scholarly journals Fast-Versus Slow-Resorbable Calcium Phosphate Bone Substitute Materials—Texture Analysis after 12 Months of Observation

Materials ◽  
2020 ◽  
Vol 13 (17) ◽  
pp. 3854
Author(s):  
Tomasz Wach ◽  
Marcin Kozakiewicz

The development of oral surgery and implantology has led to the need for better and more predictable materials. Various substitute materials are now used for bone regeneration. The replacement of scaffolding material by new bone tissue is the most important condition. This study aimed to evaluate the effects of the resorbability of bone substitute materials during regeneration to the jawbone. The study included 88 patients during the 12-month follow-up. All the patients had undergone oral surgical procedures using two different substitute materials—Cerasorb (high-rate resorbable (β-tricalcium phosphate)) and Endobone (low-rate resorbable (hydroxyapatite)). Texture analysis was performed in intraoral radiographs, in which regions of interest were established for the bone substitute materials and reference bone. Five texture features were calculated, namely the sum average (SumAverg), entropy (Entropy), and three Harr discrete wavelet transform coefficients. This study revealed that all 5 features described the healing process well. Entropy was decreased in both cases with time; however, in Cerasorb cases, the texture feature values were very close to those of the reference bone after 12 months of healing (p < 0.05). The wavelet transform coefficient at scale 6 also showed that longitudinal objects appeared in implantation sites, similar to trabecular bone (p < 0.05) after 12 months of healing. The slow-resorbing material restored the structure of the alveolar crest better in terms of producing large objects similar to the components of a barrel bone image (wavelet coefficients), but required a longer time for reconstruction. The fast-resorbing material showed a texture image with a similar scattering of structures to that of the reference bone (entropy) after 12 months.

Materials ◽  
2020 ◽  
Vol 13 (13) ◽  
pp. 2935 ◽  
Author(s):  
Marcin Kozakiewicz ◽  
Tomasz Wach

This article presents a comparison of bone replacement materials in terms of their ability to produce living bone image at the place of their implantation. Five bone replacement materials are compared (Osteovit—porous collagen, Cerasorb Foam—collagen scaffolding of synthetic β tricalcium phosphate, Osbone—synthetic hydroxyapatite, Endobone—deproteinized bovine-derived cancellous bone hydroxyapatite, and Cerasorb—synthetic β tricalcium phosphate). Intraoral radiographs are taken immediately after implantation and 12 months later. The texture analysis was performed to assess (texture index, TI) the level of structure chaos (entropy) in relation to the presence of longitudinal elements visible in radiographs (run length emphasis moment). The reference ratio of the chaotic trabecular pattern (Entropy) to the number of longitudinal structures, i.e., trabeculae (LngREmph), is 176:100 (i.e., 1.76 ± 0.28). Radiological homogeneity immediately after the implantation procedure is a result of the similar shape of its particles (Osbone, Endobone and Cerasorb) or radiolucency (Osteovit, Cerasorb Foam). The particles visible in radiographs were similar in the LngREmph parameters applied to the reference bone, but not in the co-occurrence matrix features. The TI for Osteovit during a 12-month follow-up period changed from 1.55 ± 0.26 to 1.48 ± 0.26 (p > 0.05), for Cerasorb Foam from 1.82 ± 0.27 to 1.63 ± 0.24 (p < 0.05), for Osbone from 1.97 ± 0.31 to 1.74 ± 0.30 (p < 0.01), and for Endobone from 1.86 ± 0.25 to 1.84 ± 0.25 (p > 0.05), The observed structure in the radiological image of bone substitute materials containing calcium phosphates obtains the characteristics of a living bone image after twelve months.


2016 ◽  
Vol 5 (2) ◽  
pp. 104-108
Author(s):  
Franklin Garcia-Godoy ◽  
Mohammad Ali Saghiri ◽  
Jafar Orangi ◽  
Nader Tanideh ◽  
Armen Asatourian ◽  
...  

ABSTRACT Introduction Increasing bone quality and quantity in the areas with insufficient bone volume is a major concern among scientists. Ideal bone substitute materials should have osteogenicity, osteoconductivity, and osteoinductivity. Clinoptilolite offers bovine deorganified crystalline bone materials, the advantage of being very similar to human bone with regard to its pore morphology and crystalline structure. This study evaluated the effect of adding Clinoptilolite to Bio-Oss on the osseous regeneration and bone healing process using serial dual-energy X-ray absorptiometry (DXA). Materials and methods A total of 64 rabbits were anesthetized and a bone defect was created on both semi-mandibles. The rabbits were divided into four equal groups: A (Bio-Oss®); B (Bio-Oss® with 2% Clinoptilolite mixture); C (allograft); and D receiving no treatment. The bone healing response of animals was tested after 2, 14, 30, and 60 days. Results Statistical analysis showed significant differences at time intervals before 14 days between allograft and other groups (p < 0.05). In all the defects filled with the tested materials, bone formation was observed subjectively. At 30-and 60-day intervals, there were no significant differences between allograft and Bio-Oss with 2% Clinoptilolite group (p = 0.052 and p = 0.260 respectively) although it was significant in 2-and 14-day intervals. Conclusion Clinoptilolite (2%) can be used to improve the osteoinduction property of bovine deorganified crystalline bone material. Clinoptilolite can be suggested as a potential material added to bone substitute materials due to its porous structure and buffering capacity and adsorption of a number of serum components which aids the osseous regeneration and healing process. How to cite this article Saghiri MA, Orangi J, Tanideh N, Asatourian A, Garcia-Godoy F, Sheibani N. Influence of Additives to Bovine Bone Material in Osseous Regeneration of Mandibular Defect: An Animal Study using DXA. Int J Experiment Dent Sci 2016;5(2):104-108.


2017 ◽  
Vol 1 (4) ◽  
Author(s):  
Andrius Geguzis ◽  
Inesa Astramskaite ◽  
Dovile Gabseviciute

2017 ◽  
Vol 34 ◽  
pp. 291-306 ◽  
Author(s):  
G Russmueller ◽  
◽  
L Winkler ◽  
R Lieber ◽  
R Seemann ◽  
...  

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