Tissue Eng Regen Med.  2023 Feb;20(1):93-109. 10.1007/s13770-022-00502-z.

Combined Application of Dentin Noncollagenous Proteins and Odontogenic Biphasic Calcium Phosphate in Rabbit Maxillary Sinus Lifting

Affiliations
  • 1Key Laboratory of Oral Diseases Research of Anhui Province, Oral and Maxillofacial Surgery, Stomatologic Hospital & College, Anhui Medical University, 81 Meishan Road, Hefei 230032, Anhui, China
  • 2Key Laboratory of Oral Diseases Research of Anhui Province, Department of Oral Implant, Oral and Maxillofacial Center, Stomatologic Hospital & College, Anhui Medical University, 81 Meishan Road, Hefei 230032, Anhui, China

Abstract

BACKGROUND
Teeth can be used as a raw material for preparing bone substitutes due to their similar chemical composition to bone. The objective of our study was to evaluate the effect of odontogenic biphasic calcium phosphate (BCP) incorporating dentin noncollagenous proteins (DNCPs) on osteogenesis and stability in maxillary sinus augmentation.
METHODS
The composition, structure and morphology of the odontogenic BCP were tested by X-ray powder diffraction (XRD), Brunauer–Emmett–Teller, and scanning electron microscopy methods. The biocompatibility and osteoinduction of DNCPs and materials were examined in vitro and their bone regeneration capacity was verified in vivo.
RESULTS
The results showed that the cells adhered and proliferated well on the DNCP-loaded BCP scaffold. The odontogenic BCP and DNCPs promoted osteogenic differentiation of cells, The new bone formation in the BCP groups and DNCP subgroups was significantly higher than the new bone formation in the control, and the new bone quality was better. The bone regeneration effect of odontogenic BCP was similar to the effect of deproteinized bovine bone mineral, but b-TCP did not maintain the height and volume of bone reconstruction.
CONCLUSION
In conclusion, the combined application of DNCPs and odontogenic BCP is an effective strategy for tissue engineering osteogenesis in the maxillary sinus region. The biomimetic strategy could provide a new approach for patients requiring maxillary sinus lifting.

Keyword

Dentin noncollagenous proteins; Biphasic calcium phosphate; Tissue engineering osteogenesis; Maxillary sinus lifting
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