Skip to main content
Top
Published in: Clinical Oral Investigations 3/2006

Open Access 01-09-2006 | Original Article

Bone apposition to titanium implants biocoated with recombinant human bone morphogenetic protein-2 (rhBMP-2). A pilot study in dogs

Authors: Jürgen Becker, Axel Kirsch, Frank Schwarz, Maria Chatzinikolaidou, Daniel Rothamel, Vojislav Lekovic, Herbert Peter Jennissen

Published in: Clinical Oral Investigations | Issue 3/2006

Login to get access

Abstract

The aim of the present study was to investigate bone formation to recombinant human bone morphogenetic protein-2 (rhBMP-2)-biocoated and rhBMP-2-nonbiocoated titanium implants after implantation in dogs. Implantation of sand-blasted and acid-etched (C), chromosulfuric acid surface-enhanced (CSA), and rhBMP-2-biocoated CSA [BMP-A: noncovalently immobilized rhBMP-2 (596 ng/cm2), BMP-B: covalently immobilized rhBMP-2 (819 ng/cm2)] implants was performed in both the mandible and tibia of dogs. After 4 weeks of healing, the percentage of direct bone to implant contact (BIC) and the induced bone density (BD) at a distance of less than and greater than 1 mm adjacent to each implant was assessed. Histomorphometric analysis of implants inserted in the mandible and tibia revealed that BIC values appeared to be highest in the BMP-B group, followed by BMP-A, CSA, and C. BD as measured at a distance of <1 mm revealed obvious differences between groups: BMP-B>BMP-A>CSA>C. However, no differences between groups were observed at a distance of >1 mm. Within the limits of the present study, it may be concluded that rhBMP-2 immobilized by covalent and noncovalent methods on CSA-treated implant surfaces seemed to be stable and promoted direct bone apposition in a concentration-dependant manner.
Literature
1.
go back to reference Albrektsson T, Brånemark PI, Hansson HA, Lindstrom J (1981) Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand 52:155–170PubMed Albrektsson T, Brånemark PI, Hansson HA, Lindstrom J (1981) Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand 52:155–170PubMed
2.
go back to reference Baier RE, Dutton RC (1969) Initial events in interactions of blood with a foreign surface. J Biomed Mater Res 3:191–206PubMedCrossRef Baier RE, Dutton RC (1969) Initial events in interactions of blood with a foreign surface. J Biomed Mater Res 3:191–206PubMedCrossRef
3.
go back to reference Boyne PJ, Marx RE, Nevins M, Triplett G, Lazaro E, Lilly LC, Alder M, Nummikoski P (1997) A feasibility study evaluating rhBMP-2/absorbable collagen sponge for maxillary sinus floor augmentation. Int J Periodontics Restorative Dent 17:11–25PubMed Boyne PJ, Marx RE, Nevins M, Triplett G, Lazaro E, Lilly LC, Alder M, Nummikoski P (1997) A feasibility study evaluating rhBMP-2/absorbable collagen sponge for maxillary sinus floor augmentation. Int J Periodontics Restorative Dent 17:11–25PubMed
4.
go back to reference Brash JL, ten Hove P (1984) Effect of plasma dilution on adsorption of fibrinogen to solid surfaces. Thromb Haemost 51:326–330PubMed Brash JL, ten Hove P (1984) Effect of plasma dilution on adsorption of fibrinogen to solid surfaces. Thromb Haemost 51:326–330PubMed
5.
go back to reference Chappard D, Aguado E, Hure G, Grizon F, Basle MF (1999) The early remodeling phases around titanium implants: a histomorphometric assessment of bone quality in a 3- and 6-month study in sheep. Int J Oral Maxillofac Implants 14:189–196PubMed Chappard D, Aguado E, Hure G, Grizon F, Basle MF (1999) The early remodeling phases around titanium implants: a histomorphometric assessment of bone quality in a 3- and 6-month study in sheep. Int J Oral Maxillofac Implants 14:189–196PubMed
6.
go back to reference Chatzinikolaidou M, Zumbrink T, Jennissen HP (2003) Stability of surface-enhanced ultrahydrophilic metals as a basis for bioactive rhBMP-2 surfaces. Materialwiss Werkstofftech 34:1106–1112CrossRef Chatzinikolaidou M, Zumbrink T, Jennissen HP (2003) Stability of surface-enhanced ultrahydrophilic metals as a basis for bioactive rhBMP-2 surfaces. Materialwiss Werkstofftech 34:1106–1112CrossRef
7.
go back to reference Donath K (1985) The diagnostic value of the new method for the study of undecalcified bones and teeth with attached soft tissue (Säge–Schliff (sawing and grinding) technique). Pathol Res Pract 179:631–633PubMed Donath K (1985) The diagnostic value of the new method for the study of undecalcified bones and teeth with attached soft tissue (Säge–Schliff (sawing and grinding) technique). Pathol Res Pract 179:631–633PubMed
8.
go back to reference Eriksson C, Lausmaa J, Nygren H (2001) Interactions between human whole blood and modified TiO2-surfaces: influence of surface topography and oxide thickness on leukocyte adhesion and activation. Biomaterials 22:1987–1996PubMedCrossRef Eriksson C, Lausmaa J, Nygren H (2001) Interactions between human whole blood and modified TiO2-surfaces: influence of surface topography and oxide thickness on leukocyte adhesion and activation. Biomaterials 22:1987–1996PubMedCrossRef
9.
go back to reference Eriksson C, Nygren H (2001) Polymorphonuclear leukocytes in coagulating whole blood recognize hydrophilic and hydrophobic titanium surfaces by different adhesion receptors and show different patterns of receptor expression. J Lab Clin Med 137:296–302PubMedCrossRef Eriksson C, Nygren H (2001) Polymorphonuclear leukocytes in coagulating whole blood recognize hydrophilic and hydrophobic titanium surfaces by different adhesion receptors and show different patterns of receptor expression. J Lab Clin Med 137:296–302PubMedCrossRef
10.
go back to reference Gunsolley JC, Elswick RK, Davenport JM (1998) Equivalence and superiority testing in regeneration clinical trials. J Periodontol 69:521–527PubMed Gunsolley JC, Elswick RK, Davenport JM (1998) Equivalence and superiority testing in regeneration clinical trials. J Periodontol 69:521–527PubMed
11.
go back to reference Hanisch O, Tatakis DN, Boskovic MM, Rohrer MD, Wikesjo UM (1997) Bone formation and reosseointegration in peri-implantitis defects following surgical implantation of rhBMP-2. Int J Oral Maxillofac Implants 12:604–610PubMed Hanisch O, Tatakis DN, Boskovic MM, Rohrer MD, Wikesjo UM (1997) Bone formation and reosseointegration in peri-implantitis defects following surgical implantation of rhBMP-2. Int J Oral Maxillofac Implants 12:604–610PubMed
12.
go back to reference Hanisch O, Tatakis DN, Rohrer MD, Wohrle PS, Wozney JM, Wikesjo UM (1997) Bone formation and osseointegration stimulated by rhBMP-2 following subantral augmentation procedures in nonhuman primates. Int J Oral Maxillofac Implants 12:785–792PubMed Hanisch O, Tatakis DN, Rohrer MD, Wohrle PS, Wozney JM, Wikesjo UM (1997) Bone formation and osseointegration stimulated by rhBMP-2 following subantral augmentation procedures in nonhuman primates. Int J Oral Maxillofac Implants 12:785–792PubMed
13.
go back to reference Hollinger JO, Schmitt JM, Buck DC, Shannon R, Joh SP, Zegzula HD, Wozney J (1998) Recombinant human bone morphogenetic protein-2 and collagen for bone regeneration. J Biomed Mater Res 43:356–364PubMedCrossRef Hollinger JO, Schmitt JM, Buck DC, Shannon R, Joh SP, Zegzula HD, Wozney J (1998) Recombinant human bone morphogenetic protein-2 and collagen for bone regeneration. J Biomed Mater Res 43:356–364PubMedCrossRef
14.
go back to reference Howell TH, Fiorellini J, Jones A, Alder M, Nummikoski P, Lazaro M, Lilly L, Cochran D (1997) A feasibility study evaluating rhBMP-2/absorbable collagen sponge device for local alveolar ridge preservation or augmentation. Int J Periodontics Restorative Dent 17:124–139PubMed Howell TH, Fiorellini J, Jones A, Alder M, Nummikoski P, Lazaro M, Lilly L, Cochran D (1997) A feasibility study evaluating rhBMP-2/absorbable collagen sponge device for local alveolar ridge preservation or augmentation. Int J Periodontics Restorative Dent 17:124–139PubMed
15.
go back to reference Inoda H, Yamamoto G, Hattori T (2004) Histological investigation of osteoinductive properties of rh-BMP2 in a rat calvarial bone defect model. J Craniomaxillofac Surg 32:365–369PubMed Inoda H, Yamamoto G, Hattori T (2004) Histological investigation of osteoinductive properties of rh-BMP2 in a rat calvarial bone defect model. J Craniomaxillofac Surg 32:365–369PubMed
16.
go back to reference Jennissen HP (1999) Method for immobilizing mediator molecules on inorganic and metal implant materials. PCT Patent WO9926674A2, European Patent Office, Munich, Germany Jennissen HP (1999) Method for immobilizing mediator molecules on inorganic and metal implant materials. PCT Patent WO9926674A2, European Patent Office, Munich, Germany
17.
go back to reference Jennissen HP (2001) Ultra-hydrophile metallische Biomaterialien. Biomaterialien 2:45–53 Jennissen HP (2001) Ultra-hydrophile metallische Biomaterialien. Biomaterialien 2:45–53
18.
go back to reference Jennissen HP, Chatzinikolaidou M, Rumpf HM (2000) Modification of metal surfaces and biocoating of implants with bone-morphogenetic protein 2 (BMP-2). DVM Bericht 313:127–140 Jennissen HP, Chatzinikolaidou M, Rumpf HM (2000) Modification of metal surfaces and biocoating of implants with bone-morphogenetic protein 2 (BMP-2). DVM Bericht 313:127–140
19.
go back to reference Jennissen HP, Zumbrink T (1999) Immobilization of BMP-2 on titanium surfaces. Biol Chem 380:161 Jennissen HP, Zumbrink T (1999) Immobilization of BMP-2 on titanium surfaces. Biol Chem 380:161
20.
go back to reference Jennissen HP, Zumbrink T (1999) Protein immobilization on metal implant surfaces with potential for biocoating with BMPs. FASEB J 13:427 (Abstract) Jennissen HP, Zumbrink T (1999) Protein immobilization on metal implant surfaces with potential for biocoating with BMPs. FASEB J 13:427 (Abstract)
21.
go back to reference Jennissen HP, Zumbrink T, Chatzinikolaidou M, Steppuhn J (1999) Biocoating of implants with mediator molecules: surface enhancement of metals by treatment with chromosulfuric acid. Materialwiss Werkstofftech 30:838–845CrossRef Jennissen HP, Zumbrink T, Chatzinikolaidou M, Steppuhn J (1999) Biocoating of implants with mediator molecules: surface enhancement of metals by treatment with chromosulfuric acid. Materialwiss Werkstofftech 30:838–845CrossRef
22.
go back to reference Jeppsson C, Aspenberg P (1996) BMP-2 can inhibit bone healing. Bone-chamber study in rabbits. Acta Orthop Scand 67:589–592PubMedCrossRef Jeppsson C, Aspenberg P (1996) BMP-2 can inhibit bone healing. Bone-chamber study in rabbits. Acta Orthop Scand 67:589–592PubMedCrossRef
23.
go back to reference Johansson CB, Albrektsson T (1991) A removal torque and histomorphometric study of commercially pure niobium and titanium implants in rabbit bone. Clin Oral Implants Res 2:24–29PubMedCrossRef Johansson CB, Albrektsson T (1991) A removal torque and histomorphometric study of commercially pure niobium and titanium implants in rabbit bone. Clin Oral Implants Res 2:24–29PubMedCrossRef
24.
go back to reference Kawamura C, Kizaki M, Yamato K, Uchida H, Fukuchi Y, Hattori Y, Koseki T, Nishihara T, Ikeda Y (2000) Bone morphogenetic protein-2 induces apoptosis in human myeloma cells with modulation of STAT3. Blood 96:2005–2011PubMed Kawamura C, Kizaki M, Yamato K, Uchida H, Fukuchi Y, Hattori Y, Koseki T, Nishihara T, Ikeda Y (2000) Bone morphogenetic protein-2 induces apoptosis in human myeloma cells with modulation of STAT3. Blood 96:2005–2011PubMed
25.
go back to reference Laub MT, Seul E, Schmachtenberg E, Jennissen HP (2001) Molecular modelling of bone-morphogenetic protein 2 (BMP-2) by 3D-rapid prototyping. Materialwiss Werkstofftech 32:926–930CrossRef Laub MT, Seul E, Schmachtenberg E, Jennissen HP (2001) Molecular modelling of bone-morphogenetic protein 2 (BMP-2) by 3D-rapid prototyping. Materialwiss Werkstofftech 32:926–930CrossRef
26.
go back to reference Matin K, Senpuku H, Hanada N, Ozawa H, Ejiri S (2003) Bone regeneration by recombinant human bone morphogenetic protein-2 around immediate implants: a pilot study in rats. Int J Oral Maxillofac Implants 18:211–217PubMed Matin K, Senpuku H, Hanada N, Ozawa H, Ejiri S (2003) Bone regeneration by recombinant human bone morphogenetic protein-2 around immediate implants: a pilot study in rats. Int J Oral Maxillofac Implants 18:211–217PubMed
27.
go back to reference Mohan S, Baylink DJ (1991) Bone growth factors. Clin Orthop Relat Res 263:30–48PubMed Mohan S, Baylink DJ (1991) Bone growth factors. Clin Orthop Relat Res 263:30–48PubMed
28.
go back to reference Nociti FH, Jr, Cesar NJ, Carvalho MD, Sallum EA (2002) Bone density around titanium implants may be influenced by intermittent cigarette smoke inhalation: a histometric study in rats. Int J Oral Maxillofac Implants 17:347–352PubMed Nociti FH, Jr, Cesar NJ, Carvalho MD, Sallum EA (2002) Bone density around titanium implants may be influenced by intermittent cigarette smoke inhalation: a histometric study in rats. Int J Oral Maxillofac Implants 17:347–352PubMed
29.
go back to reference Reddi AH (1995) Bone morphogenetic proteins, bone marrow stromal cells, and mesenchymal stem cells. Maureen Owen revisited. Clin Orthop Relat Res 313:115–119PubMed Reddi AH (1995) Bone morphogenetic proteins, bone marrow stromal cells, and mesenchymal stem cells. Maureen Owen revisited. Clin Orthop Relat Res 313:115–119PubMed
30.
go back to reference Ritter SJ, Davies PJ (1998) Identification of a transforming growth factor-beta1/bone morphogenetic protein 4 (TGF-beta1/BMP4) response element within the mouse tissue transglutaminase gene promoter. J Biol Chem 273:12798–12806PubMedCrossRef Ritter SJ, Davies PJ (1998) Identification of a transforming growth factor-beta1/bone morphogenetic protein 4 (TGF-beta1/BMP4) response element within the mouse tissue transglutaminase gene promoter. J Biol Chem 273:12798–12806PubMedCrossRef
31.
go back to reference Sailer HF, Kolb E (1994) Application of purified bone morphogenetic protein (BMP) preparations in cranio-maxillo-facial surgery. Reconstruction in craniofacial malformations and post-traumatic or operative defects of the skull with lyophilized cartilage and BMP. J Craniomaxillofac Surg 22:191–199PubMed Sailer HF, Kolb E (1994) Application of purified bone morphogenetic protein (BMP) preparations in cranio-maxillo-facial surgery. Reconstruction in craniofacial malformations and post-traumatic or operative defects of the skull with lyophilized cartilage and BMP. J Craniomaxillofac Surg 22:191–199PubMed
32.
go back to reference Schmaier AH, Silver L, Adams AL, Fischer GC, Munoz PC, Vroman L, Colman RW (1984) The effect of high molecular weight kininogen on surface-adsorbed fibrinogen. Thromb Res 33:51–67PubMedCrossRef Schmaier AH, Silver L, Adams AL, Fischer GC, Munoz PC, Vroman L, Colman RW (1984) The effect of high molecular weight kininogen on surface-adsorbed fibrinogen. Thromb Res 33:51–67PubMedCrossRef
33.
go back to reference Sigurdsson TJ, Nygaard L, Tatakis DN, Fu E, Turek TJ, Jin L, Wozney JM, Wikesjo UM (1996) Periodontal repair in dogs: evaluation of rhBMP-2 carriers. Int J Periodontics Restorative Dent 16:524–537PubMed Sigurdsson TJ, Nygaard L, Tatakis DN, Fu E, Turek TJ, Jin L, Wozney JM, Wikesjo UM (1996) Periodontal repair in dogs: evaluation of rhBMP-2 carriers. Int J Periodontics Restorative Dent 16:524–537PubMed
34.
go back to reference Sykaras N, Triplett RG, Nunn ME, Iacopino AM, Opperman LA (2001) Effect of recombinant human bone morphogenetic protein-2 on bone regeneration and osseointegration of dental implants. Clin Oral Implants Res 12:339–349PubMedCrossRef Sykaras N, Triplett RG, Nunn ME, Iacopino AM, Opperman LA (2001) Effect of recombinant human bone morphogenetic protein-2 on bone regeneration and osseointegration of dental implants. Clin Oral Implants Res 12:339–349PubMedCrossRef
35.
go back to reference Sykaras N, Iacopino AM, Triplett RG, Marker VA (2004) Effect of recombinant human bone morphogenetic protein-2 on the osseointegration of dental implants: a biomechanics study. Clin Oral Investig 8:196–205PubMedCrossRef Sykaras N, Iacopino AM, Triplett RG, Marker VA (2004) Effect of recombinant human bone morphogenetic protein-2 on the osseointegration of dental implants: a biomechanics study. Clin Oral Investig 8:196–205PubMedCrossRef
36.
go back to reference Sykaras N, Woody RD, Lacopino AM, Triplett RG, Nunn ME (2004) Osseointegration of dental implants complexed with rhBMP-2: a comparative histomorphometric and radiographic evaluation. Int J Oral Maxillofac Implants 19:667–678PubMed Sykaras N, Woody RD, Lacopino AM, Triplett RG, Nunn ME (2004) Osseointegration of dental implants complexed with rhBMP-2: a comparative histomorphometric and radiographic evaluation. Int J Oral Maxillofac Implants 19:667–678PubMed
37.
go back to reference Tatakis DN, Koh A, Jin L, Wozney JM, Rohrer MD, Wikesjo UM (2002) Peri-implant bone regeneration using recombinant human bone morphogenetic protein-2 in a canine model: a dose-response study. J Periodontal Res 37:93–100PubMedCrossRef Tatakis DN, Koh A, Jin L, Wozney JM, Rohrer MD, Wikesjo UM (2002) Peri-implant bone regeneration using recombinant human bone morphogenetic protein-2 in a canine model: a dose-response study. J Periodontal Res 37:93–100PubMedCrossRef
38.
go back to reference Teixeira JO, Urist MR (1998) Bone morphogenetic protein induced repair of compartmentalized segmental diaphyseal defects. Arch Orthop Trauma Surg 117:27–34PubMedCrossRef Teixeira JO, Urist MR (1998) Bone morphogenetic protein induced repair of compartmentalized segmental diaphyseal defects. Arch Orthop Trauma Surg 117:27–34PubMedCrossRef
39.
go back to reference Urist MR, DeLange RJ, Finerman GA (1983) Bone cell differentiation and growth factors. Science 220:680–686PubMedCrossRef Urist MR, DeLange RJ, Finerman GA (1983) Bone cell differentiation and growth factors. Science 220:680–686PubMedCrossRef
40.
go back to reference Voggenreiter GK, Hartl M, Assenmacher S, Chatzinikolaidou M, Jennissen HP, Rumpf HM (2001) Assessment of the biological activity of chemically immobilized rhBMP-2 on titanium surfaces in vivo. Materialwiss Werkstofftech 32:942–948CrossRef Voggenreiter GK, Hartl M, Assenmacher S, Chatzinikolaidou M, Jennissen HP, Rumpf HM (2001) Assessment of the biological activity of chemically immobilized rhBMP-2 on titanium surfaces in vivo. Materialwiss Werkstofftech 32:942–948CrossRef
41.
go back to reference Walivaara B, Aronsson BO, Rodahl M, Lausmaa J, Tengvall P (1994) Titanium with different oxides: in vitro studies of protein adsorption and contact activation. Biomaterials 15:827–834PubMedCrossRef Walivaara B, Aronsson BO, Rodahl M, Lausmaa J, Tengvall P (1994) Titanium with different oxides: in vitro studies of protein adsorption and contact activation. Biomaterials 15:827–834PubMedCrossRef
42.
go back to reference Walivaara B, Askendal A, Elwing H, Lundstrom I, Tengvall P (1992) Antisera binding onto metals immersed in human plasma in vitro. J Biomed Mater Res 26:1205–1216PubMedCrossRef Walivaara B, Askendal A, Elwing H, Lundstrom I, Tengvall P (1992) Antisera binding onto metals immersed in human plasma in vitro. J Biomed Mater Res 26:1205–1216PubMedCrossRef
43.
go back to reference Wiemann M, Rumpf HM, Bingmann D, Jennissen HP (2001) The binding of rhBMP-2 to the receptors of MC3T3-E1 cells and the question of cooperativity. Materialwiss Werkstofftech 32:931–936CrossRef Wiemann M, Rumpf HM, Bingmann D, Jennissen HP (2001) The binding of rhBMP-2 to the receptors of MC3T3-E1 cells and the question of cooperativity. Materialwiss Werkstofftech 32:931–936CrossRef
44.
go back to reference Wiemann M, Zumbrink T, Jennissen HP, Brauer H, Fischer A, Bingmann D (1999) BMP-2 stimulation of osteoblast-like MC3T3-E1 cells grown on modified metal surfaces. Pflügers Arch 437:R106 Wiemann M, Zumbrink T, Jennissen HP, Brauer H, Fischer A, Bingmann D (1999) BMP-2 stimulation of osteoblast-like MC3T3-E1 cells grown on modified metal surfaces. Pflügers Arch 437:R106
45.
go back to reference Wikesjö UM, Sorensen RG, Kinoshita A, Wozney JM (2002) RhBMP-2/alphaBSM induces significant vertical alveolar ridge augmentation and dental implant osseointegration. Clin Implant Dent Relat Res 4:174–182PubMedCrossRef Wikesjö UM, Sorensen RG, Kinoshita A, Wozney JM (2002) RhBMP-2/alphaBSM induces significant vertical alveolar ridge augmentation and dental implant osseointegration. Clin Implant Dent Relat Res 4:174–182PubMedCrossRef
46.
go back to reference Wozney JM, Rosen V, Byrne M, Celeste AJ, Moutsatsos I, Wang EA (1990) Growth factors influencing bone development. J Cell Sci Suppl 13:149–156PubMed Wozney JM, Rosen V, Byrne M, Celeste AJ, Moutsatsos I, Wang EA (1990) Growth factors influencing bone development. J Cell Sci Suppl 13:149–156PubMed
47.
go back to reference Yamazaki Y, Oida S, Ishihara K, Nakabayashi N (1996) Ectopic induction of cartilage and bone by bovine bone morphogenetic protein using a biodegradable polymeric reservoir. J Biomed Mater Res 30:1–4PubMedCrossRef Yamazaki Y, Oida S, Ishihara K, Nakabayashi N (1996) Ectopic induction of cartilage and bone by bovine bone morphogenetic protein using a biodegradable polymeric reservoir. J Biomed Mater Res 30:1–4PubMedCrossRef
48.
go back to reference Yoshida K, Bessho K, Fujimura K, Kusumoto K, Ogawa Y, Tani Y, Iizuka T (1998) Osteoinduction capability of recombinant human bone morphogenetic protein-2 in intramuscular and subcutaneous sites: an experimental study. J Craniomaxillofac Surg 26:112–115PubMed Yoshida K, Bessho K, Fujimura K, Kusumoto K, Ogawa Y, Tani Y, Iizuka T (1998) Osteoinduction capability of recombinant human bone morphogenetic protein-2 in intramuscular and subcutaneous sites: an experimental study. J Craniomaxillofac Surg 26:112–115PubMed
49.
go back to reference Zegzula HD, Buck DC, Brekke J, Wozney JM, Hollinger JO (1997) Bone formation with use of rhBMP-2 (recombinant human bone morphogenetic protein-2). J Bone Joint Surg Am 79:1778–1790PubMed Zegzula HD, Buck DC, Brekke J, Wozney JM, Hollinger JO (1997) Bone formation with use of rhBMP-2 (recombinant human bone morphogenetic protein-2). J Bone Joint Surg Am 79:1778–1790PubMed
50.
go back to reference Zellin G, Linde A (1997) Treatment of segmental defects in long bones using osteopromotive membranes and recombinant human bone morphogenetic protein-2. An experimental study in rabbits. Scand J Plast Reconstr Surg Hand Surg 31:97–104PubMedCrossRef Zellin G, Linde A (1997) Treatment of segmental defects in long bones using osteopromotive membranes and recombinant human bone morphogenetic protein-2. An experimental study in rabbits. Scand J Plast Reconstr Surg Hand Surg 31:97–104PubMedCrossRef
Metadata
Title
Bone apposition to titanium implants biocoated with recombinant human bone morphogenetic protein-2 (rhBMP-2). A pilot study in dogs
Authors
Jürgen Becker
Axel Kirsch
Frank Schwarz
Maria Chatzinikolaidou
Daniel Rothamel
Vojislav Lekovic
Herbert Peter Jennissen
Publication date
01-09-2006
Publisher
Springer-Verlag
Published in
Clinical Oral Investigations / Issue 3/2006
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-006-0049-0

Other articles of this Issue 3/2006

Clinical Oral Investigations 3/2006 Go to the issue