Engineering of bone using porous calcium phosphate cement and bone marrow stromal cells for maxillary sinus augmentation with simultaneous implant placement in goats

Tissue Eng Part A. 2012 Jul;18(13-14):1464-78. doi: 10.1089/ten.TEA.2011.0501. Epub 2012 May 3.

Abstract

The aim of this study was to explore the effects of maxillary sinus floor elevation and simultaneous dental implantation with a tissue-engineered bone complex of calcium phosphate cement (CPC) scaffolds combined with bone marrow stromal cells (BMSCs). A large animal goat model is used with the tissue engineering method. Eighteen bilateral maxillary sinus of nine goats were randomly allocated into three groups; the CPC/BMSC complex (n=6) was used to elevate maxillary sinus floor with a simultaneous implant placement; the effects were compared with those treated with CPC alone (n=6) or autogenous bone (n=6). After a healing period of 3 months, sequential triad-color fluorescence labeling, micro-CT, as well as histological and histomorphometric analyses indicated that the tissue-engineered BMSC/CPC complex could promote earlier bone formation and mineralization, and maximally maintain the volume and height of the augmented maxillary sinus. By comparison, CPC-alone or autogenous bone achieved less bone formation and later mineralization. Besides, the average bone-implant contact value reflecting the osseointegration was 35.63%±9.42% in the BMSCs/CPC group, significantly higher than 22.47%±4.28% in the CPC-alone group or 28.26%±8.03% in the autogenous bone group. In conclusion, CPC serves as a potential substrate for BMSCs for the maxillary sinus floor augmentation and simultaneous implantation. The tissue-engineered bone might enhance the stability of implants and thus be of great significance to achieve improved quality to restore the oral function in clinic.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Bone Cements / pharmacology*
  • Bone and Bones / drug effects
  • Bone and Bones / physiology*
  • Calcification, Physiologic / drug effects
  • Calcium Phosphates / pharmacology*
  • Cell Adhesion / drug effects
  • Cells, Cultured
  • Female
  • Fluorescent Dyes / metabolism
  • Goats
  • Implants, Experimental*
  • Maxillary Sinus / drug effects
  • Maxillary Sinus / surgery
  • Mesenchymal Stem Cell Transplantation
  • Mesenchymal Stem Cells / cytology*
  • Mesenchymal Stem Cells / drug effects
  • Mesenchymal Stem Cells / metabolism
  • Osteogenesis
  • Porosity
  • Sinus Floor Augmentation*
  • Staining and Labeling
  • Tissue Engineering / methods*
  • X-Ray Microtomography

Substances

  • Bone Cements
  • Calcium Phosphates
  • Fluorescent Dyes
  • calcium phosphate