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Bergamo ETP, Balderrama ÍDF, Ferreira MR, Spielman R, Slavin BV, Torroni A, Tovar N, Nayak VV, Slavin BR, Coelho PG, Witek L. Osteogenic differentiation and reconstruction of mandible defects using a novel resorbable membrane: An in vitro and in vivo experimental study. J Biomed Mater Res B Appl Biomater 2023; 111:1966-1978. [PMID: 37470190 DOI: 10.1002/jbm.b.35299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 06/30/2023] [Accepted: 07/05/2023] [Indexed: 07/21/2023]
Abstract
To evaluate the cellular response of both an intact fish skin membrane and a porcine-derived collagen membrane and investigate the bone healing response of these membranes using a translational, preclinical, guided-bone regeneration (GBR) canine model. Two different naturally sourced membranes were evaluated in this study: (i) an intact fish skin membrane (Kerecis Oral®, Kerecis) and (ii) a porcine derived collagen (Mucograft®, Geistlich) membrane, positive control. For the in vitro experiments, human osteoprogenitor (hOP) cells were used to assess the cellular viability and proliferation at 24, 48, 72, and 168 h. ALPL, COL1A1, BMP2, and RUNX2 expression levels were analyzed by real-time PCR at 7 and 14 days. The preclinical component was designed to mimic a GBR model in canines (n = 12). The first step was the extraction of premolars (P1-P4) and the 1st molars bilaterally, thereby creating four three-wall box type defects per mandible (two per side). Each defect site was filled with bone grafting material, which was then covered with one of the two membranes (Kerecis Oral® or Mucograft®). The groups were nested within the mandibles of each subject and membranes randomly allocated among the defects to minimize potential site bias. Samples were harvested at 30-, 60-, and 90-days and subjected to computerized microtomography (μCT) for three-dimensional reconstruction to quantify bone formation and graft degradation, in addition to histological processing to qualitatively analyze bone regeneration. Neither the intact fish skin membrane nor porcine-based collagen membrane presented cytotoxic effects. An increase in cell proliferation rate was observed for both membranes, with the Kerecis Oral® outperforming the Mucograft® at the 48- and 168-hour time points. Kerecis Oral® yielded higher ALPL expression relative to Mucograft® at both 7- and 14-day points. Additionally, higher COL1A1 expression was observed for the Kerecis Oral® membrane after 7 days but no differences were detected at 14 days. The membranes yielded similar BMP2 and RUNX2 expression at 7 and 14 days. Volumetric reconstructions and histologic micrographs indicated gradual bone ingrowth along with the presence of particulate bone grafts bridging the defect walls for both Kerecis Oral® and Mucograft® membranes, which allowed for the reestablishment of the mandible shape after 90 days. New bone formation significantly increased from 30 to 60 days, and from 60 to 90 days in vivo, without significant differences between membranes. The amount of bovine grafting material (%) within the defects significantly decreased from 30 to 90 days. Collagen membranes led to an upregulation of cellular proliferation and adhesion along with increased expression of genes associated with bone healing, particularly the intact fish skin membrane. Despite an increase in the bone formation rate in the defect over time, there was no significant difference between the membranes.
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Affiliation(s)
- Edmara T P Bergamo
- Biomaterials Division, NYU College of Dentistry, New York, New York, USA
- Department of Prosthodontics, NYU College of Dentistry, New York, New York, USA
| | - Ísis de Fátima Balderrama
- Biomaterials Division, NYU College of Dentistry, New York, New York, USA
- Department of Diagnosis and Surgery, School of Dentistry of Araraquara, Sao Paulo State University, Araraquara, Sao Paulo, Brazil
| | - Marcel Rodrigues Ferreira
- Department of Chemical and Biological Sciences, São Paulo State University (UNESP), Institute of Biosciences, Campus Botucatu, Botucatu, São Paulo, Brazil
| | - Robert Spielman
- Biomaterials Division, NYU College of Dentistry, New York, New York, USA
| | - Blaire V Slavin
- University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Andrea Torroni
- Hansjörg Wyss Department of Plastic Surgery, New York University Grossman School of Medicine, New York, New York, USA
| | - Nick Tovar
- Biomaterials Division, NYU College of Dentistry, New York, New York, USA
- Department of Oral and Maxillofacial Surgery, NYU Langone Medical Center and Bellevue Hospital Center, New York, New York, USA
| | - Vasudev V Nayak
- Department of Biochemistry and Molecular Biology, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Benjamin R Slavin
- DeWitt Daughtry Family Department of Surgery, Division of Plastic Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Paulo G Coelho
- Department of Biochemistry and Molecular Biology, University of Miami Miller School of Medicine, Miami, Florida, USA
- DeWitt Daughtry Family Department of Surgery, Division of Plastic Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Lukasz Witek
- Biomaterials Division, NYU College of Dentistry, New York, New York, USA
- Hansjörg Wyss Department of Plastic Surgery, New York University Grossman School of Medicine, New York, New York, USA
- Department of Biomedical Engineering, NYU Tandon School of Engineering, Brooklyn, New York, USA
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Gomez J, Bergamo ET, Tovar N, Talib HS, Pippenger BE, Herdia V, Cox M, Coelho PG, Witek L. Microtomographic reconstruction of mandibular defects treated with xenografts and collagen-based membranes: A pre-clinical minipig model. Med Oral Patol Oral Cir Bucal 2021; 26:e825-e833. [PMID: 34564687 PMCID: PMC8601645 DOI: 10.4317/medoral.24811] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Accepted: 07/16/2021] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND The goal of this study was to evaluate hard tissue response following guided bone regeneration using commercially available bovine bone grafts and collagen membranes; bilayer collagen membrane and porcine pericardium-based membrane, by means of a non-destructive three-dimensional (3D) computerized volumetric analysis following microtomography reconstruction. MATERIAL AND METHODS Bone regenerative properties of various bovine bone graft materials were evaluated in the Göttingen minipig model. Two standardized intraosseous defects (15mm x 8mm x 8mm) were created bilaterally of the mandible of eighteen animals (n=72 defects). Groups were nested within the same subject and randomly distributed among the sites: (i) negative control (no graft and membrane), (ii) bovine bone graft/bilayer collagen membrane (BOB) (iii) Bio-Oss® bone graft/porcine pericardium-based membrane (BOJ) and (iv) cerabone® bone graft/porcine pericardium-based membrane (CJ). Samples were harvested at 4, 8, and 12-week time points (n=6 animal/time point). Segments were scanned using computerized microtomography (μCT) and three dimensionally reconstructed utilizing volumetric reconstruction software. Statistical analyses were performed using IBM SPSS with a significance level of 5%. RESULTS From a temporal perspective, tridimensional evaluation revealed gradual bone ingrowth with the presence of particulate bone grafts bridging the defect walls, and mandibular architecture preservation over time. Volumetric analysis demonstrated no significant difference between all groups at 4 weeks (p>0.127). At 8 and 12 weeks there was a higher percentage of new bone formation for control and CJ groups when compared to BOB and BOJ groups (p<0.039). The natural bovine bone graft group showed more potential for graft resorption over time relative to bovine bone graft, significantly different between 4 and 8 weeks (p<0.003). CONCLUSIONS Volumetric analysis yielded a favorable mandible shape with respect to time through the beneficial balance between graft resorption/bone regenerative capacity for the natural bovine bone graft.
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Affiliation(s)
- J Gomez
- New York University College of Dentistry Department of Biomaterials 433 1st Ave, Room 842, New York, USA
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Bornert F, Herber V, Sandgren R, Witek L, Coelho PG, Pippenger BE, Shahdad S. Comparative barrier membrane degradation over time: Pericardium versus dermal membranes. Clin Exp Dent Res 2021; 7:711-718. [PMID: 33949796 PMCID: PMC8543466 DOI: 10.1002/cre2.414] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Revised: 02/01/2021] [Accepted: 02/03/2021] [Indexed: 11/25/2022] Open
Abstract
Objective The effectiveness of GBR procedures for the reconstruction of periodontal defects has been well documented. The objective of this investigation was to evaluate the degradation kinetics and biocompatibility of two resorbable collagen membranes in conjunction with a bovine xenograft material. Materials and Methods Lower premolars and first molars were extracted from 18 male Yucatan minipigs. After 4 months of healing, standardized semi‐saddle defects were created (12 mm × 8 mm × 8 mm [l˙̇ × W˙ × d]), with 10 mm between adjacent defects. The defects were filled with a bovine xenograft and covered with a either the bilayer collagen membrane (control) or the porcine pericardium‐derived collagen membrane (test). Histological analysis was performed after 4, 8, and 12 weeks of healing and the amount of residual membrane evaluated. Non‐inferiority was calculated using the Brunner‐Langer mixed regression model. Results Histological analysis indicated the presence of residual membrane in both groups at all time points, with significant degradation noted in both groups at 12 weeks compared to 4 weeks (p = .017). No significant difference in ranked residual membrane scores between the control and test membranes was detected at any time point. Conclusions The pericardium‐derived membrane was shown to be statistically non‐inferior to the control membrane with respect to resorption kinetics and barrier function when utilized for guided bone regeneration in semi‐saddle defects in minipigs. Further evaluation is necessary in the clinical setting.
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Affiliation(s)
- Fabien Bornert
- Faculty of Dental Surgery, Department of Oral Surgery, University of Strasbourg, Strasbourg, France
| | - Valentin Herber
- Faculty of Dental Surgery, Department of Oral Surgery, University of Strasbourg, Strasbourg, France.,Department of Dentistry and oral Health, Division of Oral Surgery and Orthodontics, Medical University of Graz, Graz, Austria
| | | | - Lukasz Witek
- Department of Biomaterials, New York University College of Dentistry, New York, New York, USA.,Department of Biomedical Engineering, New York University Tandon School of Engineering, Brooklyn, New York, USA
| | - Paulo G Coelho
- Department of Biomaterials, New York University College of Dentistry, New York, New York, USA.,Department of Mechanical and Aerospace Engineering, New York University Tandon School of Engineering, Brooklyn, New York, USA.,Hansjörg Wyss Department of Plastic Surgery, New York University School of Medicine, New York, New York, USA
| | - Benjamin E Pippenger
- Department of Preclinical & Translational Research, Institut Straumann AG, Basel, Switzerland.,Center for Dental Medicine, Department of Periodontology, University of Zurich, Zurich, Switzerland
| | - Shakeel Shahdad
- Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
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Ridge Architecture Preservation Following Minimally Traumatic Exodontia Techniques and Guided Tissue Regeneration. IMPLANT DENT 2019; 28:319-328. [PMID: 31008823 DOI: 10.1097/id.0000000000000886] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To compare hard-tissue healing after 3 exodontia approaches. MATERIALS AND METHODS Premolars of dogs were extracted: (1) flapless, (2) flap, and (3) flap + socket coverage with polytetrafluoroethylene (dPTFE) nonresorbable membrane (flap + dPTFE). Animals were euthanized at 1 and 4 weeks. Amount of bone formation within socket and socket total area were measured. RESULTS Amount of bone formation revealed significant difference between 1 and 4 weeks; however, there was no differences among groups. Socket total area decreased after 4 weeks, and the flap + dPTFE group showed significantly higher socket total area. As a function of time and group, flap + dPTFE 4 weeks presented similar socket total area values relative to flap + dPTFE at 1 week, and significantly higher socket total area than flapless and flap. The histological sections revealed almost no bone formation within socket after 1 week, which increased for all groups at 4 weeks. CONCLUSION Socket coverage with polytetrafluoroethylene (dPTFE) membrane showed to effectively preserve bone architecture. Bone formation within sockets was not influenced by tooth extraction technique.
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Tovar N, Witek L, Neiva R, Marão HF, Gil LF, Atria P, Jimbo R, Caceres EA, Coelho PG. In vivo
evaluation of resorbable supercritical CO
2
‐treated collagen membranes for class III furcation‐guided tissue regeneration. J Biomed Mater Res B Appl Biomater 2018; 107:1320-1328. [DOI: 10.1002/jbm.b.34225] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2017] [Revised: 07/26/2018] [Accepted: 08/02/2018] [Indexed: 01/21/2023]
Affiliation(s)
- Nick Tovar
- Department of Biomaterials and BiomimeticsNew York University College of Dentistry New York New York
| | - Lukasz Witek
- Department of Biomaterials and BiomimeticsNew York University College of Dentistry New York New York
| | - Rodrigo Neiva
- Department of PeriodontologyUniversity of Florida in Gainesville Gainesville Florida
| | - Heloisa F. Marão
- Department of Biomaterials and BiomimeticsNew York University College of Dentistry New York New York
| | - Luiz F. Gil
- Department of Morphological SciencesUniversidade Federal de Santa Catarina Florianopolis Brazil
| | - Pablo Atria
- Biomaterials DepartmentUniversidad de los Andes Santiago Chile
| | - Ryo Jimbo
- Department of Applied ProsthodonticsNagasaki University Graduate School of Biomedical Sciences Nagasaki Japan
| | - Eduardo A. Caceres
- Deparment of BiomaterialsUniversidad Andes Bello, Faculty of Dentistry Vina del Mar Chile
| | - Paulo G. Coelho
- Department of Biomaterials and BiomimeticsNew York University College of Dentistry New York New York
- Hansjörg Wyss Department of Plastic SurgeryNew York University Langone Medical Center New York New York
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Jimbo R, Singer J, Tovar N, Marin C, Neiva R, Bonfante EA, Janal MN, Contamin H, Coelho PG. Regeneration of the cementum and periodontal ligament using local BDNF delivery in class II furcation defects. J Biomed Mater Res B Appl Biomater 2017; 106:1611-1617. [DOI: 10.1002/jbm.b.33977] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2017] [Revised: 07/13/2017] [Accepted: 07/29/2017] [Indexed: 11/06/2022]
Affiliation(s)
- Ryo Jimbo
- Department of Oral and Maxillofacial Surgery, Faculty of Odontology; Malmö University; Sweden
| | - Jessica Singer
- Department of Biomaterials and Biomimetics; New York University College of Dentistry; New York New York
| | - Nick Tovar
- Department of Biomaterials and Biomimetics; New York University College of Dentistry; New York New York
| | - Charles Marin
- Postgraduate Program in Dentistry; UNIGRANRIO; Duque de Caxias Rio de Janeiro Brazil
| | - Rodrigo Neiva
- Department of Periodontology; University of Florida; Gainesville Florida
| | - Estevam A. Bonfante
- Department of Prosthodontics and Periodontology; University of Sao Paulo-Bauru School of Dentistry; Bauru SP Brazil
| | - Malvin N. Janal
- Department of Public Health and Epidemiology; New York University College of Dentistry; New York New York
| | | | - Paulo G. Coelho
- Department of Biomaterials and Biomimetics; New York University College of Dentistry; New York New York
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Cai Y, Guo J, Chen C, Yao C, Chung SM, Yao J, Lee IS, Kong X. Silk fibroin membrane used for guided bone tissue regeneration. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2016; 70:148-154. [PMID: 27770874 DOI: 10.1016/j.msec.2016.08.070] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/04/2016] [Revised: 07/22/2016] [Accepted: 08/26/2016] [Indexed: 10/21/2022]
Abstract
With the aim to develop a novel membrane with an appropriate mechanical property and degradation rate for guided bone tissue regeneration, lyophilized and densified silk fibroin membrane was fabricated and its mechanical behavior as well as biodegradation property were investigated. The osteoconductive potency of the silk fibroin membranes were evaluated in a defect rabbit calvarial model. Silk fibroin membrane showed the modulated biodegradable and mechanical properties via ethanol treatment with different concentration. The membrane could prevent soft tissue invasion from normal tissue healing, and the amounts of new bone and defect closure with silk fibroin membrane were similar to those of commercially available collagen membrane.
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Affiliation(s)
- Yurong Cai
- The Key Laboratory of Advanced Textile Materials and Manufacturing Technology of Ministry of Education, National Engineering Lab for Textile Fiber Materials and Processing Technology(Zhejiang), College of Materials and Textiles, Zhejiang Sci-Tech University, Hangzhou 310018, China
| | - Junmao Guo
- The Key Laboratory of Advanced Textile Materials and Manufacturing Technology of Ministry of Education, National Engineering Lab for Textile Fiber Materials and Processing Technology(Zhejiang), College of Materials and Textiles, Zhejiang Sci-Tech University, Hangzhou 310018, China
| | - Cen Chen
- Bio-X Center, College of Life Sciences, Zhejiang Sci-Tech University, Hangzhou 310018, China
| | - Chenxue Yao
- Bio-X Center, College of Life Sciences, Zhejiang Sci-Tech University, Hangzhou 310018, China
| | - Sung-Min Chung
- Sung-Min Chung Genoss Co., Ltd., Suwon 443-270, Republic of Korea
| | - Juming Yao
- The Key Laboratory of Advanced Textile Materials and Manufacturing Technology of Ministry of Education, National Engineering Lab for Textile Fiber Materials and Processing Technology(Zhejiang), College of Materials and Textiles, Zhejiang Sci-Tech University, Hangzhou 310018, China
| | - In-Seop Lee
- Institute of Natural Sciences, Yonsei University, 134 Shinchon-dong, Seodaemoon-gu, Seoul 120-749, Republic of Korea
| | - Xiangdong Kong
- Bio-X Center, College of Life Sciences, Zhejiang Sci-Tech University, Hangzhou 310018, China.
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Kim JY, Yang BE, Ahn JH, Park SO, Shim HW. Comparable efficacy of silk fibroin with the collagen membranes for guided bone regeneration in rat calvarial defects. J Adv Prosthodont 2014; 6:539-46. [PMID: 25551015 PMCID: PMC4279054 DOI: 10.4047/jap.2014.6.6.539] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2014] [Revised: 09/04/2014] [Accepted: 09/18/2014] [Indexed: 01/01/2023] Open
Abstract
PURPOSE Silk fibroin (SF) is a new degradable barrier membrane for guided bone regeneration (GBR) that can reduce the risk of pathogen transmission and the high costs associated with the use of collagen membranes. This study compared the efficacy of SF membranes on GBR with collagen membranes (Bio-Gide®) using a rat calvarial defect model. MATERIALS AND METHODS Thirty-six male Sprague Dawley rats with two 5 mm-sized circular defects in the calvarial bone were prepared (n=72). The study groups were divided into a control group (no membrane) and two experimental groups (SF membrane and Bio-Gide®). Each group of 24 samples was subdivided at 2, 4, and 8 weeks after implantation. New bone formation was evaluated using microcomputerized tomography and histological examination. RESULTS Bone regeneration was observed in the SF and Bio-Gide®-treated groups to a greater extent than in the control group (mean volume of new bone was 5.49 ± 1.48 mm(3) at 8 weeks). There were different patterns of bone regeneration between the SF membrane and the Bio-Gide® samples. However, the absolute volume of new bone in the SF membrane-treated group was not significantly different from that in the collagen membrane-treated group at 8 weeks (8.75 ± 0.80 vs. 8.47 ± 0.75 mm(3), respectively, P=.592). CONCLUSION SF membranes successfully enhanced comparable volumes of bone regeneration in calvarial bone defects compared with collagen membranes. Considering the lower cost and lesser risk of infectious transmission from animal tissue, SF membranes are a viable alternative to collagen membranes for GBR.
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Affiliation(s)
- Jwa-Young Kim
- Department of Oral and Maxillofacial Surgery, Hallym University School of Medicine, Hallym University Sacred Heart Hospital, Anyang, Republic of Korea
| | - Byoung-Eun Yang
- Department of Oral and Maxillofacial Surgery, Hallym University School of Medicine, Hallym University Sacred Heart Hospital, Anyang, Republic of Korea
| | - Jin-Hee Ahn
- Department of Prosthodontics, Hallym University School of Medicine, Hallym University Sacred Heart Hospital, Anyang, Republic of Korea
| | - Sang O Park
- Department of Emergency Medicine, Konkuk University School of medicine, Konkuk University Medical Center, Seoul, Republic of Korea
| | - Hye-Won Shim
- Department of Prosthodontics, Hallym University School of Medicine, Hallym University Sacred Heart Hospital, Anyang, Republic of Korea
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Zhou Y, Wu C, Xiao Y. Silicate-based bioceramics for periodontal regeneration. J Mater Chem B 2014; 2:3907-3910. [PMID: 32261640 DOI: 10.1039/c4tb00377b] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Periodontal disease is characterized by the destruction of the tissues that attach the tooth to the alveolar bone. Various methods for regenerative periodontal therapy including the use of barrier membranes, bone replacement grafts, and growth factor delivery have been investigated; however, true regeneration of periodontal tissue is still a significant challenge to scientists and clinicians. The focus on periodontal tissue engineering has shifted from attempting to recreate tissue replacements/constructs to the development of biomaterials that incorporate and release regulatory signals to achieve in situ periodontal regeneration. The release of ions and molecular cues from biomaterials may help to unlock latent regenerative potential in the body by regulating cell proliferation and differentiation towards different lineages (e.g. osteoblasts and cementoblasts). Silicate-based bioactive materials, including bioactive silicate glasses and ceramics, have become the materials of choice for periodontal regeneration, due to their favourable osteoconductivity and bioactivity. This article will focus on the most recent advances in the in vitro and in vivo biological application of silicate-based ceramics, specifically as it relates to periodontal tissue engineering.
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Affiliation(s)
- Yinghong Zhou
- Institute of Health & Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland 4059, Australia.
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