토끼 두개골 결손부에서 가교화된 제 1형 콜라겐 차폐막의 초기 골형성 효과

Early Healing Processes in Guided Bone Regeneration using Cross-linked Type-I Collagen Membrane at Rabbit Calvarial Defect

  • 이은웅 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 양혜주 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 황지완 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • ;
  • 정은주 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 이중석 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 정의원 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 김창성 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 조규성 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 최성호 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소)
  • Lee, Eun-Ung (Department of periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University) ;
  • Yang, Cheryl (Department of periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University) ;
  • Hwang, Ji-Wan (Department of periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University) ;
  • Unursaikhan, Otgonbayar (Department of periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University) ;
  • Jung, Eun-Joo (Department of periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University) ;
  • Lee, Jung-Seok (Department of periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University) ;
  • Jung, Ui-Won (Department of periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University) ;
  • Kim, Chang-Sung (Department of periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University) ;
  • Cho, Kyoo-Sung (Department of periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University) ;
  • Choi, Seong-Ho (Department of periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University)
  • 발행 : 2012.09.01

초록

The aim of this study was to evaluate early healing processes in guided bone regeneration using a cross-linked type- I collagen membrane of 1-ethyl-3-(3- dimethyl aminopropyl) carbodiimide (EDC) at rabbit calvarial defects. Eight male New Zealand rabbits were used and four circular calvarial defects were created. Each of the four defects was filled with different graft materials: 1) collagen membrane, 2) biphasic calcium phosphate, 3) collagen membrane with biphasic calcium phosphate, and 4) nothing as control. The animals were sacrificed following two and four weeks of healing periods. Between two healing periods, collagen membrane was resorbed 28.5% and maintained its original shape and marginal integrity. The collagen membrane group resulted in significantly better defect closure compared to control group (p < 0.05). The augmented area was significantly higher in bone graft material applied groups (p < 0.05). There was no statistical difference in new bone formation between all groups at all healing periods, but vascularization was seemed to be promoted and more new bone formation was observed in superficial layer in collagen membrane applied groups. Within the limits of this study, the cross linked collagen membrane maintained its structural integrity and promoted bone regeneration especially in superficial layer.

키워드

참고문헌

  1. A. K. Lundgren, L. Sennerby, D. Lundgren, A. Taylor, J. Gottlow and S. Nyman, "Bone augmentation at titanium implants using autologous bone grafts and a bioresorbable barrier. An experimental study in the rabbit tibia," Clinical oral implants research., 8, 82-9 (1997). https://doi.org/10.1034/j.1600-0501.1997.080202.x
  2. D. Buser, U. Bragger, NP. Lang, and S. Nyman, "Regeneration and enlargement of jaw bone using guided tissue regeneration," Clinical oral implants research, 1, 22-32 (1990). https://doi.org/10.1034/j.1600-0501.1990.010104.x
  3. C. Dahlin, L. Sennerby, U. Lekholm, A. Linde, and S. Nyman, "Generation of new bone around titanium implants using a membrane technique: an experimental study in rabbits," The International Journal of Oral & Maxillofacial Implants, 4, 19-25 (1989).
  4. D. Buser, K. Dula, H. P. Hirt, and R. K. Schenk, Lateral ridge augmentation using autografts and barrier membranes: a clinical study with 40 partially edentulous patients. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 54: 420-32; discussion 32-3 (1996). https://doi.org/10.1016/S0278-2391(96)90113-5
  5. L. J. Ling, S. L. Hung, C. F. Lee, Y. T. Chen, and K. M. Wu, "The influence of membrane exposure on the outcomes of guided tissue regeneration: clinical and microbiological aspects," Journal of Periodontal Research, 38, 57-63 (2003). https://doi.org/10.1034/j.1600-0765.2003.01641.x
  6. S. Pitaru, H. Tal, M. Soldinger, and M. Noff, "Collagen membranes prevent apical migration of epithelium and support new connective tissue attachment during periodontal wound healing in dogs," Journal of Periodontal Research, 24, 247-53 (1989). https://doi.org/10.1111/j.1600-0765.1989.tb01789.x
  7. N. Fleisher, H. de Waal, and A. Bloom, "Regeneration of lost attachment apparatus in the dog using Vicryl absorbable mesh (Polyglactin 910)," The International Journal of Periodontics & Restorative Dentistry, 8, 44-55 (1988).
  8. P. F. Gielkens, J. Schortinghuis, J. R. de Jong, G. M. Raghoebar, B. Stegenga, and R. R. Bos, "Vivosorb, Bio-Gide, and Gore-Tex as barrier membranes in rat mandibular defects: an evaluation by microradiography and micro-CT," Clinical Oral Implants Research, 19, 516-21 (2008). https://doi.org/10.1111/j.1600-0501.2007.01511.x
  9. C. H. Hammerle, and R. E. Jung, "Bone augmentation by means of barrier membranes," Periodontology 2000, 33, 36-53 (2003). https://doi.org/10.1046/j.0906-6713.2003.03304.x
  10. P. Locci, M. Calvitti, S. Belcastro, M. Pugliese, M. Guerra, L. Marinucci, N. Staffolaniet, and E. Becchetti. "Phenotype expression of gingival fibroblasts cultured on membranes used in guided tissue regeneration," Journal of periodontology, 68, 857-63 (1997) https://doi.org/10.1902/jop.1997.68.9.857
  11. D. Quteish, S. Singrao, and A. E. Dolby, "Light and electron microscopic evaluation of biocompatibility, resorption and penetration characteristics of human collagen graft material," Journal of Clinical Periodontology, 18, 305-11 (1991). https://doi.org/10.1111/j.1600-051X.1991.tb00433.x
  12. F. Schwarz, D. Rothamel, M. Herten, M. Wustefeld, M. Sager, D. Ferrari, and J. Becker. "Immunohistochemical characterization of guided bone regeneration at a dehiscence-type defect using different barrier membranes: an experimental study in dogs," Clinical oral implants research, 19, 402-15 (2008) https://doi.org/10.1111/j.1600-0501.2007.01486.x
  13. R. E. Jung, N. Fenner, C. H. Hammerle, and N. U. Zitzmann, "Long-term outcome of implants placed with guided bone regeneration (GBR) using resorbable and non-resorbable membranes after 12-14 years," Clinical Oral Implants Research, (2012).
  14. M. N. Sela, D. Kohavi, E. Krausz, D. Steinberg, and G. Rosen, "Enzymatic degradation of collagen-guided tissue regeneration membranes by periodontal bacteria," Clinical Oral Implants Research, 14, 263-8 (2003). https://doi.org/10.1034/j.1600-0501.2003.140302.x
  15. V. Charulatha, and A. Rajaram, "Influence of different crosslinking treatments on the physical properties of collagen membranes," Biomaterials, 24, 759-67 (2003). https://doi.org/10.1016/S0142-9612(02)00412-X
  16. P. Bunyaratavej, and H. L. Wang, "Collagen membranes: a review," Journal of periodontology, 72, 215-29 (2001). https://doi.org/10.1902/jop.2001.72.2.215
  17. L. H. Olde Damink, P. J. Dijkstra, M. J. van Luyn, P. B. van Wachem, P. Nieuwenhuis, and J. Feijen, "Cross-linking of dermal sheep collagen using a water-soluble carbodiimide," Biomaterials, 17, 765-73 (1996). https://doi.org/10.1016/0142-9612(96)81413-X
  18. S. Castaneda, R. Largo, E. Calvo, F. Rodriguez-Salvanes, ME. Marcos, M. Diaz-Curiel, and G. Herrero-Beaumont. "Bone mineral measurements of subchondral and trabecular bone in healthy and osteoporotic rabbits," Skeletal radiology, 35, 34-41 (2006) https://doi.org/10.1007/s00256-005-0022-z
  19. P. Pripatnanont, T. Nuntanaranont, and S. Vongvatcharanon, Proportion of deproteinized bovine bone and autogenous bone affects bone formation in the treatment of calvarial defects in rabbits," International Journal of Oral and Maxillofacial Surgery, 38, 356-62 (2009). https://doi.org/10.1016/j.ijom.2009.02.015
  20. S. Xu, K. Lin, Z. Wang, J. Chang, L. Wang, and J. Lu, et al., "Reconstruction of calvarial defect of rabbits using porous calcium silicate bioactive ceramics," Biomaterials, 29, 2588-96 (2008). https://doi.org/10.1016/j.biomaterials.2008.03.013
  21. J. M. Shand, A. A. Heggie, A. D. Holmes, and W. Holmes, "Allogeneic bone grafting of calvarial defects: an experimental study in the rabbit," International Journal of Oral and Maxillofacial Surgery, 31, 525-31 (2002). https://doi.org/10.1054/ijom.2002.0281
  22. JY. Sohn, JC. Park, YJ. Um, UW. Jung, CS. Kim, KS. Cho and SH. Choi. "Spontaneous healing capacity of rabbit cranial defects of various sizes," Journal of periodontal & implant science, 40, 180-7 (2010) https://doi.org/10.5051/jpis.2010.40.4.180
  23. C. H. Hammerle, J. Schmid, A. J. Olah, and N. P. Lang, "Osseous healing of experimentally created defects in the calvaria of rabbits using guided bone regeneration. A pilot study. Clinical oral implants research. 3, 144-7 (1992). https://doi.org/10.1034/j.1600-0501.1992.030307.x
  24. N. S. DeSilva, I. Ofek, and E. C. Crouch, "Interactions of surfactant protein D with fatty acids," American Journal of Respiratory Cell and Molecular Biology, 29, 757-70 (2003). https://doi.org/10.1165/rcmb.2003-0186OC
  25. Z. Grabarek, and J. Gergely, "Zero-length crosslinking procedure with the use of active esters," Analytical Biochemistry, 185, 131-5 (1990) https://doi.org/10.1016/0003-2697(90)90267-D
  26. J. V. Staros, R. W. Wright, and D. M. Swingle, "Enhancement by Nhydroxysulfosuccinimide of water-soluble carbodiimide-mediated coupling reactions," Analytical Biochemistry, 156, 220-2 (1986). https://doi.org/10.1016/0003-2697(86)90176-4
  27. M. Taniuchi, H. B. Clark, and E. M. Johnson, Jr. Induction of nerve growth factor receptor in Schwann cells after axotomy. Proceedings of the National Academy of Sciences of the United States of America. 83, 4094-8 (1986). https://doi.org/10.1073/pnas.83.11.4094
  28. O. Moses, D. Vitrial, G. Aboodi, A. Sculean, H. Tal, and A. Kozlovsky, et al., "Biodegradation of three different collagen membranes in the rat calvarium: a comparative study," Journal of Periodontology, 79, 905-11 (2008). https://doi.org/10.1902/jop.2008.070361
  29. T. von Arx, and B. Kurt, "Implant placement and simultaneous ridge augmentation using autogenous bone and a micro titanium mesh: a prospective clinical study with 20 implants," Clinical Oral Implants Research, 10, 24-33 (1999). https://doi.org/10.1034/j.1600-0501.1999.100104.x
  30. A. K. Lundgren, D. Lundgren, L. Sennerby, A. Taylor, J. Gottlow, and S. Nyman, "Augmentation of skull bone using a bioresorbable barrier supported by autologous bone grafts. An intra-individual study in the rabbit," Clinical Oral Implants Research, 8, 90-5 (1997). https://doi.org/10.1034/j.1600-0501.1997.080203.x
  31. M. Simion, U. Misitano, L. Gionso, and A. Salvato, "Treatment of dehiscences and fenestrations around dental implants using resorbable and nonresorbable membranes associated with bone autografts: a comparative clinical study," The International Journal of Oral & Maxillofacial Implants, 12, 159-67 (1997).