Alveolar Bone Formation in Dogs using Vicryl Absorbable Mesh(Polyglactin 910) and Decalcified Freeze-Dried Bone Grafting.
10.5051/jkape.1999.29.3.469
- Author:
Eun Chung OH
1
;
Hyun Ju CHUNG
;
Young Jun KIM
Author Information
1. Department of Periodontology, College of Dentistry, Chonnam National University Institute of Dentistry, College of Dentistry, Chonnam National University, Korea.
- Publication Type:Original Article
- MeSH:
Adult;
Alveolar Process;
Animals;
Bicuspid;
Bone Marrow;
Bone Regeneration;
Bone Transplantation*;
Connective Tissue;
Dogs*;
Humans;
Mandible;
Membranes;
Osteoblasts;
Osteogenesis*;
Polyglactin 910*;
Regeneration;
Tooth Extraction;
Transplants
- From:The Journal of the Korean Academy of Periodontology
1999;29(3):469-481
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The purpose of this study was to evaluate new bone formation following guided bone regeneration by resorbable and non-resorbable membrane. Six adult mongrel dogs were used. The first, second, third, fourth premolars in the mandible of each dog were extracted. Two months after tooth extraction, a buccal dehiscence defect was surgically created on each edentulous area. The experimental sites were divided into three groups according to the treatment modalities ; GroupI-a: surgical treatment only ; GroupI-b: allogenic decalcified freezed dried bone grafting ; Group II-a : e-PTFE membrane placement only ; Group II-b : allogenic decalcified freezed dried bone grafting and e-PTFE membrane placement ; Group III-a : Vicryl(R) mesh placement only ; Group III-b : allogenic decalcified freezed dried bone grafting and Vicryl(R) mesh placement. The animals were sacrificed at 8 weeks after operation and the specimens were prepared for histologic and histometric examination. The results were as follows: Clinically, all defect sites were healed without exposure of barrier membrane after the eight weeks. In Group I-a, dense connective tissues were impinged in the bony defect area. Well vascularized and fibrous bone marrow indicated that bone formation was still taking place was found. In Group I-b, in areas closer to the periphery, lamellation of the newly formed bone would found. In Group II-a, beneath the e-PTFE membrane a dense layer of connective tissue covering the most external portions of the regenerated tissue was seen. The new bone surfaces were lined with osteoid and osteoblast. In Group II-b, a dense layer of connective tissue covering the most external portions of the regenerated tissue was observed beneath the e-PTFE membrane. A notable amount of alveolar ridge regeneration was seen with new rigdes with well-contoured form. In Group III-a, the new bone surface were lined with osteoid and osteoblast, indicating active bone formation. A clear demarcation could not be noted between the host bone and new bone. In Group III-b, a notable amount of alveolar ridge regeneration was seen with new ridges assuming wellcontoured form. In areas closer to the periphery, lamellation of the newly formed bone would found. As histometric examination, the amount of bone formation was gained from 12.8mm2 to 26.3mm2. It was significantly greater in group II-b and group III-b compared to other groups(p<0.05). These results suggest that Vicryl(R) mesh after DFDB grafting used in guided bone regeneration could create and sustain sufficient space for new bone formation.
