantology, Osaka Dental University, 8-1 Kuzuhahanazonocho, Hirakata, Osaka, 573-1121, Japan.
Department of Oral and Maxillofacial Surgery and Periodontology, Faculty of Dentistry of Ribeirão Preto, University of São Paulo, Av. Do Café - Subsetor Oeste - 11 (N-11), Ribeirão Preto, SP, 14040-904, Brazil.
Oral Maxillofac Surg. 2024 Jun;28(2):827-838. doi: 10.1007/s10006-024-01216-3. Epub 2024 Jan 29.
Healing of critical-size defects is a well-known problem that has been challenged in several studies. The aim of the experiment was to evaluate bone formation and osseointegration of implants installed in critical defects of the mandibular body simultaneously grafted with Bio-Oss® or Cerabone®.
Defects, 10 mm wide and 3 mm deep, were prepared at both lateral aspects of the mandible in 12 rabbits. One implant was installed in the center of the defect, and bovine xenografts produced either at low (Bio-Oss®; Low-T) or high (Cerabone®; High-T) temperatures were used to fill the defects. A collagen membrane was placed to cover the sites. Healing was evaluated 10 weeks after surgery.
In both groups, most sites showed optimal healing with closure of the coronal entrance of the defects. However, residual defects occupied by soft tissues and biomaterial particles were observed, even though generally limited to some regions of the defect. Osseointegration of the implant surface in the region of the defect was poor in both groups.
Circumferential marginal critical-size defects around implants filled with bovine xenografts presented regions with a complete healing in both groups. However, the healing was not complete at all regions in most defects; therefore, a complete optimal healing of critical-size marginal defects cannot be predicted.
临界尺寸缺陷的愈合是一个众所周知的问题,已经在多项研究中受到挑战。实验的目的是评估同时植入 Bio-Oss®或 Cerabone®的下颌骨体临界缺损中植入物的骨形成和骨整合。
在 12 只兔子的下颌骨两侧制备宽 10mm、深 3mm 的缺陷。在缺陷的中心安装一个植入物,并使用在低温(Bio-Oss®;Low-T)或高温(Cerabone®;High-T)下产生的牛异种移植物填充缺陷。放置胶原膜覆盖部位。术后 10 周评估愈合情况。
在两组中,大多数部位都表现出最佳的愈合,缺陷的冠入口闭合。然而,仍观察到软组织和生物材料颗粒残留的缺陷,尽管通常局限于缺陷的某些区域。两组中缺陷区域植入物表面的骨整合都很差。
用牛异种移植物填充的种植体周围环形边缘临界尺寸缺陷在两组中均出现完全愈合的区域。然而,大多数缺陷并非所有区域都完全愈合,因此无法预测临界尺寸边缘缺陷的完全最佳愈合。