Space-maintaining and osteopromotive effect of freezedried bone graft in the procedure of GBR

동결건조골이 재생공간 유지 및 골재생에 미치는 영향

  • 홍소미 (경희대학교 치과대학 치주과학교실) ;
  • 허익 (경희대학교 치과대학 치주과학교실) ;
  • 권영혁 (경희대학교 치과대학 치주과학교실) ;
  • 박준봉 (경희대학교 치과대학 치주과학교실)
  • Published : 2004.03.30

Abstract

This study was performed to evaluate the effect of freeze-dried bone graft on space-making capacity and bone formation in the procedure of guided bone regeneration with titanium reinforced ePTFE membrane. After decortication in the calvaria, GBR procedure was performed on 8 rabbits with titanium reinforced ePTFE membrane filled with human FDBA(Rocky Mountain Tissue Bank,Aurora Co., USA). Decortication was performed to induce the effect of bone forming factor from bone marrow. The animals were sacrificed at 2 weeks, 4 weeks, 8 weeks and 12 weeks after the surgery. Non-decalcified specimens were processed for histologic analysis. πle results of this study were as follows: 1. Titanium reinforced-ePTFE membrane was biocompatable and capable of maintaining the space-making. 2. FDBA particle was surrounded with connective tissues but there was no evidence on new bone formation. 3. FDBA particle resorbed continuously but it remained until 12weeks after the surgery. Within the above results, TR-ePTFE membrane could be used effectively for Guided bone regeneration but It was assumed that FDBA does not appear to contribute to bone formation.

Keywords

References

  1. Dahlin C, Alberius P, Lindhe A. Oste- opromotion for cranioplasty. An experi- mental study in rats using a membrane technique. J Neurosurg 1991;74:487-497 https://doi.org/10.3171/jns.1991.74.3.0487
  2. Dahlin C, Andersson L, Lindhe A. Bone augmentation at fenestrated implants by an osteo-promotive membrane technique. :A controlled clinical study. Clin Ora- lImpl Res 1991;2:159-165
  3. Dahlin C, Sennerby L, Leckholm U, Lindhe A, Nyman S. Generation of new bone around titanium implants using a membrane technique. An experimental study in rabbits. Int J Oral Maxillofac Implants1989;4:419-425
  4. Dahlin C, Lindhe A, Gottlow J, Nyman S. Healing of bone defects by guided tissue regeneration. Plast Reconstr Surg 1988;81:672-676 https://doi.org/10.1097/00006534-198805000-00004
  5. Dahlin C, Gottlow J, Lindhe A, Nyman S. Healing of maxillary and mandibular bone defects using a membrane technique. An experimental study in monkeys. Scand J Plast Reconstr Surg 1990;24:13-19 https://doi.org/10.3109/02844319009004514
  6. Becker W, Dahlin C, Becker BE. The use of e-PTFE barrier membranes for bone promotion around titanium implants placed into extraction socket: A pro- spective multicenter study. Int J Oral Maxillofac Implants 1994;9:31-40
  7. Siebert J, Nyman S. Localized ridge augmentation in dogs. A pilot study using membranes and hydroxyapatite. J Periodontol 1990;61:157-165 https://doi.org/10.1902/jop.1990.61.3.157
  8. Becker W, Becker B, Handlesman M, Celletti R, Ochsenbein C, Hardwick R, Langer B. Bone formation at dehisced dental implant sites treated with implant augmentation material : A pilot study in dogs. Int J Periodont Rest Dent 1990; 10:93-101
  9. Werrer K, Gotfredsen K, Hjotrting- Hansen E, Karring T. Guided tissue regeneration of dental implants placed into extraction sockets. An experimental study in monkeys. Clin Oral Impl Res 1991;2:166-171 https://doi.org/10.1034/j.1600-0501.1991.020402.x
  10. Jovanovic SA, Spiekermann H, Richter EJ. Bone regeneration around titanium implants in dehised defect sites. A clinical study. Int J Oral Maxillofac Implants 1992;7:233-245
  11. Donos N, Kostopoulos L, Karring T. Augmentation of the rat jaw with autogeneic cortico-cancellous bone grafts and guided tissue regeneration. Clin Oral Impl Res 2002;13: 192-202 https://doi.org/10.1034/j.1600-0501.2002.130210.x
  12. Donos N, Kostopoulos L, Karring T. Alveolar ridge augmentation by com- bining autogenous mandibular bone grafts and non-resorbable membranes. An experimental study in the rat. Clin Oral Impl Res 2002;13:185-191 https://doi.org/10.1034/j.1600-0501.2002.130209.x
  13. Donos N, Kostopoulos L, Karring T. Augmentation of the mandible with GTR and onlay cortical bone grafting. An experimental study in the rat. Clin Oral Impl Res 2002;13:175-184 https://doi.org/10.1034/j.1600-0501.2002.130208.x
  14. von Arx T, Cochran DL, Hermann JS, Schenk RK, Buser D. Lateral ridge augmentation using different bone fillers and barrier membrane application. A histologic and histomorphometric pilot study in the mandible. Clin Oral Impl Res 2001;12:260-269 https://doi.org/10.1034/j.1600-0501.2001.012003260.x
  15. Malchiodi L, Scarano A, Quaranta M, Piattelli A. Rigid fixation by means of titanium mesh in edentulous ridge expansion for horizontal ridge augmenta- tion in the maxilla. Int J Oral Maxillofac Implants 1998;13:701-705
  16. Slott C, Lundgren D. Augmentation of calvarial tissue using non-permeable silicone domes and bovine bone mineral. An experimental study in the rat. Clin Oral Impl Res 1999;10:468-476 https://doi.org/10.1034/j.1600-0501.1999.100605.x
  17. Jovanovic SA, Schenk RK, Orsini M, Kenney Eb. Supracrestal bone formation around dental implants : an experimental dog study. Int J Oral Maxillofac implants. 1995;10:23-31
  18. Jovanovic SA, Nevins M. Bone for- mation utilizing titanium-reinforced barrier membranes. Int J Periodont Res Dent 1995;15: 57-69
  19. Leckholm U, Becker W, Dahlin C, Becker B, Donath K, Morrison E. The role of early versus late removal of $GRAM^{\circledR}$ membrane on bone formation at oral implants placed into immediate extraction sockets. An experimental study in dogs. Clin Oral Impl Res 1993;4: 121-129 https://doi.org/10.1034/j.1600-0501.1993.040302.x
  20. Schmid J, Hammerle CHF, Fluckiger L. Blood filled spaces with and without filler materials in guided bone regenera- tion. A comparative experimental study in rabbit using bioresorbable membranes. Clin Oral Impl Res 1997;8: 75-81 https://doi.org/10.1034/j.1600-0501.1997.080201.x
  21. Piattelli A, Scarano M, Corigliano Piattelli M. Comparison of bone reg- eneration with the use of mineralized and demineralized freeze-dried bone allografts: a histologic and histochemical study in man. Biomaterials 1996;17:1127 -1131 https://doi.org/10.1016/0142-9612(96)85915-1
  22. Nevins M, Mellonig JT. Enhancement of the damaged edentulous ridge to receive dental implants: a combination of allograft and the GORE-TEX membrane. Int J Perio Rest Dent 1992;12:97-111
  23. Nevins M, Mellonig JT, Clem DSC III, Reiser GM, Buser DA. Implants in regenerated bone: long term survival. Int J Perio Rest Dent 1998;18:35-45
  24. Haas R, Haiolvogl D, Dortbudal O, Mailath G. Freeze-dried bone for maxillary sinus augmentation in sheep. Part II: biomechanical findings. Clin Oral Impl Res 2002;13: 581-586
  25. Feuille F, Knapp CI, Brunsvold MA, Mellonig JT. Clinical and histologic evaluation of bone-replacement grafts in the treatment of localized alveolar ridge defects. Part I : mineralized freezedried bone allograft. Int J Perio Rest Dent 2003;23:29-35
  26. 최성재, 권영혁, 박준봉. 탈회동결건조골과 합성골이식재가 치조골 결손부 재생과정에 미치는 영향. 대한치주과학회지 1994; 24:671-684
  27. Shanman RH. A retrospective study of 237 sites treated consecutively with guided tissue regeneration. Int J Perio Rest Dent 1994;14:293-301
  28. Lundgren D, Lundgren AK, Sennerby L, Nyman S, Augmentation of intramem- braneous bone beyond the skeletal envelope using an occlusive titanium barrier. Clin Oral Impl Res 1995;1:67-72
  29. von Steenberghe D, Johansson C, Quirynen M, Molly L, Albrektsson T, Naert I. Bone augmentation by means of a stiff occlusive titanium barrier. A study in rabbits and humans. Clin Oral Impl Res 2003;14:63-71 https://doi.org/10.1034/j.1600-0501.2003.140109.x
  30. 이근혁. 골유도재생술시 그물형 티타늄막의 천공수가 골형성에 미치는 영향. 경희대학교 대학원 박사학위 논문 2003
  31. Lee YM, Nam SH, Kim TI, Lee SJ, Ku Y, Rhyu IC, Chung CP. Enhanced bone augmentation by controlled release of recombinant human bone morphogenetic protein-2 from bioresorbable membranes. J Periodontol 2003;74:865-872 https://doi.org/10.1902/jop.2003.74.6.865
  32. Urist MR. Bone formation by autoinduc- tion. Science 1965;150:893-899 https://doi.org/10.1126/science.150.3698.893
  33. Buck BE, Malinin TI, Brown MD. Bone transplantation and human immunode- ficiency virus. An estimate of risk acquired immunodeficiency syndrome (AIDS) . Clin Orthop 1989;240:129-136
  34. Friedlander GE, Mellonig JT, Gray JT, Towle HJ. Comparison of freeze-dried bone allograft and porous hydroxyapatite in human periodontal defects. J Per- iodontol 1965;60:854-858
  35. Berglundh T, Abrahamsson I, Lang NP, Lindhe J. De novo alveolar bone for- mation adjacent to endosseous implants. A model study in the dog. Clin Oral Impl Res 2003;14:251-262 https://doi.org/10.1034/j.1600-0501.2003.00972.x
  36. Schenk RK, Buser D, Hardwick WR, Dahlin C. Healing pattern of bone regeneration in menbrane-protected de- fects: a histologic study in the canine mandible. Int J Oral Maxillofac Implants 1994;9:13-29
  37. Lundgren AK, Lundgren D, Taylor A. Influence of barrier cclusiveness on guided bone augmentation. An experi- mental study in the rat. Clin Oral Impl Res 1998;9:251-260 https://doi.org/10.1034/j.1600-0501.1998.090406.x
  38. Lundgren AK, Lundgren D, Hammerle CHF, Nyman S, Sennerby L. Influence of decortication of the donor bone on guided bone augmentation. Clin Oral Impl Res 2000;11:99-106 https://doi.org/10.1034/j.1600-0501.2000.00002.x
  39. Schmid J, Hammerle CHF, Olah AJ, Lang NP. Membrane permeability is unnecessary for guided generation of new bone. An experimental study in the rabbit. Clin Oral Impl Res 1994;5:125-130 https://doi.org/10.1034/j.1600-0501.1994.050302.x
  40. Majoub Z, Berengo M, Giardino R, Aldini NN, Cordioli G. Role of Inter- marrow penetration in osseous repair : A pilot study in the rabbit calvaria. J Periodontol 1999;70:1501-1510 https://doi.org/10.1902/jop.1999.70.12.1501
  41. Zellin G, Linde A. Effect of different osteopromotive membrane porosities on experimental bone neogenesis in rats. Bioimaterials 1996;17:695-702 https://doi.org/10.1016/0142-9612(96)86739-1
  42. Mellonig JT, Bowers GW, Bright RW, Lawrence JJ. : Clinical evaluation of freeze-dried allografts in periodontal osseous defects. J Periodontol 1976;47: 125-131 https://doi.org/10.1902/jop.1976.47.3.125
  43. Takata T, Mutsumi M, Ogawa I, Ito H, Kobayashi J, Nikai H. Reactive change in proliferative activity of the junctional epithelium after topical application of lipopolysaccharide. J Periodontol 1997;68 :531-535 https://doi.org/10.1902/jop.1997.68.6.531
  44. Jovanovic S, Walkamm B, Hammerle CHF, Gogolewski S, Lang LP. The significance of angiogenesis in guided bone regeneration. A case report of a rabbit experiment. Clin Oral Impl Res 1997;8:244-248 https://doi.org/10.1034/j.1600-0501.1997.080311.x
  45. Boyne PJ, Cole MD, Stringer D, Shafqat JP. A technique for osseousrestoration of deficient edentulous maxillary ridges. J Oral Maxillofac Surg 1985;43:87-91 https://doi.org/10.1016/0278-2391(85)90054-0
  46. Valentini CA, Majzoub Z, Piattells A, Scarano A, Okun L, Corodiolt G. Electrrically charged GTAM membranes stimulate osteogenesisin rabbit calvarial defects. Clin oral Impl Res 1999;10:415-424 https://doi.org/10.1034/j.1600-0501.1999.100508.x
  47. von Arx T, Kurt B. Implant placement and simultaneous ridge augmentation using autogenous bone and a micro titanium mesh: a prospective clinical study with 20 implants. Clin Oral Impl Res 1999;10:24-33 https://doi.org/10.1034/j.1600-0501.1999.100104.x
  48. von Arx T, Walkamm B, Hardt N. Localized ridge augmentation using a micro titanium mesh: a report on 27 implants followed from 1 to 3 years after functional loading. Clin Oral Impl Res 1998;9:123-130 https://doi.org/10.1034/j.1600-0501.1998.090208.x
  49. von Arx T, Hardt N, Wallkamm B. The time technique : A new method for localized alveolar ridge augmentation prior to placement of dental implants. Int J Oral Maxillofac Implants 1996;11:387-394
  50. Maiorana C, Santoro F, Rabagliati M, Salina S. Evaluation of the use of iliac cancellous bone and anorganic bovine bone in the reconstruction of the atrophic maxilla with titanium mesh: A clinical and histologic investigation. Int J Oral Maxillofac Implants 2001;16:427-432
  51. Fugazzotto PA. GBR using bovine bone matrix and resorbable and non-resorbablr membranes. Part 1: Histologic results. Int J Perio Rest Dent 2003;23: 361-319
  52. 정성민, 이만섭, 박준봉. 탈회동결건조골에 혼합한 형질 변형 성장인자(TGF-${\beta}1$)가 골조직 재생에 미치는 효과. 대한치주과학회지 1995;25:357-371