Person: López Cabarcos, Enrique
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First Name
Enrique
Last Name
López Cabarcos
Affiliation
Universidad Complutense de Madrid
Faculty / Institute
Farmacia
Department
Química en Ciencias Farmacéuticas
Area
Química Física
Identifiers
3 results
Search Results
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Item Bone augmentation in rabbit calvariae: comparative study between Bio-Oss® and a novel B-TCP/DCPD granulate(Journal of Clinical Periodontology, 2006) Tamimi, Faleh; Torres García-Denche, Jesús; Tresguerres, Isabel; Clemente, Celia; López Cabarcos, Enrique; Blanco Jerez, LuisAim: In the present in vivo study, we compare the bone regeneration capacity of a novel brushite cement synthesized in our laboratory (DTG) with Bio-Oss® using rabbits as an animal model. Methods: The study was performed in a group of 14 adult New Zealand rabbits using the bone conduction model. Two titanium cylinders were fixed into perforated slits made on the parietal cortical bone of each rabbit. One cylinder was left empty (negative control) and the other was filled with either Bio-Oss® or brushite set cement granules (test cylinder). Four weeks after the intervention, the animals were sacrified and biopsies were taken. The following parameters were analysed: bone tissue augmentation, bone mineral density and biomaterials resorption. The comparison of data between the different groups was performed using the Mann-Whitney test with a significance level of p<0.05. Results: The mean bone mineral density and augmented mineral tissue inside the test cylinders were similar but higher than those of negative controls. Material resorption and bone tissue augmentation were significantly higher in the defects treated with the brushite-based set cement (p<0.05). Conclusions: Brushite cement granules were more resorbable and generated more bone tissue than Bio-Oss® inside the titanium cylinders placed in the rabbit calvaria.Item Platelet-rich plasma may prevent titanium-mesh exposure in alveolar ridge augmentation with anorganic bovine bone(Journal of Clinical periodontology, 2010) Torres García-Denche, Jesús; Tamimi, Faleh; Alkhraisat, Mohammad Hamdan; Manchon, Angel; Linares, Rafael; Prados Frutos, J. C.; Hernández, Gonzalo; López Cabarcos, EnriqueObjective: Bone augmentation with the titanium-mesh (Ti-mesh) technique is susceptible to a large rate of complications such as morbidity of bone graft donor site, and mesh exposure to the oral cavity. The purpose of this study was to evaluate the effectiveness of anorganic bovine bone (ABB) in alveolar bone augmentation with the Ti-mesh technique. In addition, we investigated the effect of platelet-rich plasma (PRP) in preventing mesh exposure by using it to cover the Ti-mesh. Patients and methods: Patients included in the clinical trial were randomly allocated by a blinded assistant into two groups. The 30 patients recruited for this study underwent 43 alveolar bone augmentation with the Ti-mesh technique using ABB as graft material in all of them. In 15 patients, the Ti-meshes were covered with PRP (PRP group) whereas in the other 15 the Ti-meshes were not (control group). After 6 months, patients were called for clinical, radiographic and histological evaluation, and implant placement surgery. A total of 97 implants were placed in the augmented bone and their evolution was followed up for a period of 24 months. Results: Significant differences were found between the two study groups in terms of complications and bone formation. In the control group, 28,5% of the cases suffered from mesh exposure, while in the PRP group, no exposures were registered. Radiographic analysis revealed that bone augmentation was higher in the PRP group than in the control group. Overall, 97,3% of implants placed in the control group and 100% of those placed in the PRP group were successful during the monitoring period. We suggest that the positive effect of PRP on the Ti-mesh technique is due to its capacity to improve soft tissue healing, thereby protecting the mesh and graft material secured beneath the gingival tissues. Conclusions: Alveolar bone augmentation using ABB alone in the Ti-Mesh technique is sufficient for implant rehabilitation. Besides, covering the Ti-meshes with PRP was a determining factor in avoiding mesh exposure. Ti-Mesh exposure provoked significant bone loss, but in most cases it did not affect the subsequent placement implants.Item Effect of platelet-rich plasma on sinus lifting: a randomized-controlled clinical trial(Journal of Clinical Periodontology, 2009) Torres García-Denche, Jesús; Tamimi, Faleh; Martinez, Pedro Pablo; Alkhraisat, Mohammad Hamdan; Linares, Rafael; Hernández, Gonzalo; Torres Macho, Juan; López Cabarcos, EnriqueObjective: The combination of anorganic bovine bone (ABB) with platelet-rich plasma (PRP)has been widely used in bone regeneration procedures although benefits are still unclear. The purpose of this study was to evaluate whether or not PRP improves the efficacy of ABB in sinus floor augmentation. In addition, we have investigated the effect of residual bone height and tobacco on implant survival in sinus augmentation procedures. Patient and methods: Eighty-seven patients recruited for this study under went 144 sinus floor augmentation procedures using ABB alone or ABB plus PRP (ABB +PRP) in a randomized clinical trial. A total of 286 implants were placed in the augmented bone, and their evolution was followed up for a period of 24 months. In order to investigate on a histological level and any adjunctive effects, we performed an ancillary study in five edentulous patients with a symmetrical severely resorbed maxilla. In these patients, a bilateral sinus augmentation was randomly performed using ABB or ABB+PRP in a splt-mouth design,and after 6 months, bone biopsies were taken from the implant sites for histological and histomorphometric analysis. Results: Overall, 96.2% of ABB and 98.6% of ABB+PRP implant sucess were obtained during the monitoring period and differences were not found between sites grafted with and without PRP in the 87 patients studied. Densitometry assessments and graft resorption were similar in both experimental groups. However, the histological and histomorphometrical analysis in the five edentulous patients revealed that bone augmentation was significantly higher in sites treated with ABB+PRP (p< o igual que 0.05). Another outcome from our study is that the lack of initial bone support (p< o igual que 0.05) and smoking (p=0.05) appeared to have a negative effect on the treatment success, which was accentuated when both circumstances coincided. Conclusions: PRP is not a determined factor for implant survival in sinus lifting procedures. However, this study revealed that PRP can improve the osteoconductive properties of ABB by increasing the volume of new bone formed. Moreover, in sinus augmentation procedures the implant's survival rate appears to be more influenced by the residual bone height or by tobacco than by the type of bone graft.