The use of solvent-preserved human and bovine cancellous bone blocks for lateral defect augmentation - an experimental controlled study in vivo.

BACKGROUND: The aim of this study was to compare new bone formation, resorbed bone matrix, and fibrous enclosed residual bone substitute material in laterally augmented alveolar bone defects using allogeneic, pre-treated and cleaned human bone blocks (tested in dogs, therefore considered to be xenogeneic), and pre-treated and cleaned bovine cancellous bone blocks, both with and without a collagen membrane in order to evaluate their augmentative potential. METHODS: Thirty-two critical size horizontal defects were prepared in the mandible of 4 adult foxhound dogs (8 per dog, 4 on each side). After 3 months of healing, the defects were laterally augmented in a split-mouth-design with either human (HXB) or bovine solvent-preserved bone blocks (BXB). Afterwards, defects were randomly covered with a bovine collagenous membrane (HXB + M, BXB + M). After a healing interval of 6 months, percentages of new bone formation, resorbed bone matrix, and fibrous enclosed residual bone substitute material were compared. RESULTS: Results showed little new bone formation of up to 3.7 % in human bone blocks (HXB 3.7 % +/- 10.2, HXB + M 0.3 %+/- 0.4, BXB, 0.1 % +/- 0.8, BXB + M 2.6 % +/- 3.2, p = > 0.05). Percentages of fibrous encapsulation were higher in human bone blocks than in bovine bone blocks (HXB 71.2 % +/- 8.6, HXB + M 73.71 % +/- 10.6, BXB, 60.5 % +/- 27.4, BXB + M 52.5 % +/- 28.4, p = > 0.05). Resorption rates differed from 44.8 % in bovine bone blocks covered with a membrane to 17.4 % in human bone blocks (HXB 17.4 % +/- 7.4, HXB + M 25.9 % +/- 10.7, BXB, 38.4 % +/- 27.2, BXB + M 44.8 % +/- 29.6, p = > 0.05). The use of additional membranes did not significantly affect results. CONCLUSIONS: Within its limitations, results of this study suggest that solvent-preserved xenogenic human and bovine bone blocks are not suitable for lateral bone augmentation in dogs. Furthermore, defect coverage with a membrane does not positively affect the outcome.