Guided bone augmentation using a ceramic space-maintaining device

Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Nov;118(5):532-8. doi: 10.1016/j.oooo.2014.06.011. Epub 2014 Jul 3.

Abstract

Objective: The purpose of this study was to evaluate 3-dimensionally whether vertical bone augmentation can be achieved using a hollow hydroxyapatite space-maintaining device in a rabbit calvarial model. Furthermore, different inner surface topographies, different permeabilities, and different porosities of the ceramic were tested to determine the optimal conditions for bone regeneration.

Study design: A total of 48 hollow domes made of hydroxyapatite in 4 different designs were placed subperiosteally on rabbit skull bone. The rabbits were humanely killed after 12 weeks, and the results were analyzed 3-dimensionally using micro-computed tomography.

Results: The results suggest a larger production of bone volume when using an occlusive, dense hydroxyapatite space-maintaining device with a rough inner surface.

Conclusions: Hydroxyapatite space-maintaining devices permit new bone formation and osteoconduction within the dome.

MeSH terms

  • Animals
  • Bone Regeneration*
  • Durapatite
  • Guided Tissue Regeneration / methods*
  • Membranes
  • Porosity
  • Prosthesis Design
  • Rabbits
  • Skull / surgery*
  • Surface Properties
  • Wound Healing
  • X-Ray Microtomography

Substances

  • Durapatite