EFFECTS OF CHITOSAN/β-TCP MICROSPHERES ON RABBIT CRANIAL AND CONDYLE DEFECTS HEALING: A PRELIMINARY STUDY

2008 ◽  
Vol 20 (04) ◽  
pp. 239-248 ◽  
Author(s):  
Shyh Ming Kuo ◽  
Li-Chun Lin ◽  
Pei Hua Tsai ◽  
Gregory Cheng-Chie Niu ◽  
Shwu Jen Chang

Two kinds of chitosan/β-TCP microspheres were prepared; one was by a traditional emulsion technique (Group A), and the other was by a high-voltage electrostatic system (Group B). Both of the microspheres exhibited good sphericity and the β-TCP fine particles were well trapped inside the chitosan based particles. After 60-day shaking, Group A and Group B degraded by about 40% and 80% of initial weight, respectively. Two models of bone defects were created in rabbits included for a series of randomized blind pilot study. In the cranial model, two equal 10 mm diameter cranial defects were created. In condyle model, two equal 5 mm femur condyle defects were created on each hind leg, and underwent the same grafting treatment. After 4 weeks of implantation, both the cranial and condyle sites filled with Group A were shown to be surrounded by fibrous tissues with the presence of osteoblasts. In Group B, only condyle site showed the presence of osteoblasts. In contrast, fibrous tissue formation was seen on the control group after 4 weeks of healing. After 8 weeks of implantation, the condyle sites filled with Group A and Group B showed the presence of new bone formation as compared to control group. However, there was no obvious new bone formations in the cranial sites filled with both Group A and Group B. The same events were observed in the cranial sites after 12 weeks of implantation. In contrast, new bone formation was seen on the condyle sites in all three groups after 12 weeks of implantation.

2010 ◽  
Vol 28 (6) ◽  
pp. E4 ◽  
Author(s):  
Tony Goldschlager ◽  
Peter Ghosh ◽  
Andrew Zannettino ◽  
Stan Gronthos ◽  
Jeffrey V. Rosenfeld ◽  
...  

Object There is an unmet need for a procedure that could generate a biological disc substitute while at the same time preserving the normal surgical practice of achieving anterior cervical decompression. The objective of the present study was to test the hypothesis that adult allogeneic mesenchymal progenitor cells (MPCs) formulated with a chondrogenic agent could synthesize a cartilaginous matrix when implanted into a biodegradable carrier and cage, and over time, might serve as a dynamic interbody spacer following anterior cervical discectomy (ACD). Methods Eighteen ewes were divided randomly into 3 groups of 6 animals. Each animal was subjected to C3–4 and C4–5 ACD followed by implantation of bioresorbable interbody cages and graft containment plates. The cage was packed with 1 of 3 implants. In Group A, the implant was Gelfoam sponge only. In Group B, the implant consisted of Gelfoam sponge with 1 million MPCs only. In Group C, the implant was Gelfoam sponge with 1 million MPCs formulated with the chondrogenic agent pentosan polysulfate (PPS). In each animal the cartilaginous endplates were retained intact at 1 level, and perforated in a standardized manner at the other level. Allogeneic ovine MPCs were derived from a single batch of immunoselected and culture-expanded MPCs isolated from bone marrow of outbred sheep (mixed stock). Radiological and histological measures were used to assess cartilage formation and the presence or absence of new bone formation. Results The MPCs with or without PPS were safe and well-tolerated in the ovine cervical spine. There was no significant difference between groups in the radiographic or histological outcome measures, regardless of whether endplates were perforated or retained intact. According to CT scans obtained at 3 months after the operation, new bone formation within the interbody space was observed in the Gelfoam only group (Group A) in 9 (75%) of 12 interbody spaces, and 11 (92%) of 12 animals in the MPC cohort (Group B) had new bone formation within the interbody space. Significantly, in the MPC & PPS group (Group C), there were only 1 (8%) of 12 levels with new bone formation (p = 0.0009 vs Group A; p = 0.0001 vs Group B). According to histological results, there was significantly more cartilaginous tissue within the interbody cages of Group C (MPC & PPS) compared with both the control group (Group A; p = 0.003) and the MPC Group (p = 0.017). Conclusions This study demonstrated the feasibility of using MPCs in combination with PPS to produce cartilaginous tissue to replace the intervertebral disc following ACD. This biological approach may offer a means preserving spinal motion and offers an alternative to fusion to artificial prostheses.


2018 ◽  
Vol 33 (5) ◽  
pp. 662-672
Author(s):  
Seung Min Ryu ◽  
Myun Whan Ahn ◽  
Chul Hyun Park ◽  
Gun Woo Lee ◽  
In Hwan Song ◽  
...  

Background Recently, some authors introduced a water glass (WG, sodium-silicate glass; Na2O·SiO2·nH2O) coating over tricalcium phosphate (TCP) bioceramic to modulate its resorption rate and enhance the bone cell behaviors. In this study, four different types of granular samples were prepared to evaluate the ability of new bone formation in vivo using micro-computed tomography and histology. Methods Four types sample groups: group A (pure HA as a negative resorption control); group B (pure TCP as a positive resorption control); group C (WG-coated TCP as an early resorption model); and group D (same as group C but heat-treated at 500°C as a delayed resorption model). Cylindrical tube-type carriers with holes were fabricated with HA by extrusion and sintering. Each carrier was filled densely with each granular sample. Four types of tubes were implanted into the medial femoral condyle and medial tibial condyle of New Zealand White rabbits. Results The HA group (A) showed the lowest amount of new bone formation. All the TCP sample groups (B, C, and D) showed more new bone formation. On the other hand, among the TCP groups, group C (early resorption model) showed slightly more bone formation. The amount of residual bioceramics was most abundant in the HA group (A). All the TCP sample groups showed less residual bioceramics than group A. Among the TCP groups, group C showed slightly more residual bioceramics. Group B showed the lowest amount of residual bioceramics. Conclusions The WG-coated TCP sample (group C) is the best bone substitute candidate because of its proper biodegradation rate and the Si ions release because the WG-coated layer reduces the material resorption and enhances the new bone formation. That is, the WG-coated TCP is believed to be the best material for the application of an artificial bone substitute material.


2021 ◽  
Author(s):  
gan zhang ◽  
Xiaosong Chen ◽  
Xunsheng Cheng ◽  
Xiuwu Ma ◽  
Congcong Chen

Abstract Introduction: The experiment was undertaken to estimate the effect of BMSCs seeding in different scaffold incorporation with HBO on the repair of seawater immersed bone defect. And future compared n-HA/PLGA with β-TCP/PLGA as scaffold in treatment effect of seawater immersed bone defect.Methods: 60 New Zealand White rabbits with standard seawater defect in radius were randomly divided to group A (implant with nothing), group B (implanted with atuogenous bone), group C (implanted with n-HA/PLGA/BMSCs, and Group D ( implanted with β-TCP/PLGA/BMSCs). After implant, each rabbit receive HBO treatment at 2.4 ATA 100% oxygen for 120 minutes per day for 2 weeeks. Radiograph, histological and biomechanical examination were used to analyze osteogenesis.Result: X-ray analysis show that n-HA/PLGA/BMSCs and β-TCP/PLGA/BMSCs could accelerate the new bone formation, and the new bone formation in group C was lager than in group D or group A, and close to group B (P<0.05). After 12 weeks, in group A, defect without scaffold show a loose connect tissue filled in the areas. The medullary canal in group B was recanalizated. Defect in group C and D show a larger number of wove bone formation. The new wove bone formation in defect areas in group C was lager than D. The mechanical examination revealed ultimate strength at 12 weeks were group D>group C>group B>group A(P<0.05).Conclusion: Scaffold of n-HA/PLGA and β-TCP/PLGA incorporation with HBO and BMSCs were effective to treat seawater immersed bone defect, and n-HA/PLGA was more excellent than β-TCP/PLGA.


2020 ◽  
Author(s):  
gan zhang ◽  
Xiaosong Chen ◽  
Xunsheng Cheng ◽  
Xiuwu Ma ◽  
Congcong Chen

Abstract Introduction: The experiment was undertaken to estimate the effect of BMSCs seeding in different scaffold incorporation with HBO on the repair of seawater immersed bone defect. And future compared n-HA/PLGA with β-TCP/PLGA as scaffold in treatment effect of seawater immersed bone defect.Methods: 60 New Zealand White rabbits with standard seawater defect in radius were randomly divided to group A (implant with nothing), group B (implanted with atuogenous bone), group C (implanted with n-HA/PLGA/BMSCs, and Group D ( implanted with β-TCP/PLGA/BMSCs). After implant, each rabbit receive HBO treatment at 2.4 ATA 100% oxygen for 120 minutes per day for 2 weeeks. Radiograph, histological and biomechanical examination were used to analyze osteogenesis.Result: X-ray analysis show that n-HA/PLGA/BMSCs and β-TCP/PLGA/BMSCs could accelerate the new bone formation, and the new bone formation in group C was lager than in group D or group A, and close to group B (P<0.05). After 12 weeks, in group A, defect without scaffold show a loose connect tissue filled in the areas. The medullary canal in group B was recanalizated. Defect in group C and D show a larger number of wove bone formation. The new wove bone formation in defect areas in group C was lager than D. The mechanical examination revealed ultimate strength at 12 weeks were group D>group C>group B>group A(P<0.05).Conclusion: Scaffold of n-HA/PLGA and β-TCP/PLGA incorporation with HBO and BMSCs were effective to treat seawater immersed bone defect, and n-HA/PLGA was more excellent than β-TCP/PLGA.


2002 ◽  
Vol 27 (5) ◽  
pp. 446-451 ◽  
Author(s):  
T. GOTO ◽  
S. YOKOKURA ◽  
H. KAWANO ◽  
A. YAMAMOTO ◽  
K. MATSUDA ◽  
...  

We studied 23 patients (25 bones) with enchondromata of the hand which were treated with simple curettage without bone grafting. The cortical window was replaced in 18 bones (group A), whereas it was not replaced in six bones (group B). In one bone, only half of the cortical window was replaced. Local recurrence was not seen in any patient. Although bone grafting was not performed, new bone formation was observed in all the patients. Radiographic and functional results were excellent in most bones. Restoration of the continuity of the cortex was seen at 3 (range, 1.5–4) months in group A and 8 (range, 6–12) month s in group B. This restoration is important for the recovery of mechanical strength and we therefore consider that the cortical window should be replaced, unless this is impractical.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Gan Zhang ◽  
Xiaosong Chen ◽  
Xunsheng Cheng ◽  
Wuxiu Ma ◽  
Congcong Chen

Abstract Introduction The experiment was undertaken to estimate the effect of BMSC seeding in different scaffold incorporation with HBO on the repair of a seawater-immersed bone defect. And future compared n-HA/PLGA with β-TCP/PLGA as a scaffold in treatment effect of the seawater-immersed bone defect. Methods Sixty New Zealand White rabbits with standard seawater defect in radius were randomly divided into group A (implant with nothing), group B (implanted with autogenous bone), group C (implanted with n-HA/PLGA/BMSCs), and group D (implanted with β-TCP/PLGA/BMSCs). After the implant, each rabbit receives HBO treatment at 2.4 ATA 100% oxygen for 120 min/day for 2 weeks. Radiograph, histological, and biomechanical examinations were used to analyze osteogenesis. Result X-ray analysis shows that n-HA/PLGA/BMSCs and β-TCP/PLGA/BMSCs could accelerate the new bone formation, and the new bone formation in group C was larger than that in group D or group A and close to group B (P < 0.05). After 12 weeks, in group A, the defect without scaffold shows a loose connect tissue filled in the areas. The medullary canal in group B was recanalized. Defects in groups C and D show a larger number of woven bone formation. The new woven bone formation in defect areas in group C was larger than that in group D. The mechanical examination revealed ultimate strength at 12 weeks was group D > group C > group B > group A (P < 0.05). Conclusion Scaffolds of n-HA/PLGA and β-TCP/PLGA incorporation with HBO and BMSCs were effective to treat seawater-immersed bone defect, and n-HA/PLGA was more excellent than β-TCP/PLGA.


2009 ◽  
Vol 21 (02) ◽  
pp. 115-122 ◽  
Author(s):  
Shwu Jen Chang ◽  
Shyh Ming Kuo ◽  
Cheng-Wen Lan ◽  
Ioannis Manousakas ◽  
Pei Hua Tsai

Periodontal disease is the manifestation of serious bacteria infection that may extend to the gingival, periodontal ligaments, and alveolus bone. One commonly administrated treatment is the debridement therapy with the removal of infected area including the soft and hard lesion tissues. In some critical case, osteogenetic materials are being filled into the defective voids to improve the regeneration of slow-growing bony tissues. In attempt to improve bone regeneration, chitosan microsphere composites embedded with two osteogenesis beneficial ingredients, CaSO 4 and platelet-rich plasma (PRP), were fabricated by using a high voltage electrostatic field system. Three groups, chitosan/ CaSO 4 microspheres (Group A), chitosan/ CaSO 4 microspheres mixed with thrombin (Group B), and chitosan/ CaSO 4/PRP microspheres mixed with thrombin (Group C) were prepared. And, these chitosan-based composites were evaluated together with a control group in pig oral model for the bone regeneration study. The chitosan/ CaSO 4/PRP microsphere composites, exhibiting good sphericity, were in the range of 457.5 ± 59.3 μ m in diameter. Defects filled with Group B and Group C showed increases in new bone formation along with fibrous tissue regeneration as compared to that filled with Group A. The Masson's Trichrome stain observations suggested more abundant presence of fibrous collagen matrices around the defects after implanted with Group B over that of Group C microsphere composites. The preparation of chitosan/ CaSO 4-based microspheres was straight forward by using high voltage electrostatic field system. Furthermore, Chitosan/ CaSO 4-based microspheres with thrombin could be used successfully in regenerating new bone around the alveolus bone area.


2019 ◽  
Vol 19 (11) ◽  
pp. 6956-6960 ◽  
Author(s):  
Wei Yang ◽  
Wenwei Zhou ◽  
Na Li ◽  
Yanxi Huang ◽  
Xuejiao Cheng ◽  
...  

To clinically, histologically and radiologically evaluate the effects of early intervention on fresh extraction sockets, 30 patients were selected and assigned evenly into group A (blood clot) and group B (coralline hydroxyapatite). All participants underwent clinical examination. Oral plaster casts and panoramic radiographs were undertaken before tooth extraction and at 3–4 months after socket grafting. A 6–8 mm sample of longitudinal bone core was obtained using a 2 mm diameter trephine 3–4 month's post-operatively. Group A had a greater decrease in interdental papilla height, which was about 2–3 times more than that of group B (P >0.001). The buccal-lingual alveolar ridge width also absorbed more in group A (P >0.001). Radiological findings were similar. Group B had less new bone formation (P >0.001), and the residual rate was a little high. There was no statistical difference between the two groups in terms of new bone formation rating grade. Clinical, histological and radiological tissue differences were observed between sockets with and without biomaterial grafts 3–4 months after surgery. This indicates that early intervention of extraction sockets is clinically advantageous.


2020 ◽  
Author(s):  
Gan Zhang ◽  
Xiaosong Chen ◽  
Xunsheng Cheng ◽  
Xiuwu Ma ◽  
Congcong Chen

Abstract Introduction: The experiment was undertaken to estimate the effect of BMSCs seeding in different scaffold incorporation with HBO on the repair of seawater immersed bone defect. And future compared n-HA/PLGA with β-TCP/PLGA as scaffold in treatment effect of seawater immersed bone defect.Methods: 60 New Zealand White rabbits with standard seawater defect in radius were randomly divided to group A (implant with nothing), group B (implanted with atuogenous bone), group C (implanted with n-HA/PLGA/BMSCs, and Group D ( implanted with β-TCP/PLGA/BMSCs). After implant, each rabbit receive HBO treatment at 2.4 ATA 100% oxygen for 120 minutes per day for 2 weeeks. Radiograph, histological and biomechanical examination were used to analyze osteogenesis.Result: X-ray analysis show that n-HA/PLGA/BMSCs and β-TCP/PLGA/BMSCs could accelerate the new bone formation, and the new bone formation in group C was lager than in group D or group A, and close to group B (P < 0.05). After 12 weeks, in group A, defect without scaffold show a loose connect tissue filled in the areas. The medullary canal in group B was recanalizated. Defect in group C and D show a larger number of wove bone formation. The new wove bone formation in defect areas in group C was lager than D. The mechanical examination revealed ultimate strength at 12 weeks were group D > group C > group B > group A(P < 0.05).Conclusion: Scaffold of n-HA/PLGA and β-TCP/PLGA incorporation with HBO and BMSCs were effective to treat seawater immersed bone defect, and n-HA/PLGA was more excellent than β-TCP/PLGA.


Author(s):  
Patil Aniket ◽  
Dindore Pallavi ◽  
Arbar Aziz ◽  
Kadam Avinash ◽  
Saroch Vikas

The quest for excellence in mental and physical health is not new. We find various references and formulations in Ayurvedic classics meant for promoting mental and physical health of a child. Suvarna Prashan is one of the formulations explained in age old Ayurvedic classic Kashyap Samhita. This formulation is very widely used now days as a memory and immune booster for children. But there is very little systematic documented study which can be used to evaluate the efficacy of the formulation. Suvarna Bhasma was prepared in Ayurved Rasayani Pharmacy, Pune. Madhu and Ghrita were collected from KLE Ayurveda Pharmacy, Belgaum. Suvarna Bindu Prashan was prepared in KLE Ayurved pharmacy, Belgaum. It contains Suvarna Bhasma, Ghrita and Madhu. Twenty apparently healthy male and female children with age group of three to four years were ready to sign inform consent form were selected into two groups each. Subjects in Group A received Suvarna Bindu Prashan where as Group B (Control group) did not receive any treatment. Both the groups were observed for six months. Children in Suvarna Bindu Prashan group showed significant reduction in the scores of eating habits, behavior, mood, temperament and scores of event of illness. However there was no significant difference in the score of sleeping habit. There was significant increase in IQ percentage.


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