Abstract
In this study, we present a novel guided bone regeneration (GBR) concept that consists of combining Boneject, a bone substitute containing atelocollagen and bovine hydroxyapatite particles, with thermoplastic, bioresorbable plates (DeltaSystem) known to resist mechanical loading. In rat calvariae, standardized bone defects were filled with Boneject and covered with a convex DeltaSystem plate. Tissue from rats at 1, 2, 4, 8, and 12 weeks postoperation were fixed with an aldehyde solution, and the new bone formed at the defects was histologically assessed. At 1 week, alkaline phosphatase (ALP)-negative cells deriving from the bottom region of the defect could be found up to half the height of the cavity. Boneject particle surfaces in the bottom region revealed an intense osteopontin immunopositivity whereas those in the upper region did not. Tartrate-resistant acid phosphatase (TRAP)-positive osteoclasts accumulated on the surfaces of osteopontin-coated particles. A newly formed, woven-like bone featuring ALP-positive osteoblasts extended from the native bone. At the second week, the newly formed woven bone had surrounded the Boneject particles. Cement lines, which indicate active bone remodeling, could be observed in the new bone despite its immaturity. Four weeks after surgery, the new bone had reached the height of the DeltaSystem plate, and just beneath it a periostin-positive fibrous layer covered the mix of new bone and Boneject particles. By then, despite having acceptable histological features, electron probe microanalyzer (EPMA) and transmission electron microscope (TEM) analyses revealed that the new bone could not be regarded as compact bone. At 8 and 12 weeks, the new bone showed compact bone-like features according to TEM and EPMA assessments. Summarizing, the combination of a bone substitute such as Boneject and a rigid, bioresorbable plate appears to be osteoconductive and to promote bone remodeling, leading to the genesis of a tissue similar to the one that is regarded as the “gold standard” for bone regeneration: the compact bone.
Similar content being viewed by others
References
C Dahlin L Sennerby U Lekholm A Linde S Nyman (1989) ArticleTitleGeneration of new bone around titanium implants using a membrane technique: an experimental study in rabbits Int J Oral Maxillofac Implants 4 19–25 Occurrence Handle2599578 Occurrence Handle1:STN:280:DyaK3c%2FptlensQ%3D%3D
D Buser U Bragger NP Lang S Nyman (1990) ArticleTitleRegeneration and enlargement of jaw bone using guided tissue regeneration Clin Oral Implants Res 1 22–32 Occurrence Handle2099209 Occurrence Handle10.1034/j.1600-0501.1990.010104.x Occurrence Handle1:STN:280:DyaK3M3otlGqtA%3D%3D
D Buser K Dula U Belser HP Hirt H Berthold (1993) ArticleTitleLocalized ridge augmentation using guided bone regeneration. 1. Surgical procedure in the maxilla Int J Periodont Restor Dent 13 29–45 Occurrence Handle1:STN:280:DyaK3szit1WmtA%3D%3D
RK Schenk D Buser WR Hardwick C Dahlin (1994) ArticleTitleHealing pattern of bone regeneration in membrane-protected defects: a histologic study in the canine mandible Int J Oral Maxillofac Implants 9 IssueID1 13–29 Occurrence Handle8150509 Occurrence Handle1:STN:280:DyaK2c3gtVymtQ%3D%3D
M Simion C Dahlin P Trisi A Piattelli (1994) ArticleTitleQualitative and quantitative comparative study on different filling materials used in bone tissue regeneration: a controlled clinical study Int J Periodont Restor Dent 14 198–215 Occurrence Handle1:STN:280:DyaK2M%2FovVSkuw%3D%3D
D Buser K Dula HP Hirt RK Schenk (1996) ArticleTitleLateral ridge augmentation using autografts and barrier membranes: a clinical study with 40 partially edentulous patients J Oral Maxillofac Surg 54 420–433 Occurrence Handle8600258 Occurrence Handle10.1016/S0278-2391(96)90113-5 Occurrence Handle1:STN:280:DyaK287nsl2guw%3D%3D
D Buser B Hoffmann JP Bernard A Lussi D Mettler RK Schenk (1998) ArticleTitleEvaluation of filling materials in membrane-protected bone defects. A comparative histomorphometric study in the mandible of miniature pigs Clin Oral Implants Res 9 137–150 Occurrence Handle10530128 Occurrence Handle10.1034/j.1600-0501.1998.090301.x Occurrence Handle1:STN:280:DyaK1MvlvFKrtA%3D%3D
CH Hammerle GC Chiantella T Karring NP Lang (1998) ArticleTitleThe effect of a deproteinized bovine bone mineral on bone regeneration around titanium dental implants Clin Oral Implants Res 9 151–162 Occurrence Handle10530129 Occurrence Handle10.1034/j.1600-0501.1998.090302.x Occurrence Handle1:STN:280:DyaK1MvlvFKrtQ%3D%3D
CH Hammerle AJ Olah J Schmid L Fluckiger S Gogolewski JR Winkler NP Lang (1997) ArticleTitleThe biological effect of natural bone mineral on bone neoformation on the rabbit skull Clin Oral Implants Res 8 198–207 Occurrence Handle9586464 Occurrence Handle10.1034/j.1600-0501.1997.080306.x Occurrence Handle1:STN:280:DyaK1c3kslKisw%3D%3D
G Brunel D Brocard JF Duffort E Jacquet P Justumus T Simonet E Benque (2001) ArticleTitleBioabsorbable materials for guided bone regeneration prior to implant placement and 7-year follow-up: report of 14 cases J Periodontol 72 257–264 Occurrence Handle11288801 Occurrence Handle10.1902/jop.2001.72.2.257 Occurrence Handle1:STN:280:DC%2BD3M7pslSitA%3D%3D
M Simion P Trisi A Piattelli (1994) ArticleTitleVertical ridge augmentation using a membrane technique associated with osseointegrated implants Int J Periodont Restor Dent 14 496–511 Occurrence Handle1:STN:280:DyaK2M3ntVeqtw%3D%3D
SA Jovanovic M Nevins (1995) ArticleTitleBone formation utilizing titanium-reinforced barrier membranes Int J Periodont Restor Dent 15 56–69 Occurrence Handle1:STN:280:DyaK28%2Fnt1CqtQ%3D%3D
B Assenza M Piattelli A Scarano G Lezzi G Petrone A Piattelli (2001) ArticleTitleLocalized ridge augmentation using titanium micromesh J Oral Implantol 27 287–292 Occurrence Handle12498436 Occurrence Handle10.1563/1548-1336(2001)027<0287:LRAUTM>2.3.CO;2 Occurrence Handle1:STN:280:DC%2BD38jjsVyrsw%3D%3D
M Degidi A Scarano A Piattelli (2003) ArticleTitleRegeneration of the alveolar crest using titanium micromesh with autologous bone and a resorbable membrane J Oral Implantol 29 86–90 Occurrence Handle12760452 Occurrence Handle10.1563/1548-1336(2003)029<0086:ROTACU>2.3.CO;2
P Ricalde JC Posnick (2004) ArticleTitleDegradation rate of delta (resorbable) internal fixation: report of 2 cases J Oral Maxillofac Surg 62 250–255 Occurrence Handle14762762 Occurrence Handle10.1016/j.joms.2003.04.016
G Wittwer WL Adeyemo K Yerit M Voracek D Turhani F Watzinger G Enislidis (2006) ArticleTitleComplications after zygoma fracture fixation: is there a difference between biodegradable materials and how do they compare with titanium osteosynthesis? Oral Surg Oral Med Oral Pathol Oral Radiol Endod 101 419–425 Occurrence Handle16545702 Occurrence Handle10.1016/j.tripleo.2005.07.026
M Tabata T Shimoda K Sugihara D Ogomi H Ohgushi M Akashi (2005) ArticleTitleApatite formed on/in agarose gel as a bone-grafting material in the treatment of periodontal infrabony defect J Biomed Mater Res B Appl Biomater 75 378–386 Occurrence Handle16034996
M Tabata T Shimoda K Sugihara D Ogomi T Serizawa M Akashi (2003) ArticleTitleOsteoconductive and hemostatic properties of apatite formed on/in agarose gel as a bone-grafting material J Biomed Mater Res B Appl Biomater 67 680–688 Occurrence Handle14598394 Occurrence Handle10.1002/jbm.b.10063 Occurrence Handle1:CAS:528:DC%2BD3sXovFWku7g%3D
CM Cobb JD Eick BF Barker EL Mosby WR Hiatt (1990) ArticleTitleRestoration of mandibular continuity defects using combinations of hydroxylapatite and autogenous bone: microscopic observations J Oral Maxillofac Surg 48 268–275 Occurrence Handle2154573 Occurrence Handle1:STN:280:DyaK3c7lsFGqug%3D%3D Occurrence Handle10.1016/0278-2391(90)90392-F
HS Byrd PC Hobar K Shewmake (1993) ArticleTitleAugmentation of the craniofacial skeleton with porous hydroxyapatite granules Plast Reconstr Surg 91 15–26 Occurrence Handle8380106 Occurrence Handle1:STN:280:DyaK3s7gtFOgsg%3D%3D Occurrence Handle10.1097/00006534-199301000-00003
FI Tapety N Amizuka K Uoshima S Nomura T Maeda (2004) ArticleTitleA histological evaluation of the involvement of Bio-Oss in osteoblastic differentiation and matrix synthesis Clin Oral Implants Res 15 315–324 Occurrence Handle15142094 Occurrence Handle10.1111/j.1600-0501.2004.01012.x
CA Bifano WA Edgin C Colleton SL Bifano PD Constantino (1998) ArticleTitlePreliminary evaluation of hydroxyapatite cement as an augmentation device in the edentulous atrophic canine mandible Oral Surg Oral Med Oral Pathol Oral Radiol Endod 85 512–516 Occurrence Handle9619665 Occurrence Handle10.1016/S1079-2104(98)90282-7 Occurrence Handle1:STN:280:DyaK1c3otV2ltg%3D%3D
E Liljensten E Adolfsson KG Strid P Thomsen (2003) ArticleTitleResorbable and nonresorbable hydroxyapatite granules as bone graft substitutes in rabbit cortical defects Clin Implant Dent Relat Res 5 95–101 Occurrence Handle14536044 Occurrence Handle10.1111/j.1708-8208.2003.tb00190.x
InstitutionalAuthorNameNIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy (2001) ArticleTitleOsteoporosis prevention, diagnosis, and therapy JAMA 285 785–795 Occurrence Handle10.1001/jama.285.6.785
DB Burr (2004) ArticleTitleBone quality as a means of assessing strength and fracture risk. JSBM/APBM combined seminar. 24th Japanese Society of Bone Morphometry and 1st Asian Pacific Congress of Bone Morphometry J Jpn Soc Bone Morphom 14 77
K Oda Y Amaya M Fukushi-Irie Y Kinameri K Ohsuye I Kubota S Fujimura J Kobayashi (1999) ArticleTitleA general method for rapid purification of soluble versions of glycosylphosphatidylinositol-anchored proteins expressed in insect cells: an application for human tissue-nonspecific alkaline phosphatase J Biochem (Tokyo) 126 694–699 Occurrence Handle1:CAS:528:DyaK1MXns1eht7o%3D
K Horiuchi N Amizuka S Takeshita H Takamatsu M Katsuura H Ozawa Y Toyama LF Bonewald A Kudo (1999) ArticleTitleIdentification and characterization of a novel protein, periostin, with restricted expression to periosteum and periodontal ligament and increased expression by transforming growth factor beta J Bone Miner Res 14 1239–1249 Occurrence Handle10404027 Occurrence Handle10.1359/jbmr.1999.14.7.1239 Occurrence Handle1:CAS:528:DyaK1MXkvVyjsbk%3D
I Kii N Amizuka L Minqi S Kitajima Y Saga A Kudo (2006) ArticleTitlePeriostin is an extracellular matrix protein required for eruption of incisors in mice Biochem Biophys Res Commun 342 766–772 Occurrence Handle16497272 Occurrence Handle10.1016/j.bbrc.2006.02.016 Occurrence Handle1:CAS:528:DC%2BD28XitVKjsbc%3D
YM Lee SY Shin JY Kim SB Kye Y Ku IC Rhyu (2006) ArticleTitleBone reaction to bovine hydroxyapatite for maxillary sinus floor augmentation: histologic results in humans Int J Periodont Restor Dent 26 471–481
MH Helfrich SA Nesbitt EL Dorey MA Horton (1992) ArticleTitleRat osteoclasts adhere to a wide range of RGD (Arg-Gly-Asp) peptide-containing proteins, including the bone sialoproteins and fibronectin, via a beta 3 integrin J Bone Miner Res 7 335–343 Occurrence Handle1585836 Occurrence Handle1:CAS:528:DyaK38Xitlaksrg%3D Occurrence Handle10.1002/jbmr.5650070314
F Rauch (2005) ArticleTitleBone growth in length and width: the Yin and Yang of bone stability J Musculoskelet Neuronal Interact 5 194–201 Occurrence Handle16172510 Occurrence Handle1:CAS:528:DC%2BD2MXht1KrtLfM
H Ohnishi N Fujii T Futami N Taguchi H Kusakari T Maeda (2000) ArticleTitleA histochemical investigation on bone formation process by guided bone regeneration in rat jaws. Effects of PTFE membrane application periods on newly-formed bone J Periodontol 71 341–352 Occurrence Handle10776920 Occurrence Handle10.1902/jop.2000.71.3.341 Occurrence Handle1:STN:280:DC%2BD3c3js1Kkug%3D%3D
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Kojima, T., Amizuka, N., Suzuki, A. et al. Histological examination of bone regeneration achieved by combining grafting with hydroxyapatite and thermoplastic bioresorbable plates. J Bone Miner Metab 25, 361–373 (2007). https://doi.org/10.1007/s00774-007-0763-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00774-007-0763-y