대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제42권5호
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  • Pages.556-571
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  • 2004
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  • 0301-2875(pISSN)
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  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
권호 표지

가토 경골에 식립된 Ca-P 박막코팅 임프란트의 뒤틀림 제거력 및 조직형태학적 평가

THE EVALUATION OF THE REMOVAL TORQUE AND THE HISTOMORPHOMETRY OF THE CA-P COATING SURFACE IN RABBIT TIBIA

  • 곽명배 (경북대학교 치과대학 보철학교실) ;
  • 이청희 (경북대학교 치과대학 보철학교실)
  • Kwak Myeong-Bae (Department of Prosthodontics, School of Dentistry, Kyungpook National University) ;
  • Lee Cheong-Hee (Department of Prosthodontics, School of Dentistry, Kyungpook National University)
  • 발행 : 2004.10.01
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초록

Statement of problem: Surface texture of the implant is one of the important factors of the implant success, especially in the immediate implant loading. Many methods of the surface treatment of implant have developed and introduced. Purpose : This study was to evaluate the effects of the Ca-P coating implant crystallized the hydroxyapatite on the surface by the removal torque test and the histomorphometric analysis in vivo. Material and methods: 135 screw type implants, 4.0mm in length and 3.75mm in diameter were used in this study. Implants were divided into 3 groups and treated in the different mothods. Group I was not treated, Group II was treated in the SLA method, and Group III was treated in the Ca-P coating with the anodizing method and the hydroxyapatite was crystallized on the surface with the hydrothermal treatment. Firstly, the surface roughness of each group was measured, 45 rabbits were used in this experiment. Two implants were inserted on right tibial metaphysis and one implant was inserted on left side with the alternating order. After the healing periods of 3, 5, and 12 weeks, the rabbits were sacrificed to evaluate the osseointergration by the removal torque test and the histomorphometric analysis. Results : 1. In the analysis for the surface roughness, Group II showed the highest roughness. And Group III showed higher secondly. There was a significant difference one another statistically 2. In the removal torque test, Group III and II were significantly higher than Group I. There was no statistical difference between Group III and Group II. 3. For all Groups, the removal torque values at 12th week were significantly higher than at 3rd and 5th week. 4. In histomorphometric analysis, the bone implant contact rates of Group III and II were higher than that of Group I at 3rd and 5th week. There was a significant difference at 5th week. 5. In histomorphometric analysis, the bone implant contact rate of Group III and II increased from 3rd week to 5th week, but decreased at 12th week. In Group I, the contact rate at 12th week was significantly higher than at 3rd week and 5th week.

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참고문헌

  1. Branemark PI, Osseointegration and its experimental background, J Prosthet Dent, 1983;50:399-410
  2. Albrektsson T, Zarb G, Worthington P et al, The long-term efficacy of currently used dental implants: a review and proposed criteria of success, Int J Oral Maxillofac Implants, 1986;1:11-25
  3. Albrektsson T, Jacobsson M, Bone-metal interface in osseointegration, J Prosthet Dent, 1987;57:597-607
  4. Hansson HA. Albrektsson T Branemark PI, Structural aspects of the interface between tissue and titanium implants, J Prosthet Dent, 1983;50:108-113 https://doi.org/10.1016/0022-3913(83)90175-0
  5. Albrektsson T, Branemark PI, Hansson HA, Lindstrom J, Osseintegrated titanium implants, Acta ORthop Scand, 1981;52:155-170
  6. Cooper LF, A role for surface topography in creating and maintaining bone at titanium endosseous implants, J Prosthet Dent, 2000;84:522-534
  7. Jaffin RA. Berman CL, The excessive loss of Branemark fixtures in type 4 bone, J Periodontology, 1991;62:2-4
  8. Jemt T, Lekholm U, Implant treatment in edentulous maxillae : a 5-year follow-up report on patients with different degrees of jaw resorption, Int J Oral Maxillofac Implants, 1995;10:303-311
  9. Schroeder A. Van Del Zypen E, Stich H, Sutter F, The reaction of bone, connective tissue, and epithelium to endosteal implants with titanium-sprayed surfaces, J Maxillofac Surg, 1981;9:15-25 https://doi.org/10.1016/S0301-0503(81)80007-0
  10. Thomas KA, Cook SD, An evaluation of variables influencing implant fixation by direct bone apposition, J Biomedical Materials Research, 1985;19:875-901
  11. Carlsson L, Rostl und T, Albrektsson B, Albrektsson T, Removal torques for polished and rough titanium implants, Int J Oral Maxillofac Implants, 1988;3:21-24
  12. Buser D, Schenk RK, Steinemann S, Fiorellini JP, Fox CH, Stich H,Influence of surface characteristics on bone integration of titanium implants. A histomorphometric study in miniature pigs, J Biomedical Materials Research, 1991;25:889-902 https://doi.org/10.1002/jbm.820250708
  13. Wennerberg A, Albrektsson T, Andersson B, Eng M, Design and surface characteristicsof 13 commercially available oral implantsy stems, Int J Oral Maxiallofac Implants, 1993;11:38-45
  14. Wennerberg A. Albrektsson T, Andersson B, Krol JJ. A histomorphometric and removal torque study of Screw-shaped titi1hiuIn implants with three different surface topographies, Clin Oral Impl Res, 1995;6:24-30 https://doi.org/10.1034/j.1600-0501.1995.060103.x
  15. Misch CE, Implant Dentistry, Missouri Mosby, 1999;225-237,271-302
  16. Buser D, Nydegger T, Hirt HP, Cochran DL, Nolte L-P, Removal torque values of titanium implants in the maxilla of miniature pigs. A direct comparison of sandblasted and acid-etched with machined and acidetched screw implants, Int J Oral Maxillofac Implants, 1998;13:611-619
  17. Buser D, Nydegger T, Oxland T, Cochran DL, Schenk RK, Hirt HP, Snetivy D, Nolte L-P, Interface shear strength of titanium with sandblasted and acid-etched surface: a biomechanical study in the maxilla of miniature pigs, J Biomedical Materials Research, 1999;45:75-83
  18. Gottlander M, Albrektsson T, Histomorphometric studies of hydroxylapatite- coated and uncoated cp titanium threaded implants in bone, Int J Oral Maxillofac Implants, 1991;6:399-404
  19. Thomas KA, Kay JF, Cook SD, Jarcho M, The effect of surface macrotexture and hydroxylapatite coating on the mechnical strengths and histologic profiles of titanium implant materials, J Biomedical Materials Research, 1987;21:1395-1414
  20. Edmonds RM, Yukna RA, Moses RL, Evaluation of the surface integrity of hydroxyapatite-coated threaded dental implants after insertion, Implant Dentistry, 1996;5:273-278
  21. Karabuda C, Sandalli P, Yalcin S, Steflik DE, Parr GR. Histologic and histomorphometric comparison of immediately placed hydroxyapatite-coated and titanium plasma-sprayed implants: A pilot study in dogs, Int J Oral Maxillofac Implants, 1999;14:510-515
  22. Ishizawa H. Ogino M,Formation and characterization of anodic titanium oxide films containing Ca and P, J Biomedical Materials Research, 1995;29:65-72 https://doi.org/10.1002/jbm.820290110
  23. Ishizawa H, Origno M, Characterization of thin hydroxyapatite layers formed on anodic titanium oxide films containing Ca and P by hydrothermal treatment, J Biomedical Materials Research, 1999;29:1071-1079
  24. Ishizawa H. Fujino M and Ogino M, Mechanical and histological investigation of hydrothermally treated and untreated anodic titanium oxide films containing Ca and P, J Biomedical Materials Research, 1995;29:1459-1468 https://doi.org/10.1002/jbm.820291118
  25. Ishizawa H. Fujino M, Ogino M, Histomorphometric valuation of the thin hydroxyapatite layer formed through anodization followed by hydrothermal treatment, J Biomedical Materials Research, 1997;35:199-206 https://doi.org/10.1002/(SICI)1097-4636(199705)35:2<199::AID-JBM8>3.0.CO;2-I
  26. SuI YT, On the bone response to oxidized titanium implants: The role of microporous structure and chemical composition of the surface oxide in enhanced osseointegration, Ph.D. thesis, 2002
  27. Klokkevold PR. Nishimura RD, Adachi M,Caputo A Osseointegration enhanced by chemical etching of the titanium surface, Clin Oral Impl Res, 1997;8:442-447 https://doi.org/10.1034/j.1600-0501.1997.080601.x
  28. Novaes AB, Souza SLS, Oliverira PT, Souza AMM, Histomorphometric analysis of the bone-implant contact obtained with 4different implant surface treatments placed side by side in the dog mandible, Int J Oral Maxillofac Implants, 2002;17:377-383
  29. Gonshor A. Goveia G, Sotirakis E, A prospective. multicenter, 4-year study of the ACE surgical resorbable blast media implant, J Oral Implantol, 2003;29:174-180 https://doi.org/10.1563/1548-1336(2003)029<0174:APMSOT>2.3.CO;2
  30. Listgarten MA. Buser D, Steinmann SG, Donath K, Lang NP, Weber HP, Light and transmission electron microscopy of the intact interface between non-submerged titanium -coated epoxy resin implants and bone or gingiva, J Dent Res, 1992;71:364-371
  31. Sykaras N, Lacopino AM, Marker VA. Triplett RG, Woody RD, Implant materials, design and surface topograhies: Their effect on osseointegration. A literature review. Int J Oral Maxillofac Implants, 2000;15:675-690
  32. Johansson C, Albrektsson T, Integration of screw implants in the rabbit: A l-year follow up removal torque of titanium implants, Int J Oral Maxillofac Implants, 1987;2:69-75
  33. Anusavice KJ, Dehoff PH. Fairhurst CW, Comparative evaluation of ceramic-metal bond test using finite element stress analysis, J Dent Res, 1980;59: 608-613
  34. Roberts RW, Smith RK, Zibermann Y, Mozsary PG, Smith R. Osseous adaptation to continous loading of rigid endosseous implants, Am J Orthod. 1984;86:95-111 https://doi.org/10.1016/0002-9416(84)90301-4
  35. Wheeler SL, Eight-year clinical retrospective study of titanium plasma-sprayed and hydroxyapatite-coated cylinder implants, Int J Maxillofac Implants, 1996;11:340-350
  36. Block MS, Gardiner D, Kent IN, Misiek DJ, Finger 1M , Guerra L, Hydroxyapatitecoated cylindrical implants in the posterior mandible: 10-year observations, Int J Oral Maxillofac implants, 1996;11:626-633
  37. Takebe J, Itoh S, Okada J, Ishibashi K, Anodic oxidation and hydrothermal treatment of titanium results in a surface that causes increased attachment and altered cytoskeletal morphology of rat bone marrow stromal cells in vitro, J Biomedical Materials Research 2000;51:398-407