Modular endoprosthesis for mandibular body reconstruction: a clinical, micro-CT and histologic evaluation in eight Macaca fascicularis

Int J Oral Maxillofac Surg. 2009 Jan;38(1):40-7. doi: 10.1016/j.ijom.2008.11.020. Epub 2008 Dec 19.

Abstract

This paper presents the results of an animal experiment, in which a modular endoprosthesis is tested to replace a resected part of the mandible. The prostheses were fixed with polymethacrylate (PMMA) cement into the medullar space of the stumps. Clinical, radiologic, micro-computed tomographic and histologic evaluations were made after 3 and 6 months on four Macaca fascicularis for each implantation time. The prosthesis had not loosened but there were some loose screws that had caused fistulas in three animals. The stems of the modules were stably fixed with PMMA cement, surrounded by a fibrous capsule with inflammatory cells. This capsule was thinner in the 6-month group and showed less inflammatory infiltrate compared with the 3-month group; this was not statistically significant. There was an increase in woven bone surrounding the modules after 6 months. After 3 months of implantation, there was a considerable inflammatory reaction in the soft tissues surrounding the module, which subsided over following 3 months. The results are encouraging, but a longer period of follow-up is required to assess its application in a clinical setting, and some design drawbacks need to be addressed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alloys
  • Animals
  • Bone Regeneration
  • Cementation
  • Dental Alloys
  • Foreign-Body Reaction / etiology
  • Implants, Experimental
  • Macaca fascicularis
  • Male
  • Mandible / diagnostic imaging
  • Mandible / surgery*
  • Mandibular Prosthesis Implantation / methods*
  • Mandibular Prosthesis* / adverse effects
  • Oral Fistula / etiology
  • Plastic Surgery Procedures / methods*
  • Prosthesis Design
  • Resin Cements
  • Titanium
  • X-Ray Microtomography

Substances

  • Alloys
  • Dental Alloys
  • Resin Cements
  • titanium alloy (TiAl6V4)
  • Titanium