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Hybrid system with stable structure of hard/soft tissue substitutes induces re-osseointegration in a rat model of biofilm-mediated peri-implantitis

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单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Dept Stomatol, Tongji Med Coll, Wuhan, Hubei, Peoples R China [2]Huazhong Univ Sci & Technol, Wuhan, Peoples R China [3]Huazhong Univ Sci & Technol, Sch Stomatol, Tongji Med Coll, 1095 JieFang Ave, Wuhan 430030, Hubei, Peoples R China [4]Augusta Univ, Dept Oral Biol, Dent Coll Georgia, Augusta, GA USA [5]Ningxia Med Univ, Gen Hosp, Dept Oral & Maxillofacial Surg, 804 Shengli St, Yinchuan 750004, Ningxia, Peoples R China
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关键词: bone substitutes dental implant osseointegration peri-implantitis regenerative treatment

摘要:
Re-osseointegration of an infected/contaminated dental implant poses major clinical challenges. We tested the hypothesis that the application of an antibiotic-releasing construct, combined with hard/soft tissue replacement, increases the efficacy of reconstructive therapy. We initially fabricated semi-flexible hybrid constructs of beta-TCP/PHBHHx, with tetracycline (TC) (TC amounts: 5%, 10%, and 15%). Thereafter, using in vitro assays, TC release profile, attachment to rat bone marrow-derived stem cells (rBMSCs) and their viability as well as anti-bacterial activity were determined. Thereafter, regenerative efficacies of the three hybrid constructs were assessed in a rat model of peri-implantitis induced by Aggregatibacter actinomycetemcomitans biofilm; control animals received beta-TCP/Bio-Gide and TC injection. Eight weeks later, maxillae were obtained for radiological, histological, and histomorphometric analyses of peri-implant tissues. Sulcus bleeding index was chronologically recorded. Serum cytokines levels of IL-6 and IL-1 beta were also evaluated by enzyme-linked immunosorbent assay. Substantial amounts of tetracycline, from hybrid constructs, were released for 2 weeks. The medium containing the released tetracycline did not affect the adhesion or viability of rBMSCs; however, it inhibited the proliferation of A. actinomycetemcomitans. Osteogenesis and osseointegration were more marked for the 15% hybrid construct group than the other two groups. The height of attachment and infiltration of inflammatory cells within fibrous tissue was significantly reduced in the experimental groups than the control group. Our protocol resulted in re-osseointegration on a biofilm-contaminated implant. Thus, an antibiotic releasing inorganic/organic construct may offer a therapeutic option to suppress infection and promote guided tissue regeneration thereby serving as an integrated multi-layer substitute for both hard/soft tissues.

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出版当年[2021]版:
大类 | 3 区 工程技术
小类 | 3 区 工程:生物医学 4 区 材料科学:生物材料
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 工程:生物医学 4 区 材料科学:生物材料
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出版当年[2020]版:
Q2 ENGINEERING, BIOMEDICAL Q3 MATERIALS SCIENCE, BIOMATERIALS
最新[2023]版:
Q2 ENGINEERING, BIOMEDICAL Q3 MATERIALS SCIENCE, BIOMATERIALS

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Dept Stomatol, Tongji Med Coll, Wuhan, Hubei, Peoples R China [2]Huazhong Univ Sci & Technol, Wuhan, Peoples R China [3]Huazhong Univ Sci & Technol, Sch Stomatol, Tongji Med Coll, 1095 JieFang Ave, Wuhan 430030, Hubei, Peoples R China
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通讯机构: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Dept Stomatol, Tongji Med Coll, Wuhan, Hubei, Peoples R China [2]Huazhong Univ Sci & Technol, Wuhan, Peoples R China [3]Huazhong Univ Sci & Technol, Sch Stomatol, Tongji Med Coll, 1095 JieFang Ave, Wuhan 430030, Hubei, Peoples R China
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