The efficacy of a tissue-engineered xenograft in conjunction with sodium hyaluronate carrier in maxillary sinus augmentation: a clinical study

Int J Oral Maxillofac Surg. 2015 Oct;44(10):1287-94. doi: 10.1016/j.ijom.2015.04.011. Epub 2015 May 18.

Abstract

PepGen P-15 Putty comprises anorganic bovine bone matrix (ABM) coupled with a synthetic cell-binding peptide, suspended in a sodium hyaluronate carrier. The P-15 portion exhibits a similar structure and properties to the cell-binding region of type I collagen. This study was performed to evaluate ABM/P-15 putty as the sole graft in sinus augmentation. Ten patients for whom both a sinus augmentation and two implants were indicated in the posterior maxilla were enrolled. Bone cores were harvested at 8 and 16 weeks, followed by placement of one implant at 8 weeks and the second at 16 weeks. Twenty collected bone cores were evaluated histologically and by micro-computed tomography. Results showed a significant increase (P<0.05) in bone mineral density at 8 weeks (0.70±0.13g/cm(3)) and 16 weeks (0.97±0.08g/cm(3)) in the graft compared to native (control) bone (0.04±0.02g/cm(3)). There was no significant difference (P>0.05) in the percentage bone volume at the two time intervals (PBV 21.14±4.56 at 8 weeks and 26.33±5.60 at 16 weeks). The average increase in bone height at 16 weeks was 10.55±0.53mm. It is concluded that PepGen P-15 Putty is capable of conducting and accelerating new bone formation and can successfully support dental implants.

Keywords: PepGen P-15; bone graft; sinus augmentation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Biopsy
  • Bone Substitutes / pharmacology*
  • Female
  • Heterografts
  • Humans
  • Hyaluronic Acid / pharmacology*
  • Imaging, Three-Dimensional
  • Male
  • Middle Aged
  • Prospective Studies
  • Radiography, Panoramic
  • Sinus Floor Augmentation / methods*
  • Tissue Engineering / methods*
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome

Substances

  • Bone Substitutes
  • PepGen P-15
  • Hyaluronic Acid