Calcium Phosphate Graft Material이 적용된 발치와의 치유 양상에 대한 조직학적 연구
Histological Study of Extraction Socket Grafted with Calcium Phosphate Materials: An Animal Study
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
본 연구의 목적은 인산칼슘제제인 MBCPⓇ, PolyboneⓇ을 발치와에 이식 후 치유 양상을 조직학적으로 관찰하는 것이다. 비글견의 소구치를 발치 후 발치와에 골이식재를 이식하였으며, 3개월간의 치유기간을 거친 후 조직표본을 제작하여 현미경으로 치유 양상을 관찰하였다. MBCPⓇ, PolyboneⓇ은 조직학적으로 비슷한 치유 양상을 보였으며 이물반응이나 염증 반응 없이 신생골 생성을 유도하여 정상적인 치유를 도모하였다. 치유된 조직의 조직 계측학적 평가에서 신생골 비율은 골이식재를 이식하지 않은 대조군이 34.5%, MBCPⓇ는 28.4%, PolyboneⓇ은 23.8%였으며, 골이식재를 포함한 전체 mineralized tissue의 비율은 각각 34.5%, 42.9%, 37.3% 였다. 이상의 결과에서 MBCPⓇ, PolyboneⓇ은 발치와에 사용할 골이식재로 가치가 있는 것으로 생각된다.
Abstract
The purpose of this study was to evaluate histologic result of bone substituting materials on extraction sockets. We compare the histologic findings of control, MBCPⓇ, PolyboneⓇ. Mandibular premolar teeth of Beagle dogs were extracted available for bone filling. All alveolar extraction sockets were thoroughly debrided with surgical curet to remove the periodontal ligament. The graft materials were filled into the extraction sockets. The animals were sacrified 90 days after implantation. Both treated and control mandibular sites were histologically evaluated with light microscopy. Histological observation at 90 days revealed that control and experimental sites were healed uneventfully without any adverse tissue reaction. Regenerated new bone formation ratio is 34.5% for control, 28.4% for MBCPⓇ, 23.8% for PolyboneⓇ. From this results, it was suggested that MBCPⓇ, PolyboneⓇ are promising bone substituting materials to promote normal tissue healing and new bone formation.
참고문헌 (31)
- Barboza EP, "Bone regeneration of localized chronic alveolar defects utilizing cell binding peptide associated with anorganic bovine-derived bone mineral: a clinical and histological study", J Periodontol, 73, pp.1153~1159 (2002)
- Burchardt H, "Biology of bone transplantation", Orthop Clin North Am, 18, pp.187~196 (1987)
- Kurz WA, "The carbon budget of Canadian forests: a sensitivity analysis of changes in disturbance regimes, growth rates, and decomposition rates", Environ Pollut, 83, pp.55~61 (1994)
- Le Nihouannen D, "Osteogenic properties of calcium phosphate ceramics and fibrin glue based composites", J Mater Sci Mater Med, 18, pp.225~235 (2007)
- Delloye C, "How to improve the incorporation of massive allografts?", Chir Organi Mov, 88, pp.335~343 (2003)
- Bieber EJ, "Bone reconstruction", Clin Plast Surg, 13, pp.645~655 (1986)
- Daculsi G, "Current state of the art of biphasic calcium phosphate bioceramics", J Mater Sci Mater Med, 14, pp.195~200 (2003)
- Frayssinet P, "Osseointegration of macroporous calcium phosphate ceramics having a different chemical composition", Biomaterials, 14, pp.423~429 (1993)
- White E, "Biomaterial aspects of Interpore-200 porous hydroxyapatite", Dent Clin North Am, 30, pp.49~67 (1986)
- Bahat O, "Preservation of ridges utilizing hydroxyapatite", Int J Periodontics Restorative Dent, 7, pp.34~41 (1987)
- Bell DH, Jr., "Particles versus solid forms of hydroxyapatite as a treatment modality to preserve residual alveolar ridges", J Prosthet Dent, 56, pp.322~326 (1986)
- Block MS, "A comparison of particulate and solid root forms of hydroxylapatite in dog extraction sites", J Oral Maxillofac Surg, 44, pp.89~93 (1986)
- Sherer AD, "Evaluation of implanted durapatite particles in fresh extraction sockets to maintain the alveolar ridge in beagle dogs", J Prosthet Dent, 57, pp.331~337 (1987)
- Cavagna R, "Macroporous calcium phosphate ceramic: a prospective study of 106 cases in lumbar spinal fusion", J Long Term Eff Med Implants, 9, pp.403~412 (1999)
- Daculsi G, "Macroporous calcium phosphate ceramic for long bone surgery in humans and dogs. Clinical and histological study", J Biomed Mater Res, 24, pp.379~396 (1990)
- Nery EB, "Biphasic calcium phosphate ceramic combined with fibrillar collagen with and without citric acid conditioning in the treatment of periodontal osseous defects", J Periodontol, 61, pp.166~172 (1990)
- Kornberg A, "Inorganic polyphosphate: toward making a forgotten polymer unforgettable", J Bacteriol, 177, pp.491~496 (1995)
- Kumble KD, "Inorganic polyphosphate in mammalian cells and tissues", J Biol Chem, 270, pp.5818~5822 (1995)
- Niemeyer R, "Inorganic Polyphosphates Biochemistry, Biology, Biotechnology" (1999), Springer-Verlag
- "Chae", ~, pp.U.S Patent No. 6537589B1 (2003)
- Oh KS, "Preparation and in vivo studies of beta-TCP based bone cement containing polyphosphate", Key Eng Mater, 284, pp.93~96 (2005)
- Daculsi G, "Performance for bone ingrowth of biphasic calcium phosphate ceramic versus bovine bone substitute", Key Eng Mater, 309, pp.1379~1382 (2006)
- Mirtchi AA, "Calcium phosphate cements: action of setting regulators on the properties of the beta-tricalcium phosphate- monocalcium phosphate cements", Biomaterials, 10, pp.634~638 (1989)
- Eggli PS, "Porous hydroxyapatite and tricalcium phosphate cylinders with two different pore size ranges implanted in the cancellous bone of rabbits. A comparative histomorphometric and histologic study of bony ingrowth and implant substitution", Clin Orthop Relat Res, pp.127~138 (1988)
- Gerhart TN, "In vitro characterization and biomechanical optimization of a biodegradable particulate composite bone cement", J Biomed Mater Res, 22, pp.1071~1082 (1988)
- de Groot K, "Bioceramics consisting of calcium phosphate salts", Biomaterials, 1, pp.47~50 (1980)
- Hollinger JO, "Biodegradable bone repair materials. Synthetic polymers and ceramics", Clin Orthop Relat Res, pp.290~305 (1986)
- Ohgushi H, "Marrow cell induced osteogenesis in porous hydroxyapatite and tricalcium phosphate: a comparative histomorphometric study of ectopic bone formation", J Biomed Mater Res, 24, pp.1563~1570 (1990)
- Shimazaki K, "Comparative study of porous hydroxyapatite and tricalcium phosphate as bone substitute", J Orthop Res, 3, pp.301~310 (1985)
- Brown WE, "Cements Research Progress" (1986), American ceramics society
- Ohura K, "Resorption of, and bone formation from, new beta-tricalcium phosphate-monocalcium phosphate cements: an in vivo study", J Biomed Mater Res, 30, pp.193~200 (1996)
