Accentuated osseointegration in osteogenic nanofibrous coated titanium implants.
Siddhartha DasKanchan DholamSandeep V GuravKiran BendaleArvind IngleBhabani MohantyPradip ChaudhariJayesh R BellarePublished in: Scientific reports (2019)
Anchoring of endosseous implant through osseointegration continues to be an important clinical need. Here, we describe the development of superior endosseous implant demonstrating enhance osseointegration, achieved through surface modification via coating of osteogenic nanofibres. The randomized bio-composite osteogenic nanofibres incorporating polycaprolactone, gelatin, hydroxyapatite, dexamethasone, beta-glycerophosphate and ascorbic acid were electrospun on titanium implants mimicking bone extracellular matrix and subsequently induced osteogenesis by targeting undifferentiated mesenchymal stem cells present in the peri-implant niche to regenerate osseous tissue. In proof-of-concept experiment on rabbit study models (n = 6), micro-computed tomography (Micro-CT), histomorphometric analysis and biomechanical testing in relation to our novel osteogenic nanofibrous coated implants showed improved results when compared to uncoated controls. Further, no pathological changes were detected during gross examination and necropsy on peri-implant osseous tissues regenerated in response to such coated implants. The findings of the present study confirm that osteogenic nanofibrous coating significantly increases the magnitude of osteogenesis in the peri-implant zone and favours the dynamics of osseointegration.
Keyphrases
- mesenchymal stem cells
- soft tissue
- tissue engineering
- bone marrow
- umbilical cord
- computed tomography
- extracellular matrix
- bone regeneration
- positron emission tomography
- open label
- image quality
- low dose
- stem cells
- gene expression
- high dose
- endothelial cells
- bone mineral density
- double blind
- oxidative stress
- clinical trial
- body composition
- dual energy
- high glucose
- phase iii
- diabetic rats
- phase ii