EXPERIMENTAL STUDY ON HEALING PROCESS OF AUTOGENIC DEMINERALIZED BONE

자가 탈회골의 조직반응에 관한 실험적 연구

  • Lee, Jae-Eun (Department of Oral and Maxillofacial Surgery School of Medicine, Wonkwang University) ;
  • Lee, Dong-Keun (Department of Oral and Maxillofacial Surgery School of Dentistry, Wonkwang University) ;
  • Um, In-Woong (Department of Oral and Maxillofacial Surgery School of Dentistry, Wonkwang University) ;
  • Kim, Young-Jo (Department of Oral and Maxillofacial Surgery School of Dentistry, Wonkwang University) ;
  • Kim, Jang-Yeon (Department of Oral and Maxillofacial Surgery School of Dentistry, Wonkwang University)
  • 이재은 (원광대학교 치과대학 구강악안면외과학 교실) ;
  • 이동근 (원광대학교 치과대학 구강악안면외과학 교실) ;
  • 엄인웅 (원광대학교 치과대학 구강악안면외과학 교실) ;
  • 김영조 (원광대학교 치과대학 구강악안면외과학 교실) ;
  • 김장언 (원광대학교 치과대학 구강악안면외과학 교실)
  • Published : 1993.09.30

Abstract

Many surgeons are on the point of bone excision and reconstruction of the bone defects by autograft. xenograft, and allograft in the treatment of begin and malignant tumors of bone. Of all type of bone grafts, we received the autograft as the best ideal bone graft. Of autogenic bone graft, replantation of excised autogenic bone for reconstructiong the bone defects has been the ideal method until now, but early bone healing reponses and tumor cell devitalization after replantation of excised autogenic bone have not been identified for clinical applications. So, to evaluate bone healing response after replantation in rabbit's calvarial bone, we divided the experimental group into three groups. Group 1 is a fresh autogenous bone group. Group 2 is a deep frozen group. Group 3 is freeze-dried demineralized group. Obtained result were as followed: 1. Inflammatory cell infiltration appeared at I week and disappeared at 4 weeks in all experimental group, Especially, severe inflammatory cell infiltration showed in fresh autogenous bone group at 2 weeks. Group 3 is the least showing group on the point of inflammatory cell infiltration. 2. Osteoblastic activity evenly increased upto 4 weeks and maintained to 6 weeks and decreased after this period, especially osteoblastic activity in group 2 is less than group 1 and group 3. We can't discriminate between osteoblastic activity of group 1 and that of group 3. 3. In new bone formation, group 3 was more active than any other groups at early stage, but there were little differences among three experimental groups at later state. 4. Bone resorption around the grafted bone slightly appeared at 1 week and disappeared at 4 weeks in all experimental groups. We can find the more bone resorption in group 2 at 2 weeks than any other groups. We could suggest, as appears from our results, that freeze-dried deminiralized bone graft is the useful bone graft in the clinical applications of excised autogenic bone.

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