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Ceramic - Bone Composite Implant: a New Method of Augmentation for Bone Regeneration

Published online by Cambridge University Press:  26 February 2011

Mutaz B. Habal
Mutaz B. Habal*
Affiliation:
Director and Founder Tampa Bay Craniofacial Center, Research Professor of Human Sciences at the Human Resources Institute of the University of South Florida. Adjunct Professor of Material Science and Clinical Professor of Surgery at the University of Florida., All correspondence: Dr. Habal, 4211 Carrollwood Village Drive, Tampa, Florida 33624.
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Abstract

Bony defects in the alveolar bone, maxilla, paranasal region, and the floor of the nose were corrected in 75 consecutive patients with a composite bone graft. The composite bone graft is a mixture of a slurry of corticocancellous cranial bone, hydroxyapatite (R), and Bacitracin powder, and thrombin. The paste-like composite is used to pack the defect and correct the deformity. Complete bony immobilization, done externally or internally, is necessary during the healing phase of the bone composite. The patients were longitudinally evaluated, and the healing of the bone was assessed radiographically and clinically. Two major complications occurred during the healing phase at the recipient sites: one may have been indirectly related to the donor site, and the second was related to the age of the patient and the previous surgeries contributed to the partial loss. Composite bone grafts produce better results due to faster solidification of the grafts which acts acts as a strong inductive matrix. The graft is used in the alveolar ridge and in hard tissue augmentation of the bony structures in the maxilla. The prospectus for the future is to see more composites grafting, since it combines the advantages of the materials used.

Type
Research Article
Information
MRS Online Proceedings Library (OPL) , Volume 110: Symposium M – Biomedical Materials and Devices , 1987 , 205
Copyright
Copyright © Materials Research Society 1988

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References

1. Desjardins, R.P.: Hydroxyapatite for alveolar ridge augmentations, indications, and problems, J. of Prosethetic Dentistry 54:347–383, 1985.Google Scholar
2. Eldeeb, M.E., Hinrich, J.E., Wait, T.E., Bandt, C.L., and Bevis, R.: Repair of the alveolar cleft defects with autogenous bone grafting periodontal evaluation, Cleft Palate J. 23:126–136, 1986.Google Scholar
3. Habal, M.B., and Maniscalco, J.E.: Observations on ultrastructure of the pericranium, Ann. Plast. Surg. 6:103–111, 1982.Google Scholar
4. Habal, M.B., Maniscalco, J.E., Scheuerle, J., and Abdoney, M.: Habilitation of patients with severe facial deformity by corrective cranio-orbital surgery, J. Fla. Med. Assoc. 69:779–787, 1982.Google Scholar
5. Habal, M.B., and Reddi, H.: Bone grafts and bone substitutes, Advances in Plastic and Reconstructive Surgery, Volume III, pp:147–189, 1987.Google Scholar
6. Kawamoto, H.K., and Zwielbe, P.C.: Cranial bone grafts and alveolar clefts in craniofacial surgery, pp: 449–457, Edited by Carroni, E., Little Brown and Company, 1985.Google Scholar
7. Kent, J.N., Quinn, J.H., Zide, M.F., Guerra, L.R., and Boyne, P.J.: Alveolar ridge augmentation using nonresorbable hydroxyapatite with or without autogenous cancellous bone, J. Oral Maxillofac. Surg. 41:629–642, 1983.Google Scholar
8. Urist, M.R., Silverman, B.F., Buring, K., Dubuc, F.L., and Rosenberg, J.M.: The bone induction principle, Clin. Orthop. 53:243–283, 1967.Google Scholar
9. Wolfe, S.A., and Berkowitz, S.: The use of cranial bone grafts in the closure of the alveolar and anterior palatal clefts. Plast. Reconstr. Surg. 72:659–666, 1985.Google Scholar