Display options
Share it on

Int J Organ Transplant Med. 2015;6(4):176-81. Epub 2015 Nov 01.

Bone Reconstruction following Application of Bone Matrix Gelatin to Alveolar Defects: A Randomized Clinical Trial.

International journal of organ transplantation medicine

M Bayat, F Momen Heravi, M Mahmoudi, N Bahrami

Affiliations

  1. Oral and Maxillofacial Surgery Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran. Craniomaxillofacial Research Center, Tehran University of Medical Sciences, Tehran, Iran.
  2. Harvard Catalyst Laboratory for Innovative Translational Technologies, Harvard Medical School, Boston, MA, USA.
  3. Oral and Maxillofacial Surgery Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran. Craniomaxillofacial Research Center, Tehran University of Medical Sciences, Tehran, Iran, ; Iranian Tissue Bank and Research Center, Tehran University of Medical Sciences, Tehran, Iran.

PMID: 26576263 PMCID: PMC4644570

Abstract

BACKGROUND: Conventional dentoalveolar osseous reconstruction often involves the use of graft materials with or without barrier membranes.

OBJECTIVE: To evaluate the efficacy of bone induction by bone matrix gelatin (BMG), delivered on an absorbable collagen sponge (ACS), compared to a placebo (ACS alone) in human alveolar socket defects.

METHODS: 20 alveolar sockets from 10 healthy adults were studied. In all cases, both the mandibular premolar area and the contralateral premolar area (as the control site) were involved. In each of the 10 patients, the extraction sites were filled randomly with BMG and ACS. The repair response was examined on day 90. Qualitative histological and quantitative histometric analysis, including the percentage of new-formed bone fill and density were done.

RESULTS: Assessment of the alveolar bone indicated that patients treated with BMG had significantly (p<0.05) better bone quality and quantity compared to the controls. In addition, bone density and histology revealed no differences between the newly induced and native bone.

CONCLUSION: The data from this single-blind clinical trial demonstrated that the novel combination of BMG had a striking effect on de novo osseous formation for the bone regeneration.

Keywords: Autogenous bone graft; Bone healing; Bone matrix gelatin; Bone morphogenic protein; Osteoinductive material

References

  1. J Orthop Trauma. 1989;3(3):192-5 - PubMed
  2. J Dent Res Dent Clin Dent Prospects. 2009 Spring;3(2):37-45 - PubMed
  3. Acta Orthop Belg. 2005 Apr;71(2):133-48 - PubMed
  4. Oral Maxillofac Surg Clin North Am. 2011 Feb;23(1):1-15, v - PubMed
  5. Biomaterials. 2006 Apr;27(11):2426-33 - PubMed
  6. Nat Biotechnol. 1998 Feb;16(2):153-7 - PubMed
  7. J Craniomaxillofac Surg. 2010 Jun;38(4):288-92 - PubMed
  8. J Tissue Eng Regen Med. 2014 Jan;8(1):59-66 - PubMed
  9. Periodontol 2000. 2008;47:172-92 - PubMed
  10. Int J Oral Maxillofac Surg. 2010 Dec;39(12):1175-80 - PubMed
  11. Int J Periodontics Restorative Dent. 2002 Apr;22(2):109-17 - PubMed
  12. Biomaterials. 2013 Apr;34(12):2902-10 - PubMed
  13. J Biomed Mater Res. 1998 Nov;42(2):258-65 - PubMed
  14. J Oral Maxillofac Surg. 2004 Feb;62(2):202-13 - PubMed
  15. Clin Oral Investig. 2014 Jan;18(1):179-88 - PubMed
  16. J Craniofac Surg. 2007 Jan;18(1):43-8 - PubMed

Publication Types