RESUMO
OBJECTIVES: Up to now the effect of bone-substitute materials on de novo bone formation has been tested in a variety of preclinical animal models. We hypothesized that there is no significant difference in bone regeneration after application of autogenous bone (AB) and bone substitutes in a porcine calvarial monocortical defect model and in human maxillary sinus. STUDY DESIGN: Twenty-four weeks after application of ss-tricalcium phosphate (betaTCP), hydroxyapatite (HA), and AB in each of 3 defects on the sculls of 6 adult pigs (N = 54) and the application in 44 sinus floor elevations (11x betaTCP, 6x HA and 24x AB) in 41 patients, bone regeneration rates where compared microradiographically. Wilcoxon rank-sum test was used for statistical analysis. RESULTS: Comparing the human with the animal specimens microradiographically, no significant difference of the mineralization rate could be found. CONCLUSION: The chosen porcine model is a valuable method for preclinical testing of bone-substitute materials in maxillofacial surgery.
