1. A novel experimental approach to evaluate guided bone regeneration (GBR) in the rat femur using a 3D-printed CAD/CAM zirconia space-maintaining barrier
- Author
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Ada Codreanu, Alexandru Petre, Sergiu Drafta, Cornel Balta, Iuliana Urzica, Nicoleta Anghel-Zurbau, Sorina Dinescu, Bianca Onita-Mladin, Sami Gharbia, Simona-Rebeca Ignat, Hildegard Herman, Luminita Oancea, Andrei-Gelu Hermenean, and Anca Hermenean
- Subjects
0301 basic medicine ,GAPDH, glyceraldehyde 3-phosphate dehydrogenase ,PGA, poly(glycolic acid) ,Bone tissue ,Bone remodeling ,0302 clinical medicine ,OSX, osterix ,Medicine ,Bone mineral ,lcsh:R5-920 ,Multidisciplinary ,PLA, poly(lactic acid) ,CAD/CAM, computer-aided design/computer-aided manufacturing ,PCL, poly(e-caprolactone) ,VEGF, vascular endothelial growth factor ,Bone regeneration ,medicine.anatomical_structure ,VEGFR, vascular endothelial growth factor receptor ,030220 oncology & carcinogenesis ,lcsh:Medicine (General) ,GBR, guided bone regeneration ,PBS, phosphate-buffered saline ,Bioengineering ,Orthodontics ,Article ,Osseointegration ,03 medical and health sciences ,FBS, fetal bovine serum ,PDGFRβ, platelet-derived growth factor receptor β ,Femur ,lcsh:Science (General) ,Dental alveolus ,ComputingMethodologies_COMPUTERGRAPHICS ,Guided tissue regeneration ,business.industry ,IVC, individually ventilated cage ,OCN, osteocalcin ,030104 developmental biology ,Dentistry ,OPN, osteopontin ,Zirconia ,Implant ,PFA, paraformaldehyde ,business ,lcsh:Q1-390 ,DAPI, 4′,6-diamidino-2-phenylindole ,ePTFE, expanded polytetrafluoroethylene ,Biomedical engineering - Abstract
Graphical abstract, Introduction Obtaining a certain bone volume is an important goal in implantology or orthopedics. Thus, after tooth extraction, quite a lot of horizontal and vertical alveolar bone is lost in time and can be detrimental to the implant treatment outcome, while the treatment of critical bone defects is a considerable challenge for surgery. Objectives In this study we designed a new in vivo model as an useful experimental tool to assess guided bone regeneration (GBR) using a computer-aided design/manufacturing (CAD-CAM) space-maintaining barrier. Methods The barrier was 3D printed with three progressive heights, surgically placed on rat femur, and GBR results were analyzed at 2, 4, and 8 weeks by X-ray and bone mineral density analysis, histology/morphometry and by immunofluorescence and immunohistochemistry for osteogenesis and angiogenesis evaluation. Results The obtained results show that the proposed experimental model provides a real-time useful information on progressive bone tissue formation, which depends on the volume of isolated space created for GBR and on molecular events that lead to satisfactory vertical and horizontal bone augmentation and osteointegration. Conclusion In conclusion, the proposed customized three-dome space-maintaining barrier is suitable as an experimental tool to assess the potential of using the designed barriers in dentistry and orthopedics to promote the formation of new bone and determine their space- and time-dependent limitations. Meanwhile, guided bone augmentation for dentistry requires subsequent evaluation on an alveolar bone preclinical model followed by clinical implementation.
- Published
- 2021
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