The influence of recombinant human BMP-2 on bone-implant osseointegration: biomechanical testing and histomorphometric analysis

Int J Oral Maxillofac Surg. 2007 Apr;36(4):345-9. doi: 10.1016/j.ijom.2006.10.019. Epub 2007 Feb 14.

Abstract

The healing period for bone-implant osseointegration lasts 3-6 months or even longer. The aim of this study was to investigate whether osseointegration can be enhanced by the use of bone morphogenetic protein-2 (BMP-2). In the femurs of 8 Japanese white rabbits, 16 implants were applied with 1.0 mg recombinant human BMP-2 (rhBMP-2) as group A, and the other 16 implants without rhBMP-2 as group B. Calcein green 20 mg/kg and alizarin red 20 mg/kg were injected 4 and 8 weeks after implantation, respectively. At 12 weeks, the animals were killed. In 16 implant-bone blocks, binding strength was measured by pull-out test, and the extracted implants were observed under a scanning electronic microscope. The other blocks were analysed for percentage of marked bone adjacent to the implant surface by confocal laser scanning microscope. The pull-out strengths of group A were greater than that of group B (P<0.05). Scanning electronic microscopy (SEM) showed more calcified substances on the surface of the implants of group A than B. There was more marked bone around group A than B implants at 4 weeks (P<0.05) and 8 weeks (P<0.05). rhBMP-2 improves the quantity and quality of implant-bone osseointegration. Biomechanical testing and histomorphometric analysis are reliable methods to use in researching the implant-bone interface.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anthraquinones
  • Biomechanical Phenomena
  • Bone Morphogenetic Protein 2
  • Bone Morphogenetic Proteins / pharmacology*
  • Coated Materials, Biocompatible / chemistry
  • Femur / drug effects*
  • Femur / pathology
  • Femur / physiopathology
  • Fluoresceins
  • Fluorescent Dyes
  • Humans
  • Implants, Experimental*
  • Lactic Acid / chemistry
  • Male
  • Microscopy, Confocal
  • Microscopy, Electron, Scanning
  • Osseointegration / drug effects*
  • Polyesters
  • Polymers / chemistry
  • Rabbits
  • Random Allocation
  • Recombinant Proteins / pharmacology*
  • Stress, Mechanical
  • Surface Properties
  • Time Factors
  • Titanium / chemistry
  • Transforming Growth Factor beta / pharmacology*
  • Wound Healing / drug effects

Substances

  • Anthraquinones
  • Bone Morphogenetic Protein 2
  • Bone Morphogenetic Proteins
  • Coated Materials, Biocompatible
  • Fluoresceins
  • Fluorescent Dyes
  • Polyesters
  • Polymers
  • Recombinant Proteins
  • Transforming Growth Factor beta
  • calcein green
  • recombinant human bone morphogenetic protein-2
  • Lactic Acid
  • poly(lactide)
  • alizarin
  • Titanium