The aim of the current study is to evaluate fresh-frozen human bone allografts (FHBAs) used in vertical ridge augmentation clinically and by computed tomography, and to analyze the resulting bone formation and graft resorption. Sixteen FHBAs were grafted in the maxillae and mandibles of 9 patients. The FHBAs, which were provided by the Musculoskeletal Tissue Bank of Marilia Hospital (Unioss), were frozen at -80°C. After 7 months, dental implants were placed and bone parameters were evaluated. Vertical bone formation was measured by computerized tomography before (T0) and at 7 months (T1) after the surgical procedure. Bone graft resorption was measured clinically from a landmark screw head using a periodontal probe. The results were analyzed by Student's t-test. Significant differences existed in the bone formation values at T0 and T1, with an average change of 4.03 ± 1.69 mm. Bone graft resorption values were 1.0 ± 0.82 mm (20%). Implants were placed with varying insertion torque values (35-45 Ncm), and achieved primary stability. This study demonstrates that FHBAs promote satisfactory vertical bone formation with a low resorption rates, good density, and primary implant stability.
he main goal of this study was to histologically evaluate the healing of surgically created defects on the tibiae of adult male rats after implantation of two types of bioactive glass. Sixteen adult Wistar rats (body weight of 300g) were divided into two groups: PerioGlas (PG) (n=8) and BioGran (BG) (n=8). Unicortical bone defects with 3-mm diameter were performed in both tibiae of the animals and filled with two types of glass particles. The rats were then sacrificed at 7, 14, 30 and 60 days, and the tissues were prepared for histological processing, sectioning, and staining with hematoxylin and eosin, as well as Mallory trichrome, and analyzed under light microscope. Within 7-14 days, both groups presented connective tissue septa with new bone formation, more intense in the PG group. In the subsequent periods (30 and 60 days), both groups presented more mature bone tissue around the glass particles. Bone trabeculae formed in all experimental periods were juxtaposed to the glass particles. It can be concluded that both materials promoted comparable bone formation over the entire extension of the defect, independently of the size of the granules, thus confirming their biological osteoconductive property. UNITERMS: Bone regeneration; Bioactive ceramic; Bone repair; Implant; Bioactive glass. objetivo deste estudo foi avaliar a resposta histológica após a implantação de dois tipos de cerâmicas bioativas em defeitos criados na tíbia de ratos. Dezesseis ratos da raça Wistar, pesando 300g, foram divididos em dois grupos: PerioGlass (PG) (n=8) e Biogran (BG) (n=8). Defeitos ósseos unicorticais de 3 mm de diâmetro foram realizados na tíbia dos animais e preenchidos com os dois tipos de partículas cerâmicas. Os animais foram sacrificados aos 7, 14, 30 e 60 dias no pós-operatório. O material preparado para processamento e exame histológico em microscopia óptica foi corado com hematoxilina-eosina e tricrômio de Mallory. Aos 7 dias ambos os grupos apresentaram septos ósseos neoformados, mais intensos no grupo PG. Isto também foi observado aos 14 dias. Nos períodos posteriores (30 e 60 dias), ambos os grupos apresentaram tecido ósseo mais maduro ao redor das partículas cerâmicas. As trabéculas ósseas formadas em todos os períodos experimentais foram justapostas com as partículas. Podemos concluir que ambos os materiais promoveram o preenchimento ósseo em toda a extensão do defeito independente de suas granulações comprovando suas propriedades osteocondutivas.
Regeneration of periodontal and alveolar ridge defects utilizing membranes is a well-established procedure in reconstructive surgery. Biomaterial characteristics and membrane design employed in guided tissue regeneration (GTR) techniques play an important role in good results. The purpose of this histologic experimental study in rats was to compare the use of two physical barriers in the osteopromotion by using GTR principles in bone defects created in tibias. Fifteen animals divided into 3 groups were used: group I (non-porous polytetrafluoroethylene (PTFE) barrier), group II (coral hydroxyapatite (HA) blocks), and group III (defects that received no physical barrier). Histological examination showed varied amounts of newly formed bone beneath both types of barriers. The non-porous PTFE barrier showed better results than the HA group. The results of this study suggest that bone regeneration can be successfully enhanced by a submerged membrane technique.
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