Title
Biphasic hydroxyapatite and ß-tricalcium phosphate biomaterial behavior in a case series of maxillary sinus augmentation in humans
Date Issued
01 April 2019
Access level
metadata only access
Resource Type
journal article
Author(s)
Olaechea A.
O´Valle F.
Padial-Molina M.
Martin-Morales N.
Galindo-Moreno P.
Publisher(s)
Blackwell Munksgaard
Abstract
Objectives: The aim of this study was to evaluate and compare the morphometric components and the histological properties of pristine bone and bone grafted with a biphasic ß-tricalcium phosphate in humans using the maxillary sinus model. Reparative mesenchymal stem cells in the pristine bone and graft were also evaluated. Materials and Methods: For this prospective case series, sinus augmentation was performed using a biphasic ß-tricalcium phosphate. After 6 months of healing, a core of remnant native alveolar bone and grafted bone was collected with a trephine. Histological, histomorphometrical, and immunohistochemical techniques were performed. Radiological analysis through cone beam computerized tomography was also conducted. Results: A total of 10 patients were enrolled in this study. Radiologically, patients showed an average increase of crestal bone of 8.03 ± 1.72 mm. Morphologically, the grafted area was composed by 34.93 ± 14.68% of new mineralized tissue, 9.82 ± 11.42% of remnant biomaterial particles, and 55.23 ± 11.03% non-mineralized tissue. Histologically, we found no differences in the number of osteocytes per mm 2 (p = 0.674), osteoblasts (p = 0.893), and blood vessels (p = 0.894) in the grafted area compared to the pristine bone. Differences were found on the number of osteoclasts (15.57 ± 27.50 vs. 5.37 ± 16.12, p = 0.027). The number of Musashi-1 positive mesenchymal cells (239.61 ± 177.4 vs. 42.11 ± 52.82, p = 0.027) was also significantly higher in the grafted area than in the pristine bone. Conclusion: Biphasic ß-tricalcium phosphate is a suitable biomaterial to be used in the formation of new bone in sinus floor elevation procedures in humans, not only from the histomorphometrical point of view, but also regarding the cellular and vascular quality of the regenerated bone.
Start page
336
End page
343
Volume
30
Issue
4
Language
English
OCDE Knowledge area
Biotecnología médica Odontología, Cirugía oral, Medicina oral Bioquímica, Biología molecular
Scopus EID
2-s2.0-85063337426
PubMed ID
Source
Clinical Oral Implants Research
ISSN of the container
09057161
DOI of the container
10.1111/clr.13419
Sponsor(s)
Funding information This investigation was partially supported by Research Groups #CTS-138 and #CTS-1028 (Junta de Andalucía, Spain). MPM was supported by the Andalucía Talent Hub Program from the Andalusian Knowledge Agency (co-funded by the European Union's Seventh Framework Program, Marie Skłodowska-Curie actions (COFUND—Grant Agreement nº 291,780) and the Ministry of Economy, Innovation, Science and Employment of the Junta de Andalucía). The authors are grateful to Justin Davis for assistance with the English translation. This investigation was partially supported by Research Groups #CTS‐138 and #CTS‐1028 (Junta de AndalucD?a, Spain). MPM was supported by the AndalucD?a Talent Hub Program from the Andalusian Knowledge Agency (co‐funded by the European Union's Seventh Framework Program, Marie Skłodowska‐Curie actions (COFUND—Grant Agreement nº 291,780) and the Ministry of Economy, Innovation, Science and Employment of the Junta de AndalucD?a).
Sources of information: Directorio de Producción Científica Scopus