Implant Surface Conditioning with Tetracycline-HCl: A SEM Study

2007 ◽  
Vol 361-363 ◽  
pp. 849-852 ◽  
Author(s):  
Y. Herr ◽  
J.A. Woo ◽  
Y.H. Kwon ◽  
J.B. Park ◽  
S.J. Heo ◽  
...  

The increased surface roughness of dental implants has shown enhanced integration of bone tissues to implant surfaces, but may be predisposed to an increased risk of pathogenic bacterial infection and contamination with bacterial products. Tetracycline-HCl (Tc) treatment has been regarded as a practical and effective chemical modality for decontamination and detoxification of contaminated implant surfaces. The purpose of this study was to examine if Tc treatment alters the microstructures of the modified surface of dental implants. For this purpose, dental implants with pure titanium machined surface (MS), sandblasted, large grit, acid-etched surface (SLAS), or anodized surface (AS) were used. The surface of dental implants was rubbed for 30, 60, 90, 120, or 150 sec with sponge pellets soaked in Tc solution (50mg/ml) and in distilled water for 0 and 150 sec as the control group. The specimens were then routinely processed for scanning electron microscopy. The results show that Tc treatment did not change the surface of MS, SLAS, and AS.

2007 ◽  
Vol 33 (1) ◽  
pp. 8-12 ◽  
Author(s):  
Sauro Grassi ◽  
Adriano Piattelli ◽  
Daniel S. Ferrari ◽  
Luciene C. Figueiredo ◽  
Magda Feres ◽  
...  

Abstract The aim of this preliminary study was to evaluate the influence of a sandblasted acid-etched surface on bone-implant contact percentage (BIC%) as well as the bone density in the threads area (BD%) in type 4 bone after 2 months of unloaded healing. Five subjects (mean age = 42.6 years) received 2 microimplants each during conventional implant surgery in the posterior maxilla. The microimplants with commercially pure titanium surface (machined) and sandblasted acid-etched surface served as the control and test surfaces, respectively. After a healing period of 2 months, the microimplants and the surrounding tissue were removed and prepared for ground sectioning and histomorphometric analysis. One microimplant with a machined surface was found to be clinically unstable at the time of retrieval. Histometric evaluation indicated mean BIC% was 20.66 ± 14.54% and 40.08 ± 9.89% for machined and sandblasted acid-etched surfaces, respectively (P = .03). The BD% was 26.33 ± 19.92% for machined surface and 54.84 ± 22.77% for sandblasted acid-etched surface (P = .015). Within the limits of this study, the data suggest that the sandblasted acid-etched implant surface presented a higher percentage of bone-implant contact compared with machined surfaces, under unloaded conditions in posterior maxilla after a healing period of 2 months.


2007 ◽  
Vol 361-363 ◽  
pp. 853-856
Author(s):  
Y. Herr ◽  
S.H. An ◽  
Y.H. Kwon ◽  
J.B. Park ◽  
J.H. Chung

The purpose of treatment for peri-implantitis is to achieve structural and functional restoration of the lost supporting tissues around implants, including re-osseointegration. Both surgical and non-surgical approaches in combination with a variety of anti-microbial treatment regimens have been applied depending on the size and shape of the bone defect. Tetracycline-HCl (Tc) treatment has been considered as a effective chemical modality for decontamination and detoxification of contaminated implant surfaces. The aim of this study was to examine if Tc conditioning changes the microstructures of the modified surface of dental implants. Dental implants with (1) hydroxyapatite-coated surface (HAS) (Replace® select HA, Nobel Biocare AB, Göthenburg, Sweden), (2) TiO2-blasted surface (TBS) (Astra TiOblast®, ASTRA Tech AB, Mölndal, Sweden) were used in this study. Tc treatment noticeably altered the surface of HAS and TBS. HAS and TBS were partially removed from the implant surface as early as 90 and 60 sec, respectively.


2007 ◽  
Vol 361-363 ◽  
pp. 749-752
Author(s):  
J. Strnad ◽  
Jan Macháček ◽  
Z. Strnad ◽  
C. Povýšil ◽  
Marie Strnadová

This study was carried out to assess the bone response to alkali-modified titanium implant surface (Bio surface), using histomorphometric investigation on an animal model. The mean net contribution of the Bio surface to the increase in bone implant contact (BIC) with reference to the turned, machined surface was evaluated at 7.94 % (BIC/week), within the first five weeks of healing. The contribution was expressed as the difference in the osseointegration rates ( BIC/'healing time) between the implants with alkali modified surface (Bio surface) and those with turned, machined surface. The surface characteristics that differed between the implant surfaces, i.e. surface morphology, specific surface area, contact angle, hydroxylation/hydration, may represent factors that influence the rate of osseointegration.


Materials ◽  
2020 ◽  
Vol 13 (14) ◽  
pp. 3061 ◽  
Author(s):  
Ji-Youn Hong ◽  
Seok-Yeong Ko ◽  
Wonsik Lee ◽  
Yun-Young Chang ◽  
Su-Hwan Kim ◽  
...  

A porous titanium structure was suggested to improve implant stability in the early healing period or in poor bone quality. This study investigated the effect of a porous structure on the osseointegration of dental implants. A total of 28 implants (14 implants in each group) were placed in the posterior mandibles of four beagle dogs at 3 months after extraction. The control group included machined surface implants with an external implant–abutment connection, whereas test group implants had a porous titanium structure added to the apical portion. Resonance frequency analysis (RFA); removal torque values (RTV); and surface topographic and histometric parameters including bone-to-implant contact length and ratio, inter-thread bone area and ratio in total, and the coronal and apical parts of the implants were measured after 4 weeks of healing. RTV showed a significant difference between the groups after 4 weeks of healing (p = 0.032), whereas no difference was observed in RFA. In the test group, surface topography showed bone tissue integrated into the porous structures. In the apical part of the test group, all the histometric parameters exhibited significant increases compared to the control group. Within the limitations of this study, enhanced bone growth into the porous structure was achieved, which consequently improved osseointegration of the implant.


2010 ◽  
Vol 36 (2) ◽  
pp. 85-90 ◽  
Author(s):  
Susana d'Avila ◽  
Leonardo Delfino dos Reis ◽  
Adriano Piattelli ◽  
Kelly C. S. Aguiar ◽  
Marcelo de Faveri ◽  
...  

Abstract Smoking has adverse effects on peri-implant bone healing and can cause bone loss around successfully integrated implants placed on type IV bone. This study evaluated the influence of implant surface topography of microimplants retrieved from posterior maxilla of smokers after 2 months of unloaded healing. Seven partially edentulous patients received 2 microimplants (machined and sandblasted acid-etched surface) each during conventional implant surgery. Histometric evaluation showed that the mean bone to implant contact was 10.40 ± 14.16% and 22.19 ± 14.68% to machined and sandblasted acid-etched surfaces, respectively (P < .001). These data suggest that the sandblasted acid-etched surface presented better results than the machined surface after a short healing time in smokers.


Author(s):  
Y. Herr ◽  
J.A. Woo ◽  
Y.H. Kwon ◽  
J.B. Park ◽  
S.J. Heo ◽  
...  

2006 ◽  
Vol 36 (3) ◽  
pp. 731
Author(s):  
Ju-Young Han ◽  
Joon-Bong Park ◽  
Young-Hyuk Kwon ◽  
Yeek Herr ◽  
Jong-Hyuk Chung

2020 ◽  
Vol 10 (19) ◽  
pp. 6762
Author(s):  
Lyly Sam ◽  
Siriporn Chattipakorn ◽  
Pathawee Khongkhunthian

Background: Survival of dental implants in well-controlled Type 2 diabetes (T2DM) was found to be comparable to that in healthy patients. However, to our best knowledge, there have been no studies of the bone histomorphometry of osseointegration in patients with Type 2 diabetes. Purpose: To compare bone-implant-contact (BIC) and new bone formation between well-controlled Type 2 diabetes with HbA1c of less than 8% and healthy controls. Methods: 10 diabetic (T2DM) patients and 10 healthy controls were selected. Each patient received a 2.5 mm × 5 mm micro-implant in the maxilla, in either the premolar or first molar area. After 8 weeks of healing, the micro-implant was retrieved using a trephine bur and sent for bone histomorphometric analysis. A commercial titanium implant was immediately placed as the conventional treatment. Results: The mean BIC (30.73%) in T2DM patients was significantly lower than in the healthy patients (41.75%) (p = 0.01). New bone formation around the implant surface was reduced in T2DM patients (36.25%) compared to that in the control group (44.14%) (p = 0.028). The Pearson correlation coefficient revealed a strong correlation between increased HbA1c and decreased BIC (p < 0.05) and decreased new bone formation (p < 0.05). Conclusions: Within the limitation of this study, bone-to-implant contact and bone healing around dental implants in T2DM patients were significantly lower than in healthy patients.


Materials ◽  
2021 ◽  
Vol 14 (9) ◽  
pp. 2258
Author(s):  
Saturnino Marco Lupi ◽  
Alessandra Nicole Sassi ◽  
Alessandro Addis ◽  
Ruggero Rodriguez y Baena

Despite high rates of osseointegration in healthy patients, complex cases present an increased risk of osseointegration failure when treated with dental implants. Furthermore, if immediate loading of the implants is used, maximizing the response of the host organism would be desirable. Anabolic steroids, such as Nandrolone Decanoate (ND), are reported to have beneficial clinical effects on various bone issues such as osteoporosis and bone fractures. However, their beneficial effects in promoting osseointegration in dental implant placement have not been documented. The study aimed to examine histological changes induced by ND in experimental dental implants in rabbit models. Two dental implants were placed in the tibias of 24 adult rabbits. Rabbits were allocated to one of two groups: control group or test group. Rabbits in the latter group were given nandrolone decanoate (15 mg/kg, immediately after implant placement and after 1 week). Micro-radiographic and histological analyses were assessed to characterize the morphological changes promoted by the nandrolone decanoate use. Total bone volume and fluorescence were significantly higher in the control group after 2 weeks. Such a difference between the two groups might indicate that, initially, nandrolone lengthens the non-specific healing period characteristic of all bone surgeries. However, after the beginning of the reparative processes, the quantity of newly formed bone appears to be significantly higher, indicating a positive stimulation of the androgen molecule on bone metabolism. Based on micro-radiology and fluorescence microscopy, nandrolone decanoate influenced bone regeneration in the implant site. The anabolic steroid nandrolone decanoate affects the healing processes of the peri-implant bone and therefore has the potential to improve the outcomes of implant treatment in medically complex patients.


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