Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
권호 표지

Bone-to-Implant Contact according to the Surface Roughness of the Implants

임플란트의 표면조도가 골융합에 미치는 영향

  • Choi, Kwi-Hyun (Department of Periodontology, College of Dentistry, Kyung Hee University) ;
  • Herr, Yeek (Department of Periodontology, College of Dentistry, Kyung Hee University) ;
  • Lee, Man-Sub (Department of Periodontology, College of Dentistry, Kyung Hee University) ;
  • Kwon, Young-Hyuk (Department of Periodontology, College of Dentistry, Kyung Hee University)
  • 최귀현 (경희대학교 치과대학 치주과학교실) ;
  • 허익 (경희대학교 치과대학 치주과학교실) ;
  • 이만섭 (경희대학교 치과대학 치주과학교실) ;
  • 권영혁 (경희대학교 치과대학 치주과학교실)
  • Published : 2003.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study was performed to evaluate the difference of the bone-to-implant contact according to the surface roughness of the implants. Two beagles were used in the experiment. Extraction of the all premolars was performed in the mandible. In 3 months of healing, screw-shaped pure titanium machined surface implants (Implantium(R), Dentium Co. Korea), implants blasted with 45${\mu}m$ $TiO_2$ particles, (Implantium(R), Dentium Co. Korea) and implants blasted with 100${\mu}m$ $TiO_2$ particles (Implantium(R), Dentium Co. Korea) in diameter 3.4mm and length 6mm were installed in the edentulous mandible. Each dog was sacrificed at 4, 12 weeks after placement and then nondecalcified specimens were prepared for histologic analysis. The results of this study were as follows. 1. At 4 , 12 weeks after the surgery, bone-to-implant contact in the surface blasted with $TiO_2$ particles was higher than that in the pure titanium machined surface respectively. 2. Osseointegration in the surface blasted with 45${\mu}m$ $TiO_2$ particles was more increased than that in the surface blasted with 100${\mu}m$ $TiO_2$ particles. 3. Bone-to-implant contact was increased with time independent of surface roughness. 4. Bone formation was in the outfolded area more than inside the threads independent of surface roughness. From the above results, we were able t o find the most bone-to-implant contact in 45${\mu}m$ $TiO_2$ blasted implant.

Keywords

References

  1. Albrektsson, T., Branemark, P-I., Hansson, H-A., and Lindstorm, J. : Osseointegrated Titanium Implants. Requirements for ensur- ing a long-lasting direct bone-to-implant anchorage in man. Acta. Orthop. Scand., 52: 155-170, 1981
  2. Meffert, R. M., Block, M. S., and Kent, J. N. : What is osseointegration? Int. J. Perio. Restorative. Dent.. 4: 9-21, 1987
  3. Branemark, P-I. : Osseointegration and its experimental background. J. Prosthet. Dent., 50 : 399-410, 1983
  4. Adell, R., Lekholm, U., Rockler, B., and Branemark, P-I. : A 15-year study of osseointegrated impalnts in the treatment of the edentulous jaw. Int. J. Oral. Surg., 10(6) : 387-416, 1981 https://doi.org/10.1016/S0300-9785(81)80077-4
  5. Misch, C. E. : Contemporary Implant denti-stry, Mosby Co. pp3-17. 1993
  6. Adell, R. : Clinical results of osseointegrated impalnts supporting fixed prosthesis in edentulous jaws. J. Prosthet. Dent., 50 : 251-270, 1987
  7. Hobo, S., Ichida, E., and Garcia, L. T. : Osseointegration and Occlusal Rehabilita- tion, Quintessence Co., pp21-32, 1989
  8. Albrektsson, T. : Direct bone anchorage of dental implants. J. Prosthet. Dent., 50 : 255-261, 1983
  9. Kasemo, B. : Biocompatibility of titanium implants: Surface science aspects. J. Pro- sthet. Dent., 49 : 832-837, 1983
  10. Parr, G. R., Gardner, L. K., and Toth, R. W. : Titanium : The mystery metal of implant dentistry. Dental materials aspects. J. Pro- sthet. Dent., 54 : 410-413, 1985
  11. Branemark, P-I, Zarb, G. A., and Albrek- sson, T. : Tissue integrated prosthesis. Osseointegration in clinical dentistry. Chicago : Quintessence Publishing Co., Inc., 1985
  12. Gottlander, M., and Albrektsson, T. : Histomorphometric studies of hydroxylapa- tite-coated and uncoated CP titanium threaded implants in bone. Int. J. Oral. Maxillofac. Implants., 6 ; 399-404, 1991
  13. Gottlander, M., and Albrektsson, T. : A Histomorphometric study of unthreaded hydroxyapatite coated and titanium coated implants in rabbit bone. Int. J. Oral. Max- illofac. Implants., 7 : 485-490, 1992
  14. Wennerberg, A., Ektessabi, A., Albrektsson, T., Johansson, C., and Andersson, B. : A 1-year follow-up of implants of differing surface roughness placed in rabbit bone. Int. J. Oral. Maxillofac. Implant., 12 ; 486-494, 1997
  15. Adell, R., Ericksson, B., Lekholm., U., Branemark, P-I., and Jemt, T. : A long-term follow-up study of osseointegrated implants in the treatment of totally edentulous jaws. Int. J. Oral. Maxillofac. Implants., 5 : 347-359, 1990
  16. Buser, D., Warrer, K., Karring, T., and Stich, H. : Titanium implants with a true period- ontal ligament ; An alternative to osseoin- tegrated implants ? Int. J. Oral. Maxillofac. Implants., 5 : 113-116, 1990
  17. Steinemann, S.C. : The properties of titanium. Oral implantology, Basics-ITI hollow cylin- der : 37-58, 1991
  18. Bowers, K.T., Keller, J.C., and Michaels, C.M. : Optimization of surface micromor- phology for enhanced osteoblast responses in vitro. Int. J. Oral. Maxillofac. Implants., 7 ; 302-310, 1992
  19. Warren, B.S., Felton, D.A., and Cooper, L.F. : A retrospective radiographic analysis of bone loss following placement $TiO_2$ Grit- blasted implants in the posterior Mx. and Mn. Int. J. Oral. Maxillofac. Implants., 17 ; 399-404, 2002
  20. Sykaras, N., Iacopino, A. M., and Woody, R. D. : Implant materials, designs and surface topographies: Their effect on osseointe- gration. Int. J. Oral. Maxillofac. Implants., 15 ; 675-690, 2000
  21. Wennerberg, A., Hallgren, C., and Johansson, C. : A histomorphometric evaluation of serew shaped implants each prepared with two surface roughnesss. Clin Oral Implants Res., 1998 :9:11-19
  22. Wennerberg, A., Albrektsson, T., Johan- sson, C., and Andersson, B. : Experimental study of turned and grit-blasted screw- shaped implants with special emphasis on effects of blasting material and surface topography. Biomaterials., 1996 Jan ; 17(1) :15-22
  23. Wennerberg, A., Albrektsson, T., and Lau- smaa, J, : Torque and histomorphometric evaluation of c.p. titanium screws blasted with 25- and 75- microns-sized particles of A1203. J Biomed Mater Res., 1996 Feb;30 (2):251-60
  24. Wennerberg, A., Albrektsson, T., and An- dersson, B. : Bone tissue response to com- mercially pure titanium implants blasted with fine and coarse particles of aluminum oxide. Int. J. Oral. Maxillofac. Implants., 11 : 38-45, 1996
  25. Ericksson, B., Johansson, C., and Norton, M. R. : A histomorphometric evaluation of bone- to-implant contact of machineprepared and roughened titanium dental implants. Clin Oral Implants Res., 1994 : 5 : 202-206
  26. Ivanoff, C., Hallgren, C., and Wennerberg, A. : Histologic evaluation of the bone in- tegration of TiO2 blasted and turned titan- ium microim-plants in humans. Clin Oral Implants Res., 2001 : 12: 128-134 https://doi.org/10.1034/j.1600-0501.2001.012002128.x
  27. Gotfredsen, K., Wennerberg, A., Johansson, C., Skovgaard, L.T., and Hjorting-Hansen, E. : Anchorage of TiO2-blasted, HA-coated, and machined implants: an experimental study with rabbits. J Biomed Mater Res., 1995 Oct ; 29(10) : 1223-1231
  28. Boyan, B. D., Dean, D.D., and Schwartz, Z. : Role of material surfaces in regulating bine and cartilage cell response. Biometerials., 17 : 137-146
  29. Kirsch, A., and Donath, K. : Tierexperimen- tile untersuchungen zur bedeutung der mik- romor-phologie von titanimplantatober flachen. Fortschr Zahnarzl Implantol, 1984 ; 1: 35-40
  30. Cooper, L. F., Whitson, S. W., and Felton, D.A. : Formation of mineralizing osteoblast cultures on machined, TiO2-blasted, plasma sprayed titanium surfaces. Int. J. Oral. Maxillofac. Implants., 14 ; 37-47, 1999
  31. Carranza, F. A., and Newman, M. G. : Glinkman's Clinical Periodontology. 8th ed. Saunders, Philadelphia and London. pp. 61-83, 161-172, 185-205, 493-509, 1996
  32. Schnitman, P. A., Wohrle, P. S., Rubenstein, E., Da Salva, J. D., and Wang, N-H. : Ten-year results for Br${\aa}$nemark impalnts immediately loaded with fixed prosthesis at implant placement. Int. J. Oral. Maxillofac. Implants., 12 ; 495-503, 1997
  33. Adell, R., Lekholm, U., Grondahl, K., Branemark, P-I., Lindstrom, J., and Jacobsson, M. : Reconstruction of severely resorbed edentulous maxillae using osseointegrated fixtures in immediate autogenous bone grafts. Int. J. Oral. Maxillofac. Implants., 5 : 233-246, 1990
  34. Donath, K., and Breuner, G. A. : A method the study of uncalcified bones and teeth with attached soft tissue. J. Oral. Pathol., 11 : 318-326, 1982
  35. Carlsson, L., Rostlund, T., Albrektsson, B., Albrektsson, T., and Branemark, P-I. : Osseointegration of titanium implants. Acta. Orthop. Scand., 57 : 285-289, 1986
  36. David, A., Eitenmuller,J., Muhr, G., Ostermann, P.A., Schildhauer, T.A., and Pommer, A. : Mechanical and histological evaluation of hydroxyapatite-coated, titan- iumcoated and grit-blasted surfaces under weight-bearing conditions. Arch Orthop Trauma Surg., 1995 ; 114(2) : 112-8 https://doi.org/10.1007/BF00422838
  37. Feighan, J.E., Goldberg, V.M., Davy, D., Parr, J.A., and Stevenson, S. : The influ- ence of surface-blasting on the incorpora- tion of titaniumalloy implants in a rabbit intramedullary model. J. Bone Joint Surg. Am., 1995 Sep ; 77(9) : 1380-95
  38. Gotfredsen, K., Berglundh, T., and Lindhe, J. : Anchorage of titanium implants with different surface characteristics : an exper- imental study in rabbits. Clin. Implant Dent. Relat, Res., 2000 ; 2(3) : 120-8
  39. Johansson, C., and Albrektsson, T. : Integra- tion of screw implants in the rabbit ; a 1-year follow-up of removal torque of titanium implants. Int. J. Oral. Maxillofac. Implants., 2 : 69-75, 1987
  40. Hallgren, C., Sawase, T., Ortengren, U., and Wennerberg, A. : Histomorphometric and mechanical evaluation of the bone- tissue response to implants prepared with different orientation of surface topography. Clin. Implant Dent. Relat. Res., 2001 ; 3(4) : 194-203
  41. Sanz, A., Oyarzun, A., Farias, D., and Diaz, I. : Experimental study of bone re- sponse to a new surface treatment of end- osseous titanium implants. Implant Dent., 2001 ; 10(2) : 126-31 https://doi.org/10.1097/00008505-200104000-00009
  42. Abrahamsson, I., Zitzmann, N.U., Bergl- undh, T., Wennerberg, A., and Lindhe, J. : Bone and soft tissue integration to ti- tanium implants with different surface to- pography: an experimental study in the dog. Int J Oral Maxillofac Implants., 2001 May-Jun ; 16(3) : 323-32