Onlay silicone and hydroxyapatite-tricalciumphosphate composite (HAP-TCP) blocks interfere with nasal bone growth in rabbits

Cleft Palate Craniofac J. 1995 Jul;32(4):282-9. doi: 10.1597/1545-1569_1995_032_0282_osahtc_2.3.co_2.

Abstract

We investigated how a new type of synthetic porous hydroxyapatite ceramic (HAP-TCP) acts when it is implanted in growing membranous bone. Seventy-six New Zealand White infant male rabbits (4-week-olds) were used. Rabbits received HAP-TCP block or silicone block implantation in their right nasal bone. The left nasal bone was used for a sham. Serial or cross-sectional examinations by morphometry, radiology, blood biochemistry, and histology were carried out. Both the HAP-TCP and silicone groups exhibited no systemic growth disturbance in terms of morphometry and blood biochemistry. Dual energy x-ray absorptiometry (DEXA) revealed, however, a decrease in the bone mineral content (BMC) of the right nasal bone in the silicone group. Histology revealed a superior affinity of HAP-TCP to bone tissue than that of silicone. When a HAP-TCP block was implanted under the periosteum it bonded directly to bone tissue. However, sinking of the implants into the bone tissue were noted both in the HAP-TCP and the silicone groups in longitudinal observation. These results suggest that although HAP-TCP has superior affinity to bone tissue, this by itself is not enough sufficient reason to believe that HAP-TCP can be effectively applied during the growth period.

MeSH terms

  • Absorptiometry, Photon
  • Alkaline Phosphatase / blood
  • Animals
  • Biocompatible Materials*
  • Bone Density
  • Bone Resorption / pathology
  • Calcium / blood
  • Calcium Phosphates* / chemistry
  • Durapatite* / chemistry
  • Haversian System / pathology
  • Longitudinal Studies
  • Male
  • Microradiography
  • Nasal Bone / anatomy & histology
  • Nasal Bone / growth & development*
  • Nasal Bone / surgery*
  • Osseointegration
  • Periosteum / anatomy & histology
  • Periosteum / surgery
  • Phosphorus / blood
  • Porosity
  • Prostheses and Implants*
  • Rabbits
  • Silicones* / chemistry

Substances

  • Biocompatible Materials
  • Calcium Phosphates
  • Silicones
  • alpha-tricalcium phosphate
  • tetracalcium phosphate
  • Phosphorus
  • calcium phosphate, monobasic, anhydrous
  • Durapatite
  • calcium phosphate
  • Alkaline Phosphatase
  • calcium phosphate, dibasic, anhydrous
  • Calcium