Non-radioactive strontium as a supplement to enhance osseointegration

Introduction: Due to its positive results on bone tissue, strontium also began to be used as an adjuvant in bone neoformation processes, mainly maxillofacial surgical procedures. Objective: To assess if the nonradioactive strontium (Sr) supplementation enhances the osseointegration of titanium impla...

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Detalles Bibliográficos
Autores: Scardueli, Cassio Rocha [UNESP], Spin-Neto, Rubens, Oliveira, Guilherme José Lopes Pimentel, Stavropoulos, Andreas, Marcantonio, Rosemary Adriana Chierici [UNESP], Marcantonio, Elcio [UNESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:Brasil
Institución:Universidade Estadual Paulista (UNESP)
Repositorio:Repositório Institucional da UNESP
Idioma:inglés
OAI Identifier:oai:repositorio.unesp.br:11449/298284
Acceso en línea:http://dx.doi.org/10.1590/1807-2577.02624
https://hdl.handle.net/11449/298284
Access Level:acceso abierto
Palabra clave:bone remodeling
implants
osseointegration
Strontium
systemic use
Descripción
Sumario:Introduction: Due to its positive results on bone tissue, strontium also began to be used as an adjuvant in bone neoformation processes, mainly maxillofacial surgical procedures. Objective: To assess if the nonradioactive strontium (Sr) supplementation enhances the osseointegration of titanium implants in rats. Material and method: Seventy male rats (Rattus Norvegicus) were randomly divided into 5 groups, according to the systemic supplementation: Control-saline solution; SRAN50-strontium ranelate (SRAN) 50mg/kg/day; SRAN625-SRAN 625mg/kg/day; SCAR/SCHL30-strontium carbonate and strontium chloride (SCAR/SCHL) 30mg/kg/day; SCAR/SCHL365-SCAR/SCHL 365mg/kg/day. The drugs were administered via gavage, once a day, starting 15 days before surgery (1 titanium implant in each tibia), and persisted for 15 or 60 days. The right tibiae were used for biomechanical (removal torque) and immunohistochemical (Osteocalcin – OCN, and bone morphogenetic protein-BMP-2) evaluation. The left were used for microtomographic, and histomorphometric evaluation. Result: Increased removal torque for SRAN625 and SCAR/SCHL365 were observed when compared with the Control, in 15 days. However, no differences were found in the 60-days period among the groups. Microtomographic evaluation showed larger bone volume at 60 days, compared to 15 days, for all groups but SCAR/SCHL30. When all groups were compared, no differences were seen in the 15-days period, while in the 60-days SRAN625 and SCAR/SCHL365 were statistically higher than the Control. In the immunohistochemical analysis, higher doses (SRAN625 and SCAR/SCHL365) led to an increase of BMP-2 in 15 days. Histomorphometric analysis revealed no differences among the groups regarding bone-to-implant-contact and bone area around the implant threads. Conclusion: This study suggests that higher concentrations of systemic Sr lead to variably improved osseointegration-related parameters regarding the biomechanical and microtomographic evaluation.