The Effect of Single Dose Teriparatide Administration on the Early Healing Period of Bone Defects Created in the Rat Mandibular
The Effect of Single Dose Teriparatide Administration on the Early Healing Period of Bone Defects Created in the Rat Mandibular
Introduction
Bone grafts are widely used in the repair of bone tissue. In recent years, studies on the use of biomaterials have became popular
in order to increase the efficiency of bone grafts. In this study, the effects of local teriparatide used in different doses on bone
healing were evaluated.
Materials - Methods
In this study, 30 male Spraque-Dawley rats were used and they were divided into 5 groups, 6 each. A critical sized defect of 5 mm
in diameter was created in the mandible. Defects in Group 1 were left empty. Particulate autograft was applied to the defects
in Group 2. Group 3 was applied allograft. In Groups 4 and 5, 20 μg and 40 μg teriparatide were administered with the allograft,
respectively. At the postoperative 4th week, the anesthesia dose was doubled and euthanasia was performed. The samples were
taken out in one piece and evaluated histomorphometrically.
Results
While the amount of newly formed bone tissue (0.28±0.01 mm2) and the number of osteoblasts (41.67±1.56) were significantly
lower in Group 1, these values were found in Group 5 (0.79±0.01 mm2), (77.72±3.06) is significantly higher. The findings in Group
4, in which teriparatide was used (0.72±0.01 mm2, 72±4.26), were significantly higher than Group 3 and Group 2. The amount of
new bone formation (0.48 mm2) and the number of osteoblasts (54.17±1.99) were significantly higher in Group 3 than Group 2
(0.39±0.01 mm2, 50±1.4).
Conclusion
As a result, it was observed that teriparatide, which was used locally in two different doses, significantly increased bone healing
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- 1. Anderson HC. Vesicles associated with calcification
in the matrix of epiphyseal cartilage. Journal of Cell
Biology. 1969;41:59–72.
- 2. Saito S, Shimizu N. Stimulatory effects of low-power
laser irradiation on bone regeneration in midpalatal
suture during expansion in the rat. American Journal
of Orthodontics and Dentofacial Orthopedics.
1997;111(5):525-532.
- 3. Bar-Shavit Z. The osteoclast: a multinucleated,
hematopoietic-origin, bone-resorbing osteoimmune
cell. J Cell Biochem. 2007 Dec 01;102(5):1130-9.
- 4. Shapino F. Bone development and its relation to fracture
repair. The role of mesenchymal osteoblasts and surface
osteoblasts. European Cells and Materials, 2008;1;58-73.
- 5. Koca CG, Komerik N, Ozmen O. Comparison of efficiency
of hyaluronic acid and/or bone grafts in healing of bone
defects. Nigerian Journal of Clinical Practice. 2019: 22;
754-762.
- 6. Acocella A, Bertolai R, Ellis E 3rd, et al. Maxillary alveolar
ridge reconstruction with monocortical fresh-frozen bone
blocks: a clinical, histological and histomorphometric
study. J Craniomaxillofac Surg 2012;40(6):525–33.
- 7. Kökden A, Türker M. Bone grafts and biomaterials used
in oral and maxillofacial surgery, Cumhuriyet University
Faculty of Dentistry Journal 1999
- 8. Zandi M, Dehghan A, Gheysari F, Rezaeian L, Mohammad
Gholi Mezerji N: Evaluation of teriparatide effect on
healing of autografted mandibular defects in rats.
Craniomaxillofac Surg 47: 120e126, 2019
- 9. Koca C.G., Sanaz S., Asker H., Çiçek M. F.,
Kösehasanoğulları M., Kaya G., Effects of the different
administration frequencies of teriparatide (PTH [1-34])
on new bone formation of expanded midpalatal sutures
in rats: A histomorphometric and microcomputed
tomography analysis. Orthodontics And Craniofacial
Reseacrh. 202. DOI: 10.1111/ocr.12512
- 10. Chaichanasakul T, Mandible versus long bone marrow
stromal cells. A Dissertation Submitted in partial
Satisfaction of The Requirements For The Degree Doctor
of philosophy In Oral Biology. 2012; 1-22.
- 11. Awadeen MA, Al-Belasy FA, Ameen LE, Helal ME,
Grawish ME. Early therapeutic effect of platelet-rich fibrin
combined with allogeneic bone marrow-derived stem
cells on rats’ critical-sized mandibular defects. World
Journal of Stem Cells. 2020; 12(1): 55-69.
- 12. Henrickson SE, Ruffner MA, Kwan M. Unintended
Immunological Consequences of Biologic Therapy. Curr
Allergy Asthma Rep. 2016 Jun;16(6):46. doi: 10.1007/
s11882-016-0624-7
- 13. Zandi M, Dehghan A, Gheysari F, Rezaeian L, Mohammad
Gholi Mezerji N, Evaluation of teriparatide effect on
healing of autografted mandibular defects in rats, Journal
of Cranio-Maxillofacial Surgery, https://doi.org/10.1016/j.
jcms.2018.11.015.
- 14. Yu YY, Lieu S, Hu D, Miclau T, Colnot C: Site specific effects
of zoledronic acid during tibial and mandibular fracture
repair. PLoS One 7: 31771, 2012
- 15. Koca CG, Kösehasanogulları M, Yıldırım B, Kaya I, Yuce
E, Çiçek MF. Effect of Single-Dose and Locally Applied
Teriparatide on Masseter Muscle Thickness and Early
Mandibular Healing. Van Med J. 2021; 28(1): 151-158
- 16. Shiraki M, Sugimoto T, Nakamura T. Effects of a single
injection of teriparatide on bone turnover markers
in postmenopausal women. Osteoporos Int. 2013
Jan;24(1):219-26. doi: 10.1007/s00198-012-2159-7.