The effect of bone morphogenetic proteins BMP in comparison with A Xenograft in the management of bone defects

Main Article Content

Lutfallah Alhalabi*
Mazen Zenati

Abstract

Background: The aim of this study is to compare the effect of Bone Morphogenetic Proteins (rhBMP), carried on a gelatin sponge scaffold in comparison with the Xenograft BioOss® in the management of bone defects.


Case presentation: The case is a one-year-old rabbit that had 4 identical holes 5*5 mm within the femur bone, BMP2 was placed within the first hole with a gelatin sponge, and the second defect was left empty. A gelatin sponge was placed alone within the third hole, and a BioOss® graft was placed within the last defect. The radiographic evaluation was conducted (1 and 2) months after the surgical work, and the histological assessment was conducted two months after the surgical work.


Results: The results of the radiographic evaluation found that healing the BMP2 hole was better than healing in the empty and the gelatin sponge group holes. There was no big difference between the healing in the holes filled with rhBMP2 with gelatin sponge and the healing in the holes filled with BioOss®.


Conclusion: The use of a gelatin sponge impregnated with Bone Morphogenetic Proteins improves and accelerates the healing of bone defects and is comparable to the effectiveness of using a BioOss® graft.

Downloads

Download data is not yet available.

Article Details

Alhalabi, L., & Zenati, M. (2023). The effect of bone morphogenetic proteins BMP in comparison with A Xenograft in the management of bone defects. Global Journal of Medical and Clinical Case Reports, 10(4), 035–041. https://doi.org/10.17352/2455-5282.000176
Case Reports

Copyright (c) 2023 Alhalabi L, et al.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Licensing and protecting the author rights is the central aim and core of the publishing business. Peertechz dedicates itself in making it easier for people to share and build upon the work of others while maintaining consistency with the rules of copyright. Peertechz licensing terms are formulated to facilitate reuse of the manuscripts published in journals to take maximum advantage of Open Access publication and for the purpose of disseminating knowledge.

We support 'libre' open access, which defines Open Access in true terms as free of charge online access along with usage rights. The usage rights are granted through the use of specific Creative Commons license.

Peertechz accomplice with- [CC BY 4.0]

Explanation

'CC' stands for Creative Commons license. 'BY' symbolizes that users have provided attribution to the creator that the published manuscripts can be used or shared. This license allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author.

Please take in notification that Creative Commons user licenses are non-revocable. We recommend authors to check if their funding body requires a specific license.

With this license, the authors are allowed that after publishing with Peertechz, they can share their research by posting a free draft copy of their article to any repository or website.
'CC BY' license observance:

License Name

Permission to read and download

Permission to display in a repository

Permission to translate

Commercial uses of manuscript

CC BY 4.0

Yes

Yes

Yes

Yes

The authors please note that Creative Commons license is focused on making creative works available for discovery and reuse. Creative Commons licenses provide an alternative to standard copyrights, allowing authors to specify ways that their works can be used without having to grant permission for each individual request. Others who want to reserve all of their rights under copyright law should not use CC licenses.

Kyriakidou E, O’Connor N, Malden NJ, Lopes VR. Bone defects of the jaws: moving from reconstruction to regeneration. Dental Update. 2014; 41(7):613-622.

Kumar P, Vinitha B, Fathima G. Bone grafts in dentistry. J Pharm Bioallied Sci. 2013 Jun;5(Suppl 1):S125-7. doi: 10.4103/0975-7406.113312. PMID: 23946565; PMCID: PMC3722694.

Munhoz EA, Ferreira Junior O, Yaedu RY, Granjeiro JM. Radiographic assessment of impacted mandibular third molar sockets filled with composite xenogenic bone graft. Dentomaxillofac Radiol. 2006 Sep;35(5):371-5. doi: 10.1259/dmfr/64880289. PMID: 16940486.

Broggini N, Hofstetter W, Hunziker E, Bosshardt DD, Bornstein MM, Seto I, Weibrich G, Buser D. The influence of PRP on early bone formation in membrane protected defects. A histological and histomorphometric study in the rabbit calvaria. Clin Implant Dent Relat Res. 2011 Mar;13(1):1-12. doi: 10.1111/j.1708-8208.2009.00266.x. PMID: 20156229.

Vasilyev V, Kuznetsova S, Bukharova B, Grigoriev E, Galitsina V, Kulakov A. Osteoinductive potential of highly porous polylactide granules and Bio-Oss impregnated with low doses of BMP-2. In IOP Conference Series: Earth and Environmental Science. 2020; 421:5; 052035.

Esfahanizadeh N, Daneshparvar P, Takzaree N, Rezvan M, Daneshparvar N. Histologic Evaluation of the Bone Regeneration Capacities of Bio-Oss and MinerOss X in Rabbit Calvarial Defects. Int J Periodontics Restorative Dent. 2019 Nov/Dec;39(6):e219-e227. doi: 10.11607/prd.4181. PMID: 31613950.

Tavakoli A, Sagart A. Evaluation of hemosponge in promoting dental socket healing after 3rd mandibular premolar extraction in a feline model. Brazilian Journal of Oral Sciences. 2015; 14(4):330-333.‏

Sohn DS, Moon JW, Moon KN, Cho SC, Kang PS. New bone formation in the maxillary sinus using only absorbable gelatin sponge. J Oral Maxillofac Surg. 2010 Jun;68(6):1327-33. doi: 10.1016/j.joms.2010.02.014. PMID: 20493382.‏

Singh M, Bhate K, Kulkarni D, Santhosh Kumar SN, Kathariya R. The effect of alloplastic bone graft and absorbable gelatin sponge in prevention of periodontal defects on the distal aspect of mandibular second molars, after surgical removal of impacted mandibular third molar: a comparative prospective study. J Maxillofac Oral Surg. 2015 Mar;14(1):101-6. doi: 10.1007/s12663-013-0599-z. Epub 2013 Nov 14. PMID: 25729233; PMCID: PMC4339342.

Kim SG, Jeong JH, Che X, Park YT, Lee SW, Jung ES, Choe S, Choi JY. Reconstruction of radial bone defect using gelatin sponge and a BMP-2 combination graft. BMB Rep. 2013 Jun;46(6):328-33. doi: 10.5483/bmbrep.2013.46.6.231. PMID: 23790977; PMCID: PMC4133902.

Fiorellini JP, Howell TH, Cochran D, Malmquist J, Lilly LC, Spagnoli D, Toljanic J, Jones A, Nevins M. Randomized study evaluating recombinant human bone morphogenetic protein-2 for extraction socket augmentation. J Periodontol. 2005 Apr;76(4):605-13. doi: 10.1902/jop.2005.76.4.605. PMID: 15857102.

Matsumoto G, Omi Y, Kubota E, Ozono S, Tsuzuki H, Kinoshita Y, Yamamoto M, Tabata Y. Enhanced regeneration of critical bone defects using a biodegradable gelatin sponge and beta-tricalcium phosphate with bone morphogenetic protein-2. J Biomater Appl. 2009 Nov;24(4):327-42. doi: 10.1177/0885328208096523. Epub 2008 Nov 5. PMID: 18987021.

Kader LA, Elbokle NN. Recombinant human bone morphogenetic protein-2 versus autogenous bone graft in the reconstruction of maxillary anterior alveolar ridge defects. Egyptian Dental Journal, 63(4-October (Oral Surgery)). 2017; 3077-3092.‏

Wang H, Sun XC, Zhang D, Li JH, Yin LQ, Yan YF, Ma X, Xia HF. Active bone material containing modified recombinant human bone morphogenetic protein 2 induces bone regeneration in the alveolar process cleft in rabbits. Artif Organs. 2021 Jul;45(7):O207-O222. doi: 10.1111/aor.13889. Epub 2021 Feb 27. PMID: 33355401.

Ueyama H, Ohta Y, Imai Y, Suzuki A, Sugama R, Minoda Y, Takaoka K, Nakamura H. Topical co-administration of zoledronate with recombinant human bone morphogenetic protein-2 can induce and maintain bone formation in the bone marrow environment. BMC Musculoskelet Disord. 2021 Jan 20;22(1):94. doi: 10.1186/s12891-021-03971-w. PMID: 33472600; PMCID: PMC7819170.