Evidence map›Paper›PMID 35195935›Full record

ArticleJournal of tissue engineering and regenerative medicine2022

Guiding bone formation using semi-onlay calcium phosphate implants in an ovine calvarial model.

Gry Hulsart Billström, Viviana R Lopes, Christopher Illies, Sara Gallinetti, Jonas Åberg, Håkan Engqvist, Conrado Aparicio, Sune Larsson, Lars Kihlström Burenstam Linder, Ulrik Birgersson

Open access · hybridAbstract read
In one paragraph

Article in Journal of tissue engineering and regenerative medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 51% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
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

10 authors at 3 institutions in 2 countries.

Gry Hulsart BillströmDepartment of Medicinal Chemistry, Translational Imaging, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-2422-831X
Viviana R LopesDepartment of Medicinal Chemistry, Translational Imaging, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-2079-4170
Christopher IlliesDepartment of Clinical Pathology, Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0002-1488-0294
Sara GallinettiDepartment of Engineering Sciences, Applied Materials Science Section, Uppsala University, Uppsala, Sweden.ORCID 0000-0001-7648-9250
Jonas ÅbergDepartment of Engineering Sciences, Applied Materials Science Section, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-2232-7226
Håkan EngqvistDepartment of Engineering Sciences, Applied Materials Science Section, Uppsala University, Uppsala, Sweden.ORCID 0000-0001-9529-650X
Conrado AparicioFaculty of Odontology, International University of Catalonia, Barcelona, Spain.ORCID 0000-0003-2969-6067
Sune LarssonDepartment of Surgical Sciences, Orthopaedics, Uppsala University, Uppsala, Sweden.ORCID 0000-0001-5772-6695
Lars Kihlström Burenstam LinderDepartment of Clinical Neuroscience, Neurosurgical Section, Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0002-7918-9787
Ulrik BirgerssonDepartment of Clinical Neuroscience, Neurosurgical Section, Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0002-7983-925X
Uppsala University · SEKarolinska University Hospital · SEUniversitat Internacional de Catalunya · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The restoration of cranio-maxillofacial deformities often requires complex reconstructive surgery in a challenging anatomical region, with abnormal soft tissue structures and bony deficits. In this proof-of-concept, the possibility of vertical bone augmentation was explored by suspending hemispherically shaped titanium-reinforced porous calcium phosphate (CaP) implants (n = 12) over the frontal bone in a sheep model (n = 6). The animals were euthanized after week 13 and the specimens were subject to micro-computed tomography (μCT) and comprehensive histological analysis. Histology showed that the space between implant and the recipient bone was filled with a higher percentage of newly formed bone (NFB) versus soft tissue with a median of 53% and 47%, respectively. Similar results were obtained from the μ-CT analysis, with a median of 56% NFB and 44% soft tissue filling the void. Noteworthy, significantly higher bone-implant contact was found for the CaP (78%, range 14%-94%) versus the Titanium (29%, range 0%-75%) portion of the implant exposed to the surrounding bone. The histological analysis indicates that the CaP replacement by bone is driven by macrophages over time, emphasized by material-filled macrophages found in close vicinity to the CaP with only a small number of single osteoclasts found actively remodeling the NFB. This study shows that CaP based implants can be assembled with the help of additive manufacturing to guide vertical bone formation without decortification or administration of growth factors. Furthermore, it highlights the potential disadvantage of a seamless fit between the implant and the recipient's bone.

Indexed as

OsteogenesisTitaniumAnimalsCalcium PhosphatesOsseointegrationProstheses and ImplantsSheepX-Ray MicrotomographyCalcium PhosphatesTitaniumadditive manufacturinganimal testbioceramicsboneregenerative mechanism

Identifiers

PMID35195935
PMCPMC9303616
OpenAlexW4212957067

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.