Skip to main content

Advertisement

Log in

Evaluation of demineralised, freeze-dried, irradiated bone allografts in the treatment of osseous defects in the oral cavity

  • Original paper
  • Published:
Cell and Tissue Banking Aims and scope Submit manuscript

Abstract

Demineralised, freeze-dried bone allografts (DFDBA) have been used extensively by dentists in the treatment of periodontal and periapical osseous defects resulting from inflammatory diseases. Their use in India however, is limited by the availability of quality allografts and the high cost of imported alternatives. A study was conducted to assess the osteogenic potential of DFDBA prepared for the first time in India by the Tata Memorial Hospital (TMH) Tissue Bank. The DFDBA was used in the treatment of osseous defects after removal of periapical lesions associated with devitalised teeth in 10 healthy patients. At the 6-month recall visit all the patients showed a remarkable decrease in the grades of mobility, and 9 out of the 10 patients showed radiographic evidence of complete healing of the osseous defects with evidence of normal bony trabaeculae. These findings indicate that the indigenously prepared DFDBA is a cost effective, biocompatible material with osteogenic potential that can be used effectively in treating osseous defects of periapical lesions associated with non vital teeth.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Burwell RG (1996) Studies in the transplantation of bone. J Bone Joint Surg 48B:532

    Google Scholar 

  • Boyce T, Edwards J, Scarborough N (1999) Allograft bone – The influence of processing on safety and performance. Orthop Clin N Am 30(4):571–581

    Article  CAS  Google Scholar 

  • Boyne PJ, Lyon HW, Captain DC et al (1961) The effects of osseous implant materials on regeneration of alveolar cortex. Oral Surg Oral Med Oral Pathol 14␣(3):369–378

    Article  Google Scholar 

  • Carr CR, Hyatt GW (1955) Clinical evaluation of freeze-dried bone grafts. J Bone Joint Surg 37A:549

    PubMed  Google Scholar 

  • Carranza SA, Newman MJ (1996) Clinical Periodontology, 8th edn. Harcourt Brace Company, Singapore, p 349

    Google Scholar 

  • Chalmas J (1950) Transplantation immunity in bone homografting. J Bone Joint Surg 41-B:160

    Google Scholar 

  • Francis J, Brunsvold M, Mellonig J (1995) Clinical evaluation of an allogenic bone matrix in the treatment of␣periodontal osseous defects. J Periodontol 66:1074–1079

    Google Scholar 

  • Glowacki J, Kaban LB, Sonis ST (1984) Physiological aspects of bone repair using demineralised bone. In: Hurt TK, Heppinstall RB et al (eds) Soft and hard tissue repair. Praeger, New York pp 265–280

    Google Scholar 

  • Guo MZ, Xia ZS, Lin LB (1991) The mechanical and biological properties of demineralised cortical bone allografts in animals. J Bone Joint Surg Br 73:791–794

    PubMed  CAS  Google Scholar 

  • Harakas NK (1984) Demineralized bone matrix induced osteogenesis. Clin Orthop 188:239–251

    PubMed  Google Scholar 

  • Heiple KG, Chase SW, Hernden CH (1963) A comparative study of the healing process following different types of bone transplantation. J Bone Joint Surg 45A:1593

    Google Scholar 

  • Honsawek S, Powers RM, Wolfinbarger L (2005) Extractable bone morphogenetic protein and correlation with induced new bone formation in an in vivo assay in the athymic mouse model. Cell Tissue Bank 6:13–23

    Article  PubMed  CAS  Google Scholar 

  • Hosny M, Sharawy M (1985) Osteoinduction in rhesus monkeys using demineralised bone powder allografts. J Oral Maxillofac Surg 43:837–844

    Article  PubMed  CAS  Google Scholar 

  • Ijiri S, Yamamuro T, Nakamura T et al (1994) Effect of sterilization on bone morphogenic protein. J Orthop Res 12:628–636

    Article  PubMed  CAS  Google Scholar 

  • James TM, Gerald MB, Robert WB, Joseph JL (1976) Clinical evaluation of freeze dried Bone allografts in␣Periodontal Osseous defects. J Periodontol 47(3):125–131

    Google Scholar 

  • Jergesen HE, Chua J, Kao RT et al (1991) Age effects on Bone Induction by demineralised bone powder. Clin Orthop 268:253–259

    PubMed  Google Scholar 

  • Kreuz FB, Hyatt GW, Turner TC (1951) Preservation and Clinical use of freeze dried bone. J Bone Joint Surg 33A:863

    PubMed  Google Scholar 

  • Lane SW, Guggenheim G, Egyedi P (1972) Comparison of homologous freeze dried and fresh autogenous bone grafts in the monkey mandible. J Oral Surg 30:649

    PubMed  CAS  Google Scholar 

  • Libin BM, Ward HL, Fisherman L (1975) Decalcified, lyophilized bone allografts for use in human periodontal defects. J Periodontol 46:51–56

    PubMed  CAS  Google Scholar 

  • Lobo Gajiwala A (2003) Tissue Banking in India: Gamma-irradiated allografts. Cell and Tissue Banking 4(2–4): 203–211

    Article  PubMed  CAS  Google Scholar 

  • Marble HB (1968) Homografts of freeze dried bone in cystic defects of the jaws. Oral Surg 26:118

    Google Scholar 

  • Mellonig JT et al (2001) Tissue banking of bone allografts used in periodontal regeneration. J Periodontol 72:834–838

    Article  Google Scholar 

  • Pappas AM, Beisaw NE (1968) Bone Transplantation, correlation of physical and histologic aspects of graft incorporation. Clin Orthop 61:79

    PubMed  CAS  Google Scholar 

  • Pearson GE, Rosen S, Deporter PA (1981) Preliminary observations on the usefulness of a decalcified, freeze dried cancellous bone allograft material in periodontal surgery. J Periodontol 52:55

    PubMed  CAS  Google Scholar 

  • Piattelli JD, Scarano A, Corigliano M, Piattelli M (1996) Comparison of bone regeneration with use of mineralized and demineralised freeze dried bone allografts. A histological and histochemical study in man. Biomaterials 17:1127–1131

    Article  PubMed  CAS  Google Scholar 

  • Quintero G, Mellonig JT, Gambill VM (1982) Clinical evaluation of decalcified freeze dried bone allografts in periodontal osseous defects. J Periodontol 53:726

    PubMed  CAS  Google Scholar 

  • Rummelhart JM, Mellonig JT, Gray JL, Towle HJ (1989) Comparison of freeze dried bone allografts and demineralised freeze dried bone allografts in human periodontal osseous defects. J Periodontol 60:655–663

    PubMed  Google Scholar 

  • Saad YA, Abdellatief EM (1991) Healing assessment of osseous defects of periapical lesions associated with failed endodontically treated teeth with use of freeze-dried bone allograft. Oral Surg Oral Med Oral Pathol 71:612–617

    Article  PubMed  CAS  Google Scholar 

  • Schwartz Z, Mellonig JT, Carnes DL et al (1996) Ability of commercial demineralised freeze dried bone allograft to induce new bone formation. J Periodontol 67:918–926

    PubMed  CAS  Google Scholar 

  • Shigeyama Y, D’Errico JA, Stone R, Somerman MJ (1995) Commercially-prepared allograft material has biological activity in vitro. J Periodontol 66:478–487

    PubMed  CAS  Google Scholar 

  • Urist MR (1965) Formation by autoinduction. Science 150(698):893–899

    Article  PubMed  CAS  Google Scholar 

  • Urist MR, Dowell TA, Hay PH et al (1968) Inductive substrates for bone formation. Clin Orthop 59:59–96

    PubMed  CAS  Google Scholar 

  • Urist MR, Hernandez A (1974) Excitation transfer in bone: deleterious effects of cobalt 60 radiation sterilization of bone bank. Arch Surg 109:486–493

    Google Scholar 

  • Urist MR, Jurist JM, Dubuc FL, Strates BS (1970) Quantitation of new bone formation in intramuscular implants of bone matrix. Clin Orthop 68:279

    PubMed  CAS  Google Scholar 

  • Urist MR, Silverman BF, Buring K et al (1967) The bone induction principle. Clin Orthop 53:243–283

    PubMed  CAS  Google Scholar 

  • Urist MR, Strates BS (1971) Bone morphogenetic protein. J Dent Res 50:1392

    PubMed  CAS  Google Scholar 

  • Wozney JM, Rosen V (1998) Bone morphogenetic protein and bone morphogenetic protein gene family in bone formation and repair. Clin Orthop 346:26–37

    PubMed  Google Scholar 

  • Zhang M, Powers RM, Wolfinbarger L (1997a) A quantitative assessment of osteoinductivity of human demineralised bone matrix. J Periodontol 68(11):1076–1084

    CAS  Google Scholar 

  • Zhang M, Powers RM, Wolfinbarger L (1997b) Effect(s) of the demineralization process on the osteoinductivity of demineralised bone matrix. J Periodontol 68(11):1085–1092

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Astrid Lobo Gajiwala.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lobo Gajiwala, A., Dilip Kumar, B. & Chokhani, P. Evaluation of demineralised, freeze-dried, irradiated bone allografts in the treatment of osseous defects in the oral cavity. Cell Tissue Banking 8, 23–30 (2007). https://doi.org/10.1007/s10561-006-9014-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10561-006-9014-z

Keywords

Navigation