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Li J, Zhao Y, Chen S, Wang S, Zhong W, Zhang Q. Research Hotspots and Trends of Bone Xenograft in Clinical Procedures: A Bibliometric and Visual Analysis of the Past Decade. Bioengineering (Basel) 2023; 10:929. [PMID: 37627814 PMCID: PMC10451653 DOI: 10.3390/bioengineering10080929] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Revised: 07/11/2023] [Accepted: 07/21/2023] [Indexed: 08/27/2023] Open
Abstract
BACKGROUND Bone defect therapy is a common clinical challenge for orthopedic and clinical physicians worldwide, and the therapeutic effect affects the physiological function and healthy life quality of millions of patients. Compared with traditional autogenous bone transplants, bone xenografts are attracting attention due to their advantages of unlimited availability and avoidance of secondary damage. However, there is currently a lack of bibliometric analysis on bone xenograft. This study aimed to use bibliometric methods to analyze the literature on bone xenograft from 2013 to 2023, to explore the current status, hotspots, and future trends of research in this field, and to promote its development and progress. METHODS Using the Web of Science Core Collection database, we retrieved and collected publication data related to xenogeneic bone grafting materials worldwide from January 2013 to March 2023. Origin (2021), CiteSpace (6.2.R2 standard), and an online bibliometric platform were used for bibliometric analysis and data visualization. RESULTS A total of 3395 documents were retrieved, and 686 eligible papers were selected. The country and institutions with the highest number of publications and centrality were the United States (125 papers, centrality = 0.44) and the University of Zurich (29 papers, centrality = 0.28), respectively. The most cited author was Araujo MG (163 times), and the author with the most significant centrality was Froum SJ (centrality = 0.09). The main keyword clusters were "tissue engineering", "sinus floor elevation", "dental implants", "tooth extraction", and "bone substitutes". The most significant bursting keywords in the last three years were "platelet rich fibrin". CONCLUSIONS Research on bone xenograft is steadily growing and will continue to rise. Currently, research hotspots and directions are mainly focused on dental implants related to bone-augmentation techniques and bone tissue engineering. In the future, research hotspots and directions may focus on decellularization technology and investigations involving platelet-rich fibrin.
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Affiliation(s)
- Jiayue Li
- Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangzhou 510182, China
| | - Yujue Zhao
- Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangzhou 510182, China
| | - Shili Chen
- Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangzhou 510182, China
| | - Simin Wang
- Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangzhou 510182, China
| | - Wen Zhong
- Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangzhou 510182, China
| | - Qing Zhang
- Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangzhou 510182, China
- Laboratory for Myology, Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, 51081 BT Amsterdam, The Netherlands
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Tomographic Evaluation of Alveolar Ridge Preservation Using Bone Substitutes and Collagen Membranes—A Retrospective Pilot Study. Dent J (Basel) 2023; 11:dj11030058. [PMID: 36975555 PMCID: PMC10047896 DOI: 10.3390/dj11030058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Revised: 02/15/2023] [Accepted: 02/17/2023] [Indexed: 02/24/2023] Open
Abstract
Alveolar ridge preservation (ARP) reduces dimensional changes following tooth extraction. We evaluated the changes in alveolar ridge dimensions after ARP using bone substitutes and collagen membranes. Objectives included the tomographic evaluation of sites prior to extraction and six months after ARP and the assessment of the extent ARP preserved the ridge and reduced the need for additional augmentation at the time of implant placement. A total of 12 participants who underwent ARP in the Postgraduate Periodontics Clinic (Faculty of Dentistry) were included. Cone beam computed tomography images were used to retrospectively assess 17 sites prior to and six months after dental extraction. Alveolar ridge changes were recorded and analysed using reproducible reference points. The alveolar ridge height was measured at buccal and palatal/lingual aspects, whilst width was measured at crestal level, 2 mm, 4 mm and 6 mm below the crest. Statistically significant changes were found in alveolar ridge width at all four heights, with mean reduction differences ranging from 1.16 mm to 2.84 mm. Likewise, significant changes in the palatal/lingual alveolar ridge height (1.28 mm) were observed. However, changes of 0.79 mm in buccal alveolar ridge height were not significant (p = 0.077). Although ARP reduced dimensional changes following a tooth extraction, some degree of alveolar ridge collapse could not be avoided. The amount of resorption on the buccal aspect of the ridge was less compared to the palatal/lingual after ARP. This indicated that the use of bone substitutes and collagen membranes was effective in reducing changes in the buccal alveolar ridge height.
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Ogasawara K, To M, Liu YH, Okudera T, Nakamura T, Matsuo M. Application of deproteinized bovine bone mineral as proangiogenic scaffold for alveolar bone formation in beagle dogs. Microscopy (Oxf) 2021; 70:382-387. [PMID: 33528015 DOI: 10.1093/jmicro/dfab007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Revised: 01/28/2021] [Accepted: 02/02/2021] [Indexed: 11/13/2022] Open
Abstract
Alveolar bone repair after tooth extraction is essential after oral surgeries. Various grafting materials are used to promote the regeneration of lost alveolar bone. This study analysed the morphological features of the tissue regeneration process using deproteinized bovine bone mineral (DBBM). DBBM was used to densely fill the extraction sockets in beagle dogs. Following resin casting of the vasculature, stereomicroscopy and scanning electron microscopy were used to observe blood vessels and hard tissues in haematoxylin and eosin-stained sections on postoperative days 14, 30 and 90 in conjunction with vascular endothelial growth factor (VEGF) immunostaining to evaluate alveolar bone vascularization. On day 14 post-operation, the DBBM granules tightly filled the extraction sockets, maintained alveolar margin height and formed a scaffold for aiding angiogenesis and new bone formation. On day 30, new bone formation was observed around the DBBM granules. By day 90, bone tissue regeneration progressed in both groups but was more pronounced in the DBBM group. Alveolar margin height was maintained in the DBBM group throughout the study. Furthermore, VEGF expression in the DBBM group was detected around newly formed bone. We conclude that DBBM acts as a suitable scaffold for new bone generation, as well as angiogenesis around healing alveolar bone, and that it has the potential to play a key role in vascularization and bone formation.
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Affiliation(s)
- Keita Ogasawara
- Division of Dental Anatomy, Department of Oral Science, Graduate School of Dentistry, Kanagawa Dental University, 82 Inaoka-cho, Yokosuka, Kanagawa 238-8580, Japan
| | - Masahiro To
- Division of Dental Anatomy, Department of Oral Science, Graduate School of Dentistry, Kanagawa Dental University, 82 Inaoka-cho, Yokosuka, Kanagawa 238-8580, Japan
| | - Yu-Hao Liu
- Division of Dental Anatomy, Department of Oral Science, Graduate School of Dentistry, Kanagawa Dental University, 82 Inaoka-cho, Yokosuka, Kanagawa 238-8580, Japan
| | - Toshimitsu Okudera
- Division of Dental Anatomy, Department of Oral Science, Graduate School of Dentistry, Kanagawa Dental University, 82 Inaoka-cho, Yokosuka, Kanagawa 238-8580, Japan
| | - Takatsuna Nakamura
- Division of Dental Anatomy, Department of Oral Science, Graduate School of Dentistry, Kanagawa Dental University, 82 Inaoka-cho, Yokosuka, Kanagawa 238-8580, Japan
| | - Masato Matsuo
- Division of Dental Anatomy, Department of Oral Science, Graduate School of Dentistry, Kanagawa Dental University, 82 Inaoka-cho, Yokosuka, Kanagawa 238-8580, Japan
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Porous Titanium Granules in comparison with Autogenous Bone Graft in Femoral Osseous Defects: A Histomorphometric Study of Bone Regeneration and Osseointegration in Rabbits. BIOMED RESEARCH INTERNATIONAL 2019; 2019:8105351. [PMID: 31915704 PMCID: PMC6935454 DOI: 10.1155/2019/8105351] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/26/2019] [Accepted: 11/09/2019] [Indexed: 11/18/2022]
Abstract
Background The high resorption rate of autogenous bone is a well-documented phenomenon that can lead to insufficient bone quality and quantity in an augmented area. Nonresorbable bone substitutes might perform better than autogenous bone in certain applications if they are able to provide adequate bone formation and graft osseointegration. Purpose The aim of this study was to compare the osseous regeneration and graft integration in standardized defects in the rabbit femur treated either with porous titanium granules or autogenous osseous graft. Materials and Methods Standardized femoral osseous defects were surgically induced in 45 New Zealand rabbits. Fifteen were treated with porous titanium granules (TIGRAN™-PTG) and membrane (PTGM), 15 with autogenous graft and membrane (AGM), and 15 with membrane alone (CM, control). At six weeks, the defects were assessed histologically and histomorphometrically. Results PTGM as compared to AGM presented similar percentages of newly formed bone tissue, but a significantly higher fraction of the region of interest was filled with the bone substitute material. Accordingly, the composite of new bone plus bone substitute material showed significantly higher volumes for PTGM. Yet, the smaller amount of remaining autogenous bone was far better osseointegrated than the titanium granules, which in large regions showed no connection to newly formed bone. Both PTGM and AGM as compared to CM presented higher values of newly formed bone. Conclusions This study demonstrated that PTG was similarly effective as autogenous osseous graft in achieving osseous regeneration while PTG performed markedly better in graft volume stability. The resulting higher total percentage of new bone combined with the bone substitute material in PTG could provide a superior foundation for implant placement.
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Jung J, Noh K, Al-Nawas B, Kwon YD. A 10-Year Cone Beam Computerized Tomography Observation of the Buccal Bony Wall of an Immediately Placed Implant at the Anterior Maxilla: A Case Report. J ORAL IMPLANTOL 2017; 44:213-217. [PMID: 29090970 DOI: 10.1563/aaid-joi-d-17-00159] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Since the introduction of immediate implant placements, the buccal bony wall has been a major consideration for success due to its correlation with soft tissue contour and color. This report presents the stability of the buccal wall thickness of an immediately placed implant at the anterior maxilla over 10 years. Although the width of the buccal wall decreased at the 2-year post-op follow-up, it remained stable afterward according to cone beam computerized tomography (CBCT) scans. Hence, this report suggests that ensuring adequate bony wall thickness with bone augmentation and fixture position may promise the longevity of the buccal bony wall and surrounding soft tissue in an immediate implant placement.
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Affiliation(s)
- Junho Jung
- 1 Department of Oral & Maxillofacial Surgery, Kyung Hee University Dental Hospital, Seoul, Korea
| | - Kwantae Noh
- 2 Department of Prosthodontics, School of Dentistry, Kyung Hee University, Seoul, Korea
| | - Bilal Al-Nawas
- 3 Department of Oral & Maxillofacial Surgery, Johannes Gutenberg University Mainz, Germany
| | - Yong-Dae Kwon
- 4 Department of Oral & Maxillofacial Surgery, School of Dentistry, Kyung Hee University, Seoul, Korea
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Su Y, Tang J, Min S, Guo L, Liu Y, Xie Y, Xiong J, Wang S, Araújo MG, Zadeh HH, Liu Y. Alveolar ridge dimensional changes following ridge preservation procedure with novel devices: part 3 - histological analysis in non-human primate model. Clin Oral Implants Res 2017; 28:e252-e261. [DOI: 10.1111/clr.13010] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/04/2017] [Indexed: 11/30/2022]
Affiliation(s)
- Yingying Su
- Salivary Gland Disease Center and Molecular Laboratory for Gene Therapy and Tooth Regeneration; Beijing Key Laboratory of Tooth Regeneration and Function Reconstruction; Capital Medical University School of Stomatology; Beijing China
- Laboratory of Tissue Regeneration and Immunology and Department of Periodontics; Beijing Key Laboratory of Tooth Regeneration and Function Reconstruction; Capital Medical University School of Stomatology; Beijing China
| | - Jianxia Tang
- Laboratory of Tissue Regeneration and Immunology and Department of Periodontics; Beijing Key Laboratory of Tooth Regeneration and Function Reconstruction; Capital Medical University School of Stomatology; Beijing China
- Department of Prosthodontics; Xiangya Stomatological Hospital; Central South University; Changsha Hunan China
| | - Seiko Min
- Laboratory for Immunoregulation and Tissue Engineering; Herman Ostrow School of Dentistry; University of Southern California; Los Angeles CA USA
| | - Lijia Guo
- Department of Orthodontics; Capital Medical University School of Stomatology; Beijing China
| | - Yitong Liu
- Laboratory of Tissue Regeneration and Immunology and Department of Periodontics; Beijing Key Laboratory of Tooth Regeneration and Function Reconstruction; Capital Medical University School of Stomatology; Beijing China
| | - Yilin Xie
- Salivary Gland Disease Center and Molecular Laboratory for Gene Therapy and Tooth Regeneration; Beijing Key Laboratory of Tooth Regeneration and Function Reconstruction; Capital Medical University School of Stomatology; Beijing China
| | - Jimin Xiong
- Laboratory of Tissue Regeneration and Immunology and Department of Periodontics; Beijing Key Laboratory of Tooth Regeneration and Function Reconstruction; Capital Medical University School of Stomatology; Beijing China
| | - Songlin Wang
- Salivary Gland Disease Center and Molecular Laboratory for Gene Therapy and Tooth Regeneration; Beijing Key Laboratory of Tooth Regeneration and Function Reconstruction; Capital Medical University School of Stomatology; Beijing China
| | | | - Homayoun H. Zadeh
- Laboratory for Immunoregulation and Tissue Engineering; Herman Ostrow School of Dentistry; University of Southern California; Los Angeles CA USA
| | - Yi Liu
- Laboratory of Tissue Regeneration and Immunology and Department of Periodontics; Beijing Key Laboratory of Tooth Regeneration and Function Reconstruction; Capital Medical University School of Stomatology; Beijing China
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Guler B, Uraz A, Yalım M, Bozkaya S. The Comparison of Porous Titanium Granule and Xenograft in the Surgical Treatment of Peri-Implantitis: A Prospective Clinical Study. Clin Implant Dent Relat Res 2016; 19:316-327. [DOI: 10.1111/cid.12453] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Berceste Guler
- Assistant professor, Department of Periodontology; Dumlupınar University Faculty of Dentistry; Kütahya Turkey
| | - Ahu Uraz
- Associate professor, Faculty of Dentistry, Department of Periodontology; Gazi University; Ankara Turkey
| | - Mehmet Yalım
- Faculty of Dentistry, Department of Periodontology; Professor Gazi University; Ankara Turkey
| | - Suleyman Bozkaya
- Associate professor, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery; Gazi University; Ankara Turkey
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de Barros RRM, Novaes AB, de Carvalho JP, de Almeida ALG. The effect of a flapless alveolar ridge preservation procedure with or without a xenograft on buccal bone crest remodeling compared by histomorphometric and microcomputed tomographic analysis. Clin Oral Implants Res 2016; 28:938-945. [PMID: 27311365 DOI: 10.1111/clr.12900] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/18/2016] [Indexed: 11/30/2022]
Abstract
OBJECTIVES This study evaluated buccal bone crest remodeling, socket composition after healing, and dimensional ridge preservation after flapless tooth extraction procedures with or without a xenograft comparing histomorphometric and microcomputed tomographic (micro-CT) data. MATERIAL AND METHODS The mandibular premolars of eight dogs were extracted without flaps. One socket on each side received a grafting material (test group), and the other remained only with a blood clot (control group). Twelve weeks after treatment, buccal bone crest, alveolar ridge dimensions, and composition were analyzed by histomorphometry and micro-CT. RESULTS Two- and three-dimensional evaluations showed better results for the grafted group when compared to the non-grafted group. CONCLUSION The flapless alveolar ridge preservation procedure with deproteinized bovine bone material enhanced buccal bone crest, alveolar ridge dimensions and bone formation when compared to sockets with the blood clot only, as observed by histomorphometric and micro-CT analysis.
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Affiliation(s)
- Raquel Rezende Martins de Barros
- Department of Oral and Maxillofacial Surgery and Traumatology and Periodontology, Ribeirão Preto Dental School, University of São Paulo, São Paulo, SP, Brazil
| | - Arthur Belém Novaes
- Department of Oral and Maxillofacial Surgery and Traumatology and Periodontology, Ribeirão Preto Dental School, University of São Paulo, São Paulo, SP, Brazil
| | - Jessica Pires de Carvalho
- Department of Oral and Maxillofacial Surgery and Traumatology and Periodontology, Ribeirão Preto Dental School, University of São Paulo, São Paulo, SP, Brazil
| | - Adriana Luisa Gonçalves de Almeida
- Department of Oral and Maxillofacial Surgery and Traumatology and Periodontology, Ribeirão Preto Dental School, University of São Paulo, São Paulo, SP, Brazil
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Mendoza-Azpur G, Olaechea A, Pinazo M, Gomez C, Salinas E, de la rosa M, Khouly I. Histomorphometric Evaluation of Ridge Preservation With and Without Connective Tissue Graft Over Buccal Plate Using Different Types of Bone Substitute. IMPLANT DENT 2015. [DOI: 10.1097/id.0000000000000307] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Maia LP, Reino DM, Muglia VA, Almeida ALG, Nanci A, Wazen RM, de Oliveira PT, Palioto DB, Novaes AB. Influence of periodontal tissue thickness on buccal plate remodelling on immediate implants with xenograft. J Clin Periodontol 2015; 42:590-8. [PMID: 25875308 DOI: 10.1111/jcpe.12405] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/08/2015] [Indexed: 11/27/2022]
Abstract
AIM To evaluate the influence of gingival thickness and bone grafting on buccal bone plate remodelling after immediate implant placement in sockets with thin buccal bone, using a flapless approach. MATERIALS AND METHODS The gingiva of eight dogs was thinned at one side of the mandible, mandibular premolars were extracted without flaps, and four implants were installed on each side at 1.5 mm from the buccal bone. The sites were randomly assigned into: TG (test group) = thin gingiva; TG + GM (TG with grafting material); CG (control group) = normal gingiva; and CG + GM (CG with grafting material). After 12 weeks the dogs were sacrificed and the samples were processed for histological analysis. RESULTS All animals exhibited a thin buccal bone initially. In all the experimental groups the buccal gap was filled with newly formed bone and the buccal bone level was slightly apical to the implant shoulder. There were no statistically significant differences among the groups for the histomorphometric parameters. CONCLUSIONS The thickness of the buccal bone was a fundamental factor in buccal bone plate resorption, even with flapless implantation. The gingival thickness or the addition of a biomaterial in the gap did not influence the results.
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Affiliation(s)
- Luciana P Maia
- Department of Bucco-Maxilo-Facial Surgery and Traumatology and Periodontology, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Danilo M Reino
- Department of Bucco-Maxilo-Facial Surgery and Traumatology and Periodontology, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Valdir A Muglia
- Department of Dental Materials an Prosthetics, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Adriana L G Almeida
- Department of Bucco-Maxilo-Facial Surgery and Traumatology and Periodontology, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Antonio Nanci
- Laboratory for the Study of Calcified Tissues and Biomaterials, Faculty of Dentistry, Université de Montréal, Montréal, QC, Canada
| | - Rima M Wazen
- Laboratory for the Study of Calcified Tissues and Biomaterials, Faculty of Dentistry, Université de Montréal, Montréal, QC, Canada
| | - Paulo T de Oliveira
- Department of Morphology, Stomatology and Basic Pathology, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Daniela B Palioto
- Department of Bucco-Maxilo-Facial Surgery and Traumatology and Periodontology, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Arthur B Novaes
- Department of Bucco-Maxilo-Facial Surgery and Traumatology and Periodontology, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
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Roman A, Cioban C, Stratul SI, Schwarz F, Muste A, Petrutiu SA, Zaganescu R, Mihatovic I. Ridge preservation using a new 3D collagen matrix: a preclinical study. Clin Oral Investig 2014; 19:1527-36. [DOI: 10.1007/s00784-014-1368-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2014] [Accepted: 11/13/2014] [Indexed: 12/24/2022]
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A new bone substitute in the definitive management of furcation involvement: a case report. W INDIAN MED J 2014; 63:197-200. [PMID: 25303262 DOI: 10.7727/wimj.2012.321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2012] [Revised: 02/28/2013] [Accepted: 03/01/2013] [Indexed: 11/18/2022]
Abstract
Bone xenografts are used for reconstructive surgery in medicine and dentistry. The grafts are osteoconductive, serving as a matrix in bone regeneration. Furcation involvements are one of the most challenging clinical problems in periodontics. Unilab Surgibone is a bone xenograft and has been investigated in many clinical and experimental studies. In this case report, a 50-year old male patient was diagnosed with a Class III furcation problem in his upper right first molar. The tooth was surgically treated by resection of the distobuccal root after the flap elevation. The extraction defect was grafted with the Unilab Surgibone. After nine months, the patient was evaluated clinically and radiographically. The healing was uneventful. The clinical and radiographic data suggest that Unilab Surgibone supports bone regeneration.
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Comparison of histological and three-dimensional characteristics of porous titanium granules and deproteinized bovine particulate grafts used for sinus floor augmentation in humans: a pilot study. IMPLANT DENT 2014; 22:339-43. [PMID: 23736312 DOI: 10.1097/id.0b013e3182938d03] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE Slow-resorbing deproteinized bovine bone grafts have presented high success rates when used for sinus augmentation. However, histologic evaluation shows that this material is eventually excreted as a result of a foreign body reaction. The purpose of this study was to compare and to evaluate the performance of a recently introduced particulate porous graft material, consisting of pure titanium granule (PTG) to the deproteinized bovine bone grafts, when used as a sinus augmentation material. MATERIALS AND METHODS To understand the histological aspects of PTG, deproteinized bovine particulates (Bio-Oss) and PTG were placed contralaterally as sinus grafting materials in 2 patients. After 9 months, biopsies were performed for histologic and 3-dimensional analysis. RESULTS Both materials were in contact with newly formed bone. The Bio-Oss showed signs of foreign body reaction. In contrast, bone filled the space between the single PTG particulates, and no foreign body reaction was observed. CONCLUSIONS From a bone formation perspective, PTG grafts were comparable with the commonly used Bio-Oss grafts and may be regarded as a possible alternative for permanent grafting in sinus augmentation.
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Porous titanium granules in critical size defects of rabbit tibia with or without membranes. Int J Oral Sci 2014; 6:105-10. [PMID: 24556954 PMCID: PMC5130058 DOI: 10.1038/ijos.2014.6] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2013] [Accepted: 11/11/2013] [Indexed: 11/28/2022] Open
Abstract
Recently, porous titanium granules (PTGs) have been indicated for the preservation of the dimensions of post-extraction sockets, as a filler in sinus lift procedures and for the treatment of peri-implant and periodontal defects, based on the osteoconductivity and dimensional stability of the titanium granules. However, there is a lack of information regarding the use of this material in larger defects and in conjunction with membranes. The objective of this study is to test the behavior of PTGs used to fill critical size defects in rabbit tibiae, with and without membranes. Critical defects were created in both tibiae of rabbits, divided randomly into three groups: Group A (defect filled with PTG), Group B (defect filled with PTG+collagen membrane) and a control group (empty defect). After six weeks, histomorphometric analysis was performed. The results showed more defect closures at the cortical area (87.37%±2.2%) and more bone formation at the marrow area (57.6%±1.3%) in Group B, in comparison with the other groups (P<0.05); the use of membranes improved the material stability expressed as more percentages of the original material when membranes were used (P<0.05). Finally, inflammatory reactions were observed when the granules were not protected by membranes. In spite of the limitations of this animal study, it may be concluded that PTG particles are osteoconductive and allow bone growth. The PTG particles must be covered by a membrane, especially when grafting larger defects, in order to control particle migration, promote clot stabilization and separate the PTG graft from undesired soft tissue cells.
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Maia LP, Reino DM, Novaes AB, Muglia VA, Taba M, de Morais Grisi MF, de Souza SLS, Palioto DB. Influence of Periodontal Biotype on Buccal Bone Remodeling after Tooth Extraction Using the Flapless Approach with a Xenograft: A Histomorphometric and Fluorescence Study in Small Dogs. Clin Implant Dent Relat Res 2013; 17 Suppl 1:e221-35. [DOI: 10.1111/cid.12182] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Luciana Prado Maia
- Department of Oral and Maxillofacial Surgery and Traumatology and Periodontology; School of Dentistry of Ribeirão Preto, University of São Paulo; Ribeirão Preto São Paulo Brazil
| | - Danilo Maeda Reino
- Department of Oral and Maxillofacial Surgery and Traumatology and Periodontology; School of Dentistry of Ribeirão Preto, University of São Paulo; Ribeirão Preto São Paulo Brazil
| | - Arthur Belém Novaes
- Department of Oral and Maxillofacial Surgery and Traumatology and Periodontology; School of Dentistry of Ribeirão Preto, University of São Paulo; Ribeirão Preto São Paulo Brazil
| | - Valdir Antonio Muglia
- Department of Dental Materials and Prosthetics; School of Dentistry of Ribeirão Preto, University of São Paulo; Ribeirão Preto São Paulo Brazil
| | - Mário Taba
- Department of Oral and Maxillofacial Surgery and Traumatology and Periodontology; School of Dentistry of Ribeirão Preto, University of São Paulo; Ribeirão Preto São Paulo Brazil
| | - Márcio Fernando de Morais Grisi
- Department of Oral and Maxillofacial Surgery and Traumatology and Periodontology; School of Dentistry of Ribeirão Preto, University of São Paulo; Ribeirão Preto São Paulo Brazil
| | - Sérgio Luís Scombatti de Souza
- Department of Oral and Maxillofacial Surgery and Traumatology and Periodontology; School of Dentistry of Ribeirão Preto, University of São Paulo; Ribeirão Preto São Paulo Brazil
| | - Daniela Bazan Palioto
- Department of Oral and Maxillofacial Surgery and Traumatology and Periodontology; School of Dentistry of Ribeirão Preto, University of São Paulo; Ribeirão Preto São Paulo Brazil
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17
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Hsu YT, Wang HL. How to Select Replacement Grafts for Various Periodontal and Implant Indications. Clin Adv Periodontics 2013. [DOI: 10.1902/cap.2012.120031] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
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18
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Discepoli N, Vignoletti F, Laino L, de Sanctis M, Muñoz F, Sanz M. Early healing of the alveolar process after tooth extraction: an experimental study in the beagle dog. J Clin Periodontol 2013; 40:638-44. [DOI: 10.1111/jcpe.12074] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/27/2012] [Indexed: 11/30/2022]
Affiliation(s)
- Nicola Discepoli
- Postgraduate Periodontology; University Complutense of Madrid; Madrid Spain
| | - Fabio Vignoletti
- Postgraduate Periodontology; University Complutense of Madrid; Madrid Spain
| | - Luigi Laino
- Department of Oral Surgery; University of Naples; Naples Italy
| | - Massimo de Sanctis
- Dipartimento di Scienze Odontostomatologiche; Università degli Studi di Siena; Siena Italy
| | - Fernando Muñoz
- School of veterinary of Lugo; University of Santiago de Compostela; Santiago de Compostela Spain
| | - Mariano Sanz
- Postgraduate Periodontology; University Complutense of Madrid; Madrid Spain
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19
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Arruda T, Sukekava F, de Souza AB, Rasmusson L, Araújo MG. Early healing in alveolar sockets grafted with titanium granules. An experimental study in a dog model. J Biomed Mater Res A 2012; 101:1971-6. [DOI: 10.1002/jbm.a.34501] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2012] [Revised: 10/11/2012] [Accepted: 10/22/2012] [Indexed: 11/11/2022]
Affiliation(s)
- Thiago Arruda
- Department of Dentistry, State University of Maringá, Paraná, Brazil
| | - Flávia Sukekava
- Division of Periodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - André B. de Souza
- Department of Dentistry, State University of Maringá, Paraná, Brazil
| | - Lars Rasmusson
- Department of oral and maxillofacial surgery, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden
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20
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Verket A, Lyngstadaas SP, Rønold HJ, Wohlfahrt JC. Osseointegration of dental implants in extraction sockets preserved with porous titanium granules - an experimental study. Clin Oral Implants Res 2012. [DOI: 10.1111/clr.12070] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Anders Verket
- Department of Biomaterials; Institute of Clinical Odontology; University of Oslo; Oslo Norway
| | - Ståle P. Lyngstadaas
- Department of Biomaterials; Institute of Clinical Odontology; University of Oslo; Oslo Norway
| | - Hans J. Rønold
- Department of Prosthodontics; Institute of Clinical Odontology, University of Oslo; Oslo Norway
| | - Johan C. Wohlfahrt
- Department of Biomaterials; Institute of Clinical Odontology; University of Oslo; Oslo Norway
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21
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Dimensional Ridge Preservation with a Novel Highly Porous TiO(2) Scaffold: An Experimental Study in Minipigs. Int J Biomater 2012; 2012:851264. [PMID: 23091493 PMCID: PMC3469108 DOI: 10.1155/2012/851264] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2012] [Accepted: 09/03/2012] [Indexed: 11/17/2022] Open
Abstract
Despite being considered noncritical size defects, extraction sockets often require the use of bone grafts or bone graft substitutes in order to facilitate a stable implant site with an aesthetically pleasing mucosal architecture and prosthetic reconstruction. In the present study, the effect of novel TiO(2) scaffolds on dimensional ridge preservation was evaluated following their placement into surgically modified extraction sockets in the premolar region of minipig mandibles. After six weeks of healing, the scaffolds were wellintegrated in the alveolar bone, and the convex shape of the alveolar crest was preserved. The scaffolds were found to partially preserve the dimensions of the native buccal and lingual bone walls adjacent to the defect site. A tendency towards more pronounced vertical ridge resorption, particularly in the buccal bone wall of the nongrafted alveoli, indicates that the TiO(2) scaffold may be used for suppressing the loss of bone that normally follows tooth extraction.
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22
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Suaid F, Grisi MFM, Souza SLS, Palioto DB, Taba M, Novaes AB. Buccal bone remodeling after tooth extraction using the flapless approach with and without synthetic bone grafting. A histomorphometric study in dogs. Clin Oral Implants Res 2012; 24:407-13. [DOI: 10.1111/clr.12002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/20/2012] [Indexed: 11/26/2022]
Affiliation(s)
- Flávia Suaid
- Department of Bucco-Maxillo-Facial Surgery and Traumatology and Periodontology; School of Dentistry of Ribeirão Preto; University of São Paulo; São Paulo; Brazil
| | - Márcio F. M. Grisi
- Department of Bucco-Maxillo-Facial Surgery and Traumatology and Periodontology; School of Dentistry of Ribeirão Preto; University of São Paulo; São Paulo; Brazil
| | - Sérgio L. S. Souza
- Department of Bucco-Maxillo-Facial Surgery and Traumatology and Periodontology; School of Dentistry of Ribeirão Preto; University of São Paulo; São Paulo; Brazil
| | - Daniela B. Palioto
- Department of Bucco-Maxillo-Facial Surgery and Traumatology and Periodontology; School of Dentistry of Ribeirão Preto; University of São Paulo; São Paulo; Brazil
| | - Mário Taba
- Department of Bucco-Maxillo-Facial Surgery and Traumatology and Periodontology; School of Dentistry of Ribeirão Preto; University of São Paulo; São Paulo; Brazil
| | - Arthur B. Novaes
- Department of Bucco-Maxillo-Facial Surgery and Traumatology and Periodontology; School of Dentistry of Ribeirão Preto; University of São Paulo; São Paulo; Brazil
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