Affiliation:
1. Master. Attending Doctorate Degree in Stomatopathology.
2. Master. Professor of Oral and Maxillofacial Surgery and Traumatology.
3. Doctor. Professor of Oral and Maxillofacial Surgery and Traumatology.
4. Doctor. Professor of Oral Histology.
Abstract
Summary
Introduction: Repairing large bone defects is a huge challenge that reconstructive surgery currently faces.
Objective: The objective of this study was to perform the histological evaluation of bone repair in rabbit calvaria when using bovine bone graft (Gen-ox-organic®) associated with platelet-rich plasma (PRP).
Method: 12 rabbits were used and two bone fragments were bilaterally removed from calvaria. Then, 24 surgical sites were randomly divided into 3 groups: coagulum (group I), organic (group II) and PRP-included organic (group III). After four weeks, the animals were sacrificed and the grafted area removed, fixed in 10% formalin with PBS 0.1 M, and embedded in paraffin.
Study method: The analyzed histological parameters were: defective area filled with the newly-formed bone, graft's giant cells and particles, as well as the new bone formation associated with the particles. Group I's defects were filled with fibrous tissue attaching the periosteum and revealed a little bone formation peripherally. In both groups II and III, a similar standard was noticed in addition to the absence of graft particles and giant cells. There was no significant difference in the number of giant cells, graft particles and new bone formation around the particles between the grafted material and the PRP-related group.
Conclusion: The results achieved indicate that the organic biomaterial neither separately nor jointly with PRP improves bone regeneration.
Reference36 articles.
1. Evaluation of platelet-rich plasma in combination with freeze-dried bone in the rabbit cranium;A pilot study. Clin Oral Implants Res,2005
2. Regeneration of cranial suture and bone plate lesions in rabbits. Implications for positioning of osteotomies;J Craniomaxillofac Surg,1990
3. Endogenous brain protection: models, gene expression, and mechanisms;Methods Mol Med,2005
4. The clinical use of allografts, demineralized bone matrices, synthetic bone graft substitutes and osteoinductive growth factors: a survey study;HSS J,2005
5. Long-term success of sinus augmentation using a synthetic alloplast: a 20 patients, 7 years clinical report;Implant Dent,2005