Efficacy of Enamel Matrix
Derivative on Alveolar Ridge Augmentation by Distraction
Osteogenesis
J.M. Kim, J.H. Kim,
T.S. Han, G. Kim, S.S. Kang1 and S.H. Choi*
Chungbuk National University, Cheongju, 361-763,
Republic of Korea; 1Veterinary
Teaching Hospital, College of Veterinary Medicine, Chonnam National
University, Gwangju, 500-757, Republic of Korea *Corresponding author:
shchoi@cbnu.ac.kr
Abstract
Distraction osteogenesis (DO) is a surgical-orthopedic technique
for lengthening a bone by separating or distracting a fractured callus. The aim
of this study was to observe the effects of an enamel matrix derivative (EMD) on
bone repair and regeneration after DO on a canine mandible. Ten adult beagle
dogs were used in this study. Their right and left mandibles were compared as
the test and control groups, respectively. The distraction was undertaken at a
rate of 1 mm per day for 10 consecutive days to yield 10 mm
lengthening of the mandibular corpus. The EMD was treated into the test group at
the site of the lengthened bone. At 0, 1, 3, 6 and 9 weeks after EMD treatment,
the bone mineral density (BMD) at the site of the lengthened bone was measured
using quantitative computed tomography. BMD in the tested group was higher
during consolidation period than in the control. The difference in the BMD of 1
and 3 weeks after EMD treatment was significant (p < 0.05). In histological
findings, new bone formation in the test group was denser than the control
group. These results suggest that the application of an EMD during DO is
suitable method for alveolar ridge augmentation in dogs.
Key words: Bone regeneration;
Distraction osteogenesis; Enamel matrix derivative