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Materials (Basel). 2019 Sep 21;12(19). doi: 10.3390/ma12193079.

Hydroxyapatite Block Produced by Sponge Replica Method: Mechanical, Clinical and Histologic Observations.

Materials (Basel, Switzerland)

Antonio Scarano, Felice Lorusso, Pablo Santos de Oliveira, Sanosh Kunjalukkal Padmanabhan, Antonio Licciulli

Affiliations

  1. Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Via dei Vestini, 31, 66100 Chieti, Italy. [email protected].
  2. Department of Oral Implantology, Dental Research Division, College Ingà, UNINGÁ, Cachoeiro de Itapemirim 29312, Brazil. [email protected].
  3. Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Via dei Vestini, 31, 66100 Chieti, Italy. [email protected].
  4. Department of Oral Implantology, Dental Research Division, College Ingà, UNINGÁ, Cachoeiro de Itapemirim 29312, Brazil. [email protected].
  5. Department of Engineering for Innovation, University of Salento, 73100 Lecce, Italy. [email protected].
  6. Department of Engineering for Innovation, University of Salento, 73100 Lecce, Italy. [email protected].

PMID: 31546617 PMCID: PMC6804165 DOI: 10.3390/ma12193079

Abstract

PURPOSE: The grafting procedure for the anthropic ridges of jaws represents a surgical technique for increasing the bone volume to permit the placement of dental implants for oral rehabilitations. The aim of this study was to evaluate a hydroxyapatite (HA) porous scaffold produced via a sponge replica method for the treatment of maxillary bone defects in a human model.

METHODS: A total of thirteen patients were treated for sinus lifting in the posterior maxilla for a total of 16 defects treated with cylindrical HA Block. The experimental sites were evaluated by a 3D Cone Beam Computer Tomography scan (CBCT), and the histological analysis was performed after 3 months of healing.

RESULTS: After the 3 months healing period, the histological outcome of the investigation showed a high level of biological osteoconduction of the HA. Microscopical evidence of new bone formation was also observed in the central portion of the graft block. The samples were composed of different tissues: 39 ± 1% new bone, 42 ± 3% marrow space, 17 ± 3% residual HA Block and 4.02 ± 2% osteoid tissue were present. The new bone formation in the block was 8 ± 3%

Keywords: cone beam computed tomography; histology; hydroxyapatite; scaffold; sponge replica

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