Evaluation of osseointegration of dental implants coated with collagen, chondroitin sulphate and BMP-4: an animal study

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • B. Stadlinger - , TUD Dresden University of Technology (Author)
  • E. Pilling - , TUD Dresden University of Technology (Author)
  • M. Huhle - , TUD Dresden University of Technology (Author)
  • R. Mai - , TUD Dresden University of Technology (Author)
  • S. Bierbaum - , Chair of Biomaterials, Max Bergmann Center of Biomaterials Dresden (Author)
  • D. Scharnweber - , Chair of Biomaterials, Max Bergmann Center of Biomaterials Dresden (Author)
  • E. Kuhlisch - , TUD Dresden University of Technology, Institute for Medical Informatics and Biometry (Author)
  • R. Loukota - , Leeds Teaching Hospitals NHS Trust (Author)
  • U. Eckelt - , TUD Dresden University of Technology, Department of Oral and Maxillofacial Surgery (Author)

Abstract

Various studies have shown type I collagen (coll) to increase bone-implant contact (BIC) compared to uncoated implants. The aim of this animal study was to test whether the integration of chondroitin sulphate (CS) and the growth factor rhBMP-4 into a collagenous coating could further increase the measured BIC compared to collagen coated implants alone. The experimental implants had two recesses along the length axis. 120 implants with the surface modifications: coll, coll/CS, coll/CS/rhBMP-4 were inserted into the mandible of 20 minipigs. Six months after implantation, BIC was measured histomorphometrically on the surface and within the recesses. Due to the specific animal model and strict criteria in placement, 39.2 % of the implants were considered as failure and not included in the analysis. Of the successfully gained 73 implants, the highest percentage of BIC was obtained for coll/CS (40%), followed by coll (30%) and coll/CS/rhBMP-4 (27%), P = 0.013. BIC within the recesses was highest for coll/CS (51%), followed by coll (43%) and coll/CS/rhBMP-4 (34%), P = 0.025. The result suggests that the inclusion of CS slightly increases the BIC compared to collagen coated implants. The further inclusion of a low amount rhBMP-4 had a detrimental effect on bone formation compared to coll/CS, P < 0.05.

Details

Original languageEnglish
Pages (from-to)54-59
Number of pages6
JournalInternational Journal of Oral and Maxillofacial Surgery
Volume37
Issue number1
Publication statusPublished - Jan 2008
Peer-reviewedYes

External IDs

Scopus 36749025614
PubMed 17983729

Keywords

Keywords

  • BMP-4, chondroitin sulphate, dental implants, histomorphometry, osseointegration, titanium, type I collagen