Gj. Meijer et al., POLYACTIVE(R) AS A BONE-FILLER IN A BEAGLE DOG-MODEL, International journal of oral and maxillofacial surgery, 25(3), 1996, pp. 210-216
Calcification is a crucial step in the bone-bonding mechanism of PEO/P
BT hydrogel copolymers (Polyactive(R)), a new generation of bone-fille
rs. A beagle dog study was conducted to determine whether the preopera
tive presence of a calcium phosphate layer (precalcification) on a PEO
/PBT 80/20 copolymer would further increase the bone-bonding rate. Sta
ndard bone cavities were filled with either precalcified or nonprecalc
ified porous cylindric PEO/PBT 80/20 implants, or hydroxyapatite granu
les held together with PEO/PBT 70/30, or were left unfilled. A signifi
cantly higher percentage of mineralized component was present in the c
avities filled with the precalcified PEO/PBT 80/20 copolymer than in t
he control defects. As a result of swelling by fluid-uptake, the press
-fit inserted copolymer implants showed a significant reduction in por
e size, thus preventing optimal bone ingrowth. Both precalcification o
f the copolymer and underfilling of the defect, to create space for th
e copolymer to increase in diameter, stimulate postoperative calcifica
tion and bone ingrowth in PEO/PBT 80/20 copolymers. (C) Munksgaard, 19
96.