TY - JOUR A1 - Knabe, Christine A1 - Adel-Khattab, Doaa A1 - Rezk, Mohamed A1 - Cheng, Jia A1 - Berger, Georg A1 - Gildenhaar, Renate A1 - Wilbig, Janka A1 - Günster, Jens A1 - Rack, Alexander A1 - Heiland, Max A1 - Knauf, Tom A1 - Stiller, Michael T1 - Osteogenic Effect of a Bioactive Calcium Alkali Phosphate Bone Substitute in Humans T2 - Bioengineering N2 - (1) Background: The desire to avoid autograft harvesting in implant dentistry has prompted an ever-increasing quest for bioceramic bone substitutes, which stimulate osteogenesis while resorbing in a timely fashion. Consequently, a highly bioactive silicon containing calcium alkali orthophosphate (Si-CAP) material was created, which previously was shown to induce greater bone cell maturation and bone neo-formation than β-tricalcium phosphate (β-TCP) in vivo as well as in vitro. Our study tested the hypothesis that the enhanced effect on bone cell function in vitro and in sheep in vivo would lead to more copious bone neoformation in patients following sinus floor augmentation (SFA) employing Si-CAP when compared to β-TCP. (2) Methods: The effects of Si-CAP on osteogenesis and Si-CAP resorbability were evaluated in biopsies harvested from 38 patients six months after SFA in comparison to β-TCP employing undecalcified histology, histomorphometry, and immunohistochemical analysis of osteogenic marker expression. (3) Results: Si-CAP as well as β-TCP supported matrix mineralization and bone formation. Apically furthest away from the original bone tissue, Si-CAP induced significantly higher bone formation, bone-bonding (bone-bioceramic contact), and granule resorption than β-TCP. This was in conjunction with a higher expression of osteogenic markers. (4) Conclusions: Si-CAP induced higher and more advanced bone formation and resorbability than β-TCP, while β-TCP’s remarkable osteoconductivity has been widely demonstrated. Hence, Si-CAP constitutes a well-suited bioactive graft choice for SFA in the clinical arena. PB - MDPI KW - Silicon release KW - Bioceramics KW - Calcium alkali orthophosphate materials KW - Bioactive bone grafting material KW - Bioactivity KW - Osteogenesis KW - Bone regeneration KW - Sinus floor augmentation PY - 2023 UR - https://opus4.kobv.de/opus4-bam/frontdoor/index/index/docId/59101 AN - OPUS4-59101 UR - https://nbn-resolving.org/urn:nbn:de:kobv:b43-591015 VL - 10 IS - 12 SP - 1 EP - 15 AD - Bundesanstalt fuer Materialforschung und -pruefung (BAM), Berlin, Germany