• Bekisz, Jonathan M.
• Lopez, Christopher D.
• Witek, Lukasz
• Diaz-Siso, J. Rodrigo
• Gil, Luiz F.
• Flores, Roberto L.
• Cronstein, Bruce N.
• Coelho, Paulo G.
• Rodriguez, Eduardo D.
• Torroni, Andrea

Abstract

<p>Background: Autologous bone grafts remain a standard of care for the reconstruction of large bony defects, but limitations persist. The authors explored the bone regenerative capacity of customized, three-dimensionally printed bioactive ceramic scaffolds with dipyridamole, an adenosine A^2A receptor indirect agonist known to enhance bone formation. Methods: Critical-size bony defects (10-mm height, 10-mm length, full-thickness) were created at the mandibular rami of rabbits (n = 15). Defects were replaced by a custom-to-defect, three-dimensionally printed bioactive ceramic scaffold composed of β-tricalcium phosphate. Scaffolds were uncoated (control), collagen-coated, or immersed in 100 μM dipyridamole. At 8 weeks, animals were euthanized and the rami retrieved. Bone growth was assessed exclusively within scaffold pores, and evaluated by micro-computed tomography/advanced reconstruction software. Micro-computed tomographic quantification was calculated. Nondecalcified histology was performed. A general linear mixed model was performed to compare group means and 95 percent confidence intervals. Results: Qualitative analysis did not show an inflammatory response. The control and collagen groups (12.3 ± 8.3 percent and 6.9 ± 8.3 percent bone occupancy of free space, respectively) had less bone growth, whereas the most bone growth was in the dipyridamole group (26.9 ± 10.7 percent); the difference was statistically significant (dipyridamole versus control, p &lt; 0.03; dipyridamole versus collagen, p &lt; 0.01). There was significantly more residual scaffold material for the collagen group relative to the dipyridamole group (p &lt; 0.015), whereas the control group presented intermediate values (nonsignificant relative to both collagen and dipyridamole). Highly cellular and vascularized intramembranous-like bone healing was observed in all groups. Conclusion: Dipyridamole significantly increased the three-dimensionally printed bioactive ceramic scaffold's ability to regenerate bone in a thin bone defect environment.</p>

Topics

• pore
• tomography
• laser emission spectroscopy
• ceramic