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Clinical Implantology

Fig. 1: Cone beam computerized tomography scan of the horizontally deficient edentulous maxillary alveolar ridge. Alveolar bone width and height, as well as thickness of the buccal and palatal cortical and medullary bone, are demonstrated. This alveolar ridge is a Class III ridge according to the classification presented in the article. Fig. 2: Axial CBCT scan of the horizontally collapsed edentulous right maxillary alveolar ridge showing varied thickness of the alveolar ridge. (Photos: Provided by Len Tolstunov, DDS, DMD)
Sep 9, 2016 | Implantology USA

Comparing graft techniques for the alveolar ridge prior to implant

by Journal of Oral Implantology

Regeneration of bone tissue could greatly benefit people with jawbone deficiencies due to tooth loss, infection or trauma. While an ideal method of bone-tissue engineering is not yet available, research with a collagen-hydroxyapatite-Mesenchymal stem cell composite is showing promise. Hydroxyapatite is the main component of bone mineral and tooth enamel.

A report in the Journal of Oral Implantology details researchers’ efforts to synthesize a collagen-hydroxyapatite composite through mineralization of collagen fibrils with nanometer-sized apatite crystals. The biological properties of the composite were evaluated by culturing with mouse and human mesenchymal stem cells.

Methods of bone repair and regeneration include the following bone graft types:

  • Autografts: grafting bone from the same person.
  • Allografts: taking bone tissue from another person.
  • Xenografts: collecting material from a nonhuman species.
  • Alloplasts: using synthetic materials.

Each of these methods has limitations that tissue engineering involving scaffolds and living cells can surpass.

The scaffold is an artificial structure that is combined with living Mesenchymal stem cells to form a tissue engineering construct that can repair or regenerate bone. Mesenchymal stem cells, which can differentiate into a variety of cell types, are used to precipitate bone growth.

The study tested three ratios of collagen to hydroxyapatite: 80:20, 50:50, and 20:80. Both the 80:20 and 50:50 composites supported attachments and proliferation of mouse mesenchymal stem cells and human periodontal ligament stem cells in laboratory tests. The 50:50 ratio had the best mechanical properties suitable for bone grafting applications.

The authors report that these findings indicate a strong potential for collagen-hydroxyapatite composite complexes in bone tissue regeneration. The composites are porous and sponge-like, and show good biocompatibility and biomimetric properties.

Alveolar bone deficiency is a limiting factor for dental implant-supported prosthetic therapies. The effective formation of new bone offers a basis for further procedures to successfully repair teeth and jaws.

Full text of the article, “Porous Collagen-Hydroxyapatite Scaffolds With Mesenchymal Stem Cells for Bone Regeneration,” Journal of Oral Implantology, Vol. 41, No.1, 2015, is available at www.joionline.org/doi/full/10.1563/AAID-JOI-D-12-00298.

About the Journal of Oral Implantology

The Journal of Oral Implantology is the official publication of the American Academy of Implant Dentistry. It is dedicated to providing valuable information to general dentists, oral surgeons, prosthodontists, periodontists, scientists, clinicians, laboratory owners and technicians, manufacturers, and educators. The JOI distinguishes itself as the first and oldest journal in the world devoted exclusively to implant dentistry. For more information about the journal or society, you can visit www.joionline.org.

(Source: Journal of Oral Implantology)

 

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