|
| ||
|
|
||
Bone Cavity (bone + cavity)
Selected AbstractsStudies on dentin grafts to bone defects in rabbit tibia and mandible; development of an experimental modelDENTAL TRAUMATOLOGY, Issue 1 2009Lars Andersson This property may possibly be used as an alternative or supplement to bone grafting to defective areas after trauma prior to treatment with osseointegrated implants. Hence, the objective of this study was to investigate if dentin can be used as a graft in bone defects in an experimental rabbit model. Materials and Methods:, Eight New Zealand White Rabbits were used to prepare bone cavities either in the angle of the mandible or tibia. Six of the eight tibial and six of the eight mandibular bone defects were filled with dentin blocks from human premolars which were extracted for orthodontic treatment. Two mandibular and two tibial bone cavities were used as controls and all the rabbits were sacrificed after 3 months. Radiographic and histological examinations were performed. Results:, There was a difference in healing pattern between the mandibular and tibial defects. In the mandible, the dentin blocks were resorbed to a larger extent and more often surrounded by fibrous tissue, probably due to the fact that the dentin blocks were mobile because of the thin mandibles and muscular activity in that area. Only some dentin blocks were ankylosed with the mandibular bone. In the tibia however, all dentin blocks were fused to bone over a large area. Osseous replacement resorption was seen. In control cavities, bone formation was seen but was never complete. No signs of inflammatory changes were seen in any fused grafts. Conclusions:, Dentin grafts have a potential to be incorporated in bone without inflammation and can be used as bone inducer and later replaced by bone. Thus, rabbit tibia served as a better model for further studies of this phenomenon when compared to the mandible. [source] Large-scale extraction and characterization of CD271+ multipotential stromal cells from trabecular bone in health and osteoarthritis: Implications for bone regeneration strategies based on uncultured or minimally cultured multipotential stromal cells,ARTHRITIS & RHEUMATISM, Issue 7 2010E. Jones Objective To test the hypothesis that CD45lowCD271+ bone marrow multipotential stromal cells (MSCs) are abundant in the trabecular bone niche and to explore their functional "fitness" in health and osteoarthritis (OA). Methods Following enzymatic extraction, MSC release was evaluated using colony-forming unit,fibroblast (CFU-F) and colony-forming unit,osteoblast assays, flow cytometry, and confocal microscopy. CD45lowCD271+ cells isolated by fluorescence-activated cell sorting were enumerated and expanded under standard and clonal conditions. Their proliferative and osteogenic potencies were assessed in relation to donor age and compared with those of aspirated CD45lowCD271+ cells. In vitro and in vivo MSC "aging" was measured using quantitative polymerase chain reaction,based telomere length analysis, and standard differentiation assays were utilized to demonstrate multipotentiality. Results Cellular isolates from trabecular bone cavities contained ,65-fold more CD45lowCD271+ cells compared with aspirates (P < 0.0001) (median 1.89% [n = 39] and 0.029% [n = 46], respectively), concordant with increased CFU-F release. Aspirated and enzymatically released CD45lowCD271+ cells had identical MSC phenotypes (,100% CD73+CD105+CD13+, ,50,60% CD146+CD106+CD166+) and contained large proportions of highly clonogenic multipotential cells. In vitro osteogenic potency of freshly isolated CD45lowCD271+ cells was comparable with, and often above, that of early-passage MSCs (8,14%). Their frequency and in vivo telomere status in OA bone were similar to those in bone from age-matched controls. Conclusion Our findings show that CD45lowCD271+ MSCs are abundant in the trabecular bone cavity and indistinguishable from aspirated CD45lowCD271+ MSCs. In OA they display aging-related loss of proliferation but no gross osteogenic abnormality. These findings offer new opportunities for direct study of MSCs in musculoskeletal diseases without the requirement for culture expansion. They are also relevant for direct therapeutic exploitation of prospectively isolated, minimally cultured MSCs in trauma and OA. [source] Local alendronate increases fixation of implants inserted with bone compaction: 12-week canine studyJOURNAL OF ORTHOPAEDIC RESEARCH, Issue 4 2007Thomas Jakobsen Abstract Bone compaction has been shown to increase initial implant fixation. Furthermore, bone compaction creates a peri-implant zone of autograft that exerts osteoconductive properties. We have previously shown that locally applied bisphosphonate (alendronate) at 4-week observation can preserve the autograft generated by bone compaction. We now investigate whether the increased amount of autograft, seen at 4 weeks, can increase implant osseointegration and biomechanical fixation. Porous-coated titanium implants were bilaterally inserted with bone compaction into the proximal part of tibia of 10 dogs. On the right side, local bisphosphonate was injected into the bone cavity prior to bone compaction immediately prior to implant insertion. On the left side, saline was used as control. Observation period was 12 weeks. Locally applied bisphosphonate significantly increased biomechanical implant fixation (approximately twofold), bone-to-implant contact (1.2-fold), and peri-implant bone volume fraction (2.3-fold). This study indicates that local alendronate treatment can increase early implant osseointegration and biomechanical fixation of implants inserted by use of bone compaction. Long term effects remain unknown. © 2006 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 25:432,441, 2007 [source] Large-scale extraction and characterization of CD271+ multipotential stromal cells from trabecular bone in health and osteoarthritis: Implications for bone regeneration strategies based on uncultured or minimally cultured multipotential stromal cells,ARTHRITIS & RHEUMATISM, Issue 7 2010E. Jones Objective To test the hypothesis that CD45lowCD271+ bone marrow multipotential stromal cells (MSCs) are abundant in the trabecular bone niche and to explore their functional "fitness" in health and osteoarthritis (OA). Methods Following enzymatic extraction, MSC release was evaluated using colony-forming unit,fibroblast (CFU-F) and colony-forming unit,osteoblast assays, flow cytometry, and confocal microscopy. CD45lowCD271+ cells isolated by fluorescence-activated cell sorting were enumerated and expanded under standard and clonal conditions. Their proliferative and osteogenic potencies were assessed in relation to donor age and compared with those of aspirated CD45lowCD271+ cells. In vitro and in vivo MSC "aging" was measured using quantitative polymerase chain reaction,based telomere length analysis, and standard differentiation assays were utilized to demonstrate multipotentiality. Results Cellular isolates from trabecular bone cavities contained ,65-fold more CD45lowCD271+ cells compared with aspirates (P < 0.0001) (median 1.89% [n = 39] and 0.029% [n = 46], respectively), concordant with increased CFU-F release. Aspirated and enzymatically released CD45lowCD271+ cells had identical MSC phenotypes (,100% CD73+CD105+CD13+, ,50,60% CD146+CD106+CD166+) and contained large proportions of highly clonogenic multipotential cells. In vitro osteogenic potency of freshly isolated CD45lowCD271+ cells was comparable with, and often above, that of early-passage MSCs (8,14%). Their frequency and in vivo telomere status in OA bone were similar to those in bone from age-matched controls. Conclusion Our findings show that CD45lowCD271+ MSCs are abundant in the trabecular bone cavity and indistinguishable from aspirated CD45lowCD271+ MSCs. In OA they display aging-related loss of proliferation but no gross osteogenic abnormality. These findings offer new opportunities for direct study of MSCs in musculoskeletal diseases without the requirement for culture expansion. They are also relevant for direct therapeutic exploitation of prospectively isolated, minimally cultured MSCs in trauma and OA. [source] Static bone cavity in the condylar neck and mandibular notch of the mandibleAUSTRALIAN DENTAL JOURNAL, Issue 1 2009K Minowa Abstract This study presents the radiographic findings of two cases of static bone cavity in the inferior aspect of the condylar neck and mandibular notch of the mandible. On plain CT, a soft tissue mass was observed in each cavity. The submandibular gland and the other glands were not found in each cavity. On contrast-enhanced CT, the soft tissue in the cavity in the inferior aspect of the condylar neck had marked linear enhancement and dilated vasculature structure was observed in the cavity. On the contrast-enhanced MRI, the soft tissue in the cavity of the mandibular notch had marked enhancement and flow void was detected in the cavity. In the inferior aspect of the condylar neck, the cavity size had enlarged radiographically over a period of three years. Vascular lesions were found in the cavity located in the inferior aspect of the condylar neck and mandibular notch of the mandible by both CT and MRI. The vascular lesion might explain the enlargement of the static bone cavity. [source] Tissue response to titanium implantation in the rat maxilla, with special reference to the effects of surface conditions on bone formationCLINICAL ORAL IMPLANTS RESEARCH, Issue 6 2003Masaki Shirakura Abstract: Tissue responses to titanium implantation with two different surface conditions in our established implantation model in rat maxillae were investigated by light and transmission electron microscopy and by histochemistry for tartrate-resistant acid phosphatase (TRAPase) activity. Here we used two types of implants with different surface qualities: titanium implants sandblasted with Al2O3 (SA-group) and implants coated with hydroxyapatite (HA-group). In both groups, bone formation had begun by 5 days postimplantation when the inflammatory reaction had almost disappeared in the prepared bone cavity. In the SA-group, however, the bone formation process in the bone cavity was almost identical to that shown in our previous report using smooth surfaced implants (Futami et al. 2000): new bone formation, which occurred from the pre-existing bone toward the implant, was preceded by active bone resorption in the lateral area with a narrow gap, but not so in the base area with a wide gap. In the HA-group, direct bone formation from the implant toward the pre-existing bone was recognizable in both lateral and base areas. Many TRAPase-reactive cells were found near the implant surface. On the pre-existing bone, new bone formation occurred with bone resorption by typical osteoclasts. Osseointegration around the implants was achieved by postoperative day 28 in both SA- and HA-groups except for the lateral area, where the implant had been installed close to the cavity margin. These findings indicate that ossification around the titanium implants progresses in different patterns, probably dependent on surface properties and quality. Résumé Les réponses tissulaires à l'implantation du titane avec deux conditions de surfaces différentes dans le maxillaire du rat ont étéétudiées par microscopie optique et électronique à transmission et par histochimie pour l'activité de l'acide phosphatase résistant au tartrate (TRAPase). Deux types d'implants avec différentes qualité de surface ont été utilisés : des implants en titane sablés par du AL2O3 (groupe SA) et des implants couverts par de l'hydroxyapatite (groupe HA). Dans les deux groupes la formation osseuse avait démarré cinq jours après l'implantation, lorsque la réaction inflammatoire avait presque disparue de la cavité osseuse préparée. Cependant, dans le groupe SA le processus de formation osseuse de la cavité osseuse était quasi identique à celle montrée dans un rapport précédent utilisant des implants à surface lisse (Futami et al., 2000) : la néoformation osseuse qui démarre de l'os préexistant vers l'implant, était précédée par une résorption osseuse active dans l'aire latérale avec une brèche étroite, mais pas dans l'aire de base avec un espace large. Dans le groupe HA, une formation osseuse directe de l'implant vers l'os préexistant était reconnaissable tant dans les aires latérales qu'au niveau de la base. Beaucoup de cellules réactives au TRAPase ont été trouvées près de la surface de l'implant. Sur l'os préexistant une néoformation osseuse est apparue avec une résorption osseuse par des ostéoclastes typiques. L'ostéoïntégration autour des implants a été achevée au jour 28 après l'opération tant dans le groupe SA que HA excepté pour l'aire latérale où l'implant avait été inséré près du rebord de la cavité. Ces découvertes indiquent que l'ossification autour des implants en titane progresse de manière différente dépendant probablement de la qualité et des propriétés de surface. Zusammenfassung Die Gewebsantwort auf implantiertes Titan in einem Rattenoberkiefer. Spezielles Augenmerk auf die Einflüsse der Oberflächenbeschaffenheit auf die Knochenbildung. An unserem etablierten Implantationsmodell am Rattenoberkiefer wurde die Gewebsantwort nach der Titanimplantation von zwei Prüfkörpern mit verschiedener Oberfläche mit Hilfe der Licht- und Transmissionselektronenmikroskopie, sowie mittels Histochemie zum Aktivitätsnachweis der tartratresitenten sauren Phosphatase (TRAPase) untersucht. Wir benutzten hier zwei Implantattypen mit verschiedenen Oberflächen: Mit Al2O3 sandgestrahlte Titanimplantate (SA-Gruppe) und mit Hydroxylapatit beschichtete Implantate (HA-Gruppe). Bei beiden Gruppen begann die Knochenbildung 5 Tage nach der Implantation, sobald die Entzündungsreaktion im präparierten Knochenbett am verschwinden war. In der SA-Gruppe aber, zeigte sich im präparierten Implantatbett ein beinahe gleicher Knochenbildungsvorgang, wie in unseren früheren Berichten für glatte Implantatoberflächen beschrieben (Futami et al., 2000): Die vom bereits vorhandenen Knochen ausgehende Knochenneubildung gegen das Implantat hin erfolgte erst nach einer aktiven Knochenresorption im lateralen Bereich. Es entstand eine minime Spalte zwischen Knochen und Implantat, währenddem im apicalen Bereich eine breitere Spalte entstand. In der HA-Gruppe konnte man sowohl im lateralen, wie auch im apicalen Bereich eine direkt vom Implantat ausgehende Knochenbildung in Richtung des vorhandenen Knochens feststellen. In der Nähe der Implantatoberfläche fand man viele TRAPase-reaktive Zellen. Beim vorhandenen Knochen erfolgte die Knochenneubildung gleichzeitig mit der Knochenresorption durch typische Osteoklasten. Die Osseointegration rund um die Implantate herum erreichte man, ausser im lateralen Bereich gegen den Rand des Implantatbettes hin, in der SA-und der HA-Gruppe am 28igsten postoperativen Tag. Diese Ergebnisse zeigen, dass die Ossifikation um Titanimplantate in verschiedenen Mustern abläuft, wahrscheindlich in Abhängigkeit von der Oberflächeneigenschaft und -qualität. Resumen Se investigó las respuestas tisulares a la implantación con titanio con dos condiciones diferentes de superficie en nuestro modelo establecido de implantación en el maxilar de la rata por medio de microscopía óptica y electrónica de transmisión y por medio de histoquímica para la actividad de fosfatasa alcalina tartrato resistente (TRAPase). Hemos usado aquí dos tipos de implantes con diferentes calidades de superficies: Implantes de titanio pulverizados con Al2O3 (grupo-SA), e implantes cubiertos con hidroxiapatita (grupo-HA). En ambos grupos la formación de hueso comenzó a los 5 días de la implantación cuando la reacción inflamatoria hubo casi desaparecido en la cavidad ósea preparada. De todos modos, en el grupo SA, el proceso de formación de hueso en la cavidad ósea fue casi idéntico a aquel mostrado en nuestro informe previo usando implantes de superficies lisas (Futami et al., 2000): neoformación de hueso, que tuvo lugar desde el hueso preexistente hacia el implante, siendo precedida por reabsorción ósea activa en el área lateral con un espacio estrecho, pero no así en el área basal con espacio ancho. Se encontraron muchas células TRAPase reactivas cerca de la superficie del implante. En el hueso preexistente, la neoformación ósea tuvo lugar con reabsorción ósea con osteoclastos típicos. La osteointegración alrededor de los implantes se logró al día 28 tras la operación en ambos grupos SA y HA excepto para el área lateral, donde el implante se instaló cerca del margen de la cavidad. Estos hallazgos indican que la osificación alrededor de los implantes de titanio progresa con patrones diferentes, probablemente dependiendo de las propiedades y las calidades de la superficie. [source] | ||||||||||