The adjunctive effect of rhBMP-2 on the regeneration of peri-implant bone defects after experimental peri-implantitis.

animal model bone graft collagen membrane dental implants experimental peri-implantitis histology histometric analysis rhBMP-2 surgical regenerative therapy

Journal

Clinical oral implants research
ISSN: 1600-0501
Titre abrégé: Clin Oral Implants Res
Pays: Denmark
ID NLM: 9105713

Informations de publication

Date de publication:
Dec 2019
Historique:
received: 28 03 2019
revised: 14 07 2019
accepted: 28 08 2019
pubmed: 13 9 2019
medline: 18 12 2019
entrez: 13 9 2019
Statut: ppublish

Résumé

The aim was to evaluate the degree of bone regeneration and re-osseointegration attained when combining a xenogeneic bone replacement graft plus rhBMP-2 and a collagen membrane in ligature-induced peri-implantitis osseous defects in dogs. Thirty-six implants were placed in a total of 6 Beagle dogs, 3 months after tooth extraction. Once experimental peri-implantitis was induced, defects were randomly allocated into two treatment groups: in the test group guided bone regeneration was applied using de-proteinized bovine bone mineral with 10% collagen soak loaded with rhBMP2 covered with a natural collagen membrane. In the control group, the same scaffold and membrane were used but saline was used to soak the grafting material. After a period of 8 weeks of healing, a submerged environment clinical measurements were taken and histological outcomes were evaluated once the animals were euthanized. Histological bone defect regeneration (BR) was considered as the primary outcome variable, and dog was selected as the unit of analysis. Partial defect resolution was observed in both treatment groups. The histometric analysis showed a higher degree of bone regeneration for the test group, although differences were not statistically significant, both in terms of histological bone gain and percentage of re-osseointegration. (a) The addition of rhBMP2 to a bovine xenograft/collagen vehicle carrier failed to provide a significant added value in terms of bone regeneration or re-osseointegration, (b) partial re-osseointegration of a previously contaminated surface was achieved, although (c) a complete defect resolution and re-osseointegration to the level previous to the induction of the disease failed to occur in any of the treatment groups.

Identifiants

pubmed: 31514229
doi: 10.1111/clr.13534
doi:

Substances chimiques

Dental Implants 0

Types de publication

Journal Article

Langues

eng

Pagination

1209-1219

Subventions

Organisme : Complutense University
Organisme : University of Santiago de Compostela
Organisme : V Proclinic

Informations de copyright

© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Références

Abarrategi, A., Moreno-Vicente, C., Martinez-Vazquez, F. J., Civantos, A., Ramos, V., Sanz-Casado, J. V., … Lopez-Lacomba, J. L. (2012). Biological properties of solid free form designed ceramic scaffolds with BMP-2: In vitro and in vivo evaluation. PLoS ONE, 7(3), e34117. https://doi.org/10.1371/journal.pone.0034117
Albouy, J. P., Abrahamsson, I., & Berglundh, T. (2012). Spontaneous progression of experimental peri-implantitis at implants with different surface characteristics: An experimental study in dogs. Journal of Clinical Periodontology, 39(2), 182-187. https://doi.org/10.1111/j.1600-051X.2011.01820.x
Albouy, J. P., Abrahamsson, I., Persson, L. G., & Berglundh, T. (2008). Spontaneous progression of peri-implantitis at different types of implants. An experimental study in dogs. I: Clinical and radiographic observations. Clinical Oral Implants Research, 19(10), 997-1002. https://doi.org/10.1111/j.1600-0501.2008.01589.x
Berglundh, T., Armitage, G., Araujo, M. G., Avila-Ortiz, G., Blanco, J., Camargo, P. M., … Zitzmann, N. (2018). Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. Journal of Clinical Periodontology, 45(Suppl 20), S286-S291. https://doi.org/10.1111/jcpe.12957
Berglundh, T., Gotfredsen, K., Zitzmann, N. U., Lang, N. P., & Lindhe, J. (2007). Spontaneous progression of ligature induced peri-implantitis at implants with different surface roughness: An experimental study in dogs. Clinical Oral Implants Research, 18(5), 655-661. https://doi.org/10.1111/j.1600-0501.2007.01397.x
Berglundh, T., Lindhe, J., Marinello, C., Ericsson, I., & Liljenberg, B. (1992). Soft tissue reaction to de novo plaque formation on implants and teeth. An experimental study in the dog. Clinical Oral Implants Research, 3(1), 1-8.
Berglundh, T., Wennstrom, J. L., & Lindhe, J. (2018). Long-term outcome of surgical treatment of peri-implantitis. A 2-11-year retrospective study. Clinical Oral Implants Research, 29(4), 404-410. https://doi.org/10.1111/clr.13138
Carral, C., Munoz, F., Permuy, M., Linares, A., Dard, M., & Blanco, J. (2016). Mechanical and chemical implant decontamination in surgical peri-implantitis treatment: Preclinical “in vivo” study. Journal of Clinical Periodontology, 43(8), 694-701. https://doi.org/10.1111/jcpe.12566
Cha, J. K., Lee, J. S., Kim, M. S., Choi, S. H., Cho, K. S., & Jung, U. W. (2014). Sinus augmentation using BMP-2 in a bovine hydroxyapatite/collagen carrier in dogs. Journal of Clinical Periodontology, 41(1), 86-93. https://doi.org/10.1111/jcpe.12174
Derks, J., & Tomasi, C. (2015). Peri-implant health and disease. A systematic review of current epidemiology. Journal of Clinical Periodontology, 42(Suppl. 16), S158-S171. https://doi.org/10.1111/jcpe.12334
Donath, K., & Breuner, G. (1982). A method for the study of undecalcified bones and teeth with attached soft tissues. The Sage-Schliff (sawing and grinding) technique. Journal of Oral Pathology, 11(4), 318-326.
Dreyer, H., Grischke, J., Tiede, C., Eberhard, J., Schweitzer, A., Toikkanen, S. E., … Stiesch, M. (2018). Epidemiology and risk factors of peri-implantitis: A systematic review. Journal of Periodontal Research, 53(5), 657-681. https://doi.org/10.1111/jre.12562
Faggion, C. M. Jr, Listl, S., Fruhauf, N., Chang, H. J., & Tu, Y. K. (2014). A systematic review and Bayesian network meta-analysis of randomized clinical trials on non-surgical treatments for peri-implantitis. Journal of Clinical Periodontology, 41(10), 1015-1025. https://doi.org/10.1111/jcpe.12292
Hanisch, O., Tatakis, D. N., Boskovic, M. M., Rohrer, M. D., & Wikesjo, U. M. (1997). Bone formation and reosseointegration in peri-implantitis defects following surgical implantation of rhBMP-2. International Journal of Oral and Maxillofacial Implants, 12(5), 604-610.
Heitz-Mayfield, L. J. A., Salvi, G. E., Mombelli, A., Loup, P. J., Heitz, F., Kruger, E., & Lang, N. P. (2018). Supportive peri-implant therapy following anti-infective surgical peri-implantitis treatment: 5-year survival and success. Clinical Oral Implants Research, 29(1), 1-6. https://doi.org/10.1111/clr.12910
Heitz-Mayfield, L. J., & Mombelli, A. (2014). The therapy of peri-implantitis: A systematic review. International Journal of Oral and Maxillofacial Implants, 29(Suppl), 325-345. https://doi.org/10.11607/jomi.2014suppl.g5.3
Jung, R. E., Thoma, D. S., & Hammerle, C. H. (2008). Assessment of the potential of growth factors for localized alveolar ridge augmentation: A systematic review. Journal of Clinical Periodontology, 35(8 Suppl), 255-281. https://doi.org/10.1111/j.1600-051X.2008.01270.x
Kelly, M. P., Vaughn, O. L., & Anderson, P. A. (2016). Systematic review and meta-analysis of recombinant human bone morphogenetic protein-2 in localized alveolar ridge and maxillary sinus augmentation. Journal of Oral and Maxillofacial Surgery, 74(5), 928-939. https://doi.org/10.1016/j.joms.2015.11.027
Kilkenny, C., Browne, W. J., Cuthill, I. C., Emerson, M., & Altman, D. G. (2010). Improving bioscience research reporting: The ARRIVE guidelines for reporting animal research. PLoS Biology, 8(6), e1000412. https://doi.org/10.1371/journal.pbio.1000412
Lee, H. J., Choi, B. H., Jung, J. H., Zhu, S. J., Lee, S. H., Huh, J. Y., … Li, J. (2007). Maxillary sinus floor augmentation using autogenous bone grafts and platelet-enriched fibrin glue with simultaneous implant placement. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics, 103(3), 329-333. https://doi.org/10.1016/j.tripleo.2006.03.010
Lévai, G., & Laczkó, J. (1975). A simple differential staining method for semi-thin sections of ossifying cartilage and bone tissues embedded in epoxy resin. Mikroskopie, 31(1-2), 1-4.
Lindhe, J., Berglundh, T., Ericsson, I., Liljenberg, B., & Marinello, C. (1992). Experimental breakdown of peri-implant and periodontal tissues. A study in the beagle dog. Clinical Oral Implants Research, 3(1), 9-16.
Marinello, C. P., Berglundh, T., Ericsson, I., Klinge, B., Glantz, P. O., & Lindhe, J. (1995). Resolution of ligature-induced peri-implantitis lesions in the dog. Journal of Clinical Periodontology, 22(6), 475-479.
Martins, O., Ramos, J. C., Baptista, I. P., & Dard, M. M. (2014). The dog as a model for peri-implantitis: A review. Journal of Investigative Surgery, 27(1), 50-56. https://doi.org/10.3109/08941939.2013.828805
Mombelli, A., & Lang, N. P. (1998). The diagnosis and treatment of peri-implantitis. Periodontology, 2000(17), 63-76.
Park, S. Y., Kim, K. H., Gwak, E. H., Rhee, S. H., Lee, J. C., Shin, S. Y., … Seol, Y. J. (2015). Ex vivo bone morphogenetic protein 2 gene delivery using periodontal ligament stem cells for enhanced re-osseointegration in the regenerative treatment of peri-implantitis. Journal of Biomedical Materials Research Part A, 103(1), 38-47. https://doi.org/10.1002/jbm.a.35145
Renvert, S., Polyzois, I., & Maguire, R. (2009). Re-osseointegration on previously contaminated surfaces: A systematic review. Clinical Oral Implants Research, 20(Suppl 4), 216-227. https://doi.org/10.1111/j.1600-0501.2009.01786.x
Renvert, S., Roos-Jansaker, A. M., & Claffey, N. (2008). Non-surgical treatment of peri-implant mucositis and peri-implantitis: A literature review. Journal of Clinical Periodontology, 35(8 Suppl), 305-315. https://doi.org/10.1111/j.1600-051X.2008.01276.x
Sahrmann, P., Attin, T., & Schmidlin, P. R. (2011). Regenerative treatment of peri-implantitis using bone substitutes and membrane: A systematic review. Clinical Implant Dentistry and Related Research, 13(1), 46-57. https://doi.org/10.1111/j.1708-8208.2009.00183.x
Salvi, G. E., Aglietta, M., Eick, S., Sculean, A., Lang, N. P., & Ramseier, C. A. (2012). Reversibility of experimental peri-implant mucositis compared with experimental gingivitis in humans. Clinical Oral Implants Research, 23(2), 182-190. https://doi.org/10.1111/j.1600-0501.2011.02220.x
Schwarz, F., Herten, M., Sager, M., Bieling, K., Sculean, A., & Becker, J. (2007). Comparison of naturally occurring and ligature-induced peri-implantitis bone defects in humans and dogs. Clinical Oral Implants Research, 18(2), 161-170. https://doi.org/10.1111/j.1600-0501.2006.01320.x
Schwarz, F., Sager, M., & Becker, J. (2011). Peri-implantitis defect model. In W. V. Giannobile, & M. Nevins (Eds.), Osteology guidelines for oral & maxillofacial regeneration (pp. 197-224). London, UK: Quintessence.
Schwarz, F., Sahm, N., Mihatovic, I., Golubovic, V., & Becker, J. (2011). Surgical therapy of advanced ligature-induced peri-implantitis defects: Cone-beam computed tomographic and histological analysis. Journal of Clinical Periodontology, 38(10), 939-949. https://doi.org/10.1111/j.1600-051X.2011.01739.x
Schwarz, F., Sahm, N., Schwarz, K., & Becker, J. (2010). Impact of defect configuration on the clinical outcome following surgical regenerative therapy of peri-implantitis. Journal of Clinical Periodontology, 37(5), 449-455. https://doi.org/10.1111/j.1600-051X.2010.01540.x
Shanbhag, S., Pandis, N., Mustafa, K., Nyengaard, J. R., & Stavropoulos, A. (2018). Bone tissue engineering in oral peri-implant defects in preclinical in vivo research: A systematic review and meta-analysis. Journal of Tissue Engineering and Regenerative Medicine, 12(1), e336-e349. https://doi.org/10.1002/term.2412
Xu, L., Sun, X., Bai, J., Jiang, L., Wang, S., Zhao, J., … Jiang, X. (2016). Reosseointegration following regenerative therapy of tissue-engineered bone in a canine model of experimental peri-implantitis. Clinical Implant Dentistry and Related Research, 18(2), 379-391. https://doi.org/10.1111/cid.12308
Yuan, H., De Bruijn, J. D., Zhang, X., Van Blitterswijk, C. A., & De Groot, K. (2001). Use of an osteoinductive biomaterial as a bone morphogenetic protein carrier. Journal of Materials Science. Materials in Medicine, 12(9), 761-766.
Zitzmann, N. U., Berglundh, T., Ericsson, I., & Lindhe, J. (2004). Spontaneous progression of experimentally induced periimplantitis. Journal of Clinical Periodontology, 31(10), 845-849. https://doi.org/10.1111/j.1600-051X.2004.00567.x

Auteurs

Javier Sanz-Esporrin (J)

Section of Periodontology, Faculty of Dentistry, University Complutense, Madrid, Spain.
ETEP (Etiology and Therapy of Periodontal Diseases) Research Group, University Complutense, Madrid, Spain.

Juan Blanco (J)

Periodontology Unit, School of Medicine and Dentistry, University of Santiago de Compostela, Santiago de Compostela, Spain.

José Vicente Sanz-Casado (JV)

Section of Periodontology, Faculty of Dentistry, University Complutense, Madrid, Spain.

Fernando Muñoz (F)

Department of Veterinary Clinical Sciences, University of Santiago de Compostela, Lugo, Spain.

Mariano Sanz (M)

Section of Periodontology, Faculty of Dentistry, University Complutense, Madrid, Spain.
ETEP (Etiology and Therapy of Periodontal Diseases) Research Group, University Complutense, Madrid, Spain.

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