Influence of a collagen membrane and recombinant platelet-derived growth factor on vertical bone augmentation in implant-fixed deproteinized bovine bone - Animal pilot study
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KAMMERER, Peer Wolfgang, PĂLĂRIE, Victor, SCHIEGNITZ, Eik, NACU, Viorel, DRAENERT, Florian Guy, AL-NAWAS, Bilal. Influence of a collagen membrane and recombinant platelet-derived growth factor on vertical bone augmentation in implant-fixed deproteinized bovine bone - Animal pilot study. In: Clinical Oral Implants Research, 2013, nr. 11(24), pp. 1222-1230. ISSN 0905-7161. DOI: https://doi.org/10.1111/j.1600-0501.2012.02534.x
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Clinical Oral Implants Research
Numărul 11(24) / 2013 / ISSN 0905-7161 /ISSNe 1600-0501

Influence of a collagen membrane and recombinant platelet-derived growth factor on vertical bone augmentation in implant-fixed deproteinized bovine bone - Animal pilot study

DOI:https://doi.org/10.1111/j.1600-0501.2012.02534.x

Pag. 1222-1230

Kammerer Peer Wolfgang1, Pălărie Victor2, Schiegnitz Eik1, Nacu Viorel2, Draenert Florian Guy1, Al-Nawas Bilal1
 
1 University Medical Center Mainz, Mainz,
2 ”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
 
Disponibil în IBN: 22 decembrie 2020


Rezumat

Objectives: Combinations of bone substitute block materials with membrane techniques as well as with growth factors are possible options to enhance the prognosis of vertical bone augmentation. Therefore, the aim of the pilot study was to compare the influence of a collagen membrane and a signal protein (rhPDGF-BB) on vertical bone augmentation with a stable fixed block material (deproteinized bovine bone [DBB]). Materials and methods: In 12 rabbits, a DBB-block was implant-fixed on the tibia in a split-leg-design. Included were: DBB only (control), DBB + collagen membrane (test), DBB + rhPDGF-BB (test) and DBB + rhPDGF-BB + collagen membrane (test). 24 samples were examined after 3 (n = 12) and 6 weeks (n = 12). Calculated parameters were new bone area (NBA;%), new vertical bone height (VBH; mm). Due to the pilot character of this study, single values are shown descriptively only. Results: After 3 weeks, there were constant higher NBA values in the rhPDGF-BB-group without membrane (NBA (%) DBB: 30/16/4; DBB + membrane: 25/17/7, DBB + rhPDGF-BB: 40/33/34, DBB + rhPDGF-BB + membrane: 0/30/16; VBH (mm) DBB: 1.2/1.2/1, DBB + membrane: 0.7/0.9/1, DBB + rhPDGF-BB: 0.7/0.9/1, DBB + rhPDGF-BB + membrane: 0/1.1/1). After 6 weeks, both membrane groups showed a constant higher NBA and VBH independent to the use of rhPDGF-BB (NBA DBB: 3/0/5, DBB + membrane: 20/35/31, DBB + rhPDGF-BB: 5/8/4, DBB + rhPDGF-BB + membrane: 31/35/40; VBH DBB: 0.3/0.3/0.6, DBB + membrane: 1.6/2.4/2.1, DBB + rhPDGF-BB: 0.4/0.7/0.8, DBB + rhPDGF-BB + membrane: 1.8/2/1.8). Conclusions: For vertical augmentation, the addition of rhPDGF-BB to DBB-blocks may increase early bone growth. In the later phase, the use of a collagen membrane enhances new bone volume and height to a significant greater extend. Even if the results are higher than those in the non-membrane groups, the low gain of bone after the short time periods still needs improvement.

Cuvinte-cheie
Animal experiment, collagen membrane, deprotenized bovine bone, guided bone regeneration, Nobel active dental implant, recombinant human platelet-derived growth factor-BB, tibia, Vertical bone augmentation