산화 티타늄 블라스팅 임프란트 표면구조에 대한 염산 테트라싸이클린의 영향

Micromorphometric change of Ti$O_2$ blast implant surface conditioned with tetracycline-HCI

  • 이정민 (경희대학교 치의학전문대학원 치주과학교실, 구강생물학연구소) ;
  • 허익 (경희대학교 치의학전문대학원 치주과학교실, 구강생물학연구소) ;
  • 권영혁 (경희대학교 치의학전문대학원 치주과학교실, 구강생물학연구소) ;
  • 박준봉 (경희대학교 치의학전문대학원 치주과학교실, 구강생물학연구소) ;
  • 정종혁 (경희대학교 치의학전문대학원 치주과학교실, 구강생물학연구소) ;
  • 허성주 (서울대학교 치의학전문대학원 치과보철학교실)
  • Lee, Jung-Min (Department of Periodontology and Institute of Oral Biology, School of Dentistry, Kyung Hee University) ;
  • Herr, Yeek (Department of Periodontology and Institute of Oral Biology, School of Dentistry, Kyung Hee University) ;
  • Kwon, Young-Hyuk (Department of Periodontology and Institute of Oral Biology, School of Dentistry, Kyung Hee University) ;
  • Park, Joon-Bong (Department of Periodontology and Institute of Oral Biology, School of Dentistry, Kyung Hee University) ;
  • Chung, Jong-Hyuk (Department of Periodontology and Institute of Oral Biology, School of Dentistry, Kyung Hee University) ;
  • Heo, Seong-Joo (Department of Prosthodontics, School of Dentistry, Seoul National University)
  • 발행 : 2007.09.30

초록

The present study was performed to evaluate the surface roughness and effect of Tetracycline-HCI on the change of implant surface microstructure according to application time. Ti$O_2$ surface Implant was utilized. Implant surface was rubbed with 50mg/ml Tetracycline-HCI solution for 0.5min, 1min, 1.5min, 2min, 2.5min and 3min respectively in the Tetracycline-HCI group. Then, specimens were measured surface roughness and processed for scanning electron microscopic observation. The results of this study were as follows. 1. Ti$O_2$ blast implant surface showed increased surface roughness 1.5 minute after treatment with Tetracycline-HCI. But, there were not significant differences in saline group after treatment. 2. Tetracycline-HCI group showed changed surface micro-morphology in SEM after 1.5 minute. There were not significant differences in saline group after treatment. 3. Between Tetracycline-HCI group and saline group, there were difference in surface roughness change and SEM micro-morphology. Tetracycline-HCI have influence on Ti$O_2$ blast implant surface. In conclusion, the detoxification with 50mg/ml Tetracycline-HCI must be applied respectively with different time according to various implant surfaces.

키워드

참고문헌

  1. Albrektsson T, Zarb G, Worthington P, Eriksson AR, 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
  2. Meffert RM, Langer B, Fritz ME. Dental implants: A review, J Periodontal 1992;63: 859-870 https://doi.org/10.1902/jop.1992.63.11.859
  3. Quirynen M, Naert I, Van Steenberghe D, Fixture design and overload influence marginal bone loss and fixture success in the Branemark system. Clin Oral Implants Res 1992 :3:104-111 https://doi.org/10.1034/j.1600-0501.1992.030302.x
  4. lsidor F. Loss of osseointegration caused by occlusal load of oral implants. Clin Oral Implants Res 1996:7:143-152 https://doi.org/10.1034/j.1600-0501.1996.070208.x
  5. AJbrektsson TO, Johansson CB, Sennerby L. Biological aspects of implant dentistry: Osseointegration, Periodontal 2000 1994:4: 58-73 https://doi.org/10.1111/j.1600-0757.1994.tb00006.x
  6. Mombelli A, Van Oosten MAC, Schiirch EJ, Lang NP. The microbiota associated with successful or failing osseointegrated titanium implants. Oral Microbiol Immunol 1987:2: 145-151 https://doi.org/10.1111/j.1399-302X.1987.tb00298.x
  7. Baron M, Haas R, Dortbudak O, Watzek G, Experimentally induced peri-implantitis: A review of different treatment methods described in the literature, Int J Oral Maxillofac Implants 2000:4:533-544
  8. Hickey JS, O'Neal RB, Scheidt MJ, et al. Microbiologic characterization of ligature induced peri-implantitis in the microswine model. J Periodontal 1991;62:548-553 https://doi.org/10.1902/jop.1991.62.9.548
  9. Berglundh T, Lindhe J, Ericsson I, et al. The soft tissue barrier at implants and teeth, Clin Oral Implant Res 1991;2:81-90 https://doi.org/10.1034/j.1600-0501.1991.020206.x
  10. Berglundh T, Lindhe J, Jonsson K, Ericsson I The topography of the vascular systems in the periodontal and peri-implant tissue in the dog, J Clin Periodontol 1994: 21:189-193 https://doi.org/10.1111/j.1600-051X.1994.tb00302.x
  11. Mombelli A, Lang NP. The diagnosis and treatment of peri-implantitis. Periodontol 2000 1998;17:63-76 https://doi.org/10.1111/j.1600-0757.1998.tb00124.x
  12. Roos-Jansaker AM. Renvert S, Egelberg J. Treatment of peri-implant infections: A literature review, J Clin Periodontol 2003; 6:467-485
  13. Esposito M, Hirsch J, Lekholm U, Thomsen P, Differential diagnosis and treatment strategies for biologic complications and failing oral implants: A review of the literature. Int J Oral Maxillofac Implants 1999;4: 473-490
  14. Zablotsky MH, Diedrich OL, Meffert RM. Detoxification of endotoxin contaminated titanium and hydroxyapatite-coated surfaces utilizing various chemotherapeutic and mechanical modalities. Implant Dent 1992: 2:154-158
  15. Dennison DK. Huerzeler MB, Quinones C, Caffesse RG. Contaminated implant surfaces: An in vitro comparison of implant surface coating and treatment mo dalities for decontamination. J Periodontol 1994:10: 942-918
  16. Krozer A, Hall J, Ericsson I. Chemical treatment of machined titanium surfaces. An in vitro study, Clin Oral Implants Res 1999;3:204-211
  17. Somerman MJ. Foster RA. Vorsteg GM, Progebin K, Wynn RL. Effects of minocycline on fibroblast attachment and spreading. J Periodontal Res 1988;2:154-159
  18. Meffert RM, How to treat ailing and failing implants. Implant Dent 1992:1:25-33 https://doi.org/10.1097/00008505-199200110-00003
  19. Mombelli A, Feloutzis A, Bragger U, Lang NP. Treatment of peri-implantitis by local delivery of tetracycline. Clinical, microbiological and radiological result. Clin Oral Implants Res 2001;12:287-294 https://doi.org/10.1034/j.1600-0501.2001.012004287.x
  20. Jovanovic SA, Kenney EB, Carranza EA, Donath K. The regenerative potential of plaque induced peri -implant bone defects treated by a submerged membrane technique: An experimental study. Int J Oral Maxillofac Implants 1993;8:13-18
  21. Cooper L. A role for surface topography in creating and maintaining bone at titanium endosseous implants. J Prosthet Dent 2000; 84:522-534 https://doi.org/10.1067/mpr.2000.111966
  22. Wong M, Eulenberger J, Schenk R. and Hunziker E. Effect of surface topography on the osseointegration of implant materials in trabecular bone. J Biomed Mater Res 1995;29:1567-1575 https://doi.org/10.1002/jbm.820291213
  23. Wennerberg A. Torque and histomorphometric evaluation of titanium screws blasted with 25 and 75$\mu$ m sized particles AI203. J of Biomedical Material Res 1996; 30:251-260 https://doi.org/10.1002/(SICI)1097-4636(199602)30:2<251::AID-JBM16>3.0.CO;2-P
  24. Wennerberg A, Albrektsson T. Suggested Guidelines for the Topographic Evaluation of Implant Surfaces Int J Oral Maxillofacial Implants 2000;15:331-334
  25. Nikitas S. Implant Materials, Design and Surface Topographies Int J Oral Maxillofac Implant 2000;15:675-690
  26. Ellingsen J.E, Lyngstadaas S.P, Bio-implant interface: Improving Biomaterials and tissue reaction. CRC Press 2003:323-340
  27. Ivanoff CJ, Hallgren C, Widmark G, Sennerby L, Wennerberg A. Histologic Evaluation of the bone integration of Ti02 blasted and turned titanium micro implant in humans. Clin Oral Imp Res 2001:12:128-134 https://doi.org/10.1034/j.1600-0501.2001.012002128.x
  28. Hurzeler MB, Quinones CR, Morrison EC, Caffesse RG. Treatment of peri-implantitis using guided bone regeneration and bone grafts, alone or in combination, in beagle dogs. Part 1: Clinical findings and histologic observations Int J Oral Maxillofac Implants 1995:4:474-484
  29. Hurzeler MB, Quinones CR, Schupbach P, Morrison EC, Caffesse RG. Treatment of peri-implantitis using guided bone regeneration and bone grafts, alone or in combination, in beagle dogs. Part II: Histologic finding. Int J Oral Maxillofac Implants 1997;12:168-175
  30. Persson LG, Ericsson I, Berglundh T, Lindhe J. Guided bone regeneration in the treatment of peri-implantitis and replacement of implant components. An experimental study in the dog. J Clin Periodontal 2001;28: 258-263 https://doi.org/10.1034/j.1600-051x.2001.028003258.x
  31. Persson LG, Berglundh T, Lindhe J, Sennerby L. Re-osseointegration after treatment of peri-implantitis at different implant surfaces. An experimental study in the dog. Clin Oral Implants Res 2001;6:595-603
  32. 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 Biomed Mater Res 1991:7:889-902
  33. Rimondini L, Fare S, Brambilla E, et al. The effect of surface roughness on early in vivo plaque colonization on titanium. J Periodontal 1997:6:556-562
  34. Lindhe J, Karring T, Lang NP. Surface topography of titanium implants. Clinical periodontology and implant dentistry 2003; 4th edition: 821-828
  35. Schou S, Holmstrup P, Jorgensen T, et al. Anorganic porous bovine-derived bone mineral(Bio-Oss) & e-PTFE membrane in the treatment of peri-implantitis in cynornolgus monkeys. Clin Oral Implants Res 2003;5:535-547
  36. Thomson-Neal D, Evans GH, Meffert RM. Effects of various prophylactic treatments on titanium, sapphire, and hydroxyapatite-coated implants: An SEM study, Int J Periodontics Restorative Dent 1989;4: 300-311
  37. Chairay JP, Boulekbache H, Jean A, Soyer A, Bouchard P, Scanning electron microscopic evaluation of the effects of an air-abrasive system on dental implants: A comparative in vitro study between machined and plasma-sprayed titanium surfaces. J Pariodontol 1997; 68: 1215-1222 https://doi.org/10.1902/jop.1997.68.12.1215
  38. Augthun M, Tinschert J, Huber A. In vitro studies on the effect of cleaning methods on different implant surfaces. J Periodontol 1998:69:857-864 https://doi.org/10.1902/jop.1998.69.8.857
  39. Rimondini L, Cicognani Simoncini F, Carrassi A. Micro-morphometric assessment of titanium plasma-sprayed coating removal using burs for the treatment of peri-implant disease. Clin Oral Implants Res 2000;2:129-138
  40. Baker P, Evans R, Coburn R, Genco R. Tetracycline and its derivatives strongly bind to and are released from tooth surface in active form. J Periodontal 1983;54:580-585 https://doi.org/10.1902/jop.1983.54.10.580