Impact of rhBMP-2 on regeneration of buccal alveolar defects during the osseointegration of transgingival inserted implants.
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Impact of rhBMP-2 on regeneration of buccal alveolar defects during the osseointegration of transgingival inserted implants. / Smeets, Ralf; Maciejewski, Oliver; Gerressen, Markus; Spiekermann, Hubertus; Hanisch, Oliver; Riediger, Dieter; Blake, Felix; Stein, Jamal; Hölzle, Frank; Kolk, Andreas.
in: ORAL SURG ORAL MED O, Jahrgang 108, Nr. 4, 4, 2009, S. 3-12.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Impact of rhBMP-2 on regeneration of buccal alveolar defects during the osseointegration of transgingival inserted implants.
AU - Smeets, Ralf
AU - Maciejewski, Oliver
AU - Gerressen, Markus
AU - Spiekermann, Hubertus
AU - Hanisch, Oliver
AU - Riediger, Dieter
AU - Blake, Felix
AU - Stein, Jamal
AU - Hölzle, Frank
AU - Kolk, Andreas
PY - 2009
Y1 - 2009
N2 - OBJECTIVE: New approaches to enhance vertical bone regeneration in clinically relevant implant models are needed. Therefore, we analyzed the impact of recombinant human bone morphogenic protein 2 (rhBMP-2) on the healing of large buccal alveolar defects during osseointegration of transgingivally inserted implants. STUDY DESIGN: Twenty-four dental implants were inserted transgingivally in the mandibles of 6 labrador/golden retriever cross-bred dogs. Before implantation, a standardized buccal bone defect was created and refilled with either calcium phosphate as a carrier containing rhBMP-2 or calcium phosphate alone. Either ceramic abutments that enabled immediate implant loading or healing distance collars to prevent loading were mounted. Sixteen weeks after intervention, bone implant units were analyzed by radiofrequency analysis and histomorphometry. RESULTS: In total, 14 implants (58.3%) were available for further analysis. The mean depth of the bone defects, the gain of regenerated bone, the vertical osseointegration of the implants, and the bone-to-implant contact in the newly formed bone were slightly greater in the rhBMP-2-containing samples. In contrast, the osseointegration in the preexisting bone was even superior within the non-rhBMP-2-treated specimen. However no differences were statistically significant. CONCLUSIONS: When rhBMP-2-conducted bone regeneration was compared with control samples, no significant differences of newly formed bone were found at the bone-implant interface. The amounts of rhBMP-2 applied do not seem suitable to enhance implant osseointegration in large buccal defects.
AB - OBJECTIVE: New approaches to enhance vertical bone regeneration in clinically relevant implant models are needed. Therefore, we analyzed the impact of recombinant human bone morphogenic protein 2 (rhBMP-2) on the healing of large buccal alveolar defects during osseointegration of transgingivally inserted implants. STUDY DESIGN: Twenty-four dental implants were inserted transgingivally in the mandibles of 6 labrador/golden retriever cross-bred dogs. Before implantation, a standardized buccal bone defect was created and refilled with either calcium phosphate as a carrier containing rhBMP-2 or calcium phosphate alone. Either ceramic abutments that enabled immediate implant loading or healing distance collars to prevent loading were mounted. Sixteen weeks after intervention, bone implant units were analyzed by radiofrequency analysis and histomorphometry. RESULTS: In total, 14 implants (58.3%) were available for further analysis. The mean depth of the bone defects, the gain of regenerated bone, the vertical osseointegration of the implants, and the bone-to-implant contact in the newly formed bone were slightly greater in the rhBMP-2-containing samples. In contrast, the osseointegration in the preexisting bone was even superior within the non-rhBMP-2-treated specimen. However no differences were statistically significant. CONCLUSIONS: When rhBMP-2-conducted bone regeneration was compared with control samples, no significant differences of newly formed bone were found at the bone-implant interface. The amounts of rhBMP-2 applied do not seem suitable to enhance implant osseointegration in large buccal defects.
KW - Animals
KW - Humans
KW - Male
KW - Time Factors
KW - Recombinant Proteins therapeutic use
KW - Alveolar Bone Loss pathology
KW - Bone Matrix pathology
KW - Bone Morphogenetic Proteins therapeutic use
KW - Bone Regeneration drug effects
KW - Calcium Phosphates
KW - Ceramics chemistry
KW - Dental Abutments
KW - Dental Implants
KW - Dental Materials chemistry
KW - Dental Prosthesis Design
KW - Dogs
KW - Drug Carriers
KW - Mandible pathology
KW - Mandibular Diseases pathology
KW - Osseointegration physiology
KW - Osteoblasts pathology
KW - Osteogenesis physiology
KW - Surface Properties
KW - Transforming Growth Factor beta therapeutic use
KW - Animals
KW - Humans
KW - Male
KW - Time Factors
KW - Recombinant Proteins therapeutic use
KW - Alveolar Bone Loss pathology
KW - Bone Matrix pathology
KW - Bone Morphogenetic Proteins therapeutic use
KW - Bone Regeneration drug effects
KW - Calcium Phosphates
KW - Ceramics chemistry
KW - Dental Abutments
KW - Dental Implants
KW - Dental Materials chemistry
KW - Dental Prosthesis Design
KW - Dogs
KW - Drug Carriers
KW - Mandible pathology
KW - Mandibular Diseases pathology
KW - Osseointegration physiology
KW - Osteoblasts pathology
KW - Osteogenesis physiology
KW - Surface Properties
KW - Transforming Growth Factor beta therapeutic use
M3 - SCORING: Zeitschriftenaufsatz
VL - 108
SP - 3
EP - 12
JO - ORAL SURG ORAL MED O
JF - ORAL SURG ORAL MED O
SN - 1079-2104
IS - 4
M1 - 4
ER -