1. Regenerative properties of collagenated porcine bone grafts in human maxilla: demonstrative study of the kinetics by synchrotron radiation microtomography and light microscopy
- Author
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Serena Mazzoni, Antonio Barone, Adriano Piattelli, Vittoria Perrotti, Alessandra Giuliani, and Giovanna Iezzi
- Subjects
Adult ,Male ,0301 basic medicine ,Histology ,X-ray microtomography ,Swine ,Matrix (biology) ,Imaging ,Bone remodeling ,Collagenated porcine bone ,03 medical and health sciences ,Imaging, Three-Dimensional ,0302 clinical medicine ,Synchrotron radiation microtomography ,Post-extraction sockets ,Maxilla ,Animals ,Humans ,Tooth Socket ,General Dentistry ,Dental alveolus ,Aged ,Wound Healing ,Bone Transplantation ,Chemistry ,Biomaterial ,Alveolar Ridge Augmentation ,X-Ray Microtomography ,030206 dentistry ,Anatomy ,Middle Aged ,ddc:617.6 ,Treatment Outcome ,030104 developmental biology ,Bone Remodeling ,Bone Substitutes ,Female ,Heterografts ,Synchrotrons ,Tooth Extraction ,Three-Dimensional ,Wound healing - Abstract
Recently, it has been reported that heterologous biomaterials, where the collagen matrix is preserved, seem to facilitate blood clotting and the subsequent invasion of repairing and regenerative cells. This study aimed at evaluating the healing of human extraction sockets grafted with a collagenated cortico-cancellous porcine bone (mp3®, OsteoBiol®, Tecnoss®, Giaveno, Italy) by synchrotron radiation X-ray microtomography (microCT) and histology in order to have a 3D quantitative characterization over time. Ridge preservation with porcine bone and collagen membrane was performed on 21 patients using a flapless approach and a secondary soft tissue closure. At the time of implant placement, six bone samples were harvested, two in the 3-month group, two in the 6-month group, one in the 12-month group post-surgery, and one spontaneously healed control, and evaluated by microCT and histology. MicroCT revealed that in the grafted sites there were a greater number of trabeculae, although they appeared thinner than in the control sites; these trabeculae homogenously filled the defects, suggesting an improved strength of the socket. Histology showed that over time, the amount of biomaterial decreased and the newly formed bone increased, while less dense bone with wider marrow spaces was detected in the control sample, supporting synchrotron findings. The morphometric data converge to indicate the suitability of porcine bone for the preservation of post-extraction sockets. The use of mp3 is encouraged to preserve and heal sockets.
- Published
- 2017
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