Efectos de la proteína de la matriz de esmalte local, sobre la oseointegración de diferentes implantes de Titanio de superficie

Palabras clave: Proteína de matriz de esmalte local, implante de titanio, osteointegración, conexión hueso– implante, contacto de implante óseo

Resumen

El objetivo de este estudio es investigar los niveles de osteointegración de implantes con diferentes superficies aplicadas localmente con proteína de matriz de esmalte mediante métodos biomecánicos. Se incluyeron en el estudio treinta ratas Spraque Dawley hembras adultas con un peso de 300–350 g como sujetos. Las ratas se dividieron en 3 grupos con 10 ratas en cada grupo: Grupo de superficie mecanizada (n = 10), Grupo de superficie de rejilla ácida grande pulida con chorro de arena (SLA) (n = 10) y Grupo de superficie de material de granallado reabsorbible (RBM) (n = 10). Los implantes de titanio se colocaron quirúrgicamente en las tibias derechas de las ratas con enfriamiento con suero fisiológico estéril. Inmediatamente antes de colocar los implantes, se aplicó proteína de matriz de esmalte local a los alvéolos preparados y luego se colocaron los implantes. Las ratas fueron sacrificadas después de esperar la osteointegración durante cuatro semanas y los implantes se tomaron con los tejidos óseos circundantes después de que se eliminaron los tejidos blandos. El contacto hueso–implante de todos los implantes se analizó mediante un método biomecánico y se registró en Newton·cm-1 (N·cm-1). Cuando se examinaron los datos biomecánicos obtenidos, se encontró que el valor promedio de contacto hueso–implante era de 2,24 ± 0,67 (N·cm-1) en implantes de superficie mecanizada, 4,5 ± 1,36 (N·cm-1) en implantes de superficie SLA y 3,24 ± 0,94 (N·cm-1) en implantes de superficie RBM. Se encontró una diferencia estadísticamente significativa entre los implantes de superficie mecanizada y los implantes de superficie SLA (P<0,05; P=0,02). Se puede afirmar que la aplicación local de proteína de matriz de esmalte puede aumentar la conexión hueso–implante en implantes de superficie SLA.

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Citas

Brånemark PI, Adell R, Breine U, Hansson BO, Lindström J, Ohlsson A. Intra–osseous anchorage of dental prostheses. I. Experimental studies. Scand. J. Plast. Reconstr. Surg. [Internet]. 1969; 3(2):81–100. doi: https://doi.org/drtkwh DOI: https://doi.org/10.3109/02844316909036699

Istek O, Tanrisever M, Atille Aydin M, Pak P, Eroksuz H, Karabulut B, Ekinci E, Dundar S. Evaluation of the effect of local bovine amniotic fluid on osseointegration of titanium implants: a histologic and histomorphometric study. Rev. Científ. FCV–LUZ. [Internet]. 2024; 34(2):e34417. doi: https://doi.org/n7nz DOI: https://doi.org/10.52973/rcfcv-e34417

Istek O, Tanrisever M, Eroksuz H, Karabulut B, Ozcan EC, Bingul MB, Guler R, Dundar S: The histopathological evaluation of effects of application of the bovine amniotic fluid with graft on peri–implant bone regeneration. Kafkas Univ. Vet. Fak. Derg. [Internet]. 2023; 29(5):551–556. doi: https://doi.org/m854 DOI: https://doi.org/10.9775/kvfd.2023.30031

Bingul MB, Gul M, Dundar S, Bozoglan A, Kirtay M, Ozupek MF, Ozcan EC, Habek O, Tasdemir I. Effects of the application local zoledronic acid on different dental implants in rats on osseointegration. Drug. Des. Devel. Ther. [Internet]. 2024; 18:2249–2256. doi: https://doi.org/pmww DOI: https://doi.org/10.2147/DDDT.S459125

Özcan EC, Aydin MA, Dundar S, Tanrisever M, Bal A, Karasu N, Kirtay M. Biomechanical investigation of the osseointegration of titanium implants with different surfaces placed with allogeneic bone transfer. J. Craniofac. Surg. [Internet]. 2024; 35(7):2184–2188. doi: https://doi.org/pmwx DOI: https://doi.org/10.1097/SCS.0000000000010326

Tekin B, Dundar S, Tekin S, Emine Sukuroglu E, Khurshid Z, Ezgi Y, Demirci F, Faheemuddin M. Effect of micro–arc oxidation coatings with graphene oxide and graphite on osseointegration of titanium implants–an in vivo study. Saudi Dent. J. [Internet]. 2024; 36(4):591–595. doi: https://doi.org/pmwz DOI: https://doi.org/10.1016/j.sdentj.2024.01.013

Sokmen N, Dundar S, Bozoglan A, Yildirim TT, Sokmen K, Sayeste E, Isayev A, Kirtay M. Effect of primary stabilisation on osseointegration of implants with local and systemic zoledronic acid application. J. Craniofac. Surg. [Internet]. 2022; 33(5):1276–1281. doi: https://doi.org/pmw2 DOI: https://doi.org/10.1097/SCS.0000000000008236

Miron RJ, Sculean A, Cochran DL, Froum S, Zucchelli G, Nemcovsky C, Donos N, Lyngstadaas SP, Deschner J, Dard M, Stavropoulos A, Zhang Y, Trombelli L, Kasaj A, Shirakata Y, Cortellini P, Tonetti M, Rasperini G, Jepsen S, Bosshardt DD. Twenty years of enamel matrix derivative: the past, the present and the future. J. Clin. Periodontol. [Internet]. 2016; 43(8):668–683. doi: https://doi.org/f99nm2 DOI: https://doi.org/10.1111/jcpe.12546

Fidan I, Labreuche J, Huck O, Agossa K. Combination of enamel matrix derivatives with bone graft vs bone graft alone in the treatment of periodontal intrabony and furcation defects: a systematic review and meta–analysis. Oral Health Prev. Dent. 2024; 22:655–664. doi: https://doi.org/pmw3

Qiao T, Yi Y, Kang Z, Huang Z, Wan J, Wang Y, Qian C. Recombinant human amelogenin promotes wound healing by enhancing angiogenesis. Biochem. Biophys. Res. Commun. 2024; 734:150462. doi: https://doi.org/gt826n DOI: https://doi.org/10.1016/j.bbrc.2024.150462

Vela OC, Boariu M, Rusu D, Iorio–Siciliano V, Sculean A, Stratul SI. Clinical and Radiographic Evaluation of Intrabony Periodontal Defects Treated with Hyaluronic Acid or Enamel Matrix Proteins: A 6–Month Prospective Study. Oral Health Prev. Dent. 2024; 22:257–270. doi: https://doi.org/pmw4

Miron RJ, Bosshardt DD, Buser D, Zhang Y, Tugulu S, Gemperli A, Dard M, Caluseru OM, Chandad F, Sculean A. Comparison of the capacity of enamel matrix derivative gel and enamel matrix derivative in liquid formulation to adsorb to bone grafting materials. J. Periodontol. 2015; 86(4):578–587. doi: https://doi.org/f67ndv DOI: https://doi.org/10.1902/jop.2015.140538

Dierens M, Vandeweghe S, Kisch J, Nilner K, De Bruyn H. Long–term follow–up of turned single implants placed in periodontally healthy patients after 16–22 years: radiographic and peri–implant outcome. Clin. Oral Implants Res. 2012; 23(2):197–204. doi: https://doi.org/cw7rjm DOI: https://doi.org/10.1111/j.1600-0501.2011.02212.x

Dundar S, Yaman F, Bozoglan A, Yildirim TT, Kirtay M, Ozupek MF, Artas G. Comparison of osseointegration of five different surfaced titanium implants. J. Craniofac. Surg. 2018; 29(7):1991–1995. doi: https://doi.org/pmw5 DOI: https://doi.org/10.1097/SCS.0000000000004572

Ozcan EC, Gul M, Dundar S, Bozoglan A, Karasu N, Bal A, Gunes N, Bingul MB. Effects of local application of the ankaferd blood stopper on osseointegration in three different surface titanium implants. J. Oral Biol. Craniofac. Res. 2021; 11(4):524–528. doi: https://doi.org/pmw6 DOI: https://doi.org/10.1016/j.jobcr.2021.07.008

Miron RJ, Wei L, Yang S, Caluseru OM, Sculean A, Zhang Y. Effect of enamel matrix derivative on periodontal wound healing and regeneration in an osteoporotic model. J Periodontol. 2014; 85(11):1603–1611. https://doi.org/f6pv86 DOI: https://doi.org/10.1902/jop.2014.130745

Boyan BD, Weesner TC, Lohmann CH, Andreacchio D, Carnes DL, Dean DD, Cochran DL, Schwartz Z. Porcine fetal enamel matrix derivative enhances bone formation induced by demineralized freeze dried bone allograft in vivo. J. Periodontol. [Internet]. 2000; 71(8):1278–1286. doi: https://doi.org/fcxwqn DOI: https://doi.org/10.1902/jop.2000.71.8.1278

Rosen PS, Reynolds MA. A retrospective case series comparing the use of demineralized freeze–dried bone allograft and freeze–dried bone allograft combined with enamel matrix derivative for the treatment of advanced osseous lesions. J. Periodontol. [Internet]. 2002; 73(8):942–949. doi: https://doi.org/c72s5b DOI: https://doi.org/10.1902/jop.2002.73.8.942

Harrel SK, Wilson TG, Nunn ME. Prospective assessment of the use of enamel matrix proteins with minimally invasive surgery. J. Periodontol. [Internet]. 2005; 76(3):380–384. doi: https://doi.org/dtfpb6 DOI: https://doi.org/10.1902/jop.2005.76.3.380

Hoidal MJ, Grimard BA, Mills MP, Schoolfield JD, Mellonig JT, Mealey BL. Clinical evaluation of demineralized freeze–dried bone allograft with and without enamel matrix derivative for the treatment of periodontal osseous defects in humans. J. Periodontol. [Internet]. 2008; 79(12):2273–2280. doi: https://doi.org/dj3v3s DOI: https://doi.org/10.1902/jop.2008.080259

Velasquez–Plata D, Scheyer ET, Mellonig JT. Clinical comparison of an enamel matrix derivative used alone or in combination with a bovine–derived xenograft for the treatment of periodontal osseous defects in humans. J. Periodontol. [Internet]. 2002; 73(4):433–440. doi: https://doi.org/bbt28m DOI: https://doi.org/10.1902/jop.2002.73.4.433

Lekovic V, Camargo PM, Weinlaender M, Nedic M, Aleksic Z, Kenney EB. A comparison between enamel matrix proteins used alone or in combination with bovine porous bone mineral in the treatment of intrabony periodontal defects in humans. J. Periodontol. [Internet]. 2000; 71(7):1110–1116. doi: https://doi.org/dwk9md DOI: https://doi.org/10.1902/jop.2000.71.7.1110

Ikawa T, Akizuki T, Shujaa Addin A, Fukuba S, Stavropoulos A, Izumi Y. Enamel matrix derivative in liquid form as adjunct to natural bovine bone grafting at buccal bone dehiscence defects at implant sites: An experimental study in beagle dogs. Clin. Oral Implants Res. [Internet]. 2019; 30(10):989– 996. doi: https://doi.org/gjb7zb DOI: https://doi.org/10.1111/clr.13512

Khang W, Feldman S, Hawley CE, Gunsolley J. A multi–center study comparing dual acid–etched and machined–surfaced implants in various bone qualities. J. Periodontol. [Internet]. 2001; 72(10):1384–1390. doi: https://doi.org/cd9wns DOI: https://doi.org/10.1902/jop.2001.72.10.1384

Stach RM, Kohles SS. A meta–analysis examining the clinical survivability of machined–surfaced and osseotite implants in poor–quality bone. Implant Dent. [Internet]. 2003; 12(1):87–96. doi: https://doi.org/cp9bg4 DOI: https://doi.org/10.1097/01.ID.0000042507.37401.6F

Han HJ, Kim S, Han DH. Multifactorial evaluation of implant failure: a 19–year retrospective study. Int. J. Oral Maxillofac. Implants. [Internet]. 2014; 29(2):303–310. doi: https://doi.org/f5wvwf . DOI: https://doi.org/10.11607/jomi.2869

Tolstunov L. Implant zones of the jaws: implant location and related success rate. J. Oral Implantol. [Internet]. 2007; 33(4):211–220. doi: https://doi.org/fj6ghd DOI: https://doi.org/10.1563/1548-1336(2007)33[211:IZOTJI]2.0.CO;2

Elkhaweldi A, Lee DH, Wang W, Cho SC. The survival rate of RBM surface versus SLA surface in geometrically identical implant design. J. Oral Bio. [Internet]. 2014; 1(1):8. doi: https://doi.org/pmw7

Dundar S, Bozoglan A, Bulmus O, Tekin S, Yildirim TT, Kirtay M, Toy VE, Gul M, Bozoglan MY. Effects of restraint stress and high–fat diet on osseointegration of titanium implants: an experimental study. Braz Oral Res. 2020; 34:e008. doi: https://doi.org/n7q6 DOI: https://doi.org/10.1590/1807-3107bor-2020.vol34.0008

Publicado
2025-05-19
Cómo citar
1.
Istek O, Sokmen K, Ozcan EC, Tanrisever M, Gelic T, Can UK, Bozoglan A, Dundar S. Efectos de la proteína de la matriz de esmalte local, sobre la oseointegración de diferentes implantes de Titanio de superficie. Rev. Cient. FCV-LUZ [Internet]. 19 de mayo de 2025 [citado 22 de junio de 2025];35(2):6. Disponible en: https://produccioncientificaluz.org/index.php/cientifica/article/view/43854
Sección
Medicina Veterinaria