A STUDY ON THE STABILITY OF 5 DIFFERENT SURFACE TREATMENT METHODS TO DENIAL IMPLANT USING RESONANCE FREQUENCY AND HISTOMORPHOMETRIC ANALYSIS

표면처리가 다른 5종 임플랜트의 안정성에 관한 연구

  • Kim Sun-Jong (Major in Dentistry, Department of Medical Science, Graduate School, Korea University) ;
  • Shin Sang-Wan (Major in Dentistry, Department of Medical Science, Graduate School, Korea University) ;
  • Jung Sung-Min (Well Dental Clinic) ;
  • Ryu Jae-Jun (Major in Dentistry, Department of Medical Science, Graduate School, Korea University)
  • 김선종 (고려대학교 의과대학 치과학교실) ;
  • 신상완 (고려대학교 의과대학 치과학교실) ;
  • 정성민 (웰치과) ;
  • 류재준 (고려대학교 의과대학 치과학교실)
  • Published : 2005.02.01

Abstract

Purpose. The purpose of this study was to compare the effects of various surface treatments by measuring resonance frequency and histomorphometric analyses. Material and methods. In 5 adult dogs, the mandibular premolar were extracted. Six months later, 30 screw titanium implants (Dentium Co., Seoul, Korea) 6mm in length and 3.4mm in diameter, were placed in the mandibles of 5 dogs. Implants were divided into five groups following to surface treatment methods ; Group 1 is machined controls, Group 2 is sandblasted with large grit and acid-etched (SLA), Group 3 is anodized (Autoelectric Co., Korea, 660Hz, Duty10), Group 4 is hydroxyapatite(HA) coated by ion beam assisted deposition(E-beam), Group 5 is hydroxyapatite(HA) coated with Sol-gel coating process. Resonance frequency was measured implant placement immediately, and 3, 6 weeks and 10 weeks of healing perods. With the animal subject's sacrifice 10 weeks after implantation, implants were removed on bloc and histologic and computer-based histomorphometric analyses were performed. Histomorphometric analysis involved quantification of the entire bone to metal contact around the implants. Statistical analyses were performed using the SPSS for Windows (ver. 9.0 SPSS Inc.) Statistical differences were considered significant at P<0.05. Results. The results were as follows : 1) In five groups, mean value of resonance frequency analysis(RFA) were highest in group 5 (Sol-gel implant) at implantation and those of group 4 (E-beam)was highest at 10 weeks . but there was no correlation between surface treatments and RFA. 2) In all surface treatment groups, the RFA values of implants decreased until 3 weeks and increased to 10 weeks. 3) The percentage of direct bone-to-implant contact (BIC) had statistical significance between five groups in cancellous bone, (P<0.05) the percentage of bone density inside the thread had no statistical significance between five groups. (P>0.05) 4) There was a significant difference between cortical bone and cancellous bone in BIC. (P<0.05) and bone density. (P<0.05) 5) There was a correlation between the RFA value of implants at 10 weeks and BIC in cancellous bone, and between the RFA value of implants at 10 weeks and bone density in cortical bone. (P<0.05). Conclusions. These results indicate that surface treatment does not affect the implant stability in case of good bone quality.

Keywords

References

  1. Adell R, Lekholm U, RockIer B, Branemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaws. Int J Oral Surg 1981;6:387
  2. Branemark PI. Introduction to osseointegration. Tissue-integrated prostheses. Osseointegration in clinical dentistry. Chicago, Quintessence Publishing Co., 1985;11-76
  3. Adell R, Eriksson B, Lekholm U. Branemark PI. Jemt T. A long-term follow-up study of osseointegrated implants in the treatment of totally edentulous jaws. Int J Oral and Maxillofac Impl 1990;5:347-359
  4. Van Steenberge D, Lekholm U, Bolender C, Folmer T, Henry P, Herrmann I. The applicability of osseintegrated oral implants in the rehabilitation of partial edentulism. A prospective multicenter study of 558 fixtures. Int J Oral and Maxillofac Impl 1990;5:271-281
  5. Albreksson T. Osseointegrated titanium implants. Acta Orthop Scand 1981;52:155-170 https://doi.org/10.3109/17453678108991776
  6. Gottlander M, Albrektsson T. Histomorp-hometric studies of hydroxylapatite-coated and uncoated CP titanium threaded implants in bone. Int J Oral and Maxillofac Impl 1991;6:399-404
  7. Wennerberg A, Albrektsson T, Andersson B. Design and surface characteristics of 13 commercially available oral implant systems. Int J Oral and Maxillofac Impl 1993;8:622-633
  8. Friberg B, Sennerby L, Meredith N, Lekholm U. A comparison between cutting torque and resonance frequency measurements of maxillary implants. A 20-month study. Int J Oral Maxillofac Surg 1999a;28:297-303 https://doi.org/10.1016/S0901-5027(99)80163-5
  9. Rompen E, DaSilva D, Lundgren AK. Stability measurements of a double-threaded titanium implant design with turned or oxidized surface. Applied Osseointegration Research 2000;2:18-20
  10. Glauser R, Portmann M, Ruhstaller P. Initial implant stability using different implant designs and surgical techniques. Applied Osseointegration Research 2001;2:6-8
  11. Sennerby L, Thomsen P, Ericson LE. Early bone tissue responses to titanium implants inserted in rabbit cortical and cancellous bone. Int J Oral and Maxillofac Impl 1992;7:62-71
  12. Esposito M, Hirsch JM, Lekholm U. Biological factors contributing to failures of osseointegrated oral implants. Eur J Oral Sci 1998;106:721-764 https://doi.org/10.1046/j.0909-8836..t01-6-.x
  13. Jaffin RA, Berman CL. The excessive loss of Branemark fixtures in type IV bone 5-year analysis. J Periodont 1991;62:2-4 https://doi.org/10.1902/jop.1991.62.1.2
  14. Lekholm M, Zarb GA. Patient selection and preparation Tissue integrated Prostheses. 1985;3:199-209
  15. Meredith N. On the clinical measurement of implant stability and osseointegration. Ph.D. thesis, Institute for Surgical Sciences, Goteborg University, Goteborg, Sweden. 1997
  16. Meredith N, Alleyne D, Cawley P. Quantitative determination of the stability of the implant-tissue interface using resonance frequency analysis. Clin Oral Impl Res 1996;7:221
  17. Meredith N, Book K, Friberg, Jemt T, Sennerby L. Resonance frequency measurements of implant stability in vivo. Clin Oral Impl Res 1997;12:226
  18. Meredith N, Rasmussen L, Sennerby L, Alleyne D. Mapping implant stability by resonance frequency analysis. Med Sci Research 1996;24:191
  19. Guglielmotti MB, Renou S. A Histomorphometric Study of tissue Interface by laminar implant test in rats. Int J Oral and Maxillofac Impl 1999;14:565-570
  20. O' Sullivan D, Sennerby L, Meredith N. Measurements comparing the initial stability of five designs of dental implant. A human cadever study. Clin Implant Dent Relat Res 2000;2:85-92 https://doi.org/10.1111/j.1708-8208.2000.tb00110.x
  21. Spiekermann H, Jansen VK, Richter EJ . A 10 year follow-up study of IMZ and TPS implants in the edentulous mandible using bar-retained overdentures. Int J Oral and Maxillofac Impl 1995;10:231-243
  22. Albrektsson T, Sennerby L. Direct bone anchorage of Oral Implants. Int J Prosthodontics 1993;3:30-41
  23. Vercaigne S, Wolke JGC, Vaert I. Bone Healing capacity of titanium plasma-sprayed and hydroxyapatite-coated oral implants. Clin Oral Imp Research 1998;9:261-271 https://doi.org/10.1034/j.1600-0501.1998.090407.x
  24. Ivanoff C-J, Sennerby L, Lekholm U. Influence of mono- and bicortical anchorage on the integration of titanium implants. A study in the rabbit tibia. Int J Oral Maxillofac Surgery 1996;25:229-235 https://doi.org/10.1016/S0901-5027(96)80036-1
  25. Roberts E, Garetto L, Brezniak N. Bone physiology and metabolism. Contemporary Implant Dentistry. St. Louis: Mosby-year Book. 1994;327-368
  26. Shulte W. The Periotest periodontal status.Zahnarztl Mitt 1986;76:1
  27. Shulte W. A new field of application of the Periotest method The occlusal-Periodontal load can now be measured quantitatively. Zahnarztl Mitt 1988;78:474
  28. Friberg B, Sennerby L, Grondahl K, Bergstrom C, Back T. On cutting torque measurements during implants during implant placement. A 3-year clinical prospective study. Clin Implant Dent Relat Res 1999b;1:75-83 https://doi.org/10.1111/j.1708-8208.1999.tb00095.x
  29. Simpson J, Snetivy D. The ITI${\circledR}$ Straumann SLA surface. 1998 Straumann 1-4
  30. Patrick J, Albert E, Tan S, Brent P. Removal torque comparison of Tiunite${\circledR}$ and turned implants in the greyhound dog mandible. Applied Osseointegration Research 2000;1:15- 17
  31. Albrektsson T, Dahl E, Enbom L, Engevall S, Engquist B, Eriksson AR. Osseoint-egrated implants a swedish multicenter study of 8139 consecutively inserted Nobel-pharma implants. J Periodontol 1988;59:287-296 https://doi.org/10.1902/jop.1988.59.5.287
  32. Misch CE. Bone density:effect on treatment planning, surgical approach and progressive loading. Int J Oral and Maxillofac Impl 1990;6:23-31
  33. Buser D, Schenk RK, Steinemann S, Fiorelli JP, Fox CH, Stich H. Influence of surface characteristics on Bone integration of titanium implants. A histomorphometric syudy in miniature pigs. J Biomed Mater Res 1991;28:889-902
  34. Derhami K, Wolfaardt J, Dent M, Faulkner G, Grace M. Assessment of the Periotest device in base line mobility measurements of craniofacial implants. Int J Oral and Maxillofac Impl 1995;10:221
  35. Tufekci E, Brantley WA, Mitchell JC. Crystallographic characteristics of plasmasprayed calcium phosphate coatings on Ti-6AI-4V. Int J Oral and Maxillofac Impl 1999;14:661-672
  36. Carlsson L, Rostlund T, Albrektsson T. Removal torques for polished and rough titanium implants. Int J Oral Maxillofac Implants 1988;3:21-24
  37. Yoshinari M, Ohtsuka Y, Derand T. Thin hydroxyapatite coating produced by the ion beam dynamic mixing method. Biomaterials 1994;15:529-535 https://doi.org/10.1016/0142-9612(94)90019-1
  38. Plattelii A, Manzon L, Scarano A, Paolantonio M. Histologic and Histomorphometric analysis of the bone response to machined and sandblasted titanium Implants: An experimental study in rabbits. Int J Oral and Maxillofac Impl 1998;13:805-810
  39. Yoshinari M, Ozeki K, Sumii T. Properties of hydroxyapatite-coated Ti-6Al_4V alloy produced ion plating method. Bull Tokyo Dent Coll 1991;32:147-156
  40. Overgaard S, Soballe K, Josephsen K, Hansen ES, Bunger C. Role of different loading conditions on resorption of hydroxyapatite coating evaluated by histo-morphometric and stereological methods. J of Orthopaedic and sports physical therapy 1997;25:409
  41. Han C-H, Johansson C. Wennerberg A, Albrektsson T. Quantitative and qualitative investigations of surface enlarged titanium and titanium alloy implants. Clin Oral and Implants Research 1998;1:1-10
  42. Plattelii A, Manzon L, Scarano A, Paolantonio M. Histologic and histomorphometric analysis of the bone response to machined and sandblasted titanium Implants: An Experimental study in rabbits. Int J Oral and Maxillofac Impl 1998;13:805-810
  43. Cameron H, Pilliar RM, MacNab I. The effect of movement on the bonding of porous metal to bone. J Biomed Mater Res 1973;7:301-11 https://doi.org/10.1002/jbm.820070404
  44. Johansson C, Albrektsson T. Integration of screw implants in the rabbit: A 1-year follow up removal torque of titanium implants. Int J Oral and Maxillofac Impl 1987;2:69-75
  45. Lazzara RJ, Testori T, Trisi P, Porter SS, Weinstein. RL. A human histologic analysis of Osseotite${\circledR}$ and machined surfaces using implants with 2 opposing surfaces. Int J Periodontics Restorative Dent 1999;19:117-129
  46. Cui FZ, Luo ZS, Feng QL. Highly adhesive. hydroxyapatite coatings on titanium alloy formed by ion beam assisted deposition. J Mater Sci Mater Med 1997;8:403-405 https://doi.org/10.1023/A:1018597320022
  47. Park CJ. A study on the change of implant stability using resonance frequency analysis. PhD thesis, 2003, Seoul National University, Korea
  48. Yoshinari M, Klinge B, Derand T. The bio-compatibility of hydroxy-apatite-coated implants created by ion beam dynamic mixing. Clin Oral Implants Res 1996;7:96-100 https://doi.org/10.1034/j.1600-0501.1996.070202.x
  49. Larsson C, Thompsen P, Aronsson B-O. Bone response to surface modified titanium implants. Studies on the early tissue response to machined and electropolished implants with different oxide thickness. Biomaterials 1996;17:605-616 https://doi.org/10.1016/0142-9612(96)88711-4
  50. Johansson P, Strid KG. Assessment of bone quality from cutting resistance during implant surgery. Int J Oral and Maxillofac Impl 1994;9:279-288
  51. Larsson C, Thomsoen P, Aronsson B-O. Bone response to surface modified titanium implants. Studies on the tissue response after one year to machined and electropolished implants with different thickness. J of Mat Sci Materials in medicine 1997;8:721-729 https://doi.org/10.1023/A:1018548225899
  52. Wennerberg A, Albrrektsson T. Suggested guidelines for the topographic evaluation of implant surfaces. Int J Oral and Maxillofac Impl 2000;15:331-344
  53. Jung YC. Effects of the ion beam assisted deposition of hydroxyapatite on osscointegration of the endosseous implants in rabbit tibiae. PhD thesis,2000, Yonsei University, Korea
  54. Johansson CB, Han CH, Wennerberg A, Albrektsson T. A quantitative comparison of machined commercially pure titanium and titaniurn-aliminum-vanadium implants in rabbit bone. Int J Oral and Maxillofac Impl 1998;13:315-321
  55. Deporter DA, Watson PA, Pilliar RM. A histological assessment of the initial healing response adjacent to porous syrfaced Ti alloy dental implants in dogs. J dent Res 1986;65:1064-1070 https://doi.org/10.1177/00220345860650080501
  56. Buser D, Schenk RK, Steinemann S. Influence of surface characteristics on bone integration of titanium implants. A histomorphometric study in miniature pigs. J Biomed Mater Res 1991;25:889-902 https://doi.org/10.1002/jbm.820250708
  57. Pilliar RM, Deporter PA, Watson PA, The effect of partial coating with hydroxyapatite on bone remodeling in relation to porous-coated titanium-alloy dental implants in the dog. J Dent Res 1991;70:1338-1345 https://doi.org/10.1177/00220345910700100501