Artículos de revistas
Bone repair of critical size defects treated with autogenic, allogenic, or xenogenic bone grafts alone or in combination with rhBMP-2
Fecha
2016-05-01Registro en:
Clinical Oral Implants Research. Hoboken: Wiley-blackwell, v. 27, n. 5, p. 558-566, 2016.
0905-7161
10.1111/clr.12622
WOS:000374699200007
4408095517346846
0000-0003-4859-0583
Autor
Universidade de São Paulo (USP)
Universidade Estadual Paulista (Unesp)
Institución
Resumen
ObjectiveTo evaluate the bone repair of critical size defects treated with autogenic, allogenic, or xenogenic bone grafts alone or in combination with rhBMP-2. Material and methodsIn 112 rats, a critical bone defect of 5mm bilaterally in the calvaria was made and filled with different bone grafts alone or combined with rhBMP-2: group autograft (AuG); group allograft (AlG); group xenograft (XeG); group AuG/BMP-2 (autograft and 5g rhBMP-2); group AlG/BMP-2 (allograft and 5g rhBMP-2); group XeG/BMP-2 (xenograft and 5g rhBMP-2); group BMP-2 (5g rhBMP-2); and control group, filled only with blood coagulum. After a period of 4 or 6weeks, the animals were euthanized. Histological and histometric analyses were performed for new bone formation (NB), as well as the immunohistochemical detection of tartrate-resistant acid phosphatase (TRAP), and zymographic analysis (MMP) of type 2 and 9. ResultsHistological analysis showed the bone healing process was faster and favorable in AuG and AuG/BMP-2. In both periods, the grafted groups (AuG, XeG and AlG) had a greater volume of NB than the control group, which was even greater when combined with rhBMP-2. The XeG group showed a higher number of TRAP-positive multinucleated osteoclasts, and enzymatic activity revealed different levels of proMMP-2, MMP-2, and MMP-9 (6weeks). ConclusionThe different types of grafts increased bone formation, mainly associated with rhBMP-2, enhancing and accelerating the repair process. These groups had higher enzymatic indices than the control group especially with XeG, which also showed higher TRAP-positive multinucleated cells similar to osteoclasts, suggesting a remodeling process.