The effect of LiF-maleic acid added calcium aluminate hone cement & CA-PMMA composite bone cement on the healing of calvarial defect6)

LiF-maleic acid 첨가 calcium aluminate 골시멘트 및 CA-PMMA 복합 골시멘트가 백서 두개골 결손부 치유에 미치는 영향

  • Shin, Jung-A (Department of Periodontology, College of Dentistry, Yonsei University, Research Institute for Periodontal Regeneration, Brain Korea 21 project for Medical Science) ;
  • Yun, Jeong-Ho (Department of Periodontology, College of Dentistry, Yonsei University, Research Institute for Periodontal Regeneration, Brain Korea 21 project for Medical Science) ;
  • Oh, Seung-Han (Department of Ceramic Engineering, Yonsei University) ;
  • Baik, Jeong-Won (Department of Periodontology, College of Dentistry, Yonsei University, Research Institute for Periodontal Regeneration, Brain Korea 21 project for Medical Science) ;
  • Choi, Se-Young (Department of Ceramic Engineering, Yonsei University) ;
  • Kim, Chong-Kwan (Department of Periodontology, College of Dentistry, Yonsei University, Research Institute for Periodontal Regeneration, Brain Korea 21 project for Medical Science) ;
  • Choi, Seong-Ho (Department of Periodontology, College of Dentistry, Yonsei University, Research Institute for Periodontal Regeneration, Brain Korea 21 project for Medical Science)
  • 신정아 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소, BK21 의과학사업단) ;
  • 윤정호 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소, BK21 의과학사업단) ;
  • 오승한 (연세대학교 공과대학 세라믹공학과) ;
  • 백정원 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소, BK21 의과학사업단) ;
  • 최세영 (연세대학교 공과대학 세라믹공학과) ;
  • 김종관 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소, BK21 의과학사업단) ;
  • 최성호 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소, BK21 의과학사업단)
  • Published : 2002.12.31

Abstract

The purpose of this study was to evaluate histologically the effect of LiF-maleic acid added calcium aluminate(LM-CA) bone cement & CA-PMMA composite bone cement on the healing of calvarial defect in Sprague-Dawley rats. The critical size defects were surgically produced in the calvarial bone using the 8mm trephine bur. The rats were divided in three groups : In the control group, nothing was applied into the defect of each rat. LM-CA bone cement was implanted in the experimental group 1 and CA-PMMA composite bone cement was implanted in the experimental group 2. Rats were sacrificed at 2, 8 weeks after surgical procedure. The specimens were examined by histologic analysis, especially about the bone-cement interface and the response of surrounding tissue. The results are as follows; 1. In the control group, inflammatory infiltration was observed at 2 weeks. At 8 weeks, periosteum and duramater were continuously joined together in the defect area. But the center of defect area was filled up with the loose connective tissue. 2. In the experimental group 1, the bonding between implanted bone cement and the existing bone was seen, which more increased in 8 weeks than 2 weeks. Inflammatory infiltration and the dispersion of implanted bone cement particles were seen in both 2 weeks and 8 weeks. 3. In the experimental group 2, implanted bone itself had a dimensional stability and no bonding between implanted bone cement and the existing bone was seen in both 2 weeks and 8 weeks. Implanted bone cement was encapsulated by fibrous connective tissue. In addition, inflammatory infiltration was seen around implanted bone cement. On the basis of these results, when LM-CA bone cement or CA-PMMA composite bone cement was implanted in rat calvarial defect, LM-CA bone cement can be used as a bioactive bone graft material due to ability of bonding to the existing bone and CA-PMMA can be used as a graft material for augmentation of bone-volume due to dimensional stability.

Keywords

References

  1. Zander HA, Polson AM, Heijle CD. Goals of periodontal therapy. J periodontol, 1976;47:261 https://doi.org/10.1902/jop.1976.47.5.261
  2. McGee TD. Bone Replacement and Grafting with a Biologically Active Ceramic Composite. Kor J Ceram 2001; 7(1):41-44
  3. Hiatt WH, Schallhom RG. Human Allografts of Iliac Cancellous Bone and Marrow in Periodontal Osseous Defects. I. Rationale and Methodology J PeriodontoI 1971;42:642-651
  4. Becker W, Becker BE, Caffesse R. Acomparison of demineralized freeze-dried bone and autologous bone to induce bone formation in human extraction sockets. J Periodontal 1994;65:1128-1133 https://doi.org/10.1902/jop.1994.65.12.1128
  5. Schallhorn RG, Hiatt WH, Boyce W. Iliac transplants in periodontal therapy. J Periodontol 1970;41:566 https://doi.org/10.1902/jop.1970.41.41.566
  6. Carranza FA. Glickman's clinical periodontology, 7th edition, W.B. Sander Co. 1990
  7. Dragoo MR, Sullivan HC. A clinical and histological evaluation of autogenous iliac bone grafts in humans II. External root resorption. J Periodontol 1973;A4:614
  8. Melloning JT, Donor selection, testing, and inactivation of the HIV virus in freeze-dried bone allografts. Pract Perio Aesthet Dent 1995;7:13
  9. Buck B, Malinin T, Brown M. Bone transplantation and human immunodeficiency virus : an estimate of risk for acquired irnmunodeficiency syndrome(AIDS). Clin Orthop 1989;240:129
  10. Kim CY, Clark AE, Hench LL. Early stages of calcium phosphate layer formation in bioglasses, J Noncryst Solids 1989;113:195-202 https://doi.org/10.1016/0022-3093(89)90011-2
  11. Kokubo K. Recent progress in glass-based materials for biomedical applications. J ceram Soc Japan 1991;99:965-973 https://doi.org/10.2109/jcersj.99.965
  12. Hench LL, Splinter RJ, Allen WC, Greenlee TK. Bonding mechanisms at the interface of ceramic prosthetic materials. J Biomed Mater Res Symp 1971;2:117-141
  13. Hench LL, Andersson O. Bioactive glasses, In: L. L. Hench and J. Wilson (Editors), An introduction to bioceramics. World Scientific Publishing co., New Jersey, 1993:41-62
  14. Hench LL. Bioceramics: From concept to clinic. J Am Ceram Soc 1991;74:1487-1510 https://doi.org/10.1111/j.1151-2916.1991.tb07132.x
  15. Ohura K, Nakamura T, Yamamuro T, Kokubo T, Ebisawa Y, Kotoura Y, Oka M. Bone-bonding ability of P205-free CaO-SiO2 glasses. J Biomed Mater Res 1991;25:357-365 https://doi.org/10.1002/jbm.820250307
  16. Ebisawa Y, Kokubo T, Ohura K, Yamamuro T. Bioactivity of CaO-SiO2-based glasses: In vitro evaluation. J Mater Sci Mater Med 1990;1:239-244 https://doi.org/10.1007/BF00701083
  17. Kokubo T. Surface chemistry of bioactive glass-ceramics. J Noncryst Solids 1990;120:138-151 https://doi.org/10.1016/0022-3093(90)90199-V
  18. Kokubo T, Ito Z, Huang T, Hayashi T, Sakka S. Ca, P-rich layer formed on high-strength bioactive glass-ceramics A-W. J Biomed Mater Res 1990;24:331-343 https://doi.org/10.1002/jbm.820240306
  19. Jarcho M, Kay JF, Gumaer KI, Doremus RH, Drobeck HP. Tissue, cellular and subcellular events at a bone ceramic hydroxyapatite interface. J Bioeng;1977;1:79-92
  20. LeGeros RZ. Calcium phosphates in oral biology and medicine. Karger, Singapore, 1991:69-81
  21. 오승한. 결손골 수복용 Calcium aluminate 골시멘트의 경화거동 및 기계적.생물학적 특성에 관한 연구. 박사학위 논문, 연세대학교 대학원. 서울, 2002
  22. Wagner WC, Bagchi A, Groh CL. Setting accelerators for a calcium aluminate using amalgam substitute J Dent Res 1997;76(special issue) :420
  23. Barry TI, Clinton DJ, Wilson AD. The structure of a glass-ionomer cement and its relationship to the setting process. J Dent Res 1979;3:1072-1079
  24. Zimehl R, Hannig M. Non metallic restorative materials based on glass ionomer cement recent trends and developments. Coll & Surf 2000;163:55-62 https://doi.org/10.1016/S0927-7757(99)00430-6
  25. Nicholson JW. Adhesive dental materials and their durability. Int J Adhesion & Adhesive 2000;20:11-16 https://doi.org/10.1016/S0143-7496(99)00009-3
  26. Charnley J. Anchorage of femoral head prosthesis to shaft of femur. J Bone Joint Surg 1960;42B:28-30
  27. Freeman MAR. Bradley GW. Ravell PA. Observation upon the interface between bone and polymethylmethacrylate cement. J Bone Joint Surg 1982;64-B:489-493
  28. Lewis G. Properties of acrylic bone cement: State of the art review. J Biomed Mater Res(Appl Biomater) 1997;38:155-182 https://doi.org/10.1002/(SICI)1097-4636(199722)38:2<155::AID-JBM10>3.0.CO;2-C
  29. ISO 7405, Dentistry - preclinical evaluation of biocompatibility of medical devices used in dentistry - test methods for dental materials. ISO, Geneva, 1997
  30. ISO 10993, Biological evaluation of medical devices. Part 4: selection of tests for interaction with blood. ISO, Geneva, 1992
  31. Kokubo T, Hayashi T, Sakka S, Kitsugi T, Yamamuro T. Bonding between bioactive glasses, glass-ceramic or ceramics in a simulated body fluid. J Ceram Soc Jpn 1987;95(8):785-791
  32. Kim CK, Choi EJ, Cho KS, Chai JK, Wikesj? U.M.E. Periodontal repair in intrabony defects treated with a calcium carbonate implant and guided tissue regeneration. J Periodontal 1996;67(12):1301-1306 https://doi.org/10.1902/jop.1996.67.12.1301
  33. Kim CK, Chai JK, Cho KS, Moon IS, Choi SH, Sottosanti JS, Wikesj? U.M.E. Periodontal repair in intrabony defects treated with a calcium sulfate implant defects treated with a calcium sulfate implant and calcium sulfate barrier. J Periodontal 1998;69(12):1317-1324 https://doi.org/10.1902/jop.1998.69.12.1317
  34. Park JS, Suh JJ, Choi SH, Moon IS, Cho KS, Kim CK, Chai JK. Effects of bioactive glass implantation in intrabony periodontoal defects on pretreatment clinical parameters. J Periodontal 2000;16
  35. Bronzo JD. The Biomedical Engineering Handbook. CRC Press, New York 1995:552-580
  36. Smith L. Ceramic-Plastic material as a bone substitute. Arch Surg 1963;87:653-661 https://doi.org/10.1001/archsurg.1963.01310160115023
  37. Hammer III JE, Reed OM, Greulich RC. Ceramic root implantation in baboons. J Biomed Mater Res Symposium 1972;3:1-13 https://doi.org/10.1002/jbm.820030102
  38. Hentrich RL, Graves GA, Stein HG, Bajpai PK. An evaluation of inert and resorbable ceramics for future clinical orthopedic applications. J Biomed Mater Res 1971;5:25-51 https://doi.org/10.1002/jbm.820050104
  39. Oh SH, Choi SY, Lee YK, Kim KN. The loss bone regeneration materials based on high alumina cement: The influence in simulated body fluid and artificial saliva, 52nd PCRM Meet. Am Ceram Soc 2000
  40. Caton J, Mota L, Gandini L, Laskaris B. Nonhuman primate models for testing the efficacy and safety of periodontal regeneration procedures. J Periodontal 1994;65:1143-1150 https://doi.org/10.1902/jop.1994.65.12.1143
  41. Schmitz JP, Hollinger JO. The critical size defect as an experimental model for craniornandibulo-facial nonunions. Clin Orthop 1986;205:299-308
  42. Selvig KA. Discussion: Animal models in reconstructive therapy. J Periodontal 1994;65:1169-1172 https://doi.org/10.1902/jop.1994.65.12.1169
  43. Bosch C, Melsen B, Vargervik K. Importance of the critical-sized bone defect in testing bone-regenerating materials. J Craniofac Surg 1998;9(4):310-316. https://doi.org/10.1097/00001665-199807000-00004
  44. Freeman E, Turnbull RS. The role of osseous coagulum as a graft material . J Perio Res 1973;8:229-235 https://doi.org/10.1111/j.1600-0765.1973.tb00762.x
  45. Takagi K, Urist MR. The reaction of the dura to Bone Morphogenetic Protein(BMP) in repair of skull defects. Ann Surg 1982;196:100-109 https://doi.org/10.1097/00000658-198207000-00020
  46. 김성태, 전길자, 임소형, 조규성, 김종관, 최성호. 백서 두개골 결손부에서 홍화씨 추출물의 골조직 재생 유도 효과. 대한치주과학회지 2000;30(4):835-850
  47. 정의원, 서종진, 최성호, 조규성, 채중규, 김종관. 백서 두개골 결손부에서 키토산의 골조직 재생 유도 효과. 대한치주과학회지 2000;30(4): 851-868
  48. Schmitz JP, Schwarz Z, Hollinger JO, Boyan BD. Charaterization of rat calvarial nonunion defects. Acta Anat 1990;138:185-192 https://doi.org/10.1159/000146937
  49. Nade S, Armstrong L, McCartney ER, Baggaley B. Osteogenesis after bone and bone marrow transplantation : the ability of ceramic materials to sustain osteogenesis from transplanted bone marrow cells. Preliminary studies. Clin Orthop 1983;181:217-225
  50. Klawitter JJ, Hulbert SF. Application of porous ceramics for the attachment of load bearing internal orthopedic applications. J Biomed Mater Res Symposium 1971;2:161-229
  51. Uchida A, Nade S, McCartney ER, Ching W. The use of ceramics for bone replacement : a comparative study of three different porous ceramics. J Bone Joint Surg 1984;66-B:269-275
  52. Schliephake H, Kage T. Enhancement of bone regeneration using resorbable ceramics and a polymer-ceramic composite material. J Biomed Mater Res 2001;56(1):128-136 https://doi.org/10.1002/1097-4636(200107)56:1<128::AID-JBM1077>3.0.CO;2-L
  53. Shinzato S, Kobayashi M, Mousa WF, Kamimura M, Neo M, Kitamura Y, Kokubo T, Nakamura T. Bioactive polymethyl methacrylate-based bone cement: Comparison of glass beads, apatite- and wollastonite-containing glass-ceramic, and hydoxyapatite fillers on mechanical and biological properties. J Biomed Mater Res 2000;51(2):258-272 https://doi.org/10.1002/(SICI)1097-4636(200008)51:2<258::AID-JBM15>3.0.CO;2-S
  54. Mousa WF, Kobayashi M, Shinzato S, Kamimura M, Neo M, Yoshihara S, Nakamura T. Biological and mechanical properties of PMMA-based bioactive bone cements. Biomaterials 2000;21:2137-2146 https://doi.org/10.1016/S0142-9612(00)00097-1
  55. Hikkila JT, Aho AJ, Kangasniemi I, Yli-Urpo A. Polymethylmethacrylate composites : Disturbed bone formation at the surface of bioactive glass and hydroxyapatitie. Biomaterials 1996;17:1755-1760 https://doi.org/10.1016/0142-9612(95)00326-6