Comparison of Osteoinductive Potential of Autografts vs. Allografts in Mandibular Defect Models
Background: Mandibular defects resulting from trauma, tumors, or congenital anomalies present a significant challenge in craniofacial reconstruction. Bone grafting, including autografts and allografts, is a widely used approach to repair such defects. Autografts, harvested from the patient’s own bod...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-06-01
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| Series: | Journal of Pharmacy and Bioallied Sciences |
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| Online Access: | https://journals.lww.com/10.4103/jpbs.jpbs_1924_24 |
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| author | Pratap Movaniya Ritu Chhatbar Sumit Bhatt Ngangbam Johnson Sing Ashtha Arya Hiral Parmar |
| author_facet | Pratap Movaniya Ritu Chhatbar Sumit Bhatt Ngangbam Johnson Sing Ashtha Arya Hiral Parmar |
| author_sort | Pratap Movaniya |
| collection | DOAJ |
| description | Background:
Mandibular defects resulting from trauma, tumors, or congenital anomalies present a significant challenge in craniofacial reconstruction. Bone grafting, including autografts and allografts, is a widely used approach to repair such defects. Autografts, harvested from the patient’s own body, are considered the gold standard due to their osteogenic, osteoconductive, and osteoinductive properties. However, the limited availability and donor site morbidity have encouraged the use of allografts.
Materials and Methods:
A total of 40 mandibular defect models in rabbits were divided into two groups: Group A (n = 20) treated with autografts and Group B (n = 20) treated with allografts. Standardized 5 mm × 3 mm defects were created bilaterally in the mandible under general anesthesia. Bone grafts were prepared and placed in the defects. Osteoinductive potential was evaluated over 8 weeks using radiographic analysis, histomorphometric assessment, and quantification of bone formation markers, such as osteocalcin and alkaline phosphatase. Arbitrary scores of bone density and new bone formation were measured at 4 and 8 weeks.
Results:
At 4 weeks, Group A (autografts) showed significant bone formation with an average bone density score of 65%, compared with 45% in Group B (allografts) (P < 0.05). By 8 weeks, Group A demonstrated an 85% mean bone density, with complete defect bridging observed in 70% of cases. Group B exhibited delayed bone regeneration, with 65% mean bone density and complete bridging in 40% of cases. Histomorphometric analysis revealed higher osteoblast activity and greater bone volume in the autograft group. Osteocalcin levels were notably higher in Group A (120 ng/mL) compared with Group B (95 ng/mL), confirming superior osteoinductive activity.
Conclusion:
Autografts demonstrated superior osteoinductive potential compared with allografts in mandibular defect models, as evidenced by earlier and more complete bone regeneration. Although allografts remain a viable alternative, their delayed healing response highlights the need for further improvements in graft preparation and bioengineering. Autografts continue to be the preferred choice for mandibular reconstruction when feasible. |
| format | Article |
| id | doaj-art-e5afb06cef154c7ea4415ebfff40d4de |
| institution | DOAJ |
| issn | 0976-4879 0975-7406 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Pharmacy and Bioallied Sciences |
| spelling | doaj-art-e5afb06cef154c7ea4415ebfff40d4de2025-08-20T02:42:21ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062025-06-0117Suppl 2S1399S140110.4103/jpbs.jpbs_1924_24Comparison of Osteoinductive Potential of Autografts vs. Allografts in Mandibular Defect ModelsPratap MovaniyaRitu ChhatbarSumit BhattNgangbam Johnson SingAshtha AryaHiral ParmarBackground: Mandibular defects resulting from trauma, tumors, or congenital anomalies present a significant challenge in craniofacial reconstruction. Bone grafting, including autografts and allografts, is a widely used approach to repair such defects. Autografts, harvested from the patient’s own body, are considered the gold standard due to their osteogenic, osteoconductive, and osteoinductive properties. However, the limited availability and donor site morbidity have encouraged the use of allografts. Materials and Methods: A total of 40 mandibular defect models in rabbits were divided into two groups: Group A (n = 20) treated with autografts and Group B (n = 20) treated with allografts. Standardized 5 mm × 3 mm defects were created bilaterally in the mandible under general anesthesia. Bone grafts were prepared and placed in the defects. Osteoinductive potential was evaluated over 8 weeks using radiographic analysis, histomorphometric assessment, and quantification of bone formation markers, such as osteocalcin and alkaline phosphatase. Arbitrary scores of bone density and new bone formation were measured at 4 and 8 weeks. Results: At 4 weeks, Group A (autografts) showed significant bone formation with an average bone density score of 65%, compared with 45% in Group B (allografts) (P < 0.05). By 8 weeks, Group A demonstrated an 85% mean bone density, with complete defect bridging observed in 70% of cases. Group B exhibited delayed bone regeneration, with 65% mean bone density and complete bridging in 40% of cases. Histomorphometric analysis revealed higher osteoblast activity and greater bone volume in the autograft group. Osteocalcin levels were notably higher in Group A (120 ng/mL) compared with Group B (95 ng/mL), confirming superior osteoinductive activity. Conclusion: Autografts demonstrated superior osteoinductive potential compared with allografts in mandibular defect models, as evidenced by earlier and more complete bone regeneration. Although allografts remain a viable alternative, their delayed healing response highlights the need for further improvements in graft preparation and bioengineering. Autografts continue to be the preferred choice for mandibular reconstruction when feasible.https://journals.lww.com/10.4103/jpbs.jpbs_1924_24allograftsautograftsbone graftsbone regenerationhistomorphometrymandibular defectsosteoinduction |
| spellingShingle | Pratap Movaniya Ritu Chhatbar Sumit Bhatt Ngangbam Johnson Sing Ashtha Arya Hiral Parmar Comparison of Osteoinductive Potential of Autografts vs. Allografts in Mandibular Defect Models Journal of Pharmacy and Bioallied Sciences allografts autografts bone grafts bone regeneration histomorphometry mandibular defects osteoinduction |
| title | Comparison of Osteoinductive Potential of Autografts vs. Allografts in Mandibular Defect Models |
| title_full | Comparison of Osteoinductive Potential of Autografts vs. Allografts in Mandibular Defect Models |
| title_fullStr | Comparison of Osteoinductive Potential of Autografts vs. Allografts in Mandibular Defect Models |
| title_full_unstemmed | Comparison of Osteoinductive Potential of Autografts vs. Allografts in Mandibular Defect Models |
| title_short | Comparison of Osteoinductive Potential of Autografts vs. Allografts in Mandibular Defect Models |
| title_sort | comparison of osteoinductive potential of autografts vs allografts in mandibular defect models |
| topic | allografts autografts bone grafts bone regeneration histomorphometry mandibular defects osteoinduction |
| url | https://journals.lww.com/10.4103/jpbs.jpbs_1924_24 |
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