Jiin-Huey Chern Lin
National Cheng-Kung University, Taiwan
Title: Material properties and clinical performance of a fully resorbable, fast healingstimulating calcium-based bone substitute
Biography
Biography: Jiin-Huey Chern Lin
Abstract
A series of synthetic, inorganic, highly osteoconductive and fully resorbable calcium-based bone substitute materials (Ezechbone®) has been developed by a joint research project of National Cheng-Kung University and Joy Medical Devices Corporation of Taiwan. Reported in this presentation include non-clinical performance and clinical follow-ups for different applications. Ezechbone®Granule is a highly porous granular product characterized by its high resorption rate (totally resorbed and replaced by new bone in 3-6 months), while Ezechbone®Cement is featured by its unique non-dispersive behavior when contacting blood/body fluid without the need of any polymeric or other binder additive. This cement can be applied directly after forming a paste or injected into bone void via a minimally invasive procedure. The safety and efficacy of these medical devices are confirmed by a series of chemical/physical characterization and biocompatibility tests such as cytotoxicity, sub-chronic toxicity, intracutaneous reactivity, skin sensitization, ocular irritation, endotoxin test, hemolysis test, genotoxicity and implantation. Animal models for implantation tests include SD rat femur body, New Zealand white rabbit femur condyle and mandible, Lanyu pig mandible, and osteoporotic goat spine. The histopathologic examination indicates that the implant is always intimately integrated with surrounding bone tissues. Majority of Ezechbone® Granule is readily resorbed and replaced by new bone generally in a one-to-one resorption manner as early as 4W post implantation. The early-stage new bone formation is far faster in Ezechbone® Granule group than in autologous group. Clinical case reports include sinus lift, ridge augmentation, frontal bone augmentation and treatment for various types of fractures.