Histopathological Evaluation of Eggshell and DBM Combination on the Repair of Critical Size Experimental Calvarial Bone Defects in Rats

Document Type : Original Articles

Authors

1 DVM Graduate, Department of Clinical Sciences, Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran

2 Assistant Professor, Department of Clinical Sciences, Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran

3 Associate Professor, Department of Pathobiology, Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran

4 Assistant Professor, Department of Food Hygiene, Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran

10.32592/ARI.2023.78.6.1709

Abstract

Fracture repair is a constant clinical challenge, and finding a method to promote and improve restoration is a primary goal for researchers. This is examined from various perspectives, such as fewer complications, increased speed, and cost-effectiveness. The present study aimed to investigate the effectiveness of eggshell powder, compared to the commercial form of demineralized bone matrix (DBM), in critical-size defects in rat calvarial bone. In this study, 40 adult male Wistar rats were selected and randomly divided into four groups of 10. The first group was the control group (C), the second was the eggshell powder group (E), the third was the DBM group (D), and the fourth was the one simultaneously receiving eggshell powder and DBM (DE). In these groups, a 5 mm diameter defect was created in the calvaria using a trephine. All animals received the appropriate treatment for their group. Each group was then divided into two subgroups of five. On days 30 and 60 post-surgery, these subgroups were euthanized, followed by sampling and histopathology examinations. After evaluating the repair percentage using Quick Photo software, the DE group had the highest repair percentage on days 30 and 60. Groups E and D had similar recovery percentages, with group D having a slightly higher one. There was a significant difference between all three groups and the control group. In conclusion, eggshell powder may potentially serve as a suitable substitute for some transplants.

Keywords


References
1. Alhussary BN, Taqa A, Taqa AAA. Preparation and
Characterization of Natural NanoHydroxyapatite from
Eggshell and Seashell and its Effect on Bone Healing. J
App Veterinary Sci. 2020;5(2):25-32.
2. Kalfas IH. Principles of bone healing. Neuro Focus.
2001;10(4):1-4.
3. Gholami H, Mardjanmehr SH, Dehghan MM, Bonakdar
S, Mohajeri SF. Osteogenic differentiation of
mesenchymal stem cells via osteoblast-imprinted
substrate: in vitro and in vivo evaluation in rat model.
Iranian Journal of Veterinary Medicine. 2019;
13(3):260-269.
4. Safian Boldaji H, Ghorbanzade Sheishi P. The Synthetic
Powders Extracted of Ostrich Eggshell and Evaluated the
Effect of These Bone Powders on Bone Remodeling and
Repairing. Egy J Veterinary Sci. 2021;52(3):373-378.
5. Kattimani VS, Chakravarthi PS, Kanumuru NR,
Subbarao VV, Sidharthan A, Kumar TS, Prasad LK.
Eggshell derived hydroxyapatite as bone graft substitute
in the healing of maxillary cystic bone defects: a
preliminary report. J Int Oral heal. 2014;6(3):15-21.
6. Merzougui M, Mezahi FZ, Dakhouche A, Kherifi D,
Sahnoune F. Improvement of the reactivity of triethyl
phosphate and structural behavior of hydroxyapatite
versus the synthesis conditions by sol–gel route.
Chemical Papers. 2022;76(2):1045-1061.
7. Ripamonti U, Crooks J, Khoali L, Roden L. The
induction of bone formation by coral-derived calcium
carbonate/hydroxyapatite constructs. Biomaterials.
2009;30(7):1428-1439.
8. Tangboriboon N, Kunanuruksapong R, Sirivat A.
Preparation and properties of calcium oxide from
eggshells via calcination. Materials Science-Poland.
2012;30(4):313-322.
9. Ahmad Fara ANK, Yahya MA, Abdullah HZ.
Preparation and characterization of biological
hydroxyapatite (HAp) obtained from Tilapia fish bone.
In Advanced Materials Research (Vol. 1087, pp. 152-
156). Trans Tech Publications Ltd; 2015.
10. Zhang H, Yang L, Yang XG, Wang F, Feng JT, Hua
KC, Li Q, Hu YC. Demineralized bone matrix carriers
and their clinical applications: an overview.
Orthopaedic Sur. 2019;11(5):725-737.
11. Gruskin E, Doll BA, Futrell FW, Schmitz JP, Hollinger
JO. Demineralized bone matrix in bone repair: history
and use. Advan Drug Del Rev. 2012;64(12):1063-1077.
12. Safian Boldaji H, Ghorbanzade Sheishi P. The Synthetic
Powders Extracted from Ostrich Eggshell and Evaluated
the Effect of These Bone Powders on Bone Remodeling
and Repairing. Egyp J Veterinary Sci. 2021;52(3):373-378.
13. Oryan A, Alidadi S, Moshiri A, Maffulli N. Bone
regenerative medicine: classic options, novel strategies,
and future directions. J Orthopaedic Surg Res.
2014;9(1):1-27.
14. Salgado AJ, Coutinho OP, Reis RL. Bone tissue
engineering: state of the art and future trends.
Macromolecular Biosci. 2004;4(8):743-765.
15.Rezaeian R, Moslemi HR, Ahmadi Hamedani M,
Ghaffari Khaligh S. Comparison of the effect of Nano
Ostrich Eggshell and Hydroxyapatite on Bone Defect
Healing in Rat Calvaria. Trauma Monthly.
2020;25(6):236-242.
16. Hench LL. Bioceramics: from concept to clinic. J Amer
Cera Soci. 1991;74(7):1487-1510.
17. Urist MR. Bone: formation by autoinduction. Science.
1965;150(3698):893-899.
18.Burwell RG. Studies IN the transplantation OF bone
VII. The fresh composite homograft-autograft of
cancellous bone. J Bone Joint Sur. 1964;46(1):110-140.
19. Lindholm TS, Nilsson OS, Lindholm TC. Extraskeletal
and intraskeletal new bone formation induced by
demineralized bone matrix combined with bone marrow
cells. Clin Orthop Res. 1982;171:251-255.