무기인산염이 골유도재생에 미치는 영향

Effect of inorganic polyphosphate on guided bone regeneration

  • 정종혁 (경희대학교 치과대학 치주과학교실) ;
  • 권영혁 (경희대학교 치과대학 치주과학교실) ;
  • 박준봉 (경희대학교 치과대학 치주과학교실) ;
  • 허익 (경희대학교 치과대학 치주과학교실)
  • 발행 : 2005.06.30

초록

This study was performed to evaluate the effect of inorganic polyphosphate on bone formation in the calvaria of rabbit in the procedure of guided bone regeneration with bovine cancellous bone graft and titanium reinforced expanded polytetrafluoroethylene(TR-ePTFE) membrane. The rabbits were divided into four groups. Control group I used only TR-ePTFE membrane, control group II used TR-ePTFE membrane and deproteinized bovine bone mineral soaked in saline, experimental group III and IV used TR-ePTFE membrane and deproteinized bovine bone mineral soaked in 1% or 2% inorganic polyphosphate respectively. After decortication in the calvaria, GBR procedure was performed on 12 rabbits with titanium reinforced ePTFE membrane filled with deproteinized bovine bone mineral soaked in saline or inorganic polyphosphate. The animals were sacrificed at 2 weeks, 4 weeks, and 8 weeks after the surgery. Decalcified and non-decalcified specimens were processed for histologic and immunohistochemistric analysis. 1. Titanium reinforced ePTFE(TR-ePTFE) membrane showed good spacemaking and cell occlusiveness capability, but it showed poor wound stabilization. 2. The deproteinized bovine bone mineral did not promote bone regeneration, but it acted as a space filler. 3. There was no complete resorption of the deproteinized bovine bone mineral within 8 weeks. 4. 1% inorganic polyphosphate did not promote bone formation, but 2% inorganic polyphosphate promoted bone formation. Within the above results, 2% inorganic polyphosphate could be used effectively for bone regeneration.

키워드

참고문헌

  1. Dahlin C. Linde A, Gottlow J, Nyman S. Healing of bone defects by guided tissue regeneration. Plastic Reconst Sur 1988;81:672-677 https://doi.org/10.1097/00006534-198805000-00004
  2. Dahlin C, Alberius P, Lindhe A. Osteopromotion for cranioplasty: An experimental study in rats using a membrane technique. J Neurosurg 1991:74:487-497 https://doi.org/10.3171/jns.1991.74.3.0487
  3. Dahlin C, Andersson L, Lindhe A. Bone augmentation at fenestrated implants by an osteopromotive membrane technique: A controlled clinical study. Clin Oral Impl Res 1991;2:159-165 https://doi.org/10.1034/j.1600-0501.1991.020401.x
  4. 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 Implants 1989;4:19-25
  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 prospective 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, HirtingHansen 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, Spiekerrnann H, Richter EJ. Bone regeneration around titanium implants in dehisced defect sites: A clinical study. Int J Oral Maxillofac Implants 1992:7:233-245
  11. Becker W, Becker B, Handelsman M, Ochsenbein C, Albrektsson T. Guided tissue regeneration for implant placed into extraction sockets: A study in dogs. J Periodontol 1991;62: 703-709 https://doi.org/10.1902/jop.1991.62.11.703
  12. Bragger U, Hammerle CHF, Lang NP. Immediate transmucosal implants using the principle of guided tissue regeneration II: A cross-sectional study comparing the clinical outcome 1 year after immediate to standard implant placement. Clin Oral Impl Res 1997;7:268-276 https://doi.org/10.1034/j.1600-0501.1996.070309.x
  13. Buser D, Bragger D, Land NP, Nyman S. Regeneration and enlargement of jaw bone using guided tissue regeneration. Clin Oral Impl Res 1990;1:22-32 https://doi.org/10.1034/j.1600-0501.1990.010104.x
  14. Dahlin C, Lekholm U, Becker W. Becker B, Higuchi K, Callens A, van Steenberghe D. Treatment of fenestration and dehiscence bone defects around oral implants using the guided tissue regeneration technique: A prospective multicenter study. Int J Oral Maxillofac Implants 1995:10:312-318
  15. Hammerle CHF, Olah AJ, Schmid J, Fluckiger L, Gogolewski S, Winkler JR. Lang NP. The biological effect of deproteinized bovine bone on bone neoformation on the rabbit skull. Clin Oral Impl Res 1997;8:198-207 https://doi.org/10.1034/j.1600-0501.1997.080306.x
  16. Lang NP. Hammerle CHF, Bragger U. Lehmann B. Nymann SR. Guided tissue regeneration in jaw bone defects prior to implant placement. Clin Oral Impl Res 1994:5:92-97 https://doi.org/10.1034/j.1600-0501.1994.050205.x
  17. Donos N. Kostopoulos L. Karring T. Augmentation of the rat jaw with autogenic 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
  18. 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
  19. 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
  20. Nevins M. Mellonig JT. Enhancement of the damaged edentulous ridge to receive dental implants: a combination of allograft and the GORE- TEX$^{\circledR}$ membrane. Int J Periodont Rest Dent 1992;12:97-111
  21. Simon M. Trisi P, Piattellli A. Vertical ridge augmentation using a membrane technique associated with osseointegrated implants. Int J Periodont Rest Dent 1994; 14:496-511
  22. 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
  23. Jovanovic SA, Nevins M. Bone formation utilizing titanium-reinforced barrier membranes. Int J Periodont Rest Dent 1995;15:57-69
  24. Leckholm D, 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
  25. Donos N, Kostopoulos L, Karring T. Alveolar ridge augmentation by combining autogenous mandibular bone grafts and nonresorbable 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
  26. Malchiodi L, Scarano A, Quaranta M, Piattelli A. Rigid fixation by means of titanium mesh in edentulous ridge expansion for horizontal ridge augmentation in the maxilla. Int J Oral Maxillofac Implants 1998;13:701-705
  27. 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
  28. Piattelli A, Scarano M, Corigliano Piattelli M. Comparison of bone regeneration with the use of mineralized and demineralized freezedried bone allografts: a histologic and histochemical study in man. Biomaterials 1996;17:1127-1131 https://doi.org/10.1016/0142-9612(96)85915-1
  29. Nevins M, Mellonig JT, Clem DSC III, Reiser GM. Buser DA. Implants in regenerated bone: long-term survival. Int J Periodont Rest Dent 1998;18:35-45
  30. 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 https://doi.org/10.1034/j.1600-0501.2002.130602.x
  31. 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 freeze-dried bone allograft. Int J Periodont Rest Dent 2003;23:29-35
  32. 최성재, 권영혁, 박준봉, 탈회동결건조골과 합성골이식재가 치조골 결손부 재생과정에 미치는 영향. 대한치주과학회지 1994;24:671-684
  33. Gross J. Bone grafting material for dental application: A practical guide. Compendium 1997;18:1013-1036
  34. Slotte 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
  35. Weibrich G, Trettin R, Gnoth SH, et al. Analysis of the size of the specific surface area of bone regeneration materials by gas adsorption. Mund-Kiefer Gesichts Chir 2000: 1-5
  36. Wetzel AC, Stich H, Caffesse RG. Bone apposition onto oral implants in the sinus area filled with different grafting materials. Clin Oral Impl Res 1995;6: 155-163 https://doi.org/10.1034/j.1600-0501.1995.060304.x
  37. Piattelli M, Favero GA Scarano A, Orsini G, Piattelli A. Bone reactions to anorganic bovine bone(Bio-Oss$^{\circledR}$) used in sinus augmentation procedure: A histologic long term of 20 cases in humans. Int J Oral Maxillofac Implants 1999;14:835-840
  38. Klinge B, Alberius P, Isaksson S, Jonsson J. Osseous response to implanted natural bone mineral and synthetic hydroxyapatite ceramic in the repair of experimental skull bone defects. J Oral Maxillofac Sur 1992;50:241-249 https://doi.org/10.1016/0278-2391(92)90320-Y
  39. Hurzeler ME, Quinones CR, Kirsh A, Gloker C, Schupbach P, Strub JR, Caffesse R, Maxillary sinus augmentation using different grafting materials and dental implants in monkeys. Part 1. Evaluation of anorganic bovine-derived bone matrix. Clin Oral Impl Res 1997;8:476-486. https://doi.org/10.1034/j.1600-0501.1997.080606.x
  40. Berglundh T, Lindhe J. Healing around implants placed in bone defects treated with Bio-Oss. An experimental study in the dog. Clin Oral Impl Res 1997;8: 117-124 https://doi.org/10.1034/j.1600-0501.1997.080206.x
  41. Araujo M, Carmagnola D, Berglundh T, Thilander E, Lindhe J. Orthodontic movement in bone defects augmented with Bio-Oss. An experimental study in dogs. J Clin Periodontol 2001:28:73-80 https://doi.org/10.1034/j.1600-051x.2001.280111.x
  42. Carmagnola D. Berglundh T, Lindhe J. The effect of a fibrin glue on the integration of Bio-Oss$^{\circledR}$ with bone tissue. An experimental study in labrador dogs. J Clin Periodontol 2002;29:377-383 https://doi.org/10.1034/j.1600-051X.2002.290501.x
  43. Carmagnola D, Adriaens P, Berglundh T. Healing of human extraction sockets filled with Bio-Oss. Clin Oral Impl Res 2003;14:137-143 https://doi.org/10.1034/j.1600-0501.2003.140201.x
  44. Stavropoulos A, Kostopoulos L, Nyengaard, Karring T. Deproteinized bovine bone(Bio-Oss$^{\circledR}$) and bioactive glass(Bio-gran$^{\circledR}$) arrest bone formation when used as an adjunct to guided tissue regeneration(GTR). An experimental study in the rat. J Clin Periodontol 2003;30:636-643 https://doi.org/10.1034/j.1600-051X.2003.00093.x
  45. Slotte 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
  46. Linkhart TA, Mohan S, Baylink DJ. Growth factors for bone growth and repair: IGF, TGF-${\beta}$ and BMP. Bone 1996;19(5uppl.): 1-12 https://doi.org/10.1016/8756-3282(96)00116-0
  47. Bostrom MFG, Asnis P. Transforming growth factor beta in fracture repair. Clin Orthop Rel Res 1998:355(Suppl.) : 124-131
  48. Lanigan RS. Final report on the safety assessment of sodium metaphosphate, sodium trimetaphosphate, and sodium hexametaphosphate. Int J Toxicol 2001; 20(Suppl.3) :75-89 https://doi.org/10.1080/10915810152630756
  49. The United States Department of Agriculture: Meat and poultry products: phosphates and sodium hydroxide. Fed Regist 1982:47: 10779
  50. Kornberg A. Inorganic polyphosphate. toward making a forgotten polymer unforgettable. J Bacteriol 1995: 177:491-496
  51. Gabel NW. Thomas V. Evidence for the occurrence and distribution of inorganic polyphosphate in vertebrae tissues. J Neurochem 1971;18:1229-1242 https://doi.org/10.1111/j.1471-4159.1971.tb00222.x
  52. Kumble KD, Kornberg A. Inorganic polyphosphate in mammalian cells and tissues. J Biol Chem 1995:270:5818-5822 https://doi.org/10.1074/jbc.270.11.5818
  53. Fleisch H. Mechanisms of action of the bisphosphonates. Medicina(B Aires) 1997 : 57 (Suppl.):65-75
  54. Leyhausen G. Lorenz B. Zhu H. Geurtsen W. Bohnensack R. Muller WE. Schroder HC. Inorganic polyphosphate in human osteoblast-like cells. J Bone Miner Res 1998;13:803-812. https://doi.org/10.1359/jbmr.1998.13.5.803
  55. Shiba T. Nishimura D. Kawazoe Y. Onodera Y. Tsutsumi K. Nakamura R. Ohshiro M. Modulation of mitogenic activity of fibroblast growth factors by inorganic polyphosphate. J Bio Chem 2003;278:26788-26792 https://doi.org/10.1074/jbc.M303468200
  56. Schenk RK. Hardwick WR. Dahlin C. Healing pattern of bone regeneration in membrane-protected defects. A histologic study in the canine mandible. Int J Oral Maxillofac Implants 1994:9: 13-29
  57. 이근혁. 권영혁. 박준봉. 허익. 골유도재생술시 그물형 티타늄막의 천공수가 골형성에 미치는 영향. 대한치주과학회지 2004;34:411-424
  58. Maizoub Z, Berengo M, Giardino R, Cordioli G. Role of intramarrow 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
  59. Lundgren D. Lundgren AK. Sennerby L. Nyman S. Augmentation of intramembranous bone beyond the skeletal envelope using an occlusive titanium barrier. Clin Oral Impl Res 1995:6:67-72 https://doi.org/10.1034/j.1600-0501.1995.060201.x
  60. Tinti C. Parma-Benfenati S. Pollizzi G. Vertical ridge augmentation: what is the limit? Int J Periodont Rest Dent 1996: 16: 220-229
  61. Tinti C, Vincenzi GP. Expanded polytetrafluoroethylene titanium-reinforced membrane for regeneration of mucogingival recession defects: A 12-cases report. J Periodontol 1994:65:1088-1094 https://doi.org/10.1902/jop.1994.65.11.1088
  62. 인영미, 권영혁, 박준봉, 허익. 골유도재생술시 탈단백우골이 세포증식에 미치는 영향. 대한치주과학회지 2004:34:683-698
  63. Fugazzotto PA. GBR using bovine bone matrix and resorbable and nonresorbable membrane. Part 1: Histologic results. Int J Periodont Rest Dent 2003:23:361-369
  64. Soldheim E. Growth factors in bone. Intl Orthop 1998:22:410-416 https://doi.org/10.1007/s002640050290
  65. Schmitt JM, Hwang K, Winn SR Hollinger JO. Bone morphogenetic proteins: an update on basic biology and clinical relevance. J Orthop Res 1999; 17:269-278 https://doi.org/10.1002/jor.1100170217
  66. Illi OE. Feldmann CP. Stimulation of fracture healing by local application of humoral factors integrated in biodegradable implants. Eur J Pediatr Surg 1998:8:251-255 https://doi.org/10.1055/s-2008-1071165
  67. Kawazoe Y, Shiba T, Nakamura R Mizuno A Tsutsumi K, Uematsu T, Yamaoka M, Shindoh M, Kohgo T. Induction of calcification in MC3T3-E1 cells by inorganic polyphosphate, J Dent Res 2004:83:613-618 https://doi.org/10.1177/154405910408300806
  68. 이진용, 류동목, 신제원. 무기인산염의 골재생 촉진효과에 관한 연구. 대한구강해부학회지 1999;23:219-228
  69. Reddi AH. Initiation of fracture repair by bone morphogenetic proteins. Clin Orthop Rel Res 1998:355(Suppl.) :66-72