Avaliação histomorfométrica da biocompatibilidade do enxerto bovino misto (OrthoGen®) em tecido subcutâneo e o potencial osteogênico em defeito ósseo craniano

Abstract

Histomorphometric evaluation of biocompatibility of integral bovine graft (Orthogen ®) implanted in subcutaneous tissue and osteogenic potential in cranial bone defect The current development of bone graft materials with the potential to promote the complete closure of a critical size bone defect has raised questions as to its biological activity. An option of bone material used, are animal bone grafts since the human bone have similar physicochemical properties. Among the materials is the integral bone substitute of bovine origin, which preserves the organic and inorganic compound of the bone tissue, has been proposed and used as bone graft. The aim of this study was to evaluate the biocompatibility and osteogenic potential of a new integral bone substitute Orthogen TM (Baumer S.A.) in the form of particles (OGp) and block (OGb). For biocompatibility evaluation, 100mg Orthogen TM was implanted into dorsal subcutaneous pocket of rat (n= 25) and the reactional tissue was analyzed at 7, 14, 21, 30 and 60 days (n=5animals/period) after implantation. For osteogenic potential evaluation, 100mg Orthogen TM was implanted into critical-size defect in parietal bones of rat (n=30) and the bone formation, biomaterial reabsorption, connective tissue formation and osteoclast activity was evaluated at 1, 3 and 6 months (n=10/period) after implantation. Radiographic and histomorphometrical analysis showed that, in the subcutaneous tissue the OGb was more accepted by the host compared to OGp, with lower density of the multinucleated giant cells (OGb 0.23% vs. OGp 2.19%) and consequently a lower rate of matrix resorption (OGb 13%, vs. OGp 38%). In both implants was not found focus of inflammatory infiltrated composed by polymorphonuclear leucocytes, lymphocytes and plasmocytes. In rat calvaria the OGb showed lower rate of reabsorption and more volume of bone formation compared to OGp after 6 months (OGb 70 mm 3 vs OGp 17 mm 3). Based on experimental models used in this study we concluded that both forms of the Orthogen TM was biocompatible in subcutaneous tissue, however, its form of porous block promoted greater bone formation and has a higher osteogenic capacity than the particle shape, in the evaluated experimental model.