Papers by Keyword: Bone Repair

Abstract: Hydroxyapatite is the main ceramic material that has being used in bone repair, although its physico-chemical and in vivo behavior should be better understood. A method to improve the biocompatibility of HA is the substitution of calcium with divalent cations which enhance mechanic resistance and can modulate inflammatory response against implanted material. In this study we analyzed the biocompatibility of HA doped with one per cent of Zn²⁺ or Pb²⁺. The first one has being described as an inflammation modulator and the second would be a model for chronic toxicity assay. Biocompatibility of the both materials was studied in vivo following the ISO 10993-6 standard. HA cylinders (ZnHA, PbHA and stoichiometric HA as positive control) were implanted into subcutaneous tissue of 45 Balb-c mice and after 1, 3 and 9 weeks the animals were euthanized (5 for each experimental condition). Necropsies of the skin containing reactional tissue were removed, fixed in 10% formaldehyde and followed the histological processing for paraffin embedding and staining with Hematoxylin-Eosine and Picrosirius red. Microscopic analysis showed for all groups moderate inflammatory response, decreasing throughout the experimental periods, with ZnHA group showing more intense response. Similar presence of macrophages, fibrosis and angiogenesis were observed among the groups. Thereby, we can conclude that ZnHA and PbHA are biocompatible and not bioresorbable, being the ZnHA potentially indicated as bone graft. Detailed studies are required to better understand the role of PbHA as chronic model for lead toxicity.

Abstract: This clinical study evaluated the tissue repair process using different bone grafts. Nine dental patients with indication for posterior implantodontic treatment were submitted to maxillary sinus lifting procedures associated to grafting. After 6 months, bone biopsies (6 sites with allogenous bone grafting and 13 sites with bovine xenogenous bone grafting/Osseus^TM) were removed and processed for histopathological and histomorphometric analyses (ANOVA and Tukey's test). Both groups had tissue biocompatibility without significant inflammatory response, only punctual presence of multinucleated giant cells in xenograft group. Osteoconductive potential was evidenced by new bone tissue surrounding and in direct contact with the granules of both grafts. Volume density of connective tissue was similar between groups, although there were significant differences in allograft group in comparison to xenograft as the presence of new bone formation (48.50%±13.93 versus 29.83±9.56, respectively, p<0.05) and remnant biomaterial (1.57±2.39 versus 22.23±12.41, respectively, p<0.001), suggesting a greater osteoconductivity and faster bioresorption in the allograft group. These results demonstrate that allogenous bone and Osseus^TM can be satisfactorily used as grafts in minor oral surgeries for bone augmentation in humans.

Abstract: Porous titanium scaffolds with high porosity are fabricated by sintering. The bioactivity of the porous titanium has been improved by high concentration alkaline treatment. Through the modification, the titanium surface showed a network structures. The SBF immersion test indicates that apatite was formed on the porous titanium scaffold with high porosity after 10M/L alkali treatment in 12h. The results of study show the network structured endowed the porous titanium with bioactivity.

Abstract: A novel synthetic copolymer (PAA) for bone repair was prepared by melt condensation polymerization with 6-aminohexanoic acid (He) and 4R-hydroxy-L-proline (Hyp). The structure and thermal property were characterized by infrared spectrometer (IR), nuclear magnetic resonance (H1NMR) and differential scanning calorimeter (DSC). The results indicated that the PAA had amide linkages in their polymer chains. The Tg of PAA was 57.56°C and significantly higher than that of nylon6, 50.46°C. Meanwhile, the intrinsic viscosity and mechanical properties were investigated at different He/Hyp ratios. It revealed that appropriate introduction of Hyp group could control the degree of polycondensation and adjusted mechanical properties of PAA obviously close to natural bone. The prepared polymers had about 2.12~18.21 % weight loss after 8-week soaking in PBS, showed degradable properties which was essentials to new bone growth. The copolymer of He and Hyp with ratios of 90/10 had 6.57 % weight loss and maintained the yield compressive strengths with about 67.51 MPa after 8 weeks, which exhibited a compatible mechanical properties and degradation speed for bone repair.

Abstract: Porous granules were obtained through a route using a mixture of calcium phosphate powder with sodium alginate solution. The sintered β-TCP and β-TCMP granules with diameters ranging from 250 µm to 500 µm were implanted into dental alveoli of 30 rats (Rattus norvegicus). The animals were divided in three groups: group I (control, no treatment), group II (β-TCP) and group III (β-TCMP); the sacrifices occurred at 7 and 21 days (n=5/group/period). Histological and histomorphometric analysis were performed to observe and measure connective tissue, bone neoformation and biomaterial areas. Most animals showed acute inflammatory response with many neutrophil granulocytes and foreign body giant multinucleated cells associated to both biomaterials, at 7 and 21 days. The utilization of sodium alginate as additive in the porous granules might explain these results. Fourier-transformed infrared spectroscopy (FTIR) pointed out residue in the granules surface that could exacerbate the inflammatory response. Additional studies are in course to confirm such hypothesis.

Abstract: In order to investigate the effects of addition amount, particle size distribution and aver- age particle size of NaCl porogen on the pore connectivity of silk fibroin (SF) / hydroxyapatite (HA) porous composites. In this paper, the SF/HA composites were fabricated by means of isostatic pressing. The pore structure of SF/HA porous composites was observed by Scanning electron microscopy (SEM), and the air permeability was tested by home-made device. Results indicated that the larger addition amount of NaCl particles, the greater scope of NaCl particles size distribution and increased the average particle size of NaCl particles were able to make the pore connectivity of the material improved significantly. The materials with good pore connectivity, which were conducive to the immigration and adhesion of bone repair cells, information transmission and exchange with the outside tissue, and also benefit for bone tissue regeneration.

Abstract: The aim of this paper was to evaluate the usefulness of coupling digital image analysis with immunohistochemistry and histomorphometry data to the study of tissue response to hydroxyapatite in a model of critical size bone defect in calvaria of rats. A transosseous defect measuring 8 mm in diameter was performed with a surgical trephine in the parietal bone of 40 rats and divided into two experimental groups according to the treatment: group I (blood clot, control), group II (HA) and killed 1, 3, 6 and 9 months after implantation (n=5/group/period). The skullcaps with overlaying skin were collected and processed for paraffin embedding. The specimens were cut in the laterolateral direction into 5-µm thick semi-serial sections and stained with hematoxylin-eosin for identification and counting of polymorphonuclears cells, mastocytes, and multinucleated giant cells, MNG, or immunolabeled with anti- lysozyme, -factor VIII and –PCNA. Digital images were obtained and analyzed with the ImagePro-Plus® software for cell couting (polymorphonuclears cells, mastocytes, macrophages and MNG) and microvessel density. Image segmentation of anti-PCNA immunostaining was used for cell proliferation analysis. The digital images obtained allowed clear identification of cells of interest by through morphological aspects or immunostaining. Data recording and analysis was facilitated by the use of specific software for image processing and graphical and statistical analysis. It can be concluded that the techniques applied were usefull to identify and count cells, structures and process of interest making easier the effectiveness of hydroxyapatite in the critical size defect in rat calvaria model.

Abstract: The aim of this study was verify the biological efficacy of the use of a xenograft for bone loss therapy. Blood clot, particulate autogenous bone or anorganic bovine xenograft filled critical size defects (CSD) in rat calvaria (8mm diameter). After 0, 7, 30 and 90 days the animals were killed and macroscopic, radiographic and histopathological analysis were conducted. Although no treatment promoted the total closure of bone defect, autogenous bone group had better bone repair after 90 days, followed by xenograft group that exhibited direct bone neoformation onto, and around, the particles confirming its osteoconductivity. In conclusion, the xenograft tested in vivo showed biocompatibility, biodegradability and osteoconductive properties in rat calvaria CSD.

Abstract: Biomaterials for treatment of bone defects have been studied for a long time. Alloplastic materials, mainly hydroxyapatite (HA), are under intense investigation due to its biocompatibility and osteoconductive properties. The HA can be modified by the incorporation of bivalent cations as Zn2+ known as a positive effectors for bone repair. The purpose of this study was to evaluate comparatively the effectiveness of 5% zinc-containing hydroxyapatite (ZnHA) in the treatment of critical size defect (CSD) in rat’s calvaria. CSD (8mm diameter) created in the skull of forty-five Wistar rats were filled with autogenous bone, HA and ZnHA. Skulls harvested after 30, 90 and 180 days were submitted to histological processing for paraffin embedding. Sections of 5 µm-thick stained with hematoxylin and eosin (HE) allowed histomorphometric analysis. The area of neoformed bone increased (p<0.001) from 30 to 180 days irrespective to treatment groups. ZnHA and the control group showed a large at 180 days but no significant difference compared to HA. Therefore, we concluded that both biomaterials are biocompatibles and osteoconductors, promoting new bone formation and apposition of bone on the surface throughout the periods and the addition of zinc improved the osteogenesis.