EFFECT OF CALCIUM AND VITAMIN D SUPPLEMENTATION ON BONE FORMATION AROUND TITANIUM IMPLANT

칼슘과 비타민 D 섭취가 티타늄 임플랜트 주위의 골 형성에 미치는 영향

  • Park, Kwang-Il (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Lee, Jae-Yeol (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Hwang, Dae-Seok (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Kim, Yong-Deok (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Kim, Gyoo-Cheon (Dept. of Oral Anatomy, College of Dentistry, Pusan National University) ;
  • Shin, Sang-Hun (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Kim, Uk-Kyu (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Chung, In-Kyo (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University)
  • 박광일 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 이재열 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 황대석 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 김용덕 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 김규천 (부산대학교 치과대학 구강해부학교실) ;
  • 신상훈 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 김욱규 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 정인교 (부산대학교 치과대학 구강악안면외과학교실)
  • Published : 2007.04.30

Abstract

The purpose of this study was to observe the effect of calcium and vitamin D to the titanium implant osseointegration in animal model. 32 rats, 10 weeks of age, were divided into two group: additional calcium and vitamin D supplementation group and a control group. Titanium screw implant(diameter, 2.0mm; length, 3.5mm; pitch-height 0.4mm) were placed into tibia of 32 rats, 16 in the control group and 16 in the experimental group. The rats were sacrificed at different time interval(1, 2, 4, and 8 weeks after implantation) for histopathologic observation, histomorphometric analysis and immunohistochemistry with osteocalcin and osteopontin antibody. Histopathologically findings, newly formed bone was seen at 1 weeks and became lamellar bone at 2 weeks, and mature trabecullar bone was seen at 4 weeks experimental group. In control group, thickness of regenerated bone increased till 4 weeks gradually and trabecullar bone was seen at 8 weeks. By histomorphometric analysis, bone marrow density was increased significantly at 1 and 2 weeks in experimental group compared to control group. Osteocalcin immunoreactivity was strong at 1 week experimental group and reduced after 4 weeks gradually. But it was continuously weakly from 1 to 4 weeks in control group. Osteopontin immunoreactivity was very strong in newly formed bone from 2 to 8 weeks experimental group. And the amount of osteopontin expression was more abundant in experimental group. The results of this study suggest that calcium and vitamin D supplementation promotes bone healing around dental implants

Keywords

References

  1. Branemark PI, Adell R, Breine U, Hansson BO, Lindstrom J, Ohlsson A: Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand J Plast Reconstr Surg 1969;3:81-100 https://doi.org/10.3109/02844316909036699
  2. Jaffin RA, Berman CL: The excessive loss of Branemark fixtures in type IV bone : A 5-year analysis. J Periodontol 1991;62:2-4 https://doi.org/10.1902/jop.1991.62.1.2
  3. Laney WR: Selecting edentulous patients for tissue-integrated prostheses. Int J Oral Maxillofac Implants 1986;1:129-138
  4. Utiger RD: The need of more vitamin D. N Engl J Med 1998; 338:828-829 https://doi.org/10.1056/NEJM199803193381209
  5. Zoldos J, Kent JN: Healing of Endosseous Implants. In Block MS, Kent JN(eds): Endosseous Implants For Maxillofacial Reconstruction. Philadelphia, WB Saunders Co. 1995:40-69
  6. Bowers GN, Brassard C: Measurement of ionized cacium serum with ion-selective electrode: A mature technology that can meet the daily service needs. Clin Chem 1986;32:1437-1447
  7. Hong SM, Kim HJ: Effect of Ca Supplementation on Serum Ca Level and Psychological Conditions in Perimenopausal Woman. Korean J Comminuty Nutrition 2001;6:628-634
  8. Doetsch AM, Faber J, Lynnerup N, W¨atjen I, Bliddal H, Danneskiold- Samso/e: The Effect of Calcium and Vitamin D3 Supplementation on Healing of Proximal Humerus Fracture: A Randomized Placebo- Controlled Study. Calcif Tissue Int 2004;75:183-188 https://doi.org/10.1007/s00223-004-0167-0
  9. Shirai Y, Yoshimura Y, Yawaka Y: Effect of extracelluar calcium concentrations on osteoclast differentiation in vitro. Biochem Biophys Res Commum 1999;265: 484-488 https://doi.org/10.1006/bbrc.1999.1664
  10. Annefeld M, Caviezel R, Schart E, Schicketanz KH: The influence of Ossein-hydroxyapatite compound on healing of a bone defect. Cur Med Res and Opinion 1986;4:241-250
  11. Dent CE, Davies IJT: Calcium metabolism in bone disease: effects of treatment with microcrystalline calcium hydroxyapatite compound and dihydrotachystero. The Royal Society of Med. 1980;73: 780-785 https://doi.org/10.1177/014107688007301106
  12. Norman AW, Okamura WH, Bishop JE, Henry HL: Update on biological actions of 1$\alpha$,25(OH)2-Vitamin D3(rapid effect) and 24R,25(OH)2-Vitamin D3. Molecular and Cellular Endocrinology. 2002;197:1-13 https://doi.org/10.1016/S0303-7207(02)00273-3
  13. Kolar J, Babicky A, Blahos J: Influence of 1,25- hydroxycholecalciferol and calcitonin on experimental fractures. Acta Chir Orthop Trauma 1979;46:193-199
  14. Blahos J, Babicky A, Porsova I, Kolar J: Effect of 1,25-hydroxycholecalciferol on fracture healing and on general posttraumatic skeletal response in rats. Endocrinol Exp 1989;23:287-294
  15. Hey MG, Gera I, Fonseca J, Raiz LG, Hock JM: 1,25- Dihydroxy-vitamin D3 alone or in combination with parathyroid hormone does not increase bone mass in young rats. Calcif Tissue Int 1988;43:284-288 https://doi.org/10.1007/BF02556637
  16. Fottrell PF, Power MJ: Osteocalcin:diagnosis method and clinical applications. Crit Rev Lab Sci 1991;28:287-335 https://doi.org/10.3109/10408369109106867
  17. Desboid C, Karsenty G: Osteocalcin cluster: implication for functional studies. J Cell Biochem 1995;57:379-383 https://doi.org/10.1002/jcb.240570302
  18. Sandberg MM, Aro HT, Vuorio EI: Gene expression during bone repair. Clin Orthop 1993;289:292-312
  19. Beck Jr, GR, Sullivan EC, Moran E, Zerler B: Relationship between alkaline phosphatase levels, osteopontin expression, and mineralization in differentiating MC3T3-E1 osteoblasts. J Cell Biochem 1998;68:269-280 https://doi.org/10.1002/(SICI)1097-4644(19980201)68:2<269::AID-JCB13>3.0.CO;2-A
  20. Mark MP, Prince CW, Oosawa T, Gay S, Bronckers ALJJ, Butler W: Immunohistochemical demonstration of a 44-kD phosphoprotein in developing rat bones. J Histochem. Cytochem 1987;35:707-715 https://doi.org/10.1177/35.7.3295029
  21. Hsieh YD, Devlin H, McCord F: The effect of ovariectomy on the healing tooth socket of the rat. Archs Oral Biol 1995;40:529-531 https://doi.org/10.1016/0003-9969(94)00197-J