The effect of polyphosphate on exophytic bone formation

무기인산염이 외방성 수직골 형성에 미치는 영향

  • Lee, Jean (Department of Periodontology, School of Dentistry, Kyung Hee University) ;
  • Park, Joon-Bong (Department of Periodontology, School of Dentistry, Kyung Hee University) ;
  • Herr, Yeek (Department of Periodontology, School of Dentistry, Kyung Hee University) ;
  • Chung, Jong-Hyuk (Department of Periodontology, School of Dentistry, Kyung Hee University) ;
  • Kwon, Young-Hyuk (Department of Periodontology, School of Dentistry, Kyung Hee University)
  • 이진 (경희대학교 치의학전문대학원 치주과학교실) ;
  • 박준봉 (경희대학교 치의학전문대학원 치주과학교실) ;
  • 허익 (경희대학교 치의학전문대학원 치주과학교실) ;
  • 정종혁 (경희대학교 치의학전문대학원 치주과학교실) ;
  • 권영혁 (경희대학교 치의학전문대학원 치주과학교실)
  • Published : 2008.03.31

Abstract

Purpose: It has been shown that the inorganic polyphosphate is effective for the regeneration of bones through the preliminary animal test of rabbits. The most effective concentration of the polyphosphate, however, is not known yet. Moreover, the effectiveness of carriers inside human body is not confirmed.. Materials and Methods: In this study, we examined the effect of the concentration of the inorganic polyphosphate on the process of the bone regeneration using the 6 weeks old rabbits with the weight of 2.0 kg in average. We performed the experiment using TR-ePTFE membrane(membrane) filled with collagen immersed in 4%, 8% of inorganic polyphosphate, respectively, following removal of the proper sized cortical bones from the rabbit calvaria. The experimental results were compared with the one of the following four groups: The negative control group for membrane only, the positive control group for membrane filled with collagen, the first experimental group for membrane filled with collagen immersed in 4% of inorganic polyphosphate, and the second experimental group for membrane filled with collagen immerse in 8% of inorganic polyphosphate. The fragments of the tissue with membrane obtained from each group of the sacrificed rabbits for 8 or 16 weeks sustained after surgery were then prestained by the Hematoxylin-Eosin stain and coated by resin to form non-decalcified specimens for the histologic examination and analysis. New bone formation was assessed by histomorphometric and statistical analysis. Results: 1. All groups have shown better bone regeneration at 16weeks than 8weeks. 2. Negative control group has shown more bone regeneration relative to the other groups at 8 and 16 weeks. 3. All experimental groups have shown better bone regeneration relative to positive control group. 4. At 16 weeks, the first experimental group has shown more bone regeneration compared to the second experimental group. Exophytic bone formation is not good at the first and the second experimental groups compared with negative control group. But, the use of 4% inorganic polyphosphate was more effective to bone formation than the use of 8% inorganic polyphosphate. Conclusion: With above results, it is suggested the use of inorganic polyphosphate with vehicle under TR-ePTFE membrane.

Keywords

References

  1. Reddi AH, Weintroub S, Muthukumaran N. Biologic principles of bone induction. Orthop Clin North Am 1987; 18:207-212
  2. Urist MR. Bone formation by autoinduction. Science 1965; 150:893-899 https://doi.org/10.1126/science.150.3698.893
  3. Burchardt H. The biology of bone graft repair. Clin Orthop Rel Res 1983;174:28-42
  4. Ilizarov GA. The tension-stress effect on the genesis and growth of tissues: Part I. The influence of stability of fixation and soft tissue preservation. Clin Orthop 1989;238: 249-281
  5. Ilizarov GA. The tension-stress effect on the genesis and growth of tissues: Part II. The influence of rate and frequency of distraction. Clin Orthop 1989;239:263-285
  6. Kostopoulos L, Karring T. Augmentation of the rat mandible using guided tissue regeneration. Clin Oral Impl Res 1994;5:75-82 https://doi.org/10.1034/j.1600-0501.1994.050203.x
  7. 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
  8. 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
  9. Buser D, Dura K, Belser UC, Hirt HP, Berthold H. Localized ridge augmentaion using guided bone regeneration: Surgical procedure in the maxilla. Int J Periodont Rest Dent 1993;13:29-45
  10. 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
  11. Siebert J, Nyman S. Localized ridge augmentation in dogs: A pilot study in using membranes and hydroxyapatite. J Periodontol 1990;61:157-165 https://doi.org/10.1902/jop.1990.61.3.157
  12. Becker W, Becker BE, 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
  13. Werrer K, Gotfredsen K, Hjrting-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
  14. 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
  15. 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
  16. Niederman R, Savitt ED, Heeley JD, Duckworth JE. Regeneration of furca bone using Gore-Tex periodontal material. Int J Periodont Res Dent 1989;9:468-480
  17. Pontoriero R, Lindhe J, Nyman S, Karring T, Rosenberg E, Sanavi F. Guided tissue regeneration in the treatment of furcation defects in mandibular molars. A clinical study of degree III involvements. J Clin Periodontol 1989;16: 170-174 https://doi.org/10.1111/j.1600-051X.1989.tb01635.x
  18. Kawazoe Y, Shiba T, Nakamura R, Mizuno A, Tsutsumi L, Uematsu T, Yamaoka M, Shindoh M, Kohgo T. Induction of calcification in MC3T3-E1 cells by inorganic poly- phosphate. J Dent Res 2004;83:613-618 https://doi.org/10.1177/154405910408300806
  19. Chung JH, Kwon YH, Park JB, Herr Y. Effect of inorganic polyphosphate on guided bone regeneration. J Korean Acad Periodontol 2005;35:491-510 https://doi.org/10.5051/jkape.2005.35.2.491
  20. The United States Department of Agriculture. Meat and poultry products: phosphates and sodium hydroxide. Fed Regist 1982;47:10779
  21. 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
  22. Kornberg A. Inorganic polyphosphate: toward making a forgotten polymer unforgettable. J Bacteriol 1995;177:491-496 https://doi.org/10.1128/jb.177.3.491-496.1995
  23. 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
  24. 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
  25. Fleisch H. Mechanisms of action of the bisphosphonates. Medicina(B Aires) 1997;57(Suppl.):65-75
  26. Leyhausen G, Lorenz B, Zhu H,Geurtsen W, Bohnensack R, Müller WE, Schröder 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
  27. 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
  28. Jovanovic SA, Spiekermann H, Richter EJ. Bone regeneration around titanium implants in dehiscenced defect sites: A clinical study. Int J Oral Maxillofac Implants 1992; 7:233-245
  29. 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
  30. 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
  31. Buser D, Brägger U, 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
  32. 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
  33. Lee KH, Kwon YH, Park JB, Herr Y. Effect of pore number of titanium mesh on bone formation in the procedure of GBR. J Korean Acad Periodontol 2004;34:411-424 https://doi.org/10.5051/jkape.2004.34.2.411
  34. Majzoub 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
  35. 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
  36. 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
  37. 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
  38. Jovanovic SA, Nevins M. Bone formation utilizing titanium-reinforced barrier membranes. Int J Periodont Rest Dent 1995;15:57-69
  39. Tinti C, Parma-Benfenati S, Pollizzi G. Vertical ridge augmentation: what is the limit? Int J Periodont Rest Dent 1996;16:220-229
  40. 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