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Alsahafi RA, Mitwalli HA, Balhaddad AA, Weir MD, Xu HHK, Melo MAS. Regenerating Craniofacial Dental Defects With Calcium Phosphate Cement Scaffolds: Current Status and Innovative Scope Review. FRONTIERS IN DENTAL MEDICINE 2021. [DOI: 10.3389/fdmed.2021.743065] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
The management and treatment of dental and craniofacial injuries have continued to evolve throughout the last several decades. Limitations with autograft, allograft, and synthetics created the need for more advanced approaches in tissue engineering. Calcium phosphate cements (CPC) are frequently used to repair bone defects. Since their discovery in the 1980s, extensive research has been conducted to improve their properties, and emerging evidence supports their increased application in bone tissue engineering. This review focuses on the up-to-date performance of calcium phosphate cement (CPC) scaffolds and upcoming promising dental and craniofacial bone regeneration strategies. First, we summarized the barriers encountered in CPC scaffold development. Second, we compiled the most up to date in vitro and in vivo literature. Then, we conducted a systematic search of scientific articles in MEDLINE and EMBASE to screen the related studies. Lastly, we revealed the current developments to effectively design CPC scaffolds and track the enhanced viability and therapeutic efficacy to overcome the current limitations and upcoming perspectives. Finally, we presented a timely and opportune review article focusing on the significant potential of CPC scaffolds for dental and craniofacial bone regeneration, which will be discussed thoroughly. CPC offers multiple capabilities that may be considered toward the oral defects, expecting a future outlook in nanotechnology design and performance.
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Kamal M, Andersson L, Al-Asfour A, Bartella AK, Gremse F, Rosenhain S, Gabato S, Hölzle F, Kessler P, Lethaus B. Bone regeneration in rabbit calvarial critical-sized defects filled with composite in situ
formed xenogenic dentin and biphasic tricalcium phosphate/hyroxyapatite mixture. J Biomed Mater Res B Appl Biomater 2018; 107:773-782. [DOI: 10.1002/jbm.b.34171] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2017] [Revised: 03/23/2018] [Accepted: 05/08/2018] [Indexed: 01/22/2023]
Affiliation(s)
- Mohammad Kamal
- Department of Cranio-Maxillofacial Surgery and GROW School for Oncology and Developmental Biology; Maastricht University Medical Center; Maastricht The Netherlands
- Department of Oral and Maxillofacial Surgery; RWTH Aachen University; Aachen Germany
| | - Lars Andersson
- Department of Surgical Sciences, Faculty of Dentistry, Health Sciences Center; Kuwait University; Safat Kuwait
| | - Adel Al-Asfour
- Department of Surgical Sciences, Faculty of Dentistry, Health Sciences Center; Kuwait University; Safat Kuwait
| | - Alexander K. Bartella
- Department of Oral and Maxillofacial Surgery; RWTH Aachen University; Aachen Germany
| | - Felix Gremse
- Department of Experimental Molecular Imaging; RWTH Aachen University; Aachen Germany
| | - Stefanie Rosenhain
- Department of Experimental Molecular Imaging; RWTH Aachen University; Aachen Germany
| | - Severino Gabato
- Animal Resources Centre, Health Sciences Center; Kuwait University; Safat Kuwait
| | - Frank Hölzle
- Department of Oral and Maxillofacial Surgery; RWTH Aachen University; Aachen Germany
| | - Peter Kessler
- Department of Cranio-Maxillofacial Surgery and GROW School for Oncology and Developmental Biology; Maastricht University Medical Center; Maastricht The Netherlands
| | - Bernd Lethaus
- Department of Oral and Maxillofacial Surgery; RWTH Aachen University; Aachen Germany
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Kim HJ, Na WG, Jung SW, Koh SH, Lim H. Sinus Tract Formation with Chronic Inflammatory Cystic Mass after Beta Tricalcium Phosphate Insertion. Arch Craniofac Surg 2018; 18:282-286. [PMID: 29349056 PMCID: PMC5759668 DOI: 10.7181/acfs.2017.18.4.282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2017] [Revised: 11/06/2017] [Accepted: 11/14/2017] [Indexed: 11/11/2022] Open
Abstract
Beta tricalcium phosphate (β-TCP) is one of allogenic bone substitute which is known to have interconnected pores that draws cell and nutrients for bone generation. It has been resulted in good outcomes for bone defect coverage or augmentation. However, several studies have also reported negative outcomes and associated complications including unexpected formation of cystic mass, continuous pain and secretion. We present the case of a 36-year-old man with a right cheek cystic mass who had a history of right zygomaticomaxillary (ZM) complex fracture and surgical correction with β-TCP powder insertion to ZM bone defect. Excisional biopsy under local anesthesia revealed calcified mass in a sinus tract which was found to be connected to the ZM bone defect site in postoperative computed tomography image. Further excision under general anesthesia was performed to remove the sinus tract and fine granules which filled the original defect site. Pathologic report revealed bony spicules and calcification materials with chronic foreign body reaction. Postoperative complications and recurrence were not reported.
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Affiliation(s)
- Hong Jin Kim
- Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University, Anyang, Korea
| | - Woong Gyu Na
- Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University, Anyang, Korea
| | - Sung Won Jung
- Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University, Anyang, Korea
| | - Sung Hoon Koh
- Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University, Anyang, Korea
| | - Hyoseob Lim
- Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University, Anyang, Korea
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Kamal M, Andersson L, Tolba R, Al-Asfour A, Bartella AK, Gremse F, Rosenhain S, Hölzle F, Kessler P, Lethaus B. Bone regeneration using composite non-demineralized xenogenic dentin with beta-tricalcium phosphate in experimental alveolar cleft repair in a rabbit model. J Transl Med 2017; 15:263. [PMID: 29274638 PMCID: PMC5742260 DOI: 10.1186/s12967-017-1369-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2017] [Accepted: 12/15/2017] [Indexed: 01/24/2023] Open
Abstract
Background Alveolar cleft repair is performed via bone grafting procedure to restore the dental arch continuity. A suitable bone substitute materials should possess osteoinductive and osteoconductive properties, to promote new bone formation, along with a slowly resorbable scaffold that is subsequently replaced with functionally viable bone. Calcium phosphate biomaterials have long proved their efficacy as bone replacement materials. Dentin in several forms has also demonstrated its possibility to be used as bone graft replacement material in several studies. The purpose of this study was to evaluate bone regeneration pattern and quantify bone formation after grafting pre-established experimental alveolar clefts defects model in rabbits using composite xenogenic dentin and β-TCP in comparison to β-TCP alone. Methods Unilateral alveolar cleft defects were created in 16 New Zealand rabbits according to previously described methodology. Alveolar clefts were allowed 8 weeks healing period. 8 defects were filled with β-TCP, whereas 8 defects filled with composite xenogenic dentin with β-TCP. Bone regeneration of the healed defects was compared at the 8 weeks after intervention. Quantification of bone formation was analyzed using micro-computed tomography (µCT) and histomorphometric analysis. Results µCT and histomorphometric analysis revealed that defects filled with composite dentin/β-TCP showed statistically higher bone volume fraction, bone mineral density and percentage residual graft volume when compared to β-TCP alone. An improved surgical handling of the composite dentin/β-TCP graft was also noted. Conclusions Composite xenogenic dentin/β-TCP putty expresses enhanced bone regeneration compared to β-TCP alone in the reconstruction of rabbit alveolar clefts defects.
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Affiliation(s)
- Mohammad Kamal
- Department of Cranio-Maxillofacial Surgery and GROW School for Oncology and Developmental Biology, Maastricht University Medical Center, P. Debyelaan, Postbus 5800, 6202 AZ, Maastricht, The Netherlands. .,Department of Oral and Maxillofacial Surgery, RWTH Aachen University, Pauwelsstraße 30, 52074, Aachen, Germany.
| | - Lars Andersson
- Department of Surgical Sciences, Health Sciences Center, Kuwait University, 13110, Safat, Kuwait
| | - Rene Tolba
- Institute for Laboratory Animal Science and Experimental Surgery, RWTH Aachen University, Pauwelsstraße 30, 52074, Aachen, Germany
| | - Adel Al-Asfour
- Department of Surgical Sciences, Health Sciences Center, Kuwait University, 13110, Safat, Kuwait
| | - Alexander K Bartella
- Department of Oral and Maxillofacial Surgery, RWTH Aachen University, Pauwelsstraße 30, 52074, Aachen, Germany
| | - Felix Gremse
- Department of Experimental Molecular Imaging, RWTH Aachen University, Pauwelsstraße 30, 52074, Aachen, Germany
| | - Stefanie Rosenhain
- Department of Experimental Molecular Imaging, RWTH Aachen University, Pauwelsstraße 30, 52074, Aachen, Germany
| | - Frank Hölzle
- Department of Oral and Maxillofacial Surgery, RWTH Aachen University, Pauwelsstraße 30, 52074, Aachen, Germany
| | - Peter Kessler
- Department of Cranio-Maxillofacial Surgery and GROW School for Oncology and Developmental Biology, Maastricht University Medical Center, P. Debyelaan, Postbus 5800, 6202 AZ, Maastricht, The Netherlands
| | - Bernd Lethaus
- Department of Oral and Maxillofacial Surgery, RWTH Aachen University, Pauwelsstraße 30, 52074, Aachen, Germany
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