Autogenous bone graft and ePTFE membrane in the treatment of peri-implantitis. II. Stereologic and histologic observations in cynomolgus monkeys

Clin Oral Implants Res. 2003 Aug;14(4):404-11. doi: 10.1034/j.1600-0501.2003.120910.x.

Abstract

The purpose of the present study was to evaluate the effect of autogenous bone graft particles and expanded polytetrafluoroethylene (ePTFE) membrane in the treatment of peri-implantitis with stereologic and histologic methods. Clinical and radiographic findings are reported elsewhere. Experimental peri-implantitis with a bone loss of 4-6 mm was established during 14-22 months around 64 implants with a titanium plasma-sprayed (TPS) surface in eight cynomolgus monkeys (Macaca fascicularis). The defects were treated with autogenous bone+membrane (B+M), autogenous bone (B), membrane (M), or a conventional flap procedure (control) (C). The animals were killed 6 months after surgery. Healthy peri-implant tissue was established irrespective of the applied treatment procedure. However, the amount of bone (autogenous bone graft particles and regenerated bone) and re-osseointegration were significantly higher in defects treated with B+M as compared with the three other treatment modalities. A mean bone-to-implant contact of 45% was estimated within defects treated with B+M. The corresponding values for the B, M, and C groups were 22, 21, and 14%. The present study therefore demonstrates that autogenous bone graft particles covered by an ePTFE membrane is a useful surgical treatment procedure of experimental peri-implantitis around implants with a TPS surface in cynomolgus monkeys. Obviously, there is a background for long-term evaluation in humans.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alveolar Bone Loss / pathology
  • Alveolar Bone Loss / surgery
  • Animals
  • Bone Regeneration / physiology
  • Bone Transplantation*
  • Coated Materials, Biocompatible
  • Dental Implants*
  • Guided Tissue Regeneration, Periodontal
  • Image Processing, Computer-Assisted
  • Macaca fascicularis
  • Membranes, Artificial*
  • Osseointegration / physiology
  • Periodontitis / pathology
  • Periodontitis / surgery*
  • Polytetrafluoroethylene*
  • Regression Analysis
  • Surface Properties
  • Surgical Flaps
  • Titanium
  • Transplantation, Autologous

Substances

  • Coated Materials, Biocompatible
  • Dental Implants
  • Membranes, Artificial
  • Polytetrafluoroethylene
  • Titanium