scholarly journals Surface Modification of Dental Implants - A Review

2021 ◽  
Vol 10 (17) ◽  
pp. 1246-1250
Author(s):  
Shamaa Anjum ◽  
Arvina Rajasekar
Keyword(s):  
Surface Roughness ◽  
Surface Modification ◽  
Dental Implants ◽  
Surface Engineering ◽  
Surface Modifications ◽  
Calcium Phosphate Coating ◽  
Acid Etching ◽  
Success Rates ◽  
Implant Surface ◽  
Osteoblast Activity

The use of dental implants for the replacement of missing teeth has increased in the last 30 years. The success rates for implant placement depend on a series of both biological and clinical steps which starts with primary stability that is being provided by the amount, quality and the distribution of bone within the proposed implant site. The most important factor in implant osseointegration is surface roughness, which shows increased osteoblast activity at 1 to 100 μm of the surface roughness when compared to a smooth surface. Rough surfaces have excellent osseointegration than smooth surfaces, but the results of research have been diverse, and it is evident that multiple treatments provide good results. The surfaces of a dental implant have been modified in several ways to improve its biocompatibility and speed up osseointegration. Literature says that any surface modification provides a good surface for osseointegration of the implant when the surface roughness is about 0.44 ~ 8.68 μm. It is also said that acid etching and coating are the most preferred methods for creating good roughness of the implant surface. From animal studies, it is known that implant surface modifications provided by biomolecular coating seemed to enhance the osseointegration by promoting peri-implant bone formation in the early stages of healing. It also seemed to improve histomorphometric analysis and biomechanical testing results. This article reviews the surface modifications of dental implants for the achievement of better success rates. Various methods are used to modify the topography or the chemistry of the implant surfaces which includes acid etching, anodic oxidation, blasting, treatment with fluoride, and calcium phosphate coating. These modifications provide a faster and a stronger osseointegration.1 Recently, hydrophilic properties added to the roughened surfaces or some osteogenic peptides coated on the surfaces shows higher biocompatibility and have induced faster osseointegration compared to the existing modified surfaces. With development in surface engineering techniques, new information on the properties, behaviour, and the reaction of various materials could be discovered which in turn allows the discovery of new materials, modification techniques and design of bio implants for the future. KEY WORDS Dental Implants, Surface Modifications, Biocompatibility, Surface Topography

Implant Surface Modification and Osseointegration-Past, Present and Future

2014 ◽  
Vol 8 (2) ◽  
pp. 113-118 ◽  
Author(s):  
A Kumar ◽  
V Kumar ◽  
M Goel ◽  
R Mehta ◽  
G Bhayana ◽  
...  
Keyword(s):  
Surface Modification ◽  
Surface Properties ◽  
Dental Implant ◽  
Research Evidence ◽  
Surface Modifications ◽  
Biological Fixation ◽  
Implant Surface ◽  
Jaw Bones

ABSTRACT Biological fixation between the dental implant surfaces and jaw bones should be considered a prerequisite for the long-term success of implant-supported prostheses. The implant surface modifications gained an important and decisive place in implant research over the last years. Nowadays, a large number of implant types with a great variety of surface properties and other features are commercially available and have to be treated with caution. Although surface modifications have been shown to enhance osseointegration at early implantation times, for example, the clinician should look for research evidence before selecting a dental implant for a specific use.

Relative Effect of Sand Blasting and Acid Etching on the Surface Roughness of Pure Titanium and Titanium Alloy for Dental Implants

2014 ◽  
Vol 1043 ◽  
pp. 145-148
Author(s):  
Yashkta Shivalingam Nadar ◽  
Muralithran Govindan Kutty ◽  
Abdul Razak Abdul Aziz
Keyword(s):  
Surface Roughness ◽  
Titanium Alloy ◽  
Oxide Layer ◽  
Dental Implants ◽  
Titanium Oxide ◽  
Pure Titanium ◽  
Relative Effect ◽  
Acid Etching ◽  
Sand Blasting ◽  
Relative Contribution

The objective of this study is to investigate the effect of sandblasting and acid etching on the surface roughness and morphology of pure titanium and titanium alloy to compare their relative contribution. Both of these samples were first sandblasted and then acid etched using HCL and H2SO4for different duration and temperature. The results of this study indicated that the roughness value for pure titanium increased after acid etching while the opposite occurred for the titanium alloy. It is suggested that the decrease is due to significant over etching of the protective titanium oxide layer on the alloy.

Titanium Surface Modification Techniques for Implant Fabrication – From Microscale to the Nanoscale

2010 ◽  
Vol 5 ◽  
pp. 39-56 ◽  
Author(s):  
Karthikeyan Subramani
Keyword(s):  
Surface Modification ◽  
Dental Implants ◽  
Tio2 Nanotubes ◽  
Titanium Surface ◽  
In Vivo Studies ◽  
Contact Ratio ◽  
Implant Surface ◽  
Surface Modification Techniques

This manuscript reviews about titanium surface modification techniques for its application in orthopaedic and dental implants. There are a few limitations in the long term prognosis of orthopaedic and dental implants. Poor osseointegration with bone, periimplant infection leading to implant failure and short term longevity demanding revision surgery, are to mention a few. Micro- and nanoscale modification of titanium surface using physicochemical, morphological and biochemical approaches have resulted in higher bone to implant contact ratio and improved osseointegration. With recent advances in micro, nano-fabrication techniques and multidisciplinary research studies focusing on bridging biomaterials for medical applications, TiO2 nanotubes have been extensively studied for implant applications. The need for titanium implant surface that can closely mimic the nanoscale architecture of human bone has become a priority. For such purpose, TiO2 nanotubes of different dimensions and architectural fashions at the nanoscale level are being evaluated. This manuscript discusses in brief about the in-vitro and in-vivo studies on titanium surface modification techniques. This manuscript also addresses the recent studies done on such nanotubular surfaces for the effective delivery of osteoinductive growth factors and anti bacterial/ anti inflammatory drugs to promote osseointegration and prevent peri-implant infection.

scholarly journals Preparation of Bioactive Titanium Surfaces via Fluoride and Fibronectin Retention

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Carlos Nelson Elias ◽  
Patricia Abdo Gravina ◽  
Costa e Silva Filho ◽  
Pedro Augusto de Paula Nascente
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Osteoblastic Cells ◽  
Acid Etching ◽  
Implant Surface ◽  
Force Microscopy ◽  
Dental Implant Surface ◽  
Before And After ◽  
Titanium Surfaces

Statement of Problem. The chemical or topographic modification of the dental implant surface can affect bone healing, promote accelerated osteogenesis, and increase bone-implant contact and bonding strength.Objective. In this work, the effects of dental implant surface treatment and fibronectin adsorption on the adhesion of osteoblasts were analyzed.Materials and Methods. Two titanium dental implants (Porous-acid etching and PorousNano-acid etching followed by fluoride ion modification) were characterized by high-resolution scanning electron microscopy, atomic force microscopy, and X-ray diffraction before and after the incorporation of human plasma fibronectin (FN). The objective was to investigate the biofunctionalization of these surfaces and examine their effects on the interaction with osteoblastic cells.Results. The evaluation techniques used showed that the Porous and PorousNano implants have similar microstructural characteristics. Spectrophotometry demonstrated similar levels of fibronectin adsorption on both surfaces (80%). The association indexes of osteoblastic cells in FN-treated samples were significantly higher than those in samples without FN. The radioactivity values associated with the same samples, expressed as counts per minute (cpm), suggested that FN incorporation is an important determinant of thein vitrocytocompatibility of the surfaces.Conclusion. The preparation of bioactive titanium surfaces via fluoride and FN retention proved to be a useful treatment to optimize and to accelerate the osseointegration process for dental implants.

scholarly journals Impact of Dental Implant Surface Modifications on Osseointegration

2016 ◽  
Vol 2016 ◽  
pp. 1-16 ◽  
Author(s):  
Ralf Smeets ◽  
Bernd Stadlinger ◽  
Frank Schwarz ◽  
Benedicta Beck-Broichsitter ◽  
Ole Jung ◽  
...  
Keyword(s):  
Dental Implants ◽  
Survival Rates ◽  
Surface Modifications ◽  
Comprehensive Overview ◽  
Implant Surface ◽  
Oral Rehabilitation ◽  
New Techniques ◽  
Surface Design ◽  
Dental Implant Surface ◽  
Experimental Surface

Objective.The aim of this paper is to review different surface modifications of dental implants and their effect on osseointegration. Common marketed as well as experimental surface modifications are discussed.Discussion.The major challenge for contemporary dental implantologists is to provide oral rehabilitation to patients with healthy bone conditions asking for rapid loading protocols or to patients with quantitatively or qualitatively compromised bone. These charging conditions require advances in implant surface design. The elucidation of bone healing physiology has driven investigators to engineer implant surfaces that closely mimic natural bone characteristics. This paper provides a comprehensive overview of surface modifications that beneficially alter the topography, hydrophilicity, and outer coating of dental implants in order to enhance osseointegration in healthy as well as in compromised bone. In the first part, this paper discusses dental implants that have been successfully used for a number of years focusing on sandblasting, acid-etching, and hydrophilic surface textures. Hereafter, new techniques like Discrete Crystalline Deposition, laser ablation, and surface coatings with proteins, drugs, or growth factors are presented.Conclusion.Major advancements have been made in developing novel surfaces of dental implants. These innovations set the stage for rehabilitating patients with high success and predictable survival rates even in challenging conditions.

scholarly journals Defining surfaces : Implant topography – a review (Preprint)

2018 ◽  
Author(s):  
Preeti Satheesh Kumar ◽  
Vyoma Venkatesh Grandhi ◽  
Vrinda Gupta
Keyword(s):  
Surface Roughness ◽  
Surface Topography ◽  
Dental Implants ◽  
Sol Gel ◽  
Implant Surface ◽  
Research Publications ◽  
Bone To Implant Contact ◽  
Titanium Dental Implants

BACKGROUND . A variety of claims are made regarding the effects of surface topography on implant osseointegration. The development of implant surfaces topography has been empirical, requiring numerous in vitro and in vivo tests. Most of these tests were not standardized, using different surfaces, cell populations or animal models. The exact role of surface chemistry and topography on the early events of the osseointegration of dental implants remain poorly understood. OBJECTIVE This review considers the major claims made concerning the effects of titanium implant surface topography on osseointegration. The osseointegration rate of titanium dental implants is related to their composition and surface roughness. The different methods used for increasing surface roughness or applying osteoconductive coatings to titanium dental implants are reviewed. Important findings of consensus are highlighted, and existing controversies are revealed. METHODS This review considers many of the research publications listed in MEDLINE and presented in biomedical research publications and textbooks. Surface treatments, such as titanium plasma-spraying, grit-blasting acid-etching,alkaline etching, anodization,polymer demixing ,sol gel conversion and their corresponding surface morphologies and properties are described. RESULTS Many in vitro evaluations are not predictive of or correlated with in vivo outcomes. In some culture models, increased surface topography positively affects pro-osteogenic cellular activities. Many studies reveal increase in bone-to-implant contact,with increased surface topography modifications on implant surfaces. CONCLUSIONS Increased implant surface topography improves the bone-to-implant contact and the mechanical properties of the enhanced interface.

scholarly journals Critical Role of Etching Parameters in the Evolution of Nano Micro SLA Surface on the Ti6Al4V Alloy Dental Implants

Materials ◽  
2021 ◽  
Vol 14 (21) ◽  
pp. 6344
Author(s):  
Pankaj Chauhan ◽  
Veena Koul ◽  
Naresh Bhatnagar
Keyword(s):  
Surface Topography ◽  
Dental Implants ◽  
Dental Implant ◽  
Ti6al4v Alloy ◽  
Alloy Surface ◽  
Acid Etching ◽  
Implant Surface ◽  
Dental Implant Surface ◽  
Etching Parameters ◽  
Cp Ti

The surface of dental implants plays a vital role in early and more predictable osseointegration. SLA (sandblasted large grit and acid-etched) represents the most widely accepted, long-term clinically proven surface. Primarily, dental implants are manufactured by either commercially pure titanium (CP-Ti) or Ti6Al4V ELI alloy. The acid etch behavior of CP-Ti is well known and its effects on the surface microstructure and physicochemical properties have been studied by various researchers in the past. However, there is a lack of studies showing the effect of acid etching parameters on the Ti6Al4V alloy surface. The requirement of the narrow diameter implants necessitates implant manufacturing from alloys due to their high mechanical properties. Hence, it is necessary to have an insight on the behavior of acid etching of the alloy surface as it might be different due to changed compositions and microstructure, which can further influence the osseointegration process. The present research was carried out to study the effect of acid etching parameters on Ti6Al4V ELI alloy surface properties and the optimization of process parameters to produce micro- and nanotopography on the dental implant surface. This study shows that the Ti6Al4V ELI alloy depicts an entirely different surface topography compared to CP-Ti. Moreover, the surface topography of the Ti6Al4V ELI alloy was also different when etching was done at room temperature compared to high temperature, which in turn affected the behavior of the cell on these surfaces. Both microns and nano-level topography were achieved through the optimized parameters of acid etching on Ti6Al4V ELI alloy dental implant surface along with improved roughness, hydrophilicity, and enhanced cytocompatibility.

Effect of Acid Etching on Surface Chemistry and Microstructure of HA and CMP Grit-Blasted Ti Surface

2006 ◽  
Vol 309-311 ◽  
pp. 391-394
Author(s):  
A.W. Haryadi ◽  
Chang Kuk You ◽  
Shin Yoon Kim ◽  
Eui Kyun Park ◽  
Kyo Han Kim ◽  
...  
Keyword(s):  
Surface Roughness ◽  
Surface Chemistry ◽  
Dental Implants ◽  
Acid Concentration ◽  
Etching Rate ◽  
Acid Etching ◽  
Etching Time ◽  
Etching Solution ◽  
Grit Blasting

Grit blasting using bioactive HA and biodegradable CMP followed by acid etching has been done. HNO3 and H3PO4 were used for the etching solution by controlling the concentration and etching time to know the effect on the surface chemistry and morphology of the Ti implant. Characterization of samples was done by using SEM, EDX and surface profilometer. The contents of residues on Ti surface decreased with increasing acid concentration and etching time. It was observed that the acidic etching rate of HA grits on Ti surface was faster than that of CMP grits. And HNO3 etched more rapidly the HA and CMP grits on Ti surface, compared to H3PO4. Therefore, the surface roughness of dental implants can be controlled by having appropriate combination of acid concentration and etching time.

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