Bony defects may be found as a result of congenital anomalies, traumatic injury, automobile collisions and industrial accidents in the maxillofacial area. Such conditions are often associated with severe functional and esthetic problems. Various surgical procedure has been uiilized in attempts to repair and reconstruct bony defects.
Bone is a complex, living, constantly changing tissue. The architecture and composition of cancellous and cortical bone allow the skeleton to perform its essential mechanical functions. Periosteum covers the external surface of bone and consists of two layers : an outer fibrous layer and an inner more cellular and vascular layer. The inner osteogenic layer or cambium layer can form new bone while the outer layer forms part of the insertions of tendons, ligaments and muscles.
This study was under taken to evaluate bone healing process on partial defect of calvarial bone with or without periosteum in rat. We made calvarial defects of different size(4mm, 6mm, 8mm) with periosteum or without periosteum,in rat to study the effect of defect size on healing process. Control and experimental groups saerified at 1, 2, 4, 6, 8 weeks, postoperatively. We examed the specimens by gloss findings, light microscophy, and fluorescent microscophy.
The results were as follows.
1. Gloss findings : Control groups are larger bony defects than experimental groups after 2 weeks, and then control groups advanced healing of defected bone but experimental groups are lesser after 4, 6 weeks. After 8 weeks, bone defect has not been identified in control and experimental group.
2. Light microscope : All defects of control groups are larger bony defects than experimental groups after 2 weeks. And then control groups show smaller defect space after 4 weeks. After 8 weeks, the control group reveal pin-point sized hardly identifiable defect space and the experimental group reveal small,but definite defect space.
3. Fluorescent microscope : Each week, new bone formation of the control group is very similar to the experimental group. In this study, Osteogenesis of calvarial bone defects with periosteum or without periosteum was examined for 8 weeks in rats. The replaced periosteum had batter new bone formation than the removed periosteum.
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