Abstract
(1) Background: Evaluate the osteoconduction capability of a biphasic calcium phosphate (BCP) ceramic composed of hydroxyapatite and β-tricalcium phosphate 60%/40% in a rat model. (2) Methods: In the calvarial bone of 54 adult male rats, 7-mm diameter critical size defects were performed. The animals were randomly allocated to three experimental groups according to the type of material: blood clot (BCG), blood clot covered with a bovine-derived collagen membrane (MBCG), and BCP ceramic covered with a bovine-derived collagen membrane (BCPG). In each group, 6 animals were euthanatized at post-operative days 7, 30, and 60 for histological and histometric analysis. (3) Results: The qualitative analysis revealed the persistence of the collagen membrane at seven days, with no relevant newly bone formation in all groups. At 30 days, centripetal bone formation was observed residual particles of the biomaterial surrounded by fibroblasts noted in the BCPG. At 60 days, while BCG and MBCG showed a partial maturation with the central part of the defect populated by a fibrous connective tissue, in the BCPG the critical area was entirely occupied by newly formed bone. In the intra groups analysis was noted a significant increase in new bone formation during the experimental period (p < 0.05). At 60 days, BCPG showed a higher percentage area of new bone formation (p < 0.05). (4) Conclusion: BCP promoted a new bone formation by osteoconduction and might be considered a valid alternative in bone regeneration procedures.
Highlights
Replacement of missing teeth with osseointegrated dental implants is a well-established treatment option associated with high long-term survival rates [1]
The animals were randomly allocated to three experimental groups according to the type of material: blood clot (BCG), blood clot covered with a bovine-derived collagen membrane (MBCG), and biphasic calcium phosphate (BCP) ceramic covered with a bovine-derived collagen membrane (BCPG)
At 60 days, while BCG and MBCG showed a partial maturation with the central part of the defect populated by a fibrous connective tissue, in the BCPG the critical area was entirely occupied by newly formed bone
Summary
Replacement of missing teeth with osseointegrated dental implants is a well-established treatment option associated with high long-term survival rates [1]. Comparable outcomes have been reported for implants placed in native and in regenerated bone, emphasizing the importance of an adequate amount of hard tissue needed to obtain predictable results [4]. In this respect, a lack of bone is mainly due to the physiologic bone remodeling occurring in response to the loss of function as a consequence of tooth extraction. The final result is a recipient site that is unsuitable to properly receive a dental implant, as an inadequate bone volume is a factor that negatively affects the primary stability and the long-term outcome [5]
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