Difference Between Bone Healing Process with The Use Of Demineralized Freeze Dried Bone Xenograft and Bovine Bone Hydroxyapatite Xenograft Materials

Zefry Zainal Abidin
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Abstract

Autogenous bone graft is the gold standard for bone defects treatment, however due to their limitation and the donor site morbidity may caused many surgeons use a xenograft type of bone grafting to cope the problem. Demineralized Freeze Dried Bone Xenograft (DFDBBX) which contains of growth factors, have a good biocompatibility. The aim of this study is observed the difference in bone healing processes between DFDBBX and Bovine Bone Hydroxyapatite Xenograft (BBHAX). Bicortical bone defects were created in the mandibular corpus of 30 New Zealand White Rabbits. The groups were divided into 3 groups which the first group were treated with DFDBBX into the hole and the negative control group was left perforated. The other group was treated with BBHAX. All group were evaluated after second and fourth weeks to count the ammount of osteoblast, osteoclast cells, Collagen-1 (Coll-1) and alkalin phosphatase (ALP). The second week of observation showed a significant difference of mean 12,45, SD 2,97 (p<0,05) in osteoblast cells. In Coll-1 showed with mean 13,2 SD 2,68 (p<0,05). The result of ALP showed with mean 14,6 SD 2,70 (p<0,05). In the the fourth week observation showed increased of osteoclast cells with mean 7,043, SD 2,77 (p< 0,05) and for Coll-1 with mean 17,6, SD 2,30 (p< 0,05). DFDBBX showed more effective in treating bone defects of mandible of new zealand white rabbits in second week of observation.
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脱矿冻干骨异种移植物与牛骨羟基磷灰石异种移植物骨愈合过程的差异
自体骨移植是治疗骨缺损的金标准,然而由于其局限性和供体部位的发病率可能导致许多外科医生使用异种移植物类型的骨移植来解决这个问题。脱矿冻干骨异种移植物(DFDBBX)含有生长因子,具有良好的生物相容性。本研究的目的是观察DFDBBX和牛骨羟基磷灰石异种移植(BBHAX)骨愈合过程的差异。在30只新西兰大白兔的下颌骨上建立双皮质骨缺损。各组分为3组,第一组采用DFDBBX入孔治疗,阴性对照组不穿孔。另一组采用BBHAX治疗。各组均于第2周和第4周进行成骨细胞、破骨细胞、胶原-1 (Coll-1)和碱性磷酸酶(ALP)的计数。观察第2周,成骨细胞均值为12、45,标准差为2、97,差异有统计学意义(p< 0.05)。col -1平均为13,2,SD为2,68 (p< 0.05)。ALP结果平均为14.6,SD为2.70 (p< 0.05)。第4周观察破骨细胞增加,平均7043个,SD值2.77 (p< 0.05); col -1增加,平均17.6个,SD值2.30 (p< 0.05)。在第二周的观察中,DFDBBX对新西兰大白兔下颌骨缺损的治疗效果更好。
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