Biomechanical and cellular assessment of novel partially demineralized allogeneic bone plates: an ex-vivo and in-vitro study

Abstract Purpose This study aimed to compare commercial allogeneic cortical bone plates (cCP) with innovative, differently demineralized CP (dCP) in biomechanics and human osteoblast (HOB) viability ex-vivo and in-vitro. Methods Breaking strength (BS; in N) and flexibility (F; in mm) of cCP and dCP...

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Main Authors: Philipp Becker, Andreas Pabst, Diana Heimes, Nadine Wiesmann-Imilowski, Sven Schumann, Peer W. Kämmerer
Format: Article
Language:English
Published: SpringerOpen 2025-05-01
Series:International Journal of Implant Dentistry
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Online Access:https://doi.org/10.1186/s40729-025-00625-7
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author Philipp Becker
Andreas Pabst
Diana Heimes
Nadine Wiesmann-Imilowski
Sven Schumann
Peer W. Kämmerer
author_facet Philipp Becker
Andreas Pabst
Diana Heimes
Nadine Wiesmann-Imilowski
Sven Schumann
Peer W. Kämmerer
author_sort Philipp Becker
collection DOAJ
description Abstract Purpose This study aimed to compare commercial allogeneic cortical bone plates (cCP) with innovative, differently demineralized CP (dCP) in biomechanics and human osteoblast (HOB) viability ex-vivo and in-vitro. Methods Breaking strength (BS; in N) and flexibility (F; in mm) of cCP and dCP were assessed and compared using four groups ((1) non-hydrated, (2) hydrated for 10, (3) 30, and (4) 60 min in saline), respectively. Cell viability of HOB was evaluated by resazurin reduction on non-hydrated cCP and dCP after 3, 7, and 10 days. Scanning electron microscopy (SEM) visualized CP breaking edges, internal structures, HOB cell morphology, and growth patterns. Results BS of hydrated dCP (d10: 15.45 ± 7.01 N, d30: 19.40 ± 3.78 N, d60: 20.31 ± 4.90 N) was significantly lower than that of non-hydrated dCP (d0: 74.70 ± 29.48 N) and native and hydrated cCP (c0: 75.00 ± 19.27 N, c10: 83.73 ± 10.92 N, c30: 83.80 ± 22.63 N, c60: 75.58 ± 14.25 N, p < 0.001 each). Next, dCP groups (d0: 2.64 ± 0.78 mm, d10: 2.14 ± 1.15 mm, d30: 2.76 ± 3.78 mm, d60: 2.86 ± 0.89 mm) exhibited significantly higher F than cCP groups (c0: 0.49 ± 0.14 mm, c10: 0.66 ± 0.10 mm, c30: 0.67 ± 0.16 mm, c60: 0.59 ± 0.12 mm, p < 0.05 each). No significant differences in F were observed among the different dCP groups. HOB cell viability was significantly increased on cCP compared to dCP after 7 (97.64 ± 2.11% vs. 76.88 ± 4.82%) and 10 days (96.14 ± 4.13% vs. 76.45 ± 4.64%; p < 0.001 each). SEM revealed well-defined breaking edges in cCP, whereas dCP displayed tear-off edges with shearing extensions. SEM showed disordered growth patterns and a physiological HOB cell morphology on dCP, contrasting with a parallel growth of fibroblast-like-looking HOB on cCP. Conclusions Compared to cCP, dCP showed increased flexibility but lower breaking strength and reduced HOB vitality. The increased flexibility and a decrease in breaking strength are likely due to differences in elasticity between dCP and cCP. The use of dCP may improve clinical handling efficiency.
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spelling doaj-art-5363badbc4ba4fc9baf901865fe46d982025-08-20T04:03:07ZengSpringerOpenInternational Journal of Implant Dentistry2198-40342025-05-0111111210.1186/s40729-025-00625-7Biomechanical and cellular assessment of novel partially demineralized allogeneic bone plates: an ex-vivo and in-vitro studyPhilipp Becker0Andreas Pabst1Diana Heimes2Nadine Wiesmann-Imilowski3Sven Schumann4Peer W. Kämmerer5Department of Oral and Maxillofacial Surgery, University Medical Center MainzDepartment of Oral and Maxillofacial Surgery, University Medical Center MainzDepartment of Oral and Maxillofacial Surgery, University Medical Center MainzDepartment of Oral and Maxillofacial Surgery, University Medical Center MainzInstitute of Anatomy, Brandenburg Medical School Theodor FontaneDepartment of Oral and Maxillofacial Surgery, University Medical Center MainzAbstract Purpose This study aimed to compare commercial allogeneic cortical bone plates (cCP) with innovative, differently demineralized CP (dCP) in biomechanics and human osteoblast (HOB) viability ex-vivo and in-vitro. Methods Breaking strength (BS; in N) and flexibility (F; in mm) of cCP and dCP were assessed and compared using four groups ((1) non-hydrated, (2) hydrated for 10, (3) 30, and (4) 60 min in saline), respectively. Cell viability of HOB was evaluated by resazurin reduction on non-hydrated cCP and dCP after 3, 7, and 10 days. Scanning electron microscopy (SEM) visualized CP breaking edges, internal structures, HOB cell morphology, and growth patterns. Results BS of hydrated dCP (d10: 15.45 ± 7.01 N, d30: 19.40 ± 3.78 N, d60: 20.31 ± 4.90 N) was significantly lower than that of non-hydrated dCP (d0: 74.70 ± 29.48 N) and native and hydrated cCP (c0: 75.00 ± 19.27 N, c10: 83.73 ± 10.92 N, c30: 83.80 ± 22.63 N, c60: 75.58 ± 14.25 N, p < 0.001 each). Next, dCP groups (d0: 2.64 ± 0.78 mm, d10: 2.14 ± 1.15 mm, d30: 2.76 ± 3.78 mm, d60: 2.86 ± 0.89 mm) exhibited significantly higher F than cCP groups (c0: 0.49 ± 0.14 mm, c10: 0.66 ± 0.10 mm, c30: 0.67 ± 0.16 mm, c60: 0.59 ± 0.12 mm, p < 0.05 each). No significant differences in F were observed among the different dCP groups. HOB cell viability was significantly increased on cCP compared to dCP after 7 (97.64 ± 2.11% vs. 76.88 ± 4.82%) and 10 days (96.14 ± 4.13% vs. 76.45 ± 4.64%; p < 0.001 each). SEM revealed well-defined breaking edges in cCP, whereas dCP displayed tear-off edges with shearing extensions. SEM showed disordered growth patterns and a physiological HOB cell morphology on dCP, contrasting with a parallel growth of fibroblast-like-looking HOB on cCP. Conclusions Compared to cCP, dCP showed increased flexibility but lower breaking strength and reduced HOB vitality. The increased flexibility and a decrease in breaking strength are likely due to differences in elasticity between dCP and cCP. The use of dCP may improve clinical handling efficiency.https://doi.org/10.1186/s40729-025-00625-7Alveolar ridge augmentationAllograftsBiomechanicsScanning electron microscopyCell morphology
spellingShingle Philipp Becker
Andreas Pabst
Diana Heimes
Nadine Wiesmann-Imilowski
Sven Schumann
Peer W. Kämmerer
Biomechanical and cellular assessment of novel partially demineralized allogeneic bone plates: an ex-vivo and in-vitro study
International Journal of Implant Dentistry
Alveolar ridge augmentation
Allografts
Biomechanics
Scanning electron microscopy
Cell morphology
title Biomechanical and cellular assessment of novel partially demineralized allogeneic bone plates: an ex-vivo and in-vitro study
title_full Biomechanical and cellular assessment of novel partially demineralized allogeneic bone plates: an ex-vivo and in-vitro study
title_fullStr Biomechanical and cellular assessment of novel partially demineralized allogeneic bone plates: an ex-vivo and in-vitro study
title_full_unstemmed Biomechanical and cellular assessment of novel partially demineralized allogeneic bone plates: an ex-vivo and in-vitro study
title_short Biomechanical and cellular assessment of novel partially demineralized allogeneic bone plates: an ex-vivo and in-vitro study
title_sort biomechanical and cellular assessment of novel partially demineralized allogeneic bone plates an ex vivo and in vitro study
topic Alveolar ridge augmentation
Allografts
Biomechanics
Scanning electron microscopy
Cell morphology
url https://doi.org/10.1186/s40729-025-00625-7
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