ABSTRACT Aim: To evaluate the relation between harvested bone and acquired bone for threedifferent methods used to harvest autogenous bone. Material and method: Bone was harvested from 15 sheep mandibles using threetechniques: bone block, bone scraper, and bone rongeur. Volume change wasdigitally measured with TRIOS 3Shape and 3D Slicer. Additionally, waterdisplacement was used for the bone blocks, and a syringe method was performedfor 0,5 and 2,0kg pressure on the particulated bone groups. Results: An initial volume loss of 24% was found when harvesting bone blocks.Harvesting particulated bone using a bone scraper or bone rongeur resulted in amean increase in the initial volume corresponding to a factor of 7,7 and 4,9respectively after 0,5kg pressure. Conclusion: Within the limitations of this study, a general trend for volume changefor the different techniques could be found. The bone block group decreased involume, whereas the particulated groups increased in bone volume. The bonescraper had a more considerable increase than the bone rongeur. Further research isneeded to calculate a precise and accurate factor of the volume change. / SAMMANFATTNING Syfte: Att utvärdera relationen mellan skördat ben och förvärvat ben för olika metoder av autogen benskördning. Material och metod: Ben skördades från 15 lammandiblar med tre olika skördningstekniker: benblock, benskrapa och bentång. Volymförändringen mättes digitalt med TRIOS 3Shape och 3D Slicer. Vattendisplacering användes för att mäta benblockens volym, och en sprutmetod användes för de partikulerade bengrupperna vid 0,5 och 2,0kgs tryck. Resultat: Vid skördning av benblock sågs en initial volymförlust på 24%. I jämförelse resulterade skördning av partikulerat ben med hjälp av benskrapa, respektive bentång i en ökning av initial volym motsvarande en faktor på 7,7 respektive 4,9 efter 0,5kg tryck. Slutsats: En generell trend mellan volymförändringen och skördningstekniken observerades. Benblocken uppvisade en minskning i volym. Däremot ökade de partikulerade bengrupperna i benvolym, där benskrapan hade störst volymökning. Fortsatt forskning behövs för att beräkna en exakt och precis volymförändringsfaktor.

No description available.

No description available.

No description available.

Sammanfattning Syfte: Syftet med denna systematiska litteraturöversikt var att testa hypotesen att det inte är någon skillnad rörande lyckandefrekvensen gällande implantatbehandling vid sinuslyft med olika bentransplantatmaterial Material och metod: Studien baseras på sökningar i PubMed, Cochrane Library och Web of Science i kombination med en manuell granskning av relevanta publikationer. Inkluderade publikationer var prospektiva studier av ≥ 10 patienter och med en uppföljningstid på ≥ 1 år. Autologt bentransplantat från mandibel/maxilla, oorganiskt ben (Bio-Oss), en kombination av dessa två samt sinuslyft utan insättning av bentransplant utvärderades. Kvaliteten på varje publikation bedömas enligt kriterier baserade på en modifiering av STROBE-statment. Resultat: Sökningen resulterade i 818 titlar och 15 inkluderade publikationer relevanta enligt förutbestämda inklusionskriterier. En studie var en randomiserad kontrollerad studie (RCT) och en var en kontrollerad klinisk studie (CCT). De återstående 13 studierna var observationsstudier. Uppföljningen varierade mellan ett och nio år, och antalet patienter mellan 10 och 191. Sinuslyft utan insättning av bentransplantat hade en implantatöverlevnad på 97,7% -100% och studier rörande autologt bentransplantat 98,8%. Bio-Oss resulterade i 86,3% -98,1% överlevnad och en kombination av Bio-Oss och autologt ben resulterade i en överlevnad på 90,7%. Slutsats: Enligt denna undersökning fanns ingen skillnad i implantat överlevnad mellan de olika bentransplantaten. Beroende på studiernas karaktär behövs fler RCT och CCT studier, som analyserar implantatutfallet, involverar sinuslyft och olika bentransplantat rörande implantatöverlevnad och lyckandefrekvens. / AbstractAims: The objective was to test the hypothesis that there is no difference in implant treatment outcome using different bone graft material for sinus floor augmentation.Material and methods: This systematic review is based on searches in PubMed, the Cochrane Library and the Web of Science and a hand search of relevant publications. Autologous bone, anorganic bovine bone (Bio-Oss), a combination of these two and elevation of the Schneiderian membrane with no graft material was evaluated. The quality of each publication was assessed according to criteria based on the STROBE-statements.Results: The search provided 818 titles and 15 were found relevant according to the predetermined inclusion criteria. One study was a randomized controlled trial (RCT) and one was a controlled clinical trial (CCT). The remaining 13 studies were observation studies. The follow-up time varied between one and nine years and the number of patients between 10 and 191. Studies on elevation of the Schneiderian membrane with no bone graft material reported an implant survival rate between 97.7% and100% and studies on only autologous bone graft material 98.8%. Bio-Oss as bone graft material resulted in 86.3%-98.1% survival rate and a combination of Bio-Oss and autologous bone graft resulted in a survival rate of 90.7%.Conclusion: There was no difference in implant outcome of the different bone graft material. More studies designed as RCT and CCT, which analyze the implant outcome involving sinus floor augmentation and different bone graft material are needed to improve evidence on survival and success rate.

Call number: LD2668 .T4 1961 F75

Call number: LD2668 .T4 1964 R82 / Master of Science

This thesis combines four manuscripts of which I am the first author. The first manuscript examines the phase separation process and related process parameters. This article provides detailed experimental results of the delivery and separation process. During the delivery of 40% Liquid-to-Powder-Ratio (LPR) paste, only 62[plus ou moins]3 % of the paste initially present in the 10-mL syringe could be injected. Thereafter, the remaining paste in the syringe was not amendable to injection suggesting the existence of liquid separation. The LPR of the extruded fraction of a 37% LPR paste ranged from 40.9[plus ou moins]2.0 % to 42.7[plus ou moins]2.1 %. On the other hand, a shortage of water content was measured for the paste left in the syringe. Furthermore, this shortage was gradual, ranging from 27.3[plus ou moins]1.9 % at the plunger side to 30.9[plus ou moins]1.6 % at the tip side. In addition, this article presents rheological measurements of the paste showing clearly that the limitation was not related to the viscosity of the paste but rather to the phase separation process. Specifically, the yield stresses were around 66[plus ou moins]2 Pa, 19[plus ou moins]2 Pa, and 8[plus ou moins]0 Pa for 40%, 50%, and 65% LPR suspensions, respectively. For the three studied LPRs, the viscosity rapidly dropped with an increase of shear rate to a level below 10 Pas. The second manuscript examines the possibility that fine particles migrate faster than large particles during injection, hence leading to a so-called size separation. This size separation process can be expected from the scientific literature, but had not been investigated prior to my study. In a way, the size separation is very similar to the phase separation process. An electrohydraulic system was used to control the delivery process. The result of this second study, showed no evidence of size separation. It was therefore concluded that the main mechanism underlying the limited injectability is the liquid phase filtration through the porous particles bed of the paste. The third manuscript examines the role of powder porosity ([epsilon]) and permeability. For that purpose, an electronically assisted device was used to measure the powder permeability. In this study, three powders were examined for comparison and better understanding. In addition, the powder permeability was correlated with the paste injectability. Adding 3 wt% of a fine nanosized powder to the [bêta]-TCP powder decreased the mixture permeability at a porosity of [varepsilon] = 67.5% from 6.4.10[exposant]-13 m[exposant]2 to 5.6.10[exposant]-13 m[exposant]2 and increased the injected volume fraction from 70.8[plus ou moins]1.9 % to 84.5[plus ou moins]0.9 %. The results showed clear evidence that the injectability can be improved by admixing different powders. However, permeability was not a strong predictor of the liquid separation phenomenon. The last manuscript provides a practical solution to reduce phase separation occurrence. For that purpose an ultrasonication process was suggested and applied during the delivery process to improve injectability. Specifically, sonicating the paste reduced agglomeration, decreased paste viscosity due to the shear thinning and therefore reduced phase separation. The result of the ultrasound assisted delivery was remarkably effective since it has been able to fully deliver highly concentrated paste, with minimal force exerted by hand. For instance, the injectable volume fraction of a 40% LPR paste injected with a 5-mL syringe increased significantly from 71.3[plus ou moins]0.5 % to 99.1[plus ou moins]0.9 % using 150 microns ultrasonic amplitude at a 20 kHz frequency. This chapter provides clear evidence that an electromechanical approach can be used to improve the injectability of a calcium phosphate paste. This thesis addresses an important limitation of calcium phosphate cements, namely phase separation during injection. This thesis also provides a scientific understanding and a practical solution for this problem. The electromechanical solution proposed here is one out of several possible solutions. Future work may focus on building numerical tools to help in the design of the powder and to understand the link between powder properties, rheology, syringe geometry and phase separation."--Résumé abrégé par UMI

<p>Zebrafish regenerate amputated caudal fins, restoring the size and shape of the original appendage. Regeneration requires generation of diverse cell types comprising the adult fin tissue. Knowledge of the cellular source of new cells and the molecules involved is fundamental to our understanding of regenerative responses. In this dissertation, the contribution made by the bone cells towards fin regeneration is investigated. Fate mapping of osteoblasts revealed that spared osteoblasts contribute only to regenerating osteoblasts and not to other cell types, thereby suggesting lineage restriction during fin regeneration. The functional significance of osteoblast contribution to fin regeneration is tested by developing an osteoblast ablation tool capable of drug induced loss of bone cells. Normal fin regeneration in the absence of resident osteoblast population suggests that the osteoblast contribution is dispensable and provides evidence for cellular plasticity during fin regeneration. To uncover the genes involved in proliferation of osteoblasts within the fin regenerate, a candidate in-situ screen was carried out and revealed bone specific expression of fgfr4 and twist3. Transgenic tools for visualization of gene expression confirmed the screen results. Knockdown of twist3 by morpholino antisense technology impedes fin regeneration. Mutant heterozygotes for twist3 were generated using genome editing reagents, which will enable loss-of-function study in future.</p> / Dissertation

The bone remodelling process, performed by the Bone Multicellular Unit (BMU) is a key multi-hierarchically regulated process, which provides and supports various functionality of bone tissue. It is also plays a critical role in bone disorders, as well as bone tissue healing following damage. Improved modelling of bone turnover processes could play a significant role in helping to understand the underlying cause of bone disorders and thus develop more effective treatment methods. Moreover, despite extensive research in the field of bone tissue engineering, bonescaffold development is still very empirical. The development of improved methods of modelling the bone remodelling process should help to develop new implant designs which encourage rapid osteointegration. There are a number of limitations with respect to previous research in the field of mathematical modelling of the bone remodelling process, including the absence of an osteocyte loop of regulation. It is within this context that this research presented in this thesis utilises a range of modelling methods to develop a framework for bone remodelling which can be used to improve treatment methods for bone disorders. The study concentrated on dynamic and steady state variables that in perspective can be used as constraints for optimisation problem considering bone remodelling or tissue remodelling with the help of the grafts/scaffolds.The cellular and combined allosteric-regulation approaches to modelling of bone turnover, based on the osteocyte loop of regulation, have been studied. Both approaches have been studied different within wide range of rate parameters. The approach to the model validation has been considered, including a statistical approach and parameter reduction approach. From a validation perspective the cellular class of modes is preferable since it has fewer parameters to validate. The optimal control framework for regulation of remodelling has been studied. Future work in to improve the models and their application to bone scaffold design applications have been considered. The study illustrates the complexity of formalisation of the metabolic processes and the relations between hierarchical subsystems in hard tissue where a relatively small number of cells are active. Different types/modes of behaviour have been found in the study: relaxational, periodical and chaotic modes. All of these types of behaviour can be found, in bone tissue. However, a chaotic or periodic modes are ones of the hardest to verify although a number of periodical phenomena have been observed empirically in bone and skeletal development. Implementation of the allosteric loop into cellular model damps other types of behaviour/modes. In this sense it improves the robustness, predictability and control of the system. The developed models represent a first step in a hierarchical model of bone tissue (system versus local effects). The limited autonomy of any organ or tissue implies differentiation on a regulatory level as well as physiological functions and metabolic differences. Implementation into the cellular phenomenological model of allosteric-like loop of regulation has been performed. The results show that the robustness of regulation can be inherited from the phenomenological model. An attempt to correlate the main bone disorders with different modes of behaviour has been undertaken using Paget’s disorder in bone, osteoporosis and some more general skeleton disorders which lead to periodical changes in bone mass, reported by some authors. However, additional studies are needed to make this hypothesis significant. The study has revealed a few interesting techniques. When studying a multidimensional phenomenon, as a bone tissue is, the visualisation and data reduction is important for analysis and interpretation of results. In the study two novel technical methods have been proposed. The first is the graphical matrix method to visualise/project the multidimensional phase space of variables into diagonal matrix of regular combination of two-dimensional graphs. This significantly simplifies the analysis and, in principle, makes it possible to visualise the phase space higher than three-dimensional. The second important technical development is the application of the Monte-Carlo method in combination with the regression method to study the character and stability of the equilibrium points of a dynamic system. The advantage of this method is that it enables the most influential parameters that affect the character and stability of the equilibrium point to be identified from a large number of the rate parameters/constants of the dynamic system. This makes the interpretation of parameters and conceptual verification of the model much easier.