Evidence map›Paper›PMID 32279310›Full record

ArticleJournal of periodontology2020

Optimizing autologous bone contribution to implant osseointegration.

Benjamin R Coyac, Qiang Sun, Brian Leahy, Giuseppe Salvi, Xue Yuan, John B Brunski, Jill A Helms

Open access · greenAbstract read
In one paragraph

Article in Journal of periodontology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 19 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 2 countries.

Benjamin R CoyacDepartment of Plastic and Reconstructive Surgery, School of Medicine, Stanford University, Palo Alto, California, USA.ORCID 0000-0003-0105-6703
Qiang SunDepartment of Plastic and Reconstructive Surgery, School of Medicine, Stanford University, Palo Alto, California, USA.
Brian LeahyDepartment of Plastic and Reconstructive Surgery, School of Medicine, Stanford University, Palo Alto, California, USA.
Giuseppe SalviDepartment of Plastic and Reconstructive Surgery, School of Medicine, Stanford University, Palo Alto, California, USA.
Xue YuanDepartment of Plastic and Reconstructive Surgery, School of Medicine, Stanford University, Palo Alto, California, USA.
John B BrunskiDepartment of Plastic and Reconstructive Surgery, School of Medicine, Stanford University, Palo Alto, California, USA.
Jill A HelmsDepartment of Plastic and Reconstructive Surgery, School of Medicine, Stanford University, Palo Alto, California, USA.ORCID 0000-0003-2252-7324
Palo Alto University · US

Funding

Mechanobiology at Healing Bone-Implant InterfacesR01DE024000 · NIDCR · STANFORD UNIVERSITY · PI BRUNSKI, JOHN BEYER, HELMS, JILL A · 2014 to 2018
$3.4M
NIDCR NIH HHS R01 DE024000
6 · The paper itself

Abstract

backgroundAutologous bone can be harvested from the flutes of a conventional drill or from a bone scraper; here we compared whether autologous bone chips generated by a new slow-speed instrument were more osteogenic than the bone chips generated by conventional drills or bone scrapers. Additionally, we tested whether the osteogenic potential of bone chips could be further improved by exposure to a Wnt signaling (WNT) therapeutic.

methodsOsteotomies were prepared in fresh rat maxillary first molar extraction sockets using a conventional drill or a new osseo-shaping instrument; titanium alloy implants were placed immediately thereafter. Using molecular/cellular and histologic analyses, the fates of the resulting bone chips were analyzed. To test whether increasing WNT signaling improved osteogenesis in an immediate post-extraction implant environment, a WNT therapeutic was introduced at the time of implant placement.

resultsBone collected from a conventional drill exhibited extensive apoptosis; in contrast, bone generated by the new instrument remained in situ, which preserved their viability. Also preserved was the viability of the osteoprogenitor cells attached to the bone chips. Exogenous treatment with a WNT therapeutic increased the rate of osteogenesis around immediate post-extraction implants.

conclusionsCompared with conventional drills or bone scrapers, a new cutting instrument enabled concomitant site preparation with autologous bone chip collection. Histology/histomorphometric analyses revealed that the bone chips generated by this new tool were more osteogenic and could be further enhanced by exposure to a WNT therapeutic. Even though gaps still existed in placebo controls and liposomal WNT3A (L-WNT3A) cases, the area of peri-implant bone was significantly greater in L-WNT3A treated sites.

Indexed as

Dental ImplantsOsseointegrationAnimalsDental Implantation, EndosseousOsteogenesisPeriodontal LigamentRatsTitaniumDental ImplantsTitaniumautograftgrafting, boneosteogenesisosteotomyregenerationwnt proteins

Identifiers

PMID32279310
PMCPMC7554098
OpenAlexW3015477676

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.