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Bone response to free form‐fabricated hydroxyapatite and zirconia scaffolds: a histological study in the human maxilla
Author(s) -
Malmström Johan,
Slotte Christer,
Adolfsson Erik,
Norderyd Ola,
Thomsen Peter
Publication year - 2009
Publication title -
clinical oral implants research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.407
H-Index - 161
eISSN - 1600-0501
pISSN - 0905-7161
DOI - 10.1111/j.1600-0501.2008.01595.x
Subject(s) - osseointegration , materials science , maxilla , dentistry , scaffold , bone healing , biomedical engineering , implant , medicine , anatomy , surgery
Objectives: Synthetic and biological materials are increasingly used to provide temporary or permanent scaffolds for bone regeneration. This study evaluated the effect of material chemistry and microporosity on bone ingrowth and osseointegration of zirconia (ZrO 2 ) and hydroxyapatite (HA) scaffolds in the human maxilla. Material and methods: Twelve patients subjected to dental implant placement were enrolled in the study. Scaffolds of ZrO 2 and HA were placed in the maxilla of each subject, using a randomization protocol. After 3 months of healing, biopsies were harvested comprising the scaffolds and surrounding bone tissue. The biopsies were processed for histological evaluation and morphometric analysis (bone ingrowth and bone‐to‐scaffold contact). Results: Healing was uneventful in all cases. All scaffolds demonstrated a measurable bone response using light microscopy and scanning electron microscopy. Microporous HA scaffolds revealed four times larger bone ingrowth and seven times larger bone contact as compared with ZrO 2 scaffolds. Conclusion: The results show that chemistry and microporosity of HA promote bone ingrowth and bone contact of ceramic scaffolds in human maxilla.