Nasser Nooh1, Walid A Abdullah2, Mohammed El-Awady Grawish3, Sundar Ramalingam4, Ghada Hassan5, Fawad Javed6, Khalid Al-Hezaimi6. 1. Department of Oral and Maxillofacial Surgery, College of Dentistry, King Saud University, PO Box 60169, Riyadh 11545, Saudi Arabia; Engineer Abdullah Bugshan Research Chair for Growth Factors and Bone Regeneration, 3D Imaging and Biomechanical Lab, College of Biomedical Applied Science, King Saud University, Saudi Arabia. Electronic address: nassernoohomfs@gmail.com. 2. Department of Oral and Maxillofacial Surgery, College of Dentistry, King Saud University, PO Box 60169, Riyadh 11545, Saudi Arabia; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mansoura University, Mansoura, Egypt. 3. Oral Medicine and Diagnostic Science, College of Dentistry, King Saud University, Riyadh, Saudi Arabia; Department of Oral Biology, Faculty of Dentistry, Mansoura University, Mansoura, Egypt. 4. Department of Oral and Maxillofacial Surgery, College of Dentistry, King Saud University, PO Box 60169, Riyadh 11545, Saudi Arabia. 5. Oral Biology, Dental Health Department, College of Applied Medical Sciences, King Saud University, Saudi Arabia. 6. Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia; Engineer Abdullah Bugshan Research Chair for Growth Factors and Bone Regeneration, 3D Imaging and Biomechanical Lab, College of Biomedical Applied Science, King Saud University, Saudi Arabia.
Abstract
PURPOSE: To compare the regenerative capacity of goat mandibles following sagittal split osteotomy and distraction osteogenesis with a vertical body osteotomy. ANIMALS AND METHODS: Bilateral vertical and sagittal body osteotomy was performed on the left and right sides of the mandibles in 18 goats. The distraction period lasted for 10 days at 1 mm/day. Animals were sacrificed at 0, 10, and 35 days post-distraction. Bone mineral density (BMD) and bone volume (BV) were analysed by microcomputed tomography (MCT). Types of bone and cells present in the regenerated defect sites were analysed histologically. RESULTS: At 0, 10, and 35 days, BMD was 0.358 ± 0.012, 0.410 ± 0.012, and 1.070 ± 0.019, respectively, for vertical osteotomy and 0.420 ± 0.013, 0.421 ± 0.009 and 1.182 ± 0.030, respectively, for sagittal osteotomy. BV was 973.310 ± 5.048, 1234.589 ± 4.159, and 2121.867 ± 6.519, respectively, for vertical osteotomy and 995.967 ± 2.781, 1755.938 ± 4.379, and 2618.441 ± 21.429, respectively, for sagittal osteotomy at these three time points. BMD and BV differed significantly at all three times. Histological analysis shows that sagittal splitting was characterized by more robust lamellar bone formation bridging the distraction gap than vertical body osteotomy. CONCLUSION: Both MCT and histological analyses showed that distraction using the sagittal osteotomy technique resulted in significantly higher BV and BMD than using vertical body osteotomy.
PURPOSE: To compare the regenerative capacity of goat mandibles following sagittal split osteotomy and distraction osteogenesis with a vertical body osteotomy. ANIMALS AND METHODS: Bilateral vertical and sagittal body osteotomy was performed on the left and right sides of the mandibles in 18 goats. The distraction period lasted for 10 days at 1 mm/day. Animals were sacrificed at 0, 10, and 35 days post-distraction. Bone mineral density (BMD) and bone volume (BV) were analysed by microcomputed tomography (MCT). Types of bone and cells present in the regenerated defect sites were analysed histologically. RESULTS: At 0, 10, and 35 days, BMD was 0.358 ± 0.012, 0.410 ± 0.012, and 1.070 ± 0.019, respectively, for vertical osteotomy and 0.420 ± 0.013, 0.421 ± 0.009 and 1.182 ± 0.030, respectively, for sagittal osteotomy. BV was 973.310 ± 5.048, 1234.589 ± 4.159, and 2121.867 ± 6.519, respectively, for vertical osteotomy and 995.967 ± 2.781, 1755.938 ± 4.379, and 2618.441 ± 21.429, respectively, for sagittal osteotomy at these three time points. BMD and BV differed significantly at all three times. Histological analysis shows that sagittal splitting was characterized by more robust lamellar bone formation bridging the distraction gap than vertical body osteotomy. CONCLUSION: Both MCT and histological analyses showed that distraction using the sagittal osteotomy technique resulted in significantly higher BV and BMD than using vertical body osteotomy.