Deproteinized bovine bone remodeling pattern in alveolar socket: a clinical immunohistological evaluation. 2016

Stefano Milani, and Laura Dal Pozzo, and Giulio Rasperini, and Chiarella Sforza, and Claudia Dellavia
Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, Milan, Italy.

OBJECTIVE Considering the low rate of deproteinized bovine bone (DBB) graft resorption in vivo and vitro, the aim of this study was to investigate, through an immunohistochemical method, DBB remodeling patterns in human. METHODS Socket preservation, a highly documented and affirmed technique, was selected as the best in vitro model to analyze DBB effect on bone remodeling. Following premolar extraction (T0), 20 patients were randomized into two treatment groups. In the test group (t), the alveolar sockets were grafted with DBB, while in the control group (c) no bone graft was applied and the alveolar sockets were left to heal spontaneously. After 5 months, a re-entry procedure was performed, and one implant was placed according to manufacturer's protocols (T1). Bone biopsies were harvested for each patient both at T0 and at T1. On the bone samples, immunohistochemical investigations were performed to analyze BMP-2, BMP-7, ALP, IL-6, TNF-α expression. RESULTS Bone morphogenetic proteins were more expressed in the control group than in the test group (BMP-2: P < 0.001; BMP-7: P = 0.017), while TNF-α value was larger in the test group (P < 0.001); no statistically significant differences were observed for the other markers. When considering time as the main variable, statistically significant differences were found for BMP-2 (P < 0.001), BMP-7 (P < 0.001), IL-6 (P < 0.001), ALP (P < 0.05), and TNF-α (P < 0.001). Significant interaction between groups and time was found for BMP-2 (P < 0.001), BMP-7 (P < 0.001), TNF-α (P < 0.001). CONCLUSIONS Deproteinized bovine bone guarantees the activity of bone remodeling processes in human extraction socket at 5 months of healing, bringing to a higher expression of anabolic and catabolic bone markers.

UI MeSH Term Description Entries
D007150 Immunohistochemistry Histochemical localization of immunoreactive substances using labeled antibodies as reagents. Immunocytochemistry,Immunogold Techniques,Immunogold-Silver Techniques,Immunohistocytochemistry,Immunolabeling Techniques,Immunogold Technics,Immunogold-Silver Technics,Immunolabeling Technics,Immunogold Silver Technics,Immunogold Silver Techniques,Immunogold Technic,Immunogold Technique,Immunogold-Silver Technic,Immunogold-Silver Technique,Immunolabeling Technic,Immunolabeling Technique,Technic, Immunogold,Technic, Immunogold-Silver,Technic, Immunolabeling,Technics, Immunogold,Technics, Immunogold-Silver,Technics, Immunolabeling,Technique, Immunogold,Technique, Immunogold-Silver,Technique, Immunolabeling,Techniques, Immunogold,Techniques, Immunogold-Silver,Techniques, Immunolabeling
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D008903 Minerals Native, inorganic or fossilized organic substances having a definite chemical composition and formed by inorganic reactions. They may occur as individual crystals or may be disseminated in some other mineral or rock. (Grant & Hackh's Chemical Dictionary, 5th ed; McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Mineral
D002417 Cattle Domesticated bovine animals of the genus Bos, usually kept on a farm or ranch and used for the production of meat or dairy products or for heavy labor. Beef Cow,Bos grunniens,Bos indicus,Bos indicus Cattle,Bos taurus,Cow,Cow, Domestic,Dairy Cow,Holstein Cow,Indicine Cattle,Taurine Cattle,Taurus Cattle,Yak,Zebu,Beef Cows,Bos indicus Cattles,Cattle, Bos indicus,Cattle, Indicine,Cattle, Taurine,Cattle, Taurus,Cattles, Bos indicus,Cattles, Indicine,Cattles, Taurine,Cattles, Taurus,Cow, Beef,Cow, Dairy,Cow, Holstein,Cows,Dairy Cows,Domestic Cow,Domestic Cows,Indicine Cattles,Taurine Cattles,Taurus Cattles,Yaks,Zebus
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000469 Alkaline Phosphatase An enzyme that catalyzes the conversion of an orthophosphoric monoester and water to an alcohol and orthophosphate. EC 3.1.3.1.
D000539 Alveolar Process The thickest and spongiest part of the maxilla and mandible hollowed out into deep cavities for the teeth. Alveolar Ridge,Alveolar Processes,Process, Alveolar,Processes, Alveolar,Ridge, Alveolar
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia

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