Efficacy of the Combination of rhBMP-2 with Bone Marrow Aspirate Concentrate in Mandibular Defect Reconstruction after a Pindborg Tumor Resection

Recombinant human bone morphogenetic protein-2 (rhBMP-2) is an osteoinductive growth factor used in oral and maxillofacial surgery. It offers a feasible alternative for various regenerative procedures, including reconstruction of mandibular defects. In this study, we report a case of a large Pindbor...

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Main Authors: Kamel Alraei, Jameel Sharqawi, Somaya Harcher, Ibrahim Ghita
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2020/8281741
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author Kamel Alraei
Jameel Sharqawi
Somaya Harcher
Ibrahim Ghita
author_facet Kamel Alraei
Jameel Sharqawi
Somaya Harcher
Ibrahim Ghita
author_sort Kamel Alraei
collection DOAJ
description Recombinant human bone morphogenetic protein-2 (rhBMP-2) is an osteoinductive growth factor used in oral and maxillofacial surgery. It offers a feasible alternative for various regenerative procedures, including reconstruction of mandibular defects. In this study, we report a case of a large Pindborg tumor involving the left mandible. The treatment consisted of surgical resection, followed by off-label use of rhBMP-2 in addition to bone marrow aspirate concentrate, together with an allograft in a titanium mesh. The patient was rehabilitated with dental implants, and a good clinical outcome was achieved. We found no evidence of bone resorption or complications in both clinical and radiographic evaluations during the one-year follow-up period. In conclusion, we have demonstrated the efficacy of using rhBMP-2 combined with bone marrow aspirate concentrate, and an allograft with a titanium mesh, for the reconstruction of long mandibular bone defects. Not only is this combination feasible, but it also has the advantages of lower morbidity and cost.
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issn 2090-6447
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spelling doaj-art-e535bd6de4e84cefa373af05d77147572025-08-20T03:26:20ZengWileyCase Reports in Dentistry2090-64472090-64552020-01-01202010.1155/2020/82817418281741Efficacy of the Combination of rhBMP-2 with Bone Marrow Aspirate Concentrate in Mandibular Defect Reconstruction after a Pindborg Tumor ResectionKamel Alraei0Jameel Sharqawi1Somaya Harcher2Ibrahim Ghita3Department of Oral and Maxillofacial Surgery, Al-Noor Specialist Hospital, Makkah, Saudi ArabiaDepartment of Oral and Maxillofacial Surgery, Royal Commission Hospital, Jubail, Saudi ArabiaGeneral Dentist, Saudi ArabiaDepartment of Hematology, Al-Noor Specialist Hospital, Makkah, Saudi ArabiaRecombinant human bone morphogenetic protein-2 (rhBMP-2) is an osteoinductive growth factor used in oral and maxillofacial surgery. It offers a feasible alternative for various regenerative procedures, including reconstruction of mandibular defects. In this study, we report a case of a large Pindborg tumor involving the left mandible. The treatment consisted of surgical resection, followed by off-label use of rhBMP-2 in addition to bone marrow aspirate concentrate, together with an allograft in a titanium mesh. The patient was rehabilitated with dental implants, and a good clinical outcome was achieved. We found no evidence of bone resorption or complications in both clinical and radiographic evaluations during the one-year follow-up period. In conclusion, we have demonstrated the efficacy of using rhBMP-2 combined with bone marrow aspirate concentrate, and an allograft with a titanium mesh, for the reconstruction of long mandibular bone defects. Not only is this combination feasible, but it also has the advantages of lower morbidity and cost.http://dx.doi.org/10.1155/2020/8281741
spellingShingle Kamel Alraei
Jameel Sharqawi
Somaya Harcher
Ibrahim Ghita
Efficacy of the Combination of rhBMP-2 with Bone Marrow Aspirate Concentrate in Mandibular Defect Reconstruction after a Pindborg Tumor Resection
Case Reports in Dentistry
title Efficacy of the Combination of rhBMP-2 with Bone Marrow Aspirate Concentrate in Mandibular Defect Reconstruction after a Pindborg Tumor Resection
title_full Efficacy of the Combination of rhBMP-2 with Bone Marrow Aspirate Concentrate in Mandibular Defect Reconstruction after a Pindborg Tumor Resection
title_fullStr Efficacy of the Combination of rhBMP-2 with Bone Marrow Aspirate Concentrate in Mandibular Defect Reconstruction after a Pindborg Tumor Resection
title_full_unstemmed Efficacy of the Combination of rhBMP-2 with Bone Marrow Aspirate Concentrate in Mandibular Defect Reconstruction after a Pindborg Tumor Resection
title_short Efficacy of the Combination of rhBMP-2 with Bone Marrow Aspirate Concentrate in Mandibular Defect Reconstruction after a Pindborg Tumor Resection
title_sort efficacy of the combination of rhbmp 2 with bone marrow aspirate concentrate in mandibular defect reconstruction after a pindborg tumor resection
url http://dx.doi.org/10.1155/2020/8281741
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