Histologic and micro–computed tomographic evaluation of the osseointegration of a nonresorbable bone substitute in alveoli of ponies after tooth extraction

Lieven Vlaminck Department of Surgery and Anaesthesiology of Domestic Animals, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium.

Search for other papers by Lieven Vlaminck in
Current site
Google Scholar
PubMed
Close
 DVM, PhD
,
Veerle Cnudde Department of Geology and Earth Sciences, Faculty of Sciences, Ghent University, Krijgslaan 281, 9000 Ghent, Belgium.

Search for other papers by Veerle Cnudde in
Current site
Google Scholar
PubMed
Close
 PhD
,
Koen Pieters Department of Geology and Earth Sciences, Faculty of Sciences, Ghent University, Krijgslaan 281, 9000 Ghent, Belgium.

Search for other papers by Koen Pieters in
Current site
Google Scholar
PubMed
Close
 MSc
,
Wim Van Den Broeck Department of Morphology, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium.

Search for other papers by Wim Van Den Broeck in
Current site
Google Scholar
PubMed
Close
 DVM, PhD
,
Michel Steenhaut Department of Surgery and Anaesthesiology of Domestic Animals, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium.

Search for other papers by Michel Steenhaut in
Current site
Google Scholar
PubMed
Close
 DVM
,
Patric Jacobs Department of Geology and Earth Sciences, Faculty of Sciences, Ghent University, Krijgslaan 281, 9000 Ghent, Belgium.

Search for other papers by Patric Jacobs in
Current site
Google Scholar
PubMed
Close
 PhD
, and
Frank Gasthuys Department of Surgery and Anaesthesiology of Domestic Animals, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium.

Search for other papers by Frank Gasthuys in
Current site
Google Scholar
PubMed
Close
 DVM, PhD

Abstract

Objective—To evaluate the biological behavior of a nonresorbable bone substitute (NRBS) in the alveoli of ponies, compared with tissue quality in naturally healing alveoli, after cheek tooth extraction.

Animals—5 clinically normal ponies.

Procedures—In each pony, both maxillary fourth premolars (Triadan 108/208) were repulsed bilaterally during anesthesia. One randomly chosen alveolus was filled with NRBS and isolated from the oral cavity by use of dental impression material and a spring-wire retention device. The other alveolus was occluded in its occlusal third portion with dental impression material. One year after surgery, cylindrical lateromedial biopsy specimens were collected from the apical, middle, and occlusal level of each alveolus. Biopsy samples were evaluated for bone mineral density and bone volume via micro–computed tomography; qualitative histologic characteristics were evaluated via light microscopy.

Results—Bone mineral density and bone volume were greater in control alveoli, compared with NRBS-treated alveoli. Control alveoli were characterized by the presence of few mature bone trabeculae and wide spaces containing fat tissue and mesenchymal stroma. In treated alveoli, biocompatibility and osteoconductive properties of the NRBS were excellent; continuous bone formation and bone remodeling were also evident.

Conclusions and Clinical Relevance—Results indicated that the NRBS was integrated well in calcified alveolar tissues in ponies 1 year after maxillary cheek tooth extraction. Further research is necessary to establish the benefits of this NRBS in the development of a dental implant surgical technique in equids.

Abstract

Objective—To evaluate the biological behavior of a nonresorbable bone substitute (NRBS) in the alveoli of ponies, compared with tissue quality in naturally healing alveoli, after cheek tooth extraction.

Animals—5 clinically normal ponies.

Procedures—In each pony, both maxillary fourth premolars (Triadan 108/208) were repulsed bilaterally during anesthesia. One randomly chosen alveolus was filled with NRBS and isolated from the oral cavity by use of dental impression material and a spring-wire retention device. The other alveolus was occluded in its occlusal third portion with dental impression material. One year after surgery, cylindrical lateromedial biopsy specimens were collected from the apical, middle, and occlusal level of each alveolus. Biopsy samples were evaluated for bone mineral density and bone volume via micro–computed tomography; qualitative histologic characteristics were evaluated via light microscopy.

Results—Bone mineral density and bone volume were greater in control alveoli, compared with NRBS-treated alveoli. Control alveoli were characterized by the presence of few mature bone trabeculae and wide spaces containing fat tissue and mesenchymal stroma. In treated alveoli, biocompatibility and osteoconductive properties of the NRBS were excellent; continuous bone formation and bone remodeling were also evident.

Conclusions and Clinical Relevance—Results indicated that the NRBS was integrated well in calcified alveolar tissues in ponies 1 year after maxillary cheek tooth extraction. Further research is necessary to establish the benefits of this NRBS in the development of a dental implant surgical technique in equids.

Contributor Notes

Address correspondence to Dr. Vlaminck.
  • 1.

    Jovanovic SA. Bone rehabilitation to achieve optimal aesthetics. Pract Periodontics Aesthet Dent 1997;9:4152.

  • 2.

    Jovanovic SA, Paul SJ, Nishimura RD. Anterior implant-supported reconstructions: a surgical challenge. Pract Periodontics Aesthet Dent 1999;11:551558.

    • Search Google Scholar
    • Export Citation
  • 3.

    Van Dooren E. Management of soft and hard tissue surrounding dental implants: aesthetic principles. Pract Periodontics Aesthet Dent 2000;12:837841.

    • Search Google Scholar
    • Export Citation
  • 4.

    Callan D. Hard tissue grafting for conventional and implant reconstruction. In: Babbush CA, ed. Dental implants. The art and science. Philadelphia: WB Saunders Co, 2001;107123.

    • Search Google Scholar
    • Export Citation
  • 5.

    Scheels JL, Howard PE. Principles of dental extraction. Semin Vet Med Surg (Small Anim) 1993;8:146154.

  • 6.

    Legendre L. Extraction of the upper cuspid with minimal stress. Can Vet J 1996;7:692694.

  • 7.

    DeForge DH. Evaluation of Bioglass/PerioGlas (Consil) synthetic bone graft particulate in the dog and cat. J Vet Dent 1997;14:141145.

    • Search Google Scholar
    • Export Citation
  • 8.

    Legendre L. Extraction of the lower cuspid with minimal stress. Can Vet J 1997;38:449450.

  • 9.

    Kirker-Head CA. Novel biological agents to enhance fracture healing. In: Nixon AJ, ed. Equine fracture repair. Philadelphia: WB Saunders Co, 1996;93101.

    • Search Google Scholar
    • Export Citation
  • 10.

    DeBowes RM, Grant BD, Bagby GW, et al. Cervical vertebral interbody fusion in the horse: a comparative study of bovine xenografts and autografts supported by stainless steel baskets. Am J Vet Res 1984;45:191199.

    • Search Google Scholar
    • Export Citation
  • 11.

    Richardson DW, Nunamaker DM, Sigafoos RD. Use of an external skeletal fixation device and bone graft for arthrodesis of the metacarpophalangeal joint in horses. J Am Vet Med Assoc 1987;191:316321.

    • Search Google Scholar
    • Export Citation
  • 12.

    Lescun TB, Morisset SM, Fugaro MN, et al. Facilitated ankylosis of the distal interphalangeal joint in a foal. Aust Vet J 2004;82:282285.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 13.

    Jackson WA, Stick JA, Arnoczky SP, et al. The effect of compacted cancellous bone grafting on the healing of subchondral bone defects of the medial femoral condyle in horses. Vet Surg 2000;29:816.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14.

    Bodo G, Hangody L, Modis L, et al. Autologous osteochondral grafting (mosaic arthroplasty) for treatment of subchondral cystic lesions in the equine stifle and fetlock joints. Vet Surg 2004;33:588596.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 15.

    Valdez H, McMullan WC, Hobson HP, et al. Surgical correction of deviated nasal septum and premaxilla in a colt. J Am Vet Med Assoc 1978;173:10011004.

    • Search Google Scholar
    • Export Citation
  • 16.

    Bohanon TC, Gabel AA. Cosmetic repair of a facial deformity by use of a silicone implant in a horse. J Am Vet Med Assoc 1991;198:19571958.

    • Search Google Scholar
    • Export Citation
  • 17.

    Jackman BR, Baxter GM. Treatment of a mandibular bone cyst by use of a corticocancellous bone graft in a horse. J Am Vet Med Assoc 1992;201:892894.

    • Search Google Scholar
    • Export Citation
  • 18.

    Dowling BA, Dart AJ, Trope G. Surgical repair of skull fractures in four horses using cuttable bone plates. Aust Vet J 2001;79:324327.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 19.

    Gilger BC, Pizzirani S, Johnston LC, et al. Use of a hydroxyapatite orbital implant in a cosmetic corneoscleral prosthesis after enucleation in a horse. J Am Vet Med Assoc 2003;222:343345.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 20.

    Carstanjen B, Desbois C, Hekmati M, et al. Successful engraftment of cultured autologous mesenchymal stem cells in a surgically repaired soft palate defect in an adult horse. Can J Vet Res 2006;70:143147.

    • Search Google Scholar
    • Export Citation
  • 21.

    Vlaminck LEM, Huys L, Maes D, et al. Use of a synthetic bone substitute to retard molariform tooth drift after maxillary tooth loss in ponies. Vet Surg 2006;35:589595.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 22.

    Vlaminck L, Hoegaerts M, Steenhaut M, et al. Radiographic evaluation of tooth drift after cheek tooth extraction and insertion of an intra-alveolar prosthesis in ponies. Vet J 2008;175:249258.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 23.

    Prichard MA, Hackett RP, Erb HN. Long-term outcome of tooth repulsion in horses. A retrospective study of 61 cases. Vet Surg 1992;21:145149.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 24.

    Dixon PM. Dental extraction and endodontic techniques in horses. Compend Contin Educ Pract Vet 1997;19:628637.

  • 25.

    Vlaminck LE, Steenhaut M, Maes D, et al. Periodontal changes following maxillary cheek teeth extraction in ponies, with and without insertion of a bone substitute intra-alveolar prosthesis: an experimental study. J Vet Dent 2007;24:7784.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 26.

    Pascoe JR. Complications of dental surgery. In: Auer JA, Stick JA, eds. Equine surgery. 2nd ed. Philadelphia: WB Saunders Co, 1999;197.

  • 27.

    Dixon PM, Tremaine WH, Pickles K, et al. Equine dental disease part 4: a long-term study of 400 cases: apical infections of cheek teeth. Equine Vet J 2000;32:182194.

    • Search Google Scholar
    • Export Citation
  • 28.

    Amler MH, LeGeros RZ. Hard tissue replacement (HTR) polymer as an implant material. J Biomed Mater Res 1990;24:10791089.

  • 29.

    Eppley BL, Sadove AM, German RZ. Evaluation of HTR polymer as a craniomaxillofacial graft material. Plast Reconstr Surg 1990;86:10851092.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 30.

    Plotzke AE, Barbosa S, Nasjleti CE, et al. Histologic and histompetric responses to polymeric composite grafts. J Periodontol 1993;64:343348.

  • 31.

    Cranin AN, Simons A, Klein M, et al. The use of a particulate, microporous, calcified copolymer as a ridge maintenance device in dogs. J Vet Dent 1995;12:5358.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 32.

    Haris AG, Szabo G, Ashman A, et al. Five-year 224-patient prospective histological study of clinical applications using a synthetic bone alloplast. Implant Dent 1998;7:287299.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 33.

    Ashman A, LoPinto J. Placement of implants into ridges grafted with bioplant HTR synthetic bone: histological long-term case history reports. J Oral Implantol 2000;26:276290.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 34.

    Calongne KB, Aichelmann-Reidy ME, Yukna RA, et al. Clinical comparison of microporous biocompatible composite of PMMA, PHEMA, and calcium hydroxide grafts and expanded polytetrafluoroethylene barrier membranes in human mandibular molar class II furcations. A case series. J Periodontol 2001;72:14511459.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 35.

    Ashman A, Bruins P. A new immediate hard tissue replacement (HTR)TM for bone in the oral cavity. J Oral Implantol 1982;10:419452.

  • 36.

    Boyne PJ. Use of HTR in tooth extraction sockets to maintain the alveolar ridge height and increase concentration of alveolar bone matrix. Gen Dent 1995;43:470473.

    • Search Google Scholar
    • Export Citation
  • 37.

    Froum S, Orlowski W. Ridge preservation utilizing an alloplast prior to implant placement—clinical and histological case reports. Pract Periodontics Aesthet Dent 2000;12:393402.

    • Search Google Scholar
    • Export Citation
  • 38.

    Huys LWJ. In search of the ideal bone graft. Med Device Technol 2002;13:3539.

  • 39.

    Simpson HE. Experimental investigation into the healing of extraction wounds in macacus rhesus monkeys. J Oral Surg 1960;18:391399.

  • 40.

    Araujo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol 2005;32:212218.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 41.

    Dixon PM, Tremaine WH, Pickles K, et al. Equine dental disease: part 2. A long-term study of 400 cases: disorders of development and eruption and variations in position of the cheek teeth. Equine Vet J 1999;31:519528.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 42.

    Kingsmill VJ. Post-extraction remodelling of the adult mandible. Crit Rev Oral Biol Med 1999;10:384404.

  • 43.

    Bodic F, Hamel L, Lerouxel E, et al. Bone loss and teeth. Joint Bone Spine 2005;72:215221.

  • 44.

    Chappard D, Retailleau-Gaborit N. Legrand E, et al. Comparison insight bone measurements by histomorphometry and MCT. J Bone Miner Res 2005;20:11771184.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 45.

    Müller R, Van Campenhout H, Van Damme B, et al. Morphometric analysis of human bone biopsies: a quantitative structural comparison of histological sections and micro-computed tomography. Bone 1998;23:5966.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 46.

    Thomsen JS, Laib A, Koller B, et al. Stereological measures of trabecular bone structure: comparison of 3D micro computed tomography with 2D histological sections in human proximal tibial bone biopsies. J Microsc 2005;218:171179.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 47.

    Johansen JR. Repair of the post-extraction alveolus in the wistar rat. A histologic and autoradiographic study. Acta Odontol Scand 1970;28:441461.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 48.

    Johansen JR. Repair of the post-extraction alveolus in the guinea pig. A histologic and autoradiographic study. Acta Odontol Scand 1969;27:249262.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 49.

    Lin WL, McCulloch CA, Cho MI. Differentiation of periodontal ligament fibroblasts into osteoblasts during socket healing after tooth extraction in the rat. Anat Rec 1994;1240:492506.

    • Search Google Scholar
    • Export Citation
  • 50.

    Carvalho TL, Bombonato KF, Brentegani LG. Histometric analysis of rat alveolar wound healing. Braz Dent J 1997;8:912.

  • 51.

    Cardaropoli G, Araujo M, Lindhe J. Dynamics of bone tissue formation in tooth extraction sites. J Clin Periodontol 2003;30:809818.

  • 52.

    Boyne PJ. Osseous repair of the postextraction alveolus in man. Oral Surg Oral Med Oral Pathol 1966;21:805813.

  • 53.

    Amler MH. The time sequence of tissue regeneration in human extraction wounds. Oral Surg Oral Med Oral Pathol 1969;27:309318.

Advertisement