Sustained Release of Vitamin D3 Enhanced Osseointegration Capacity: An Experimental Sheep Study


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Mutlu I. O., Karabuda Z. C., Arisan V., Sessevmez M., Saldamli E., Bekel G., ...More

BIOINTERFACE RESEARCH IN APPLIED CHEMISTRY, vol.12, no.6, pp.8205-8218, 2022 (ESCI, Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 12 Issue: 6
  • Publication Date: 2022
  • Doi Number: 10.33263/briac126.82058218
  • Journal Name: BIOINTERFACE RESEARCH IN APPLIED CHEMISTRY
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus
  • Page Numbers: pp.8205-8218
  • Keywords: autograft, dental implant, osseointegration, poly-lactic acid, sustained release, vitamin D3, xenograft, TITANIUM IMPLANT OSSEOINTEGRATION, BONE METABOLISM, AUGMENTATION, GRAFT
  • Open Archive Collection: AVESIS Open Access Collection
  • Istanbul University-Cerrahpasa Affiliated: Yes

Abstract

This study aimed to investigate the effect of sustained-release vitamin D loaded in poly-lactic acid (PLA) nanoparticles and applied to grafting materials around titanium (ti) dental implants. A total of 48 implants were inserted into the standardized bone defects created in the iliac crest of 6 sheep, divided into 4 different experimental sites (empty control, autografted, xenografted, and autograft + xenografted). Vitamin D3, which was encapsulated by PLA nanoparticles, was prepared and applied in half of the defects and left to heal for 3 and 6 weeks. New bone formation (NBF%) and bone-implant contact (BIC%) values were evaluated by histologic and histomorphometric analyses ( P < 0.05). Nanoparticles with a yield of 80.30% +/- 2.14% and high encapsulation efficiency of 72.99% +/- 2.20% were achieved. In all sections, osseointegration was observed, with no signs of inflammation, necrosis, or foreign body reaction. NBF% and BIC% were significantly higher in vitamin D3- loaded groups (P < 0.001). In both healing periods, the highest NBF% and BIC% have been recorded in the autograft + xenograft groups. (For the respective third and sixth weeks: the NBF% was 49.63 +/- 1.53 and 74.25 +/- 0.96, and BIC% was 54.26 +/- 0.66 and 82.59 +/- 2.09, respectively; P < 0.001). Sustainedrelease of vitamin D loaded into the PLA system demonstrated high biocompatibility, favorable sustained release of vitamin D3, and improved NBF% and BIC% around ti implants placed in boxshaped sheep iliac crest defects. Further investigations are required for their clinical applicability.