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Yamaki D, Fukuba S, Okada M, Takeuchi S, Hoshi S, Matsuura T, Iwata T. Octacalcium phosphate collagen composite for periodontal regeneration in a canine one-wall intrabony defect. J Periodontal Res 2024; 59:521-529. [PMID: 38356157 DOI: 10.1111/jre.13245] [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: 09/28/2023] [Revised: 01/27/2024] [Accepted: 01/29/2024] [Indexed: 02/16/2024]
Abstract
OBJECTIVE This study aimed to evaluate the regenerative capacities of octacalcium phosphate collagen composite (OCP/Col) in one-wall intrabony defects in dogs. The background data discuss the present state of the field: No study has assessed the efficacy of OCP/Col for periodontal regeneration therapy despite the fact that OCP/Col has proved to be efficient for bone regeneration. METHODS In six beagle dogs, the mandibular left third premolars were extracted 12 weeks before the experimental surgery. Standardized bone defects (5 mm in height and 4 mm in width) were simulated on the distal surface of the second premolars and mesially on the fourth premolars. The defect was filled with either OCP/Col (experimental group) or left empty (control group). Histological and histomorphometric characteristics were compared 8 weeks after surgery. RESULTS No infectious or ankylotic complications were detected at any of the tested sites. The experimental group exhibited a significantly greater volume, height, and area of newly formed bone than the control group. The former also showed a greater height of the newly formed cementum than the latter, although the results were not statistically significant. The newly formed periodontal ligaments were inserted into newly formed bone and cementum in the experimental group. CONCLUSION OCP/Col demonstrated high efficacy for bone and periodontal tissue regeneration that can be successfully applied for one-wall intrabony defects.
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Affiliation(s)
- Daichi Yamaki
- Department of Periodontology, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan
| | - Shunsuke Fukuba
- Department of Periodontology, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan
| | - Munehiro Okada
- Department of Periodontology, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan
| | | | - Shu Hoshi
- Department of Periodontology, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan
- Private Practice, Niigata, Japan
| | - Takanori Matsuura
- Department of Periodontology, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan
- Weintraub Center for Reconstructive Biotechnology, Division of Regenerative and Reconstructive Sciences, UCLA School of Dentistry, California, Los Angeles, USA
| | - Takanori Iwata
- Department of Periodontology, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan
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2
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Application to open wound extraction socket of new bone regenerative material. JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, MEDICINE, AND PATHOLOGY 2022. [DOI: 10.1016/j.ajoms.2022.10.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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3
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Miura K, Sasaki M, Ohba S, Noda S, Sumi M, Kamakura S, Takahashi T, Asahina I. Long‐term clinical and radiographic evaluation after maxillary sinus floor augmentation with octacalcium phosphate–collagen composite: A retrospective case series study. J Tissue Eng Regen Med 2022; 16:621-633. [DOI: 10.1002/term.3301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2021] [Revised: 03/14/2022] [Accepted: 03/16/2022] [Indexed: 11/11/2022]
Affiliation(s)
- Kei‐ichiro Miura
- Division of Oral and Maxillofacial Surgery Tohoku University Graduate School of Dentistry Sendai Miyagi Japan
| | - Miho Sasaki
- Radiology and Biomedical Informatics Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan
| | - Seigo Ohba
- Department of Regenerative Oral Surgery Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan
| | - Sawako Noda
- Department of Regenerative Oral Surgery Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan
| | - Misa Sumi
- Radiology and Biomedical Informatics Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan
| | - Shinji Kamakura
- Division of Bone Regenerative Engineering Tohoku University Graduate School of Biomedical Engineering Sendai Japan
| | - Tetsu Takahashi
- Division of Oral and Maxillofacial Surgery Tohoku University Graduate School of Dentistry Sendai Miyagi Japan
| | - Izumi Asahina
- Department of Regenerative Oral Surgery Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan
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A Follow-Up Study on the Clinical Outcomes of Alveolar Reconstruction Using Octacalcium Phosphate Granules and Atelocollagen Complex. J Oral Maxillofac Surg 2021; 79:2462-2471. [PMID: 34656516 DOI: 10.1016/j.joms.2021.09.017] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Revised: 08/24/2021] [Accepted: 09/07/2021] [Indexed: 11/23/2022]
Abstract
PURPOSE To observe the long-term postoperative bone formation and eruption of adjacent teeth after octacalcium phosphate granule and atelocollagen complex (OCP/Col) grafting in the treatment of alveolar cleft of patients with unilateral cleft lip with or without cleft palate (UCL ± P). METHODS Four patients with UCL ± P who underwent OCP/Col grafting (OCP group), and 55 patients with UCL ± P who underwent autologous bone grafting (AB group) were enrolled in this study. OCP/Col or autologous bone grafting was performed before the eruption of canines or lateral incisors in mixed dentition, followed by orthodontic management. Patients in the OCP group underwent radiography before and after surgery at 1, 2, 3, 6, and over 30 months postoperatively. The volume and area of the bony defect in the alveolar cleft area were compared between the OCP and AB groups before and after 6 months of surgery. RESULTS The bone bridge in all patients in the OCP/Col group was successfully formed, and by 6 months postoperatively, the permanent teeth adjacent to the alveolar cleft had erupted at the site of the OCP/Col complex graft. Comparison of the pre- and postoperative bone defects between the 2 groups revealed almost the same extent of bone bridge formation. CONCLUSIONS OCP/Col grafting could be considered as an alternative to autologous bone grafting as it yielded successful bone bridge formation and facilitated permanent tooth eruption.
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Kouketsu A, Matsui K, Kawai T, Ezoe Y, Takahashi T, Kamakura S. Teriparatide with octacalcium phosphate collagen composite stimulates osteogenic factors. Tissue Eng Part A 2021; 28:125-135. [PMID: 34278819 DOI: 10.1089/ten.tea.2021.0067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Octacalcium phosphate and collagen composite (OCPcol) promotes osteogenic differentiation and angiogenesis, thereby enhancing bone regeneration. Although a newly developed freeze-dried composite of OCPcol and teriparatide (OCPcolTPTD) reinforced bone regeneration more than OCPcol, the mechanism of bone regeneration remains unresolved. Here, disks containing OCPcolTPTD, OCPcol, or β-tricalcium phosphate (β-TCP) col were inserted into rodents with calvarial bone defects, before euthanasia 4 weeks later. Immunohistochemical and histochemical analyses were performed on bone samples to evaluate bone matrix development, angiogenesis, and osteoclast and osteoblast localization. In the OCPcolTPTD and OCPcol groups, bone regeneration was observed at the surface of calvarial dura mater and around acidophilic granular cells with abundant collagenous fiber-containing cells. Furthermore, the newly formed bone in the OCPcolTPTD group showed a larger total area and individual separated area than the other groups. Various osteogenic proteins were detected in the regenerated bone and peri-bone tissues via histochemistry and immunohistochemistry. Although the expression of several osteogenic biomarkers in the OCPcolTPTD group after 4 weeks of implantation was significantly lower than that in the OCPcol group, new bone formation by OCPcolTPTD in the center of the defect, where bone regeneration is difficult, tended to be superior to that by OCPcol. These results suggest that OCPcolTPTD enhanced bone regeneration more evenly and homogenously than OCPcol.
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Affiliation(s)
- Atsumu Kouketsu
- Tohoku University Graduate School of Dentistry School of Dentistry, 89292, Division of Oral and Maxillofacial Surgery, Department of Oral Medicine and Surgery, 4-1 Seiryo-machi, Aoba-ku, Sendai, Japan, 980-8575;
| | - Keiko Matsui
- Tohoku University Graduate School of Dentistry, Division of Oral and Maxillofacial Surgery, Sendai, Miyagi, Japan;
| | | | - Yushi Ezoe
- Tohoku University Graduate School of Dentistry, Division of Oral and Maxillofacial Surgery, Sendai, Japan;
| | - Tetsu Takahashi
- Tohoku University Graduate School of Dentistry, Division of Oral and Maxillofacial Surgery, 4-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, Japan, 980-8575;
| | - Shinji Kamakura
- Tohoku University, Graduate School of Biomedical Engineering, 2-1 Seiryo-Machi, Aoba-Ku, Sendai, Miyagi, Japan, 980-8574.,Japan;
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6
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Matsui K, Kawai T, Ezoe Y, Yanagisawa T, Takahashi T, Kamakura S. Segmental Bone Reconstruction by Octacalcium Phosphate Collagen Composites with Teriparatide. Tissue Eng Part A 2020; 27:561-571. [PMID: 32799756 PMCID: PMC8126423 DOI: 10.1089/ten.tea.2020.0150] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Octacalcium phosphate and collagen composite (OCPcol) demonstrated superior bone regeneration and has been commercialized recently in Japan. Teriparatide (TPTD) is a bioactive recombinant form of parathyroid hormone that is approved for osteoporosis treatment. Because mandibular bone reconstruction after segmental resection is a key clinical problem, it was examined whether single-dose local administration of OCPcol with TPTD can affect recovery after this procedure. OCPcol was prepared, and a commercially available hydroxyapatite and collagen composite (HAPcol) was used as a control. A 15 mm length segmental bone defect was made in the mandibular region of male beagle dogs. The experimental animals were divided in four groups. OCPcol treated with TPTD (OCPcol + TPTD), OCPcol, HAPcol treated with TPTD (HAPcol + TPTD), or HAPcol was implanted into the defect. The radiopaque areas of the implanted site were measured and statistically analyzed, and histological examination was performed after 6 months. The value of radiopaque area in total region of OCPcol + TPTD was highest (90.8 ± 7.3 mm2), followed in order by OCPcol (49.3 ± 21.8 mm2), HAPcol + TPTD (10.6 ± 2.3 mm2), and HAPcol (6.4 ± 2.3 mm2), and that of OCPcol + TPTD was significantly higher than that of HAPcol + TPTD or HAPcol. All segmented mandibles of OCPcol + TPTD and a part of those of OCPcol were bridged with newly formed bone, whereas no bone bridges were observed in HAPcol + TPTD or HAPcol. These results suggested that OCPcol treated with TPTD enabled bone reconstruction after segmental mandibular resection more than other three groups.
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Affiliation(s)
- Keiko Matsui
- Division of Oral and Maxillofacial Surgery, Tohoku University Graduate School of Dentistry, Sendai, Japan
| | - Tadashi Kawai
- Division of Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University, Morioka, Japan
| | - Yushi Ezoe
- Division of Oral and Maxillofacial Surgery, Tohoku University Graduate School of Dentistry, Sendai, Japan
| | - Toshiki Yanagisawa
- Bone Regenerative Engineering Laboratory, Graduate School of Biomedical Engineering, Tohoku University, Sendai, Japan
| | - Tetsu Takahashi
- Division of Oral and Maxillofacial Surgery, Tohoku University Graduate School of Dentistry, Sendai, Japan
| | - Shinji Kamakura
- Bone Regenerative Engineering Laboratory, Graduate School of Biomedical Engineering, Tohoku University, Sendai, Japan
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7
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Yanagisawa T, Yasuda A, Makkonen RI, Kamakura S. Influence of pre-freezing conditions of octacalcium phosphate and collagen composite for reproducible appositional bone formation. J Biomed Mater Res B Appl Biomater 2020; 108:2827-2834. [PMID: 32239797 PMCID: PMC7496852 DOI: 10.1002/jbm.b.34613] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Revised: 03/02/2020] [Accepted: 03/19/2020] [Indexed: 02/01/2023]
Abstract
Even though conventionally prepared octacalcium phosphate and collagen composite (OCP/Col) has exhibited excellent bone regeneration and has recently been commercialized for treating bone defects, reproducible appositional bone formation with OCP/Col has never been achieved. The present study investigated whether appositional bone formation could be achieved by altering the density of OCP/Col and applying liquid nitrogen during the preparation of OCP/Col. The prepared OCP/Col disks had eight variations and were divided into categories according to four different type of densities (1.0, 1.3, 1.7, and 2.0) of OCP/Col and two different pre‐freezing conditions of gas phase (G group: −80°C) and liquid phase (L group: −196°C). These disks were implanted into subperiosteal pockets in rodent calvaria, five samples per each eight variations. Radiomorphometric analysis was conducted at 4 and 12 weeks after implantation, and histological analysis was conducted at 12 weeks after implantation. OCP/Col samples in the L group tended to retain their height and shape and had enhanced appositional bone formation, whereas OCP/Col samples in the G group tended to lose their height and shape and had limited appositional bone formation. The appositional bone formation increased along with growing density of OCP/Col, and L2.0 demonstrated higher appositional bone formation than other samples. These results suggest that the pre‐freezing conditions and densities of OCP/Col affect the appositional bone formation.
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Affiliation(s)
- Toshiki Yanagisawa
- Bone Regenerative Engineering Laboratory, Graduate School of Biomedical Engineering, Tohoku University, Sendai, Japan
| | - Ayato Yasuda
- Bone Regenerative Engineering Laboratory, Graduate School of Biomedical Engineering, Tohoku University, Sendai, Japan
| | - Ria I Makkonen
- Bone Regenerative Engineering Laboratory, Graduate School of Biomedical Engineering, Tohoku University, Sendai, Japan.,Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
| | - Shinji Kamakura
- Bone Regenerative Engineering Laboratory, Graduate School of Biomedical Engineering, Tohoku University, Sendai, Japan
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8
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Yanagisawa T, Yasuda A, Makkonen RI, Kamakura S. Bone augmentation by octacalcium phosphate and collagen composite coated with poly-lactic acid cage. Clin Exp Dent Res 2020; 6:391-399. [PMID: 32187863 PMCID: PMC7453772 DOI: 10.1002/cre2.287] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2020] [Revised: 02/27/2020] [Accepted: 02/28/2020] [Indexed: 12/02/2022] Open
Abstract
Objective Although octacalcium phosphate and collagen composite (OCP/Col) has demonstrated excellent bone regeneration, it has never achieved bone augmentation. The present study investigated whether it could be enabled by OCP/Col disks treated with parathyroid hormone (PTH) and covered with a poly‐lactic acid (PLA) cage. Materials and methods The prepared OCP/Col disks with three different types of PLA cages (no hole, one large hole, several small holes) were implanted into subperiosteal pockets in rodent calvaria. Histological, and histomorphometric analyses were conducted at 12 weeks after implantation. Results Implants with all PLA cage variants achieved sufficient bone augmentation, and analyses showed that new bone was formed from the original bone and along the PLA cage. While the PLA cage variant with no holes sporadically evoked new bone formation even at the central area of the roof of the PLA cage, the PLA cage variants with holes had no new bone in the area of the hole or beneath the periosteum. Conclusions These results suggest that sufficient bone augmentation could be achieved by treating the OCP/Col disks with PTH and covering them with a PLA cage, and periosteum might not have been involved in the bone formation in this experiment.
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Affiliation(s)
- Toshiki Yanagisawa
- Bone Regenerative Engineering Laboratory, Graduate School of Biomedical Engineering, Tohoku University, Sendai, Japan
| | - Ayato Yasuda
- Bone Regenerative Engineering Laboratory, Graduate School of Biomedical Engineering, Tohoku University, Sendai, Japan
| | - Ria I Makkonen
- Bone Regenerative Engineering Laboratory, Graduate School of Biomedical Engineering, Tohoku University, Sendai, Japan.,Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
| | - Shinji Kamakura
- Bone Regenerative Engineering Laboratory, Graduate School of Biomedical Engineering, Tohoku University, Sendai, Japan
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Suzuki O, Shiwaku Y, Hamai R. Octacalcium phosphate bone substitute materials: Comparison between properties of biomaterials and other calcium phosphate materials. Dent Mater J 2020; 39:187-199. [PMID: 32161239 DOI: 10.4012/dmj.2020-001] [Citation(s) in RCA: 33] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Octacalcium phosphate (OCP) is a material that can be converted to hydroxyapatite (HA) under physiological environments and is considered a mineral precursor to bone apatite crystals. The structure of OCP consists of apatite layers stacked alternately with hydrated layers, and closely resembles the structure of HA. The performance of OCP as a bone substitute differs from that of HA materials in terms of their osteoconductivity and biodegradability. OCP manifests a cellular phagocytic response through osteoclast-like cells similar to that exhibited by the biodegradable material β-tricalcium phosphate (β-TCP). The use of OCP for human cranial bone defects involves using its granule or composite form with one of the natural polymers, viz., the reconstituted collagen. This review article discusses the differences and similarities in these calcium phosphate (Ca-P)-based materials from the viewpoint of the structure and their material chemistry, and attempts to elucidate why Ca-P materials, particularly OCP, display unique osteoconductive property.
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Affiliation(s)
- Osamu Suzuki
- Division of Craniofacial Function Engineering, Tohoku University Graduate School of Dentistry
| | - Yukari Shiwaku
- Division of Craniofacial Function Engineering, Tohoku University Graduate School of Dentistry
| | - Ryo Hamai
- Division of Craniofacial Function Engineering, Tohoku University Graduate School of Dentistry
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Kawai T, Kamakura S, Matsui K, Fukuda M, Takano H, Iino M, Ishikawa S, Kawana H, Soma T, Imamura E, Kizu H, Michibata A, Asahina I, Miura K, Nakamura N, Kibe T, Suzuki O, Takahashi T. Clinical study of octacalcium phosphate and collagen composite in oral and maxillofacial surgery. J Tissue Eng 2020; 11:2041731419896449. [PMID: 32030119 PMCID: PMC6978823 DOI: 10.1177/2041731419896449] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2019] [Accepted: 12/02/2019] [Indexed: 11/17/2022] Open
Abstract
Octacalcium phosphate and its collagen composite have been recognized as bone
substitute materials possessing osteoconductivity and biodegradation properties.
We evaluated the effectiveness of octacalcium phosphate and its collagen
composite used for bone augmentation in major oral and maxillofacial surgeries
in a clinical trial. Octacalcium phosphate and its collagen composite were used
in cases of sinus floor elevation in 1- and 2-stage, socket preservation, cyst,
and alveolar cleft procedures. A total of 60 patients were evaluated for
effectiveness after the implantation of octacalcium phosphate and its collagen
composite. Although sinus floor elevation in 1-stage, cyst, and alveolar cleft
cases met the criteria for the judgment of success, sinus floor elevation in
2-stage and socket preservation groups did not meet the criteria in the initial
evaluation. However, an additional evaluation for reconfirmation revealed the
effectiveness of octacalcium phosphate and its collagen composite in those
groups, and all evaluation results ultimately indicated the success of this
clinical trial. Therefore, this clinical trial suggested that application of
octacalcium phosphate and its collagen composite for oral and maxillofacial
surgery was safe and effective and that octacalcium phosphate and its collagen
composite could be a bone substitute candidate instead of autologous bone.
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Affiliation(s)
- Tadashi Kawai
- Department of Oral Medicine and Surgery, Division of Oral and Maxillofacial Surgery, Tohoku University Graduate School of Dentistry, Sendai, Japan
| | - Shinji Kamakura
- Department of Bone Regenerative Engineering, Division of Regenerative and Biomedical Engineering, Tohoku University Graduate School of Biomedical Engineering, Sendai, Japan
| | - Keiko Matsui
- Department of Oral Medicine and Surgery, Division of Oral and Maxillofacial Surgery, Tohoku University Graduate School of Dentistry, Sendai, Japan
| | - Masayuki Fukuda
- Department of Dentistry and Oral Surgery, Akita University Graduate School of Medicine, Akita, Japan
| | - Hiroshi Takano
- Department of Dentistry and Oral Surgery, Akita University Graduate School of Medicine, Akita, Japan
| | - Mitsuyoshi Iino
- Department of Dentistry, Oral and Maxillofacial-Plastic and Reconstructive Surgery, School of Medicine, Yamagata University, Yamagata, Japan
| | - Shigeo Ishikawa
- Department of Dentistry, Oral and Maxillofacial-Plastic and Reconstructive Surgery, School of Medicine, Yamagata University, Yamagata, Japan
| | - Hiromasa Kawana
- Department of Dentistry and Oral Surgery, Division of Oral and Maxillofacial Surgery, School of Medicine, Keio University, Tokyo, Japan.,Department of Oral and Maxillofacial Implantology, Kanagawa Dental University, Kanagawa, Japan
| | - Tomoya Soma
- Department of Dentistry and Oral Surgery, Division of Oral and Maxillofacial Surgery, School of Medicine, Keio University, Tokyo, Japan
| | - Eisaku Imamura
- Department of Oral and Maxillofacial Surgery, Yokohama General Hospital, Kanagawa, Japan
| | - Hideki Kizu
- Department of Dentistry and Oral Surgery, Tachikawa Hospital, Tachikawa, Japan
| | - Aya Michibata
- Department of Oral Surgery, Shizuoka City Shimizu Hospital, Shizuoka, Japan
| | - Izumi Asahina
- Department of Regenerative Oral Surgery, Medical and Dental Sciences, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan
| | - Keiichiro Miura
- Department of Regenerative Oral Surgery, Medical and Dental Sciences, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan
| | - Norifumi Nakamura
- Department of Oral and Maxillofacial Surgery, Field of Oral and Maxillofacial Rehabilitation, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
| | - Toshiro Kibe
- Department of Oral and Maxillofacial Surgery, Field of Oral and Maxillofacial Rehabilitation, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
| | - Osamu Suzuki
- Department of Craniofacial Engineering and Regeneration, Division of Craniofacial Function Engineering, Tohoku University Graduate School of Dentistry, Sendai, Japan
| | - Tetsu Takahashi
- Department of Oral Medicine and Surgery, Division of Oral and Maxillofacial Surgery, Tohoku University Graduate School of Dentistry, Sendai, Japan
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11
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Miura K, Sumita Y, Kajii F, Tanaka H, Kamakura S, Asahina I. First clinical application of octacalcium phosphate collagen composite on bone regeneration in maxillary sinus floor augmentation: A prospective, single‐arm, open‐label clinical trial. J Biomed Mater Res B Appl Biomater 2019; 108:243-252. [DOI: 10.1002/jbm.b.34384] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Revised: 03/22/2019] [Accepted: 03/24/2019] [Indexed: 11/09/2022]
Affiliation(s)
- Kei‐ichiro Miura
- Department of Regenerative Oral SurgeryNagasaki University Graduate School of Biomedical Sciences Nagasaki Japan
| | - Yoshinori Sumita
- Basic and Translational Research Center for Hard Tissue DiseaseNagasaki University Graduate School of Biomedical Sciences Nagasaki Japan
| | | | | | - Shinji Kamakura
- Division of Bone Regenerative EngineeringTohoku University Graduate School of Biomedical Engineering Sendai Japan
| | - Izumi Asahina
- Department of Regenerative Oral SurgeryNagasaki University Graduate School of Biomedical Sciences Nagasaki Japan
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Iwai A, Kajii F, Tanaka H, Sasaki K, Matsui K, Kawai T, Kamakura S. Bone regeneration by freeze-dried composite of octacalcium phosphate collagen and teriparatide. Oral Dis 2018; 24:1514-1521. [PMID: 29943386 DOI: 10.1111/odi.12923] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2018] [Revised: 06/08/2018] [Accepted: 06/20/2018] [Indexed: 12/25/2022]
Abstract
OBJECTIVE Octacalcium phosphate (OCP) and collagen (col) composite (OCPcol) demonstrated superior bone regeneration properties, and its commercialization appears to be forthcoming. As a practical medical material for new combination products, we developed a freeze-dried composite with OCPcol and teriparatide (TPTD) (OCPcolTPTDf), and investigated its bone regenerative properties. MATERIALS AND METHODS A disk of OCPcol was made by mixing OCP granules and atelocollagen for medical use. Then, OCPcolTPTDf was prepared by impregnation of the OCPcol disk with 1.0 or 0.1 µg of TPTD solution (OCPcolTPTDf 1.0 and OCPcolTPTDf 0.1, respectively) followed by lyophilization. In vitro release profiles of TPTD from OCPcolTPTDf were determined using an enzyme-linked immunosorbent assay. Implantation of OCPcolTPTDf or OCPcol was carried out for a rat critical-sized calvarial defect. And five defects in each group were collected after 12 weeks of implantation. RESULTS The retention-release profiles of TPTD from OCPcolTPTDf supported a higher degree of retention of TPTD. Radiographic, histological, and histomorphometric examinations indicated that regenerated bone was filled in most of the defects of the OCPcolTPTDf. Additionally, the OCPcolTPTDf groups showed significantly enhanced bone regeneration compared with the OCPcol group. CONCLUSIONS These results suggested that this newly developed bone regenerative composite could be a practical medical material.
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Affiliation(s)
- Atsushi Iwai
- Research Institute, TOYOBO Co. Ltd., Otsu, Shiga, Japan
| | - Fumihiko Kajii
- Research Institute, TOYOBO Co. Ltd., Otsu, Shiga, Japan.,Bone Regenerative Engineering Laboratory, Graduate School of Biomedical Engineering, Tohoku University, Sendai, Japan
| | | | - Kazuo Sasaki
- Research Institute, TOYOBO Co. Ltd., Otsu, Shiga, Japan
| | - Keiko Matsui
- Division of Oral and Maxillofacial Surgery, Tohoku University Graduate School of Dentistry, Sendai, Japan
| | - Tadashi Kawai
- Division of Oral and Maxillofacial Surgery, Tohoku University Graduate School of Dentistry, Sendai, Japan
| | - Shinji Kamakura
- Bone Regenerative Engineering Laboratory, Graduate School of Biomedical Engineering, Tohoku University, Sendai, Japan
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13
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Kajii F, Iwai A, Tanaka H, Matsui K, Kawai T, Kamakura S. Influence of electron beam irradiation doses on bone regeneration by octacalcium phosphate collagen composites. J Tissue Eng Regen Med 2017. [DOI: 10.1002/term.2505] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Affiliation(s)
- Fumihiko Kajii
- Bone Regenerative Engineering Laboratory, Graduate School of Biomedical EngineeringTohoku University Sendai Japan
- Toyobo Co. Ltd, Research Institute Shiga Japan
| | | | | | - Keiko Matsui
- Division of Oral and Maxillofacial SurgeryTohoku University Graduate School of Dentistry Sendai Japan
| | - Tadashi Kawai
- Division of Oral and Maxillofacial SurgeryTohoku University Graduate School of Dentistry Sendai Japan
| | - Shinji Kamakura
- Bone Regenerative Engineering Laboratory, Graduate School of Biomedical EngineeringTohoku University Sendai Japan
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Kanda N, Matsui K, Kawai T, Edamatsu H, Tanuma Y, Suzuki O, Takahashi T, Kamakura S. Implantation of octacalcium phosphate collagen composites (OCP/Col) after extraction of canine deciduous teeth achieved undisturbed permanent tooth eruption. Arch Oral Biol 2016; 72:179-186. [DOI: 10.1016/j.archoralbio.2016.08.027] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2014] [Revised: 08/11/2016] [Accepted: 08/23/2016] [Indexed: 11/25/2022]
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Kawai T, Tanuma Y, Matsui K, Suzuki O, Takahashi T, Kamakura S. Clinical safety and efficacy of implantation of octacalcium phosphate collagen composites in tooth extraction sockets and cyst holes. J Tissue Eng 2016; 7:2041731416670770. [PMID: 27757220 PMCID: PMC5051665 DOI: 10.1177/2041731416670770] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2016] [Accepted: 09/01/2016] [Indexed: 11/16/2022] Open
Abstract
It was demonstrated that octacalcium phosphate collagen composite achieved notable bone regeneration in bone defects in preclinical studies. On the basis of the research results, an investigator-initiated exploratory clinical trial was conducted after approval from a local Institutional Review Board. This clinical study was performed as a single-arm non-randomized intervention study. Octacalcium phosphate collagen composite was implanted into a total of 10 cases of alveolar bone defects after tooth extractions and cystectomy. Safety assessment was performed in terms of the clinical course and several consecutive laboratory examinations, and sequential radiographs were used for efficacy assessment. All participants uneventfully completed the clinical trial without major problems in their general condition. Postoperative wound swelling was observed, as also commonly seen in tooth extraction or cystectomy. Although no serious liver dysfunction, renal dysfunction, electrolyte imbalance, or abnormal urinalysis results were recognized, the number of white blood cells and C-reactive protein level temporarily increased after the operation. An increase in radiopacity in the octacalcium phosphate collagen composite–implanted site was observed in all cases. Finally, the border between the original bone and the octacalcium phosphate collagen composite–implanted site became indistinguishable. These results suggest that octacalcium phosphate collagen composite could be utilized safely in clinical situations in the future.
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Affiliation(s)
- Tadashi Kawai
- Division of Oral and Maxillofacial Surgery, Tohoku University Graduate School of Dentistry, Sendai, Japan
| | - Yuji Tanuma
- Division of Oral and Maxillofacial Surgery, Tohoku University Graduate School of Dentistry, Sendai, Japan
| | - Keiko Matsui
- Division of Oral and Maxillofacial Surgery, Tohoku University Graduate School of Dentistry, Sendai, Japan
| | - Osamu Suzuki
- Division of Craniofacial Function Engineering, Tohoku University Graduate School of Dentistry, Sendai, Japan
| | - Tetsu Takahashi
- Division of Oral and Maxillofacial Surgery, Tohoku University Graduate School of Dentistry, Sendai, Japan
| | - Shinji Kamakura
- Bone Regenerative Engineering Laboratory, Graduate School of Biomedical Engineering, Tohoku University, Sendai, Japan
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