Fig. 3. Quantification of type I collagen via ELISA. Data representative of the experiment run in triplicate. Values are expressed as mean (± SD). The asterisk symbol indicates a significant difference between groups (p < 0.05)
Fig. 2. a Cell proliferation in gingival fibroblasts at 24 h, 48 h, and 72 h. The line chart represents the means and standard deviations from three separate experiments. b Cell viability assay in gingival fibroblast at 24 h, 48 h, and 72 h. The line chart represents the means and standard deviations from three separate experiments. The values are expressed in means (± SD). The as...
Fig. 1. Scanning electron microscopy and laser interferometry. a, d Machined surface. b, e 20-min acid treatment. c, f 60-min acid treatment. Original magnification, × 15,000
de Souza, V.Z., Manfro, R., Joly, J.C. et al. Viability and collagen secretion by fibroblasts on titanium surfaces with different acid-etching protocols.
Int J Implant Dent 5, 41 (2019). https://doi.org/10.1186/s40729-019-0192-4
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Received: 09 August 2019
Accepted: 24 October 2019
Published: 21 November 2019
DOI: https://doi.org/10.1186/s40729-019-0192-4
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were m...
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
This study was approved by the Research Ethics Committee of the São Leopoldo Mandic Research Institute, Campinas/SP (protocol No. 59866216.6.0000.5374).
Not applicable.
Vilton Zimmermann de Souza, Rafael Manfro, Júlio César Joly, Carlos Nelson Elias, Daiane Cristina Peruzzo, Marcelo Henrique Napimoga, and Elizabeth Ferreira Martinez state that they have no conflicts of interest.
VZS and EFM interpreted and analyzed the data collected, contributed to the drafting of the paper and revised it critically, and were major contributors in writing the manuscript. RM, JCJ, and CNE contributed to the concept/design of the study and the final manuscript. DCP and MHN critically revised and contributed to the final manuscript. All authors read and approved the final version to be publ...
Division of Implantology, Faculdade São Leopoldo Mandic, Campinas, SP, Brazil
Vilton Zimmermann de Souza, Júlio César Joly & Daiane Cristina Peruzzo
Division of Implantology, SOEBRÁS, Passo Fundo, RS, Brazil
Rafael Manfro
Materials Science Department, Instituto Militar de Engenharia, Rio de Janeiro, RJ, Brazil
Carlos Nelson Elias
Division of Immunology, Faculdade São Leopoldo Mandic,...
The funding received for this study was from the researcher himself.
The authors wish to thank Mrs. Pollyanna Tombini Montaldi for her excellent technical expertise and assistance.
Velasco-Ortega E, Alfonso-Rodríguez CA, Monsalve-Guil L, España-López A, Jiménez-Guerra A, Garzón I, Alaminos M, Gil FJ. Relevant aspects in the surface properties in titanium dental implants for the cellular viability. Mater Sci Eng C Mater Biol Appl. 2016;64:1–10.
Cao J, Wang T, Pu Y, Tang Z, Meng H. Influence on proliferation and adhesion of human gingival fibroblasts from different tit...
Martinez EF, Araújo VC. In vitro immunoexpression of extracellular matrix proteins in dental pulpal and gingival human fibroblasts. Int Endod J. 2004;37(11):749–55.
Lee HJ, Lee J, Lee JT, Hong JS, Lim BS, Park HJ, Kim YK, Kim TI. Microgrooves on titanium surface affect peri-implant cell adhesion and soft tissue sealing; an in vitro and in vivo study. J Periodontal Implant Sci. ...
Chai WL, Moharamzadeh K, Brook IM, Van Noort R. A review of histomorphometric analysis techniques for assessing implant-soft tissue interface. Biotech Histochem. 2011;86(4):242–54.
Buser D, Weber HP, Donath K, Fiorellini JP, Paquette DW, Williams RC. Soft tissue reactions to non-submerged unloaded titanium implants in beagle dogs. J Periodontol. 1992;63(3):225–35.
Schierano G, Ramieri G, Cor...
All data generated or analyzed during this study are included in this published article.
Therefore, the results of the present study indicate that the acid treatments used did not compromise cell growth nor collagen synthesis by gingival fibroblasts compared to machined titanium. The cost-benefit of manufacturing prosthetic abutments with treated surfaces should however be considered. In addition, in vitro studies using human keratinocytes and histological studies in vivo should be pe...
The connective tissue seal around the abutment is crucial for perimplant health. Several efforts have previously been made to optimize abutment surfaces, though without consensus on the ideal surface features. Blasquez et al. [11] have shown in their systematic review that different types of surface modifications for implant abutments may provide benefit to the surrounding connective tissue, which...
The results showed that, regardless of the treatment used, there was no difference in the values of cell proliferation in the different times of analysis. Similarly, cell viability values did not differ, especially after 24 h and 72 h. Corroborating the results of this study, Baltriukiene et al. [17] used grade 2 titanium disks with different surface treatments and demonstrated that the modifi...
Implant dentistry has for years focused on studying the interface between the bone and implant, searching for a suitable seal to prevent the advance of perimplant disease. Long-term prognosis of dental implants, however, depends not only on osseointegration, but also on the quality of the seal between the mucosa and the implant abutment [13].
The seal provided by the contact between mucosal tissu...
The results showed that acid treatment of the titanium surfaces for 20 or 60 min did not affect cell proliferation, either after 24 h (p = 0.484), 48 h (p = 0.698), or 72 h (p = 0.287) (Fig. 2a).
For the cell viability test, loss of viability was observed for the machined surface after 48 h of culture compared to the groups submitted to acid treatment for 20 or 60 min, which did not...
The experiments were repeated three times, under the same conditions, to ensure accuracy.
Quantification of secreted type I collagen by fibroblast cultures on to the different surfaces was evaluated by enzyme-linked immunosorbent assay (ELISA). The supernatant was collected and centrifuged at 336g for 10 min. Type I collagen quantification was carried out using the Human Type I Collagen kit (R&...
This study was approved by the Research Ethics Committee of the São Leopoldo Mandic Research Institute, Campinas/SP (protocol No. 59866216.6.0000.5374). Titanium disks were commercially pure, grade 4 (n = 108), measuring 6 mm in diameter by 2 mm in thickness, provided by the company Conexão Sistemas de Próteses (Arujá, São Paulo).
For the treatment of titanium disk surfaces, sulfuric, ni...
Consolidation of surface treatments for dental implants and knowledge on the cellular mechanisms of osseointegration has propelled research on the sealing capacity of bone to implant surfaces. Although osseointegration is extremely important for implant success, biological sealing of the perimplantar connective tissue is crucial to maintain success in the long-term because it acts as a first barri...
Resonance frequency analysis
Implant stability quotient
The datasets used and analyzed during the current study are available from the corresponding author on reasonable request.
The null hypothesis that finger tightening of transducer devices for RFA analysis may have a negative impact on the accuracy of ISQ measurements was rejected. Different forces applied during transducer tightening by different clinicians had no significant effect on the resulting ISQ values. Manual tightening of smartpeg magnetic devices allows for an objective and reliable determination of ISQ val...
A great number of studies have summarized that the measurement of implant stability with RFA is reliable, is noninvasive, and can be used at any time after implant insertion and during follow-up [19, 20]. Various parameters have been demonstrated to influence the degree of primary implant stability [21, 22]. These include bone density [23, 24], surgical technique [25], implant insertion torque [26...
In the test group, mesial and buccal ISQ values of 30 implants were recorded by four examiners (S1–S4) after hand tightening the smartpegs. The control group considered mesial and buccal ISQ values of 30 implants with mechanically inserted smartpegs. Only 147 values could be recorded because one transducer broke and thereafter no further values could be obtained for this implant. At torque value...
Statistical analysis was performed to evaluate the difference between the test and control group. Variance analysis and continuous variables were determined. Pearson r correlation coefficient was tested to verify the relationship between the two variables (e.g., relationship between torque and ISQ). Statistical significance was set at p > 0.05.
Three fresh bovine ribs from the same animal were selected for the current in vitro testing; the bovine ribs were of a similar size to those used by Gecikli et al. [16], thus attempting to imitate human edentulous bone with a similar composition of cortical and cancellous bone. The animal was farmed and sacrificed for food production. The bone was stored airtight, humid, and cool from the time the...
While dental implants have become increasingly important in the functional and esthetic rehabilitation of patients, implant failure still does occur. Primary stability at the time of implant placement and the development of osseointegration in the following healing process (secondary stability) are essential parameters for implant success [1]. Primary stability can be considered as the biomechanic...
There is disagreement about the optimal torque for tightening smartpegs for resonance frequency analysis (RFA). Subjective finger pressure during hand tightening could affect the reliability of the resulting values. The aim of the current study was therefore to assess whether or not the insertion torque of a smartpeg magnetic device influences the implant stability quotient (ISQ) value during RFA....
Fig. 6. Optic microscope photo (× 9 magnification) after 30 days of implantation. Left side: machined implant (group C). Central photo: sandblasted and acid-etched implant (group A). Right side: laser-treated implant
Fig. 6. Optic microscope photo (× 9 magnification) after 30 days of implantation. Left side: machined implant (group C). Central photo: sandblasted and acid-etched implant ...
Fig. 5. Optic microscope photo (× 9 magnification) after 15 days of implantation. Left side: machined implant (group C). Central photo: sandblasted and acid-etched implant (group A). Right side: laser-treated implant
Fig. 5. Optic microscope photo (× 9 magnification) after 15 days of implantation. Left side: machined implant (group C). Central photo: sandblasted and acid-etched implant ...
Fig. 4. Exemplificative photo of implant placement in sheep iliac crest (left side). All implant groups were inserted in the same bone host
Fig. 4. Exemplificative photo of implant placement in sheep iliac crest (left side). All implant groups were inserted in the same bone host
Fig. 3. Scanning electron microscopy picture of group C implant surface
Fig. 3. Scanning electron microscopy picture of group C implant surface
Fig. 2. Scanning electron microscopy picture of group B implant surface
Fig. 2. Scanning electron microscopy picture of group B implant surface
Fig. 1. Scanning electron microscopy picture of group A implant surface
Fig. 1. Scanning electron microscopy picture of group A implant surface
Group
BIC% (mean ± SD)
A
50.31 ± 13.44
B
56.53 ± 13.62
C
20.54 ± 11.06
Table 3 Mean BIC% value of each group after 30 days of healing
Group
BIC% (mean ± SD)
A
39.08 ± 15.85
B
37.35 ± 15.76
C
25.28 ± 8.97
Table 2 Mean BIC% value of each group after 15 days of healing
Group A implantsGroup B implantsGroup C implantsScrew pitch1.25 mm0.6 mm0.6 mmSmooth neck2.8 mm0.25 mm0.25 mmSurface treatmentLarge grit-blasted and acid-etched SLA surface, processed to a high degree of hydrophilicity (SLActive®)Laser surface characterized by a series of 20 μm diameter holes (7–10 μm deep) every 10 μm (Syntegra®)Machined surfaceSurface roughness (Ra)1.5...
De Tullio, I., Berardini, M., Di Iorio, D. et al. Comparative evaluation among laser-treated, machined, and sandblasted/acid-etched implant surfaces: an in vivo histologic analysis on sheep. Int J Implant Dent 6, 7 (2020). https://doi.org/10.1186/s40729-019-0204-4
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Received: 30 August 2019
Accepted: 24 December 2019
Published: 19 February 2020
DOI: https://doi.org/10.1186/s40...
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were m...
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
The Ethics Committee for Animal Research of the Veterinary School of the University of Teramo (Teramo, Italy) approved the study protocol, according to the guidelines established by the European Union Council Directive of February 2013 (R.D.53/2013) (protocol number 3809).
The Ethics Committee for Animal Research of the Veterinary School of the University of Teramo (Teramo, Italy) approved the st...
Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy
I. De Tullio, F. Perfetti & G. Perfetti
Pescara, Italy
M. Berardini
Foggia, Italy
D. Di Iorio
You can also search for this author in PubMed Google Scholar
You can also search for this author in PubMed Google Scholar
You can also search for this author in PubMed Google Scholar
You c...
No grants were received for the present study.
The authors wish to thank the company Geass s.r.l. for providing implants used in the present study.
Piattelli A, Manzon L, Scarano A, Paolantonio M, Piattelli M. Histologic and histomorphometric analysis of the bone response to machined and sandblasted titanium implants: an experimental study in rabbits. Int J Oral Maxillofac Implants. 1998;13:805–10.
Lee JT, Cho SA. Biomechanical evaluation of laser-etched Ti implant surfaces vs. chemically modified SLA Ti implant surfaces: Removal torque an...
Gaggl A, Schultes G, Muller WD, Karcher H. Scanning electron microscopical analysis of laser-treated titanium implant surfaces. A comparative study. Biomaterials. 2000;21(10):1067–73.
Bonsignore LA, Colbrunn RW, Tatro JM, Messerschmitt PJ, Hernandez CJ, Goldberg VM, Stewart MC, Greenfield EM. Surface contaminants inhibit osseointegration in a novel murine model. Bone. 2011;49(5):923–30.
Peng...
Albrektsson T, Brånemark PI, Hansson HA, Lindström J. Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand. 1981;52(2):155–70.
Puleo DA, Nanci A. Understanding and controlling the bone-implant interface. Biomaterials. 1999;20(23-24):2311–21.
Huang MS, Chen LK, Ou KL, et al. Rapid osseointegration of titanium...
All data and materials are available at University Chieti-Pescara, Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy.
Results from the present in vivo analysis revealed that both sandblasted and acid-etched titanium implants and laser-treated titanium implants, compared to the machined ones, have higher values of osseointegration in less healing time.
Indeed, both groups A and B at 15 days had higher values of the BIC% if compared to group C and were able to significantly increase their BIC% in the passage fro...
Data showed by the present study suggest that laser and sandblasted and acid-etched surface treatments could enhance the osteogenic bone formation by “contact,” already observed by other authors [20, 21].
Another interesting emerging datum is the observation of BIC% changes between 15 and 30 days: it is possible to assume that between the fifteenth and the thirtieth day, most part of the pe...
In the present study, the iliac crest of the sheep was chosen as a model because the site is characterized by a cancellous bone rich in marrow spaces, similar for quality to D4 density. This bone model appears superimposable to postero-lateral sectors of the human upper jaw that often represents a hard challenge for implant osseointegration due to low bone density.
Bone quality, in fact, is a key...
All implants resulted clinically integrated and stable into the bone tissue. No signs of tissue inflammation or infection were detected.
At low magnification, all the samples appeared surrounded by new tissue. The distinction between native tissue and newly formed bone was not clear, likely due to the fact that the latter is still in an initial forming phase. In the machined samples (group C) bon...
Measurement of the total length of the left half of the fixture;
Measurement of the contact area between bone and implant in the left half of the fixture;
Measurement of the total length of the right half of the fixture; and
Measurement of the contact area between bone and implant in the right half of the fixture.
Afterwards, the sum of parameters A and C represented the total length of the wh...
Implant drilling procedures were carried out using the drill sequence recommended by the manufacturer. The drill speed was set at 700 rpm under continuous sterile saline solution irrigation (stored at + 4 °C).
Implants were inserted with an insertion torque peak between 28 and 34 Ncm. Each animal received three implants of each group.
The suture of deep muscle planes was performed with poly...
The Ethics Committee for Animal Research of the Veterinary School of the University of Teramo (Teramo, Italy) approved the study protocol, which followed guidelines established by the European Union Council Directive of February 2013 (R.D.53/2013).
A total of 36 implants were used in the present study. Implants had different macro-geometries and surfaces and they were divided into three groups of...
In addition, some animal studies [15, 16] found an increased removal torque in laser processed implants compared to machined surface implants inserted.
The aim of the present paper was to evaluate the osseointegration process, in terms of bone to implant contact percentage (BIC%), of three different implants surface (machined, sandblasted and acid-etched, and laser-treated) both after 15 and 30...
Dental implant surfaces represent one of the key factors that could influence the osseointegration processes [1]. Puleo et al. [2] confirmed that the surface topography, as well as the chemical nature and the implant macro and micro geometry, is involved in creating a clinical and histological efficient bone-implant interface. It was demonstrated that different superficial treatments could affect ...
The aim of the present in vivo analysis was to evaluate the osseointegration process of titanium implants with three different surfaces (machined, sandblasted and acid-etched, and laser-treated) after 15 and 30 days of healing period.
Thirty-six implants with different surfaces were placed in the iliac crest of four Bergamasca sheep. The implant surfaces tested were sandblasted and acid-etched ...
Fig. 6. Comparison of cleansability of each decontamination method on the different implant surfaces. Asterisk indicates p < 0.05
Fig. 6. Comparison of cleansability of each decontamination method on the different implant surfaces. Asterisk indicates p < 0.05
Fig. 5. Quantitative analysis of CFU counts on rough and machined surface implants after cleansing by each method. Asterisk represents vs Cont; a, vs G; b, vs US; c, vs Air; d, vs Rot; e, vs Las which indicates p < 0.05
Fig. 5. Quantitative analysis of CFU counts on rough and machined surface implants after cleansing by each method. Asterisk represents vs Cont; a, vs G; b, vs US; c, vs Air; d...
Fig. 4. SEM analysis of 4 areas. 1 Rough surface—microthread area. 2 Rough surface—macrothread area. 3 Machined surface—microthread area. 4 Machined surface—macrothread area
Fig. 4. SEM analysis of 4 areas. 1 Rough surface—microthread area. 2 Rough surface—macrothread area. 3 Machined surface—microthread area. 4 Machined surface—macrothread area
Fig. 3. Decontamination methods. a Gauze soaked in saline applied using a sawing motion. b Ultrasonic scaler (SUPRASSON P-MAX, Satelec-Acteon group, Bordeaux, France, power setting: P5, tip: Implant Protect IP3L/R). c Air abrasives (AIR-FLOW MASTER PIEZON®, EMS, Nyon, Switzerland, power setting: water flow 100%, air pressure 75%, powder: AIR-FLOW® PERIO POWDER, nozzle: PERIO-FLOW® nozzles, di...
Fig. 2. GC Aadva® implant; 3.3-mm diameter, 8-mm length
Fig. 2. GC Aadva® implant; 3.3-mm diameter, 8-mm length
Fig. 1. Hard resin splint model carrying 6 implants
Fig. 1. Hard resin splint model carrying 6 implants
Rough surfaceContGUSAirRotLasMedian137.53.446.513.04.816.3Min73.00.36.80.50.63.0Max785.027.0240.035.537.034.0Machine surfaceContGUSAirRotLasMedian84.50.98.53.23.325.3Min43.00.20.92.01.60.4Max295.04.236.014.05.661.5Table 3 Quantitative analysis of CFU counts (× 105) from rough and machined surface implants after cleansing by each method
Machined surface (microthread)No effectFairGoodExcellentG +US + Air + Rot +Las + Machined surface (macrothread)No effectFairGoodExcellentG +US + Air + Rot +Las + Table 2 Qualitative evaluation by SEM analysis of micro- and macrothread areas of machined surface implants
Rough surface (microthread)No effectFairGoodExcellentG + US + Air + Rot + Las+ Rough surface (macrothread)No effectFairGoodExcellentG + US + Air + Rot + Las+ Table 1 Qualitative evaluation by SEM analysis of micro- and macrothread areas of rough surface implants
Fig. 6. Optic microscope photo (× 9 magnification) after 30 days of implantation. Left side: machined implant (group C). Central photo: sandblasted and acid-etched implant (group A). Right side: laser-treated implant
Fig. 6. Optic microscope photo (× 9 magnification) after 30 days of implantation. Left side: machined implant (group C). Central photo: sandblasted and acid-etched implant ...
Fig. 5. Optic microscope photo (× 9 magnification) after 15 days of implantation. Left side: machined implant (group C). Central photo: sandblasted and acid-etched implant (group A). Right side: laser-treated implant
Fig. 5. Optic microscope photo (× 9 magnification) after 15 days of implantation. Left side: machined implant (group C). Central photo: sandblasted and acid-etched implant ...
Fig. 4. Exemplificative photo of implant placement in sheep iliac crest (left side). All implant groups were inserted in the same bone host
Fig. 4. Exemplificative photo of implant placement in sheep iliac crest (left side). All implant groups were inserted in the same bone host
Fig. 3. Scanning electron microscopy picture of group C implant surface
Fig. 3. Scanning electron microscopy picture of group C implant surface
Fig. 2. Scanning electron microscopy picture of group B implant surface
Fig. 2. Scanning electron microscopy picture of group B implant surface
Fig. 1. Scanning electron microscopy picture of group A implant surface
Fig. 1. Scanning electron microscopy picture of group A implant surface
GroupBIC% (mean ± SD)A50.31 ± 13.44B56.53 ± 13.62C20.54 ± 11.06Table 3 Mean BIC% value of each group after 30 days of healing
Group
BIC% (mean ± SD)
A
39.08 ± 15.85
B
37.35 ± 15.76
C
25.28 ± 8.97
Table 2 Mean BIC% value of each group after 15 days of healing
Group A implantsGroup B implantsGroup C implantsScrew pitch1.25 mm0.6 mm0.6 mmSmooth neck2.8 mm0.25 mm0.25 mmSurface treatmentLarge grit-blasted and acid-etched SLA surface, processed to a high degree of hydrophilicity (SLActive®)Laser surface characterized by a series of 20 μm diameter holes (7–10 μm deep) every 10 μm (Syntegra®)Machined surfaceSurface roughness (Ra)1.5...
De Tullio, I., Berardini, M., Di Iorio, D. et al. Comparative evaluation among laser-treated, machined, and sandblasted/acid-etched implant surfaces: an in vivo histologic analysis on sheep.
Int J Implant Dent 6, 7 (2020). https://doi.org/10.1186/s40729-019-0204-4
Download citation
Received: 30 August 2019
Accepted: 24 December 2019
Published: 19 February 2020
DOI: https:...
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were m...
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
The Ethics Committee for Animal Research of the Veterinary School of the University of Teramo (Teramo, Italy) approved the study protocol, according to the guidelines established by the European Union Council Directive of February 2013 (R.D.53/2013) (protocol number 3809).
The Ethics Committee for Animal Research of the Veterinary School of the University of Teramo (Teramo, Italy) approved the st...
Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy
I. De Tullio, F. Perfetti & G. Perfetti
Pescara, Italy
M. Berardini
Foggia, Italy
D. Di Iorio
You can also search for this author in PubMed Google Scholar
You can also search for this author in PubMed Google Scholar
You can also search for this author in PubMed Google Scholar
You c...
No grants were received for the present study.
The authors wish to thank the company Geass s.r.l. for providing implants used in the present study.
Piattelli A, Manzon L, Scarano A, Paolantonio M, Piattelli M. Histologic and histomorphometric analysis of the bone response to machined and sandblasted titanium implants: an experimental study in rabbits. Int J Oral Maxillofac Implants. 1998;13:805–10.
Lee JT, Cho SA. Biomechanical evaluation of laser-etched Ti implant surfaces vs. chemically modified SLA Ti implant surfaces: Removal torque an...
Gaggl A, Schultes G, Muller WD, Karcher H. Scanning electron microscopical analysis of laser-treated titanium implant surfaces. A comparative study. Biomaterials. 2000;21(10):1067–73.
Bonsignore LA, Colbrunn RW, Tatro JM, Messerschmitt PJ, Hernandez CJ, Goldberg VM, Stewart MC, Greenfield EM. Surface contaminants inhibit osseointegration in a novel murine model. Bone. 2011;49(5):923–30.
Peng...
Albrektsson T, Brånemark PI, Hansson HA, Lindström J. Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand. 1981;52(2):155–70.
Puleo DA, Nanci A. Understanding and controlling the bone-implant interface. Biomaterials. 1999;20(23-24):2311–21.
Huang MS, Chen LK, Ou KL, et al. Rapid osseointegration of titanium...
All data and materials are available at University Chieti-Pescara, Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy.
Results from the present in vivo analysis revealed that both sandblasted and acid-etched titanium implants and laser-treated titanium implants, compared to the machined ones, have higher values of osseointegration in less healing time.
Indeed, both groups A and B at 15 days had higher values of the BIC% if compared to group C and were able to significantly increase their BIC% in the passage fro...
Data showed by the present study suggest that laser and sandblasted and acid-etched surface treatments could enhance the osteogenic bone formation by “contact,” already observed by other authors [20, 21].
Another interesting emerging datum is the observation of BIC% changes between 15 and 30 days: it is possible to assume that between the fifteenth and the thirtieth day, most part of the pe...
In the present study, the iliac crest of the sheep was chosen as a model because the site is characterized by a cancellous bone rich in marrow spaces, similar for quality to D4 density. This bone model appears superimposable to postero-lateral sectors of the human upper jaw that often represents a hard challenge for implant osseointegration due to low bone density.
Bone quality, in fact, is a key...
All implants resulted clinically integrated and stable into the bone tissue. No signs of tissue inflammation or infection were detected.
At low magnification, all the samples appeared surrounded by new tissue. The distinction between native tissue and newly formed bone was not clear, likely due to the fact that the latter is still in an initial forming phase. In the machined samples (group C) bon...
Measurement of the total length of the left half of the fixture;
Measurement of the contact area between bone and implant in the left half of the fixture;
Measurement of the total length of the right half of the fixture; and
Measurement of the contact area between bone and implant in the right half of the fixture.
Afterwards, the sum of parameters A and C represented the total length of the wh...
Implant drilling procedures were carried out using the drill sequence recommended by the manufacturer. The drill speed was set at 700 rpm under continuous sterile saline solution irrigation (stored at + 4 °C).
Implants were inserted with an insertion torque peak between 28 and 34 Ncm. Each animal received three implants of each group.
The suture of deep muscle planes was performed with poly...
The Ethics Committee for Animal Research of the Veterinary School of the University of Teramo (Teramo, Italy) approved the study protocol, which followed guidelines established by the European Union Council Directive of February 2013 (R.D.53/2013).
A total of 36 implants were used in the present study. Implants had different macro-geometries and surfaces and they were divided into three groups of...
In addition, some animal studies [15, 16] found an increased removal torque in laser processed implants compared to machined surface implants inserted.
The aim of the present paper was to evaluate the osseointegration process, in terms of bone to implant contact percentage (BIC%), of three different implants surface (machined, sandblasted and acid-etched, and laser-treated) both after 15 and 30...
Dental implant surfaces represent one of the key factors that could influence the osseointegration processes [1]. Puleo et al. [2] confirmed that the surface topography, as well as the chemical nature and the implant macro and micro geometry, is involved in creating a clinical and histological efficient bone-implant interface. It was demonstrated that different superficial treatments could affect ...
The aim of the present in vivo analysis was to evaluate the osseointegration process of titanium implants with three different surfaces (machined, sandblasted and acid-etched, and laser-treated) after 15 and 30 days of healing period.
Thirty-six implants with different surfaces were placed in the iliac crest of four Bergamasca sheep. The implant surfaces tested were sandblasted and acid-etched ...
Fig. 6. Comparison of cleansability of each decontamination method on the different implant surfaces. Asterisk indicates p < 0.05
Fig. 6. Comparison of cleansability of each decontamination method on the different implant surfaces. Asterisk indicates p < 0.05
Fig. 5. Quantitative analysis of CFU counts on rough and machined surface implants after cleansing by each method. Asterisk represents vs Cont; a, vs G; b, vs US; c, vs Air; d, vs Rot; e, vs Las which indicates p < 0.05
Fig. 5. Quantitative analysis of CFU counts on rough and machined surface implants after cleansing by each method. Asterisk represents vs Cont; a, vs G; b, vs US; c, vs Air; d...
Fig. 4. SEM analysis of 4 areas. 1 Rough surface—microthread area. 2 Rough surface—macrothread area. 3 Machined surface—microthread area. 4 Machined surface—macrothread area
Fig. 4. SEM analysis of 4 areas. 1 Rough surface—microthread area. 2 Rough surface—macrothread area. 3 Machined surface—microthread area. 4 Machined surface—macrothread area
Fig. 3. Decontamination methods. a Gauze soaked in saline applied using a sawing motion. b Ultrasonic scaler (SUPRASSON P-MAX, Satelec-Acteon group, Bordeaux, France, power setting: P5, tip: Implant Protect IP3L/R). c Air abrasives (AIR-FLOW MASTER PIEZON®, EMS, Nyon, Switzerland, power setting: water flow 100%, air pressure 75%, powder: AIR-FLOW® PERIO POWDER, nozzle: PERIO-FLOW® nozzles, di...
Fig. 2. GC Aadva® implant; 3.3-mm diameter, 8-mm length
Fig. 2. GC Aadva® implant; 3.3-mm diameter, 8-mm length
Fig. 1. Hard resin splint model carrying 6 implants
Fig. 1. Hard resin splint model carrying 6 implants
Rough surfaceContGUSAirRotLasMedian137.53.446.513.04.816.3Min73.00.36.80.50.63.0Max785.027.0240.035.537.034.0Machine surfaceContGUSAirRotLasMedian84.50.98.53.23.325.3Min43.00.20.92.01.60.4Max295.04.236.014.05.661.5Table 3 Quantitative analysis of CFU counts (× 105) from rough and machined surface implants after cleansing by each method
Machined surface (microthread)No effectFairGoodExcellentG +US + Air + Rot +Las + Machined surface (macrothread)No effectFairGoodExcellentG +US + Air + Rot +Las + Table 2 Qualitative evaluation by SEM analysis of micro- and macrothread areas of machined surface implants
Rough surface (microthread)No effectFairGoodExcellentG + US + Air + Rot + Las+ Rough surface (macrothread)No effectFairGoodExcellentG + US + Air + Rot + Las+ Table 1 Qualitative evaluation by SEM analysis of micro- and macrothread areas of rough surface implants
Otsuki, M., Wada, M., Yamaguchi, M. et al. Evaluation of decontamination methods of oral biofilms formed on screw-shaped, rough and machined surface implants: an ex vivo study.
Int J Implant Dent 6, 18 (2020). https://doi.org/10.1186/s40729-020-00212-y
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Received: 06 February 2020
Accepted: 17 March 2020
Published: 22 April 2020
DOI: https://doi.org/10.118...
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material...
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All participants provided informed consent verbally. Study information was disseminated to participants both verbally and in written form. This study protocol was approved by the ethical committee of Osaka University (H26.E-36).
All participants consented to the publication of their data through a written consent form obtained from the ethical committee of Osaka University.
Motohiro Otsuki, Masa...
Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita, Osaka, 565-0871, Japan
Motohiro Otsuki, Masahiro Wada, Yoshinobu Maeda & Kazunori Ikebe
Department of Oral and Molecular Microbiology, Osaka University Graduate School of Dentistry, Osaka, Japan
Masaya Yamaguchi & Shigetada Kawabata
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GC Corporation provided the implants to this research.
The authors thank Tomoaki Mameno for his work on data analysis.
Romeo E, Ghisolfi M, Murgolo N, Chiapasco M, Lops D, Vogel G. Therapy of peri-implantitis with resective surgery. A 3-year clinical trial on rough screw-shaped oral implants. Part I: clinical outcome. Clin Oral Implants Res. 2007;16(1):9–18.
Aoki A, Mizutani K, Schwarz F, Sculean A, Yukna RA, Takasaki AA, et al. Periodontal and peri-implant wound healing following laser therapy. Periodontol 200...
Berglundh T, Armitage G, Araujo MG, Avila-Ortiz G, Blanco J, Camargo PM, et al. Peri-implant diseases and conditions: consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;89(Suppl 1):S313–8.
Sousa V, Mardas N, Spratt D, Boniface D, Dard M, Donos N. Experimental models for contamination of ti...
Schwarz F, Ferrari D, Popovski K, Hartig B, Becker J. Influence of different air-abrasive powders on cell viability at biologically contaminated titanium dental implants surfaces. J Biomed Mater Res B Appl Biomater. 2009;88(1):83–91.
Widodo A, Spratt D, Sousa V, Petrie A, Donos N. An in vitro study on disinfection of titanium surfaces. Clin Oral Implants Res. 2016;27(10):1227–32.
Sahrmann P,...
Derks J, Schaller D, Hakansson J, Wennstrom JL, Tomasi C, Berglundh T. Effectiveness of implant therapy analyzed in a Swedish population: prevalence of peri-implantitis. J Dent Res. 2016;95(1):43–9.
Fransson C, Lekholm U, Jemt T, Berglundh T. Prevalence of subjects with progressive bone loss at implants. Clin Oral Implants Res. 2005;16(4):440–6.
Wada M, Mameno T, Onodera Y, Matsuda H, Daimon...
Control (no decontamination)
Gauze soaked in saline
Ultrasonic scaler (SUPRASSON P-MAX, Satelec-Acteon Group, Bordeaux, France; power setting: P5, tip: Implant Protect IP3L/R)
Air abrasive (AIR-FLOW MASTER PIEZON®, EMS, Nyon, Switzerland; power setting: water flow 100%, air pressure 75%, powder: AIR-FLOW® PERIO POWDER, nozzle: PERIO-FLOW® nozzles, distance from the nozzle to the implant 2 ...
The datasets used during the current study are available from the corresponding author on reasonable request.
In the present ex vivo experimental study, none of the tested decontamination methods thoroughly eliminated biofilms formed on rough/machined surface implants intraorally. Gauze soaked in saline and the rotary stainless steel instrument showed better cleansability than the ultrasonic scaler in qualitative and quantitative analyses and may be advantageous for cleansing contaminated implant surfaces...
Through SEM analysis and CFU counts, it was demonstrated that, except for the Er:YAG laser, decontamination of the machined surface implant was easier than that of the rough surface implant regardless of decontamination method. Gauze soaked in saline and the ultrasonic scaler demonstrated a statistically significant difference in CFU counts between the two surfaces. In this context, a machined sur...
Sahrmann et al. [15] tested three instruments (ultrasonic scaler, Gracey curette, and air abrasive device with glycine powder) on rough surface implants stained with indelible ink used as artificial plaque. There was a statistically significant difference in terms of stain removal rate. The air abrasive device showed the best result among the tested instruments. The result of this study is in line...
It has been previously stated that the alteration of the implant surface during cleansing may attenuate biocompatibility [29]. However, several clinical studies revealed the considerable treatment effect even though there was certain expected damage on the implant surface [7, 34]. Therefore, it is assumed that the most important consideration for treating peri-implantitis in the clinical setting s...
Regarding the air abrasives, the cleansing effect in the SEM analysis was also as considerable as that achieved by the ultrasonic scaler in the present study, in contrast to the results of the aforementioned study. Louropoulou et al. [29] also stated in their systematic review that an air-powder abrasive system with sodium bicarbonate powder could cleanse contaminated rough/smooth implant surfaces...
Based on the results of the SEM qualitative analysis, gauze soaked in saline and the rotary stainless steel instrument consistently showed good cleansability on rough and machined surface implants compared with the other methods. Conversely, the Er:YAG laser showed inferior cleansability to all other methods especially on rough surface implants. The ultrasonic scaler and air abrasive exhibited fai...
This study was performed following an ex vivo design to overcome the drawbacks of previous studies. One particular difference in this study was the use of a commercially available screw-shaped implant. As the implant shape and design have rather complicated macro- and microstructures compared with titanium disks or different forms of titanium commonly used in experimental studies, previous results...
During the experiment, three participants experienced small ulcers caused by the implants carried on the splints; however, it did not affect their daily life. Additionally, there were no signs of gingival inflammation in any participant.
G and Rot achieved relatively clean implant surfaces compared with Las in micro- and macrothread areas. US and Air demonstrated fair cleansability in microthread...
The SEM analysis was performed as previously described [16,17,18]. The decontaminated implant samples were fixed with 2% glutaraldehyde-RPMI 1640 immediately for 1 h at room temperature and washed with distilled water. Then, the samples were dehydrated with 100% t-butyl alcohol and freeze-dried. Finally, the samples were coated with platinum and examined using an emission-scanning electron micro...
Eleven participants, nine men and two women between 28 and 42 years of age (mean age 31.3 ± 4.6), were recruited as the study subjects. All participants provided informed consent verbally. Study information was disseminated to participants both verbally and in written form. The inclusion criteria were as follows:
Generally healthy subjects
Dentate subjects without ill-fitting restorations (...
Dental implants are now used broadly for recovering loss of masticatory function and esthetics. Although it has been revealed that dental implants can often survive long term, biological and mechanical complications may arise. Recent cross-sectional and retrospective studies noted a higher prevalence of peri-implantitis at the implant and subject level than previously considered [1,2,3,4]. Additio...
To evaluate the effect of several representative decontamination methods of oral biofilms on different implant surfaces.
Eleven participants wore a hard resin splint carrying 6 rough (GC Aadva® implant; 3.3-mm diameter, 8-mm length) or machined (not commercially available) surface implants for 4 days to accumulate dental plaque naturally on the titanium surfaces of the implants. Apart from sur...
Fig. 8. EDS 5 min
Fig. 8. EDS 5 min
Fig. 7. EDS 3 min
Fig. 7. EDS 3 min
Fig. 6. EDS 1 min
Fig. 6. EDS 1 min
Fig. 5. EDS control
Fig. 5. EDS control
Fig. 4. Group 4—5 min
Fig. 4. Group 4—5 min
Fig. 3. Group 3—3 min
Fig. 3. Group 3—3 min
Fig. 2. Group 2—1 min
Fig. 2. Group 2—1 min
Fig. 1. Group control
Fig. 1. Group control
Element
Weight %
Atoms %
Carbon
15.07
26.19
...
Element
Weight %
Atoms %
Carbon
10.43
23.42
...
Element
Weight %
Atoms %
Carbon
4.12
15.29
...
Element
Weight %
Atoms %
Carbon
4.79
18.86
...
Element
Weight %
Atoms %
Carbon
8.54
31.34
...
Element
Weight %
Atoms %
Carbon
4.47
19.93
...
Element
Weight %
Atoms %
Carbon
8.02
38.2
...
Element
Weight %
Atoms %
Carbon
8.22
37.21
...
Groups
Plasma electrolytic oxidation—time (min)
Voltage (V)
Current (A)
1
–
–
2
1
ΔU = 160 to 200 V
≅0.18
3
3
ΔU = 160 to 280 V
≅0.19
4
5
ΔU = 160 to 300 V
≅0.18
Table 1 Distribution of groups
Goularte, M.A.P.C., Barbosa, G.F., da Cruz, N.C. et al. Achieving surface chemical and morphologic alterations on tantalum by plasma electrolytic oxidation.
Int J Implant Dent 2, 12 (2016). https://doi.org/10.1186/s40729-016-0046-2
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Received: 18 November 2015
Accepted: 12 April 2016
Published: 16 April 2016
DOI: https://doi.org/10.1186/s40729-016-0046-2
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were m...
The authors declare that they have no competing interests.
MAPCG contributed to the concept/design, data collection, data analysis/interpretation, drafting of the article, critical revision of the article, and approval of the article. GFB carried out the data analysis/interpretation, drafting of the article, critical revision of the article, and approval of the article. NCC contributed to the dat...
Department of Prosthodontics, Implantology Pontifical Catholic University of Rio Grande do Sul - PUCRS, Av. Ipiranga, 6681 Prédio 06, Partenon, CEP: 90619-900, Porto Alegre, RS, Brazil
Marcelo Augusto Pinto Cardoso Goularte
Clinical Department, Universidade Luterana do Brasil - Torres (ULBRA-TORRES), Rua Universitária, 1900, Parque do Balonismo, CEP 95560-000, Torres, RS, Brazil
Gustavo Frain...
Yerokhin AL, Nie X, Leyland A, Matthews A, Dowey SJ. Plasma electrolysis for surface engineering. Surf Coat Technol. 1999;122(2-3):73–93. doi:10.1016/S0257-8972(99)00441-7.
Hosoki M, Nishigawa K, Miyamoto Y, Ohe G, Matsuka Y. Allergic contact dermatitis caused by titanium screws and dental implants. J Prosthodont Res. 2016. doi: 10.1016/j.jpor.2015.12.004. [Epub ahead of print].
Goutam M, Giri...
Gittens RA, Olivares-Navarrete R, Cheng A, Anderson DM, McLachlan T, Stephan I, et al. The roles of titanium surface micro/nanotopography and wettability on the differential response of human osteoblast lineage cells. Acta Biomater. 2013;9(4):6268–77. doi:10.1016/j.actbio.2012.12.002. Epub 2012 Dec 8.
Bauer S, Schmuki P, von der Mark K, et al. Engineering biocompatible implant surfaces part I: ...
Thus, this study has examined the possibility of activating an alteration surface in tantalum using the anodizing process, which is effective in other metals like titanium. From our findings, it was possible to develop time exposure protocols in order to obtain conductive surface alterations similar to those already available from some of the largest manufacturers of oral implants. Scanning electr...
The search for new biomaterials and biocompatible metals has always been a common objective of human rehabilitation research centers. In implant dentistry, titanium has successfully established itself as the material of choice for dental implants. However, several studies have reported cases of metal allergy caused by titanium-containing materials [15–17] and some immune dysfunctions in certain ...
Tables 2 and 3 show similar rates among the chemical elements present on the non-treated tantalum surface—group 1 (Fig. 5). In Tables 4 and 5 (group 2), calcium (Ca) is included. The rates for the other chemical elements are similar to the rates in group 1 (Fig. 6). In Tables 6 and 7, group 3 sample shows the basic chemicals present in previous groups and similar rates (Fig. 7). Two chemic...
The analysis of the images obtained by scanning electron microscopy confirmed the changes on the surface of tantalum strips according to different exposure times. In Fig. 1, we can observe Ta surface with grooves resulting from the machining of the metal with no surface treatment. As the magnitude increases, the image shows the lines pattern with its peculiar characteristics from the manufacturin...
Within a 50-mL tank, the electrolytic solution as described above received a voltage variation of 160 V initial tension at zero time and a final tension at the preset end-time for each group of samples. There was a gradual increase in voltage due to the maintenance of a fairly constant current at around 0.15 to 0.25 A. The electrolytic solution was periodically changed to prevent solution satura...
We used 60 strip-shaped samples of tantalum with the following dimensions: 7 mm wide, 11 mm long, and 0.01 mm thick (Kurt J. Lesker Company—USA, 99.95 % purity). The samples were washed in distilled water and placed in an ultrasonic tank containing acetone (Ultra Sonic-1440 Plus—Odontobrás, Ribeirão Preto/SP, Brazil) to remove residues. Then, they were divided into four groups: in group ...
In this way and following the successful results already obtained with Titanium, this study aimed to develop an oxidized surface layer on Tantalum samples and, subsequently, analyze the samples’ topography and levels of salt deposition using an electronic microscope.
The use of materials that come into direct contact with human tissues such as the bone requires maximum biological security. These materials remain for a long period of time or even indefinitely in the human body, and no negative reactions, like toxicity or carcinogenic effects, shall be acceptable.
For this reason, biocompatibility of new materials has been widely studied, and only after a lot o...
Search for materials that may either replace titanium dental implants or constitute an alternative as a new dental implant material has been widely studied. As well, the search for optimum biocompatible metal surfaces remains crucial. So, the aim of this work is to develop an oxidized surface layer on tantalum using plasma electrolytic oxidation (PEO) similar to those existing on oral implants bee...
Dhaliwal, J.S., Marulanda, J., Li, J. et al. In vitro comparison of two titanium dental implant surface treatments: 3M™ESPE™ MDIs versus Ankylos®.
Int J Implant Dent 3, 27 (2017). https://doi.org/10.1186/s40729-017-0083-5
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Received: 19 January 2017
Accepted: 22 May 2017
Published: 27 June 2017
DOI: https://doi.org/10.1186/s40729-017-0083-5
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were...
Faculty of Dentistry, McGill University, Montreal, Quebec, Canada
Jagjit Singh Dhaliwal, Juliana Marulanda, Sharifa Alebrahim, Jocelyne Sheila Feine & Monzur Murshed
PAPRSB, Institute of Health Sciences, Universiti Brunei Darussalam, Jalan Tungku Link, Gadong, BE1410, Brunei Darussalam
Jagjit Singh Dhaliwal
Faculty of Medicine, McGill University, Montreal, Quebec, Canada
Jingjing Li & ...
The authors would like to thank Prof. Georgios Romanos, School of Dental Medicine, Dept. of Periodontology, Stony Brook University, Stony Brook, NY, USA, for his contribution to the study. We would also like to thank 3M ESPE and Dentsply Friadent for providing the implant disks. This work is a part of the thesis submitted by JD for attaining a PhD degree at the Faculty of Dentistry, McGill Univers...
Wennerberg A, Albrektsson T. Effects of titanium surface topography on bone integration: a systematic review. Clin Oral Implants Res. 2009;20 Suppl 4:172–84.
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Sudo H, Kodama HA, Amagai Y, Yamamoto S, Kasai S. In vitro differentiation and calcification in a new clonal osteogenic cell line derived from newborn mouse calvaria. J Cell Biol. 1983;96(1):191–8.
Novaes Jr AB, de Souza SL, de Barros RR, Pereira KK, Iezzi G, Piattelli A. Influence of implant surfaces on osseointegration. Braz Dent J. 2010;21(6):471–81.
MacDonald DE, Markovic B, Allen M, Som...
Buser D, Nydegger T, Oxland T, Cochran DL, Schenk RK, Hirt HP, et al. Interface shear strength of titanium implants with a sandblasted and acid-etched surface: a biomechanical study in the maxilla of miniature pigs. J Biomed Mater Res. 1999;45(2):75–83.
Li D, Ferguson SJ, Beutler T, Cochran DL, Sittig C, Hirt HP, et al. Biomechanical comparison of the sandblasted and acid-etched and the machine...
Griffitts TM, Collins CP, Collins PC. Mini dental implants: an adjunct for retention, stability, and comfort for the edentulous patient. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100(5):e81–4.
Cooper LF, Zhou Y, Takebe J, Guo J, Abron A, Holmen A, et al. Fluoride modification effects on osteoblast behavior and bone formation at TiO2 grit-blasted c.p. titanium endosseous implants. B...
Branemark PI, Hansson BO, Adell R, Breine U, Lindstrom J, Hallen O, et al. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl. 1977;16:1–132.
Bulard RA, Vance JB. Multi-clinic evaluation using mini-dental implants for long-term denture stabilization: a preliminary biometric evaluation. Compend Contin Educ Dent. 20...
Our results demonstrate that both implant surfaces are conducive for osteoblastic cell attachment, proliferation, and mineralization. However, 3M™ESPE™ MDI surface shows more pronounced effects on cell proliferation, which may in turn facilitate better osseointegration by enhancing ECM mineralization. Our ongoing research will provide further information on how implant surfaces may affect cell...
ALPL is a late osteogenic marker, which is essential for normal bone mineralization. ALPL-deficient osteoblasts fail to mineralize in culture. Considering that there was no significant difference in the relative ALPL activity in cells grown on two surfaces, it is unlikely that the surface property of the disks affected cell differentiation. This observation does not support the findings of Davies ...
MC3T3-E1 cells have been extensively used in numerous cell culture experiments as a model for osteoblasts [36]. Under differentiating conditions, e.g., in the presence of ascorbic acid and β-glycerol phosphate, these cells upregulate the osteogenic markers and, more importantly, promote the deposition of calcium phosphate minerals within and around the collagen-rich extracellular matrix (ECM). In...
In the current study, we used an in vitro cell culture system to evaluate the biocompatibility of two implant materials with different surface topography. Our objective was to establish the osseointegration potential of MDIs versus an established regular implant. Disks prepared from the implant material were coated with gelatin to grow cells, and proliferation and osteogenic differentiation parame...
Pre-osteoblastic MC3T3-E1 cells were plated on each implant disk (40,000 cells/disk) and were differentiated with mineralization medium for 12 days. Quantification of cells after nuclear staining by H33258 revealed an increased number of cells on the 3M™ESPE™ MDI disks (Fig. 5a). Measurement of cell viability by the reduction of Alamar blue® after 3 days of culture of MC3T3-E1 cells furthe...
The variable sizes of the implant disks obtained from two different manufacturers demanded an innovative culture system to ensure equal surface areas on both disks for the cell culture experiments. We achieved this by attaching constant diameter (5 mm) plastic cylinders to the disk surface. Disks were sterilized with absolute alcohol, and polystyrene cloning cylinders (Sigma) were attached onto t...
While performing the experiments, JM (first co-author) was not aware of the sources/manufacturers of the disks, which were identified by their size (small and large) only. At the end of the analyses, each disk’s manufacturer was revealed to her by JSD (first co-author).
Protein samples from the transfected cells were prepared in 1× SDS gel-loading buffer (Laemmli buffer) without adding β-mercaptoethanol and quantified using the Pierce™ Coomassie Plus Assay kit (Thermo Scientific, Rockford, IL, USA). Without heat denaturation, equal amount of protein samples (50 μg) were loaded on a 10% SDS-polyacrylamide gel. After electrophoresis, the gel was incubated in N...
Titanium disks made up with the same materials and surface characteristics as those with the original implants were obtained from the respective manufacturers. Two types of disks were used; the small disks represented 3M™ESPE™ MDI implants, while the large disks represented Ankylos®, Dentsply Friadent implants. A total of 10 disks of each brand were used for the study.
Disks were sterilized ...
Despite the advantages of the MDI, evidence on their potential for osseointegration and long-term success is lacking. [15,16,17,18]. Newer implant systems entering the market must be studied first in vitro and then in vivo with animal models followed by human studies to demonstrate their osseointegration capability.
Modifications of implant surface properties have been shown to have a positive in...
Prosthetic devices are often used as surrogates for missing skeletal and dental elements. These devices are in close contact with the surrounding tissues, and their functionality and stability are critically dependent on the successful integration within the tissue’s extracellular matrix (ECM). The surface of the implanted device directly interacts with cell and extracellular milieu and influenc...
An ideal implant should have a surface that is conducive to osseointegration. In vitro cell culture studies using disks made of same materials and surface as of implants may provide useful information on the events occurring at the implant-tissue interface. In the current study, we tested the hypothesis that there is no difference in the proliferation and differentiation capacities of osteoblastic...
Fig. 11. Energy dispersive spectrum of control Cp titanium specimen
Fig. 11. Energy dispersive spectrum of control Cp titanium specimen
Fig. 10. Energy dispersive spectrum of Cp titanium specimen coated with HA-Zn
Fig. 10. Energy dispersive spectrum of Cp titanium specimen coated with HA-Zn
Fig. 9. Scanning electron microphotograph of control Cp titanium specimen at ×20,000
Fig. 9. Scanning electron microphotograph of control Cp titanium specimen at ×20,000
Fig. 8. Scanning electron microphotograph of control Cp titanium specimen at ×10,000
Fig. 8. Scanning electron microphotograph of control Cp titanium specimen at ×10,000
Fig. 7. Scanning electron microphotograph of control Cp Titanium specimen at X 5,000
Fig. 7. Scanning electron microphotograph of control Cp Titanium specimen at X 5,000
Fig. 6. Scanning electron microphotograph of Cp titanium specimen coated with HA-Zn at ×20,000
Fig. 6. Scanning electron microphotograph of Cp titanium specimen coated with HA-Zn at ×20,000
Fig. 5. Scanning electron microphotograph of Cp Titanium specimen coated with HA-Zn at X10,000
Fig. 5. Scanning electron microphotograph of Cp Titanium specimen coated with HA-Zn at X10,000
Fig. 4. Scanning electron microphotograph of Cp titanium specimen coated with nano HA- Zn at ×5000
Fig. 4. Scanning electron microphotograph of Cp titanium specimen coated with nano HA- Zn at ×5000
Fig. 3. IR spectra of HA-Zn powder scrapped from coated titanium specimen
Fig. 3. IR spectra of HA-Zn powder scrapped from coated titanium specimen
Fig. 2. IR spectra of Ca(NO3)2·4 H2O powder prepared from a natural source (CB)
Fig. 2. IR spectra of Ca(NO3)2·4 H2O powder prepared from a natural source (CB)
Fig. 1. Graphical presentation of the electrochemical-deposition coating process’ equipment
Fig. 1. Graphical presentation of the electrochemical-deposition coating process’ equipment
Number of specimens
Mean ± (SD)
Standard error mean
F value
P value
Control
7...
El-Wassefy, N.A., Reicha, F.M. & Aref, N.S. Electro-chemical deposition of nano hydroxyapatite-zinc coating on titanium metal substrate.
Int J Implant Dent 3, 39 (2017). https://doi.org/10.1186/s40729-017-0095-1
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Received: 20 March 2017
Accepted: 28 July 2017
Published: 13 August 2017
DOI: https://doi.org/10.1186/s40729-017-0095-1
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were...
El-Wassefy N, Aref N, and Reicha F declare that they have no competing interests.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Dental Biomaterials Department, Faculty of Dentistry, Mansoura University, 35516 El Gomhoria St., Mansoura, Egypt
N. A. El-Wassefy & N. S. Aref
Physics Department, Faculty of science, Mansoura University, 35516 El Gomhoria St., Mansoura, Egypt
F. M. Reicha
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The authors would like to express their gratitude for Dr. Sherif Kishk, Professor of Communication and Electrical Engineering, Faculty of Engineering, Mansoura University, for his help in photographing and analyzing the coating for adhesion test.
Kuo MC, Yen SK. The process of electrochemical deposited hydroxyapatite coatings on biomedical titanium at room temperature. Mater Sci Eng C. 2002;20:153–60.
Suchanek W, Yoshimura M. Processing and properties of hydroxyapatite-based biomaterials for use as hard tissue replacement implants. J Mater Res. 1998;13:94–117.
Kohli S, Batra U, Kapoor S. Influence of zinc substitution on physicochemi...
Hosea HJ, Taylor CG, Wood T, Mollard R, Weiler HA. Zinc-deficient rats have more limited bone recovery during repletion than diet-restricted rats. Exp Biol Med. 2004;299:303–11.
Tsai M-T, Chang Y-Y, Huang H-L, Hsu J-T, Chen Y-C, Wu AY-J. Characterization and antibacterial performance of bioactive Ti–Zn–O coatings deposited on titanium implants. Thin Solid Films. 2013;528:143–50.
Hu H, Zh...
Brunette DM, Tengvall P, Textor M TP, Textor M, Thomsen P. Titanium in medicine: material science, surface science, engineering, biological responses and medical applications. Springer Science & Business Media; 2012. p.13–24.
Heydenrijk K, Meijer HJA, van der Reijden WA, Vissink A, Raghoebar GM, Stegenga B. Microbiota around root-formed endosseous implants. A review of the literature. October. ...
The electro-chemical method can be employed for HA-Zn coating deposition on titanium metal, where Ca source was a recycled cuttlebone fish to precipitate HA phases. Using a Zn anode on a low-sustained voltage was able to induce an even coat thickness of HA-Zn precipitation and increase the surface roughness significantly.
Yang et al. prepared a Zn-HA coating on Ti plates by an electrochemical process, and the SEM examination showed irregularly shaped rod-like crystals with hexagonal cross-section; this corresponded well with the current study results. They also concluded that a Zn-HA coating improves proliferation and differentiation of osteoblasts and would enhance implant osseointegration [11].
Ceramic coatings ...
Metallic orthopedic prosthesis is most commonly used due to its good mechanical properties, but its failure mostly occurs due to the lack of proper bone bonding and/or the occurrence of post-operative infections. Hydroxyapatite is commonly used as a bone filler biomaterial or as a coat for titanium prosthesis due to its decent biocompatibility, osseoconductivity, and bioactivity [26]. However, as ...
Following the examination of X cut areas after the adhesive tape removal; the adhesion was rated to be 5A, as no peeling or coat removal occurred along the incisions' length or at their intersection.
Figure 2 shows the FT-IR spectra of Ca(NO3)2·4H2O with weak sharp absorption peak bands at 742, 821, and 1048 cm−1, a strong broad absorption band at 1354 cm-1, and a strong shoulder absorption band at 1455 cm−1. A wide broad absorption band peak appears at 3442 cm−1 due to the presence of water. Figure 3 shows the FT-IR spectra of HA-Zn powder scrapped from CpTi specimens; the band a...
The coating was scrapped from Ti specimen's surface and investigated for its chemical structure using FT-IR spectroscopy. The powder was investigated by double-beam dispersive IR spectrometer (Nicolet iS10, Thermo Electron Corporation, UK) which utilized the selected range of 400 to 4000 wave numbers (cm−1) at 4 cm−1 resolution and averaging of 100 scans. Two milligrams of scrapped powder was...
Commercially pure Ti (CpTi) grade II specimens were cut down into plates with dimensions 10 × 10 × 2 mm and used as substrates (cathode material) for depositing HA and Zn. CpTi specimens were polished with successive grades of silicon carbide papers, ultra-sonicated in acetone (99.5%, EM Science), rinsed in distilled water, and then air dried at room temperature, before they were used f...
The aim of the present work was to develop well-adhered and uniform hydroxyapatite-zinc coatings on titanium metal substrate, through an in vitro electro-chemical deposition method. The coating was characterized for functional chemical group, surface morphology, surface chemical analysis, surface roughness, and coat adhesive bonding by Fourier transform infrared spectrometer (FT-IR), scanning elec...
Titanium metal is one of the most widely used biomedical orthopedic materials because of its decent mechanical properties [1]. However, as an inert material, it cannot induce osteogenesis and has no antibacterial properties [2]. In order to improve surface bioactivity of titanium substrates, numerous methods have been proposed to cover it with bio-ceramic coatings [1]. Various clinical studies ...
Titanium is an inert metal that does not induce osteogenesis and has no antibacterial properties; it is proposed that hydroxyapatite coating can enhance its bioactivity, while zinc can contribute to antibacterial properties and improve osseointegration.
A nano-sized hydroxyapatite-zinc coating was deposited on commercially pure titanium using an electro-chemical process, in order to increase its ...
Fig. 6. Cumulative survival rate of complication-free prostheses by a gender (p = 0.1220) and b type of prostheses (p
Fig. 5. Kaplan-Meier cumulative survival rate of complication-free prostheses at 10, 15, and 25 years after the prosthesis setting
Fig. 5. Kaplan-Meier cumulative survival rate of complication-free prostheses at 10, 15, and 25 years after the prosthesis setting
Fig. 4. Cumulative incidence of peri-implantitis by a gender (p = 0.0221), b implant type (p = 0.0128), c implant position (p = 0.2470), d presence of additional soft tissue management (p = 0.2488), and e width of keratinized mucosa around implant (p = 0.0045). Log rank test was used for assessing statistical significance
Fig. 4. Cumulative incidence of peri-implantitis by a gender ...
Fig. 3. Cumulative incidence of peri-implantitis
Fig. 3. Cumulative incidence of peri-implantitis
Fig. 2. Kaplan-Meier cumulative survival rates by a gender (p = 0.1049), b implant type (p = 0.6259), c implant position (p
Fig. 1. Kaplan-Meier cumulative survival rate at 10, 15, and 25 years after the prosthesis setting
Fig. 1. Kaplan-Meier cumulative survival rate at 10, 15, and 25 years after the prosthesis setting
Hazard ratio
95% confidence interval
p value
Gender (male)
1.82
0.946~3.487
...
Hazard ratio
95% confidence interval
p value
Gender (male)
2.38
1.138~5.362
...
Hazard ratio
95% confidence interval
p value
Gender (male)
1.99
0.538~8.201
...
Dia. (mm)
Maxilla anterior
Maxilla posterior
Mandible anterior
Mandible posterior
Tot...
Dia. (mm)
Maxilla anterior
Maxilla posterior
Mandible anterior
Mandible posterior
Tot...
Age/gender
Male
Female
Total
20–29
3
...
Horikawa, T., Odatsu, T., Itoh, T. et al. Retrospective cohort study of rough-surface titanium implants with at least 25 years’ function.
Int J Implant Dent 3, 42 (2017). https://doi.org/10.1186/s40729-017-0101-7
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Received: 26 April 2017
Accepted: 28 August 2017
Published: 05 September 2017
DOI: https://doi.org/10.1186/s40729-017-0101-7
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were...
Tadashi Horikawa, Tetsurou Odatsu, Takatoshi Itoh, Yoshiki Soejima, Hutoshi Morinaga, Naruyoshi Abe, Naoyuki Tsuchiya, Toshikazu Iijima, and Takashi Sawase declare that they have no competing interests.
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TH, TO, and TS initiated and designed the retrospective study and drafted the manuscript including the preparation of figures and tables. TH, TAI, YS, HM, NA, NT, and TOI reviewed the medical records and collected the data. All authors revised the manuscript and approved the final manuscript.
Correspondence to...
Kyushu Implant Research Group, 4-14 Kokaihonmachi, Chuo-ku, Kumamoto, 860-0851, Japan
Tadashi Horikawa, Takatoshi Itoh, Yoshiki Soejima, Hutoshi Morinaga, Naruyoshi Abe, Naoyuki Tsuchiya, Toshikazu Iijima & Takashi Sawase
Department of Applied Prosthodontics, Graduate School of Biomedical Sciences, Nagasaki University, 1-7-1 Sakamoto, Nagasaki, 852-8588, Japan
Tetsurou Odatsu & Takash...
Pjetursson BE, Thoma D, Jung R, Zwahlen M, Zembic A. A systematic review of the survival and complication rates of implant-supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 years. Clin Oral Implants Res. 2012;23(Suppl 6):22–38.
Dorner S, Zeman F, Koller M, Lang R, Handel G, Behr M. Clinical performance of complete dentures: a retrospective study. Int J Prost...
Duda M, Matalon S, Lewinstein I, Harel N, Block J, Ormianer Z. One piece immediately loading implants versus 1 piece or 2 pieces delayed: 3 years outcome. Implant Dent. 2016;25:109–13.
Wennerberg A, Albrektsson T. Effects of titanium surface topography on bone integration: a systematic review. Clin Oral Implants Res. 2009;20(Suppl 4):172–84.
Teughels W, Van Assche N, Sliepen I, Quirynen M. E...
Dahlin C, Linde A, Gottlow J, Nyman S. Healing of bone defects by guided tissue regeneration. Plast Reconstr Surg. 1988;81:672–6.
Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg. 1980;38:613–6.
Hellem S, Karlsson U, Almfeldt I, Brunell G, Hamp SE, Astrand P. Nonsubmerged implants in the treatment of the edentulous lower jaw: a 5-year pro...
Brånemark PI, Adell R, Breine U, Hansson BO, Lindström J, Ohlsson A. Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand J Plast Reconstr Surg. 1969;3:81–100.
Buser D, Sennerby L, De Bruyn H. Modern implant dentistry based on osseointegration: 50 years of progress, current trends and open questions. Periodontol. 2017;73:7–21.
Ekelund JA, Lindquist LW, Carlsson GE, ...
In conclusion, our analyses revealed a cumulative survival rate of 89.8% of TPS-surface implants with at least 25 years of functioning. The survival rate of maxillary positioned implants was significantly lower than that of mandibulary positioned implants. The patient gender, implant location, and width of keratinized mucosa affected the rate of peri-implantitis, resulting in late failure. Implan...
We also observed that the tooth-implant-supported prostheses had a lower complication-free rate than implant-supported fixed prostheses due to caries, periodontitis, or the root fracture of abutment teeth. Lang et al. reported that the survival rates of tooth implant-supported fixed partial dentures were 94.1% after 5 years and 77.8% after 10 years of functioning [31], and these results were alm...
Regarding the width of keratinized mucosa, many studies and a review have indicated that the presence of a sufficient width of keratinized mucosa is necessary for maintaining healthy peri-implants [26,27,28,29]. In the present study, when 2 mm of keratinized mucosa was used as the adequate width, the p value was 0.053 (data not shown). This also showed the tendency of the availability of keratini...
Peri-implantitis is the major reason for late failure [13, 14]. The consensus report of the Sixth European Workshop on Periodontology described peri-implant mucositis in approx. 80% of subjects restored with implant, and peri-implantitis in 28–56% of subjects [15]. In the present study, the cumulative incidence of peri-implantitis was 9.5, 15.3, 21.0, and 27.9% at 5, 10, 15, and 25 years after ...
Although all implants used in this study were withdrawn from the market about 20 years before, the longitudinal clinical outcomes over decades will help to better understand potential factors leading to implant failure or complications and assess the safe and predictable use of dental implant. Our analyses revealed a 25-year cumulative survival rate of 89.8% after the prosthesis setting, which se...
A total of 48 implants were eventually accompanied by a peri-implant infection: the cumulative incidence of peri-implantitis was 9.5, 15.3, 21.0, and 27.9% at 5, 10, 15, and 25 years after the prosthesis delivery, respectively (Fig. 3). After stepwise backward selection, the gender, implant type, and width of keratinized mucosa showed the significant difference in the cumulative survival rate (T...
A total of 92 patients (38 men, 54 women; mean age 54.3 years, range 20–78) received implant-supported prostheses (at the seven private practices) between 1984 and 1990. The distribution of patients by age and gender is presented in Table 1. Fifty-seven patients (140 implants) were considered dropouts due to the fact that no data were obtained at the endpoint, but 25 years had passed since th...
This retrospective observational study was approved by the ethical committee of Nagasaki University (No. 1512). The cases of all of the patients who underwent dental implant treatment with a TPS-surfaced solid-screw implant and whose prosthesis was set in the years 1984–1990 at seven private practices were analyzed. All inserted implants were either a TPS-type (TPS-type, Institute Straumann, Bas...
Dental implant treatment based on the concept of osseointegration [1] is now a widely accepted restorative treatment for fully and partially edentulous patients. In the earliest days of the use of osseointegrated implants, two different topographies were applied on the implant surfaces: a machined minimally rough titanium surface such as the Brånemark system and a rough microporous titanium plasm...
The longitudinal clinical outcomes over decades contribute to know potential factors leading to implant failure or complications and help in the decision of treatment alternatives.
The cases of all patients who received dental implants treated with titanium plasma-sprayed surfaces and whose prostheses were set in the period 1984–1990 at seven private practices were retrospectively analyzed. The...
Fig. 4. Scatterplot depicting indirect calculated and direct measured ISQ values of the tested implants
Fig. 4. Scatterplot depicting indirect calculated and direct measured ISQ values of the tested implants
Fig. 3. Example of a typical autospectrum pointing to a 1 maximum RF based on 1000 measurements in case of a Straumann test implant
Fig. 3. Example of a typical autospectrum pointing to a 1 maximum RF based on 1000 measurements in case of a Straumann test implant
Fig. 2. Clamped Osstell probe orientated towards a Smartpeg mounted on a test implant. Note the red laser beam dot on the flat surface of the Smartpeg hexagon part
Fig. 2. Clamped Osstell probe orientated towards a Smartpeg mounted on a test implant. Note the red laser beam dot on the flat surface of the Smartpeg hexagon part
Fig. 1. Concept for study of deflection and stiffness aspects of implant-Smartpeg complex by laser Doppler vibrometry. Intentional partial imbedding of implants allows to detect both the deflection of implant and Smartpeg separately at different vertical levels by changing the position of the laser beam
Fig. 1. Concept for study of deflection and stiffness aspects of implant-Smartpeg complex ...
Batch #
Implant system
Implant length (mm)
Implant diameter (mm)
Mean measured resonance freq (kHz)
SD meas...
Author and study
Implant position (implant number)
Mean ISQ values at given time-point post-insertion
Type of Osstell device used
Barewal et al. 2003 [10]
...
Debruyne, S., Grognard, N., Verleye, G. et al. ISQ calculation evaluation of in vitro laser scanning vibrometry-captured resonance frequency.
Int J Implant Dent 3, 44 (2017). https://doi.org/10.1186/s40729-017-0105-3
Download citation
Received: 11 April 2017
Accepted: 28 September 2017
Published: 12 October 2017
DOI: https://doi.org/10.1186/s40729-017-0105-3
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were...
Stijn Debruyne, Nicolas Grognard, Gino Verleye, Korneel Van Massenhove, Dimitrios Mavreas, and Bart Vande Vannet declare that they have no competing interests.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Correspondence to
Nicolas Grognard.
Department of Mechanics, Research Group Propolis, School of Engeneering Sciences, Katholieke Hoge School Brugge-Oostende, Ostend, Belgium
Stijn Debruyne
Kliniek Royal, Koningstraat 41, 8400, Ostend, Belgium
Nicolas Grognard
CHIR-Unit Dentistry–ORHE, Department of Orthodontics, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090, Brussels, Belgium
Nicolas Gro...
Han J, Lulic M, Lang NP. Factors influencing resonance frequency analyis assessed by Osstell Mentor during implant issue integration: II: implant surface modifications and implant diameter. Clin Oral Implants Res. 2010;6:605–11.
Bornstein M, Hart C, Halbritter S, Morton D, Buser D. Early loading of nonsubmerged titanium implants with a chemically modified sand-blasted and acid-etched surface: 6...
Adell R, Lekholm U, Brånemark PI. Surgical procedures. In: Brånemark PI, Zarb GA, Albrektsson T, editors. Tissue integrated prothese. Osseointegration in clinical dentistry. Chigaco: Quintessence; 1985. p. 211–32.
Strid K. Radiographic procedures. In: Brånemark P-I, Zarb G, Albrektsson T, editors. Tissue integrated prothese. Osseointegration in clinical dentistry. Chigaco: Quintessence; 1985...
In conclusion, the present study demonstrated that the algorithm applied and provided by Osstell to calculate ISQ values is correct, making the laboratory procedure valuable for future research focused on stiffness aspects of the implant-Smartpeg complex and its possible influence on the overall RFA measurement. Vice versa, the present study demonstrates the correctness of the actual applied algor...
The focus of this in vitro study was to develop a laboratory method, intended for future research of aspects of implant-Smartpeg complex stiffness and its possible influence on the overall RFA-based implant stability determination. In the past, other laboratory methodologies have been engineered to investigate implant deflection and/or lateral displacement by means of transducers. A setup using a ...
Mean values (± SD) of recorded maximum RF values, calculated indirect ISQ values, and direct recorded ISQ values for Ankylos (A) and Straumann (S) test implants are shown in Table 2.
Using the Shapiro-Wilk test for indirect ISQ (p = 0.05) and direct ISQ (p = 0.02), we can conclude that both indirect and direct ISQ measures are not drawn from a normal distribution (data not shown). Bot...
In total, for each given implant type with a given diameter/length configuration, 25 measurements for indirect and 5 measurements for direct ISQ computing were performed.
The SPSS statistical software package 22.0 (IBM SPSS, Chicago, USA) was used. A Shapiro-Wilk test was used to verify distribution normality for both direct and indirect determined ISQ values. The paired sample t test and the Wil...
The Smartpeg excitation mode was exactly performed as described above. Notation of the maximum resonance frequency for indirect measurements is followed by notation of direct ISQ value on the display of Osstell IDx device. Positioning of the probe was not changed during indirect and direct recordings for a given test implant.
Each resin block contained five identical implants with attached Smartp...
Test implants originating from various manufacturers were investigated. Straumann sandblasted, large-grit, acid-etched (SLA)® tissue level standard implants (Straumann AG, Basel, Switzerland) with the following diameter: length configurations were 3.3–12 mm (RN connection), 3.3–4.1 mm (RN connection), and 4.8–8 mm (WN connection), Ankylos Cell Plus® surfaced B-implant types (Dentsply Im...
Laser Doppler vibrometry possesses a working principle based on the so-called Doppler effect and allows non-contact quantitative measurement of vibration (https://en.wikpedia.org/wiki/Laser_scanning_vibrometry, 2017). The Doppler effect itself finds its origin when a light beam is backscattered on a vibrating surface and experiences a change in wave phase (https://en.wikipedia.org/wiki/Doppler_eff...
The computed ISQ value is based on the following calculation formulae:
Hereby, f denotes the measured maximum resonance frequency (RF). Coefficients a, b, c, d, and e are property information of Osstell (Osstell AB, Gothenburg, Sweden). The coefficients were provided for internal use under the agreement of no publication. From clinical reports [10,11,12,13,14,15,16] listed in Table 1, it ...
At present, multiple implant stability assessment methodologies are used, both of invasive and non-invasive nature, including percussion test [1], X-ray evaluation [2], cutting resistance during implant insertion (e.g., electronic insertion torque determination) [3], turn-out or reverse torque test [4], Periotest® [5, 6], and resonance frequency analysis (“RFA”), e.g., the Osstell method [7, ...
Implant stability testing at various stages of implant therapy by means of resonance frequency analysis is extensively used. The overall measurement outcome is a function of the resulting stiffness of three entities: surrounding bone, bone-implant complex, and implant-Smartpeg complex. The influence of the latter on the overall measurement results is presently unknown. It can be investigated in vi...
Fig. 11. Energy dispersive spectrum of control Cp titanium specimen
Fig. 11. Energy dispersive spectrum of control Cp titanium specimen
Fig. 10. Energy dispersive spectrum of Cp titanium specimen coated with HA-Zn
Fig. 10. Energy dispersive spectrum of Cp titanium specimen coated with HA-Zn
Fig. 9. Scanning electron microphotograph of control Cp titanium specimen at ×20,000
Fig. 9. Scanning electron microphotograph of control Cp titanium specimen at ×20,000
Fig. 8. Scanning electron microphotograph of control Cp titanium specimen at ×10,000
Fig. 8. Scanning electron microphotograph of control Cp titanium specimen at ×10,000
Fig. 7. Scanning electron microphotograph of control Cp Titanium specimen at X 5,000
Fig. 7. Scanning electron microphotograph of control Cp Titanium specimen at X 5,000
Fig. 6. Scanning electron microphotograph of Cp titanium specimen coated with HA-Zn at ×20,000
Fig. 6. Scanning electron microphotograph of Cp titanium specimen coated with HA-Zn at ×20,000
Fig. 5. Scanning electron microphotograph of Cp Titanium specimen coated with HA-Zn at X10,000
Fig. 5. Scanning electron microphotograph of Cp Titanium specimen coated with HA-Zn at X10,000
Fig. 4. Scanning electron microphotograph of Cp titanium specimen coated with nano HA- Zn at ×5000
Fig. 4. Scanning electron microphotograph of Cp titanium specimen coated with nano HA- Zn at ×5000
Fig. 3. IR spectra of HA-Zn powder scrapped from coated titanium specimen
Fig. 3. IR spectra of HA-Zn powder scrapped from coated titanium specimen
Fig. 2. IR spectra of Ca(NO3)2·4 H2O powder prepared from a natural source (CB)
Fig. 2. IR spectra of Ca(NO3)2·4 H2O powder prepared from a natural source (CB)
Fig. 1. Graphical presentation of the electrochemical-deposition coating process’ equipment
Fig. 1. Graphical presentation of the electrochemical-deposition coating process’ equipment
Number of specimens
Mean ± (SD)
Standard error mean
F value
P value
Control
7...
El-Wassefy, N.A., Reicha, F.M. & Aref, N.S. Electro-chemical deposition of nano hydroxyapatite-zinc coating on titanium metal substrate.
Int J Implant Dent 3, 39 (2017). https://doi.org/10.1186/s40729-017-0095-1
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Received: 20 March 2017
Accepted: 28 July 2017
Published: 13 August 2017
DOI: https://doi.org/10.1186/s40729-017-0095-1
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were...
El-Wassefy N, Aref N, and Reicha F declare that they have no competing interests.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Dental Biomaterials Department, Faculty of Dentistry, Mansoura University, 35516 El Gomhoria St., Mansoura, Egypt
N. A. El-Wassefy & N. S. Aref
Physics Department, Faculty of science, Mansoura University, 35516 El Gomhoria St., Mansoura, Egypt
F. M. Reicha
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...
The authors would like to express their gratitude for Dr. Sherif Kishk, Professor of Communication and Electrical Engineering, Faculty of Engineering, Mansoura University, for his help in photographing and analyzing the coating for adhesion test.
Kuo MC, Yen SK. The process of electrochemical deposited hydroxyapatite coatings on biomedical titanium at room temperature. Mater Sci Eng C. 2002;20:153–60.
Suchanek W, Yoshimura M. Processing and properties of hydroxyapatite-based biomaterials for use as hard tissue replacement implants. J Mater Res. 1998;13:94–117.
Kohli S, Batra U, Kapoor S. Influence of zinc substitution on physicochemi...
Hosea HJ, Taylor CG, Wood T, Mollard R, Weiler HA. Zinc-deficient rats have more limited bone recovery during repletion than diet-restricted rats. Exp Biol Med. 2004;299:303–11.
Tsai M-T, Chang Y-Y, Huang H-L, Hsu J-T, Chen Y-C, Wu AY-J. Characterization and antibacterial performance of bioactive Ti–Zn–O coatings deposited on titanium implants. Thin Solid Films. 2013;528:143–50.
Hu H, Zh...
Brunette DM, Tengvall P, Textor M TP, Textor M, Thomsen P. Titanium in medicine: material science, surface science, engineering, biological responses and medical applications. Springer Science & Business Media; 2012. p.13–24.
Heydenrijk K, Meijer HJA, van der Reijden WA, Vissink A, Raghoebar GM, Stegenga B. Microbiota around root-formed endosseous implants. A review of the literature. October. ...
The electro-chemical method can be employed for HA-Zn coating deposition on titanium metal, where Ca source was a recycled cuttlebone fish to precipitate HA phases. Using a Zn anode on a low-sustained voltage was able to induce an even coat thickness of HA-Zn precipitation and increase the surface roughness significantly.
Yang et al. prepared a Zn-HA coating on Ti plates by an electrochemical process, and the SEM examination showed irregularly shaped rod-like crystals with hexagonal cross-section; this corresponded well with the current study results. They also concluded that a Zn-HA coating improves proliferation and differentiation of osteoblasts and would enhance implant osseointegration [11].
Ceramic coatings ...
Metallic orthopedic prosthesis is most commonly used due to its good mechanical properties, but its failure mostly occurs due to the lack of proper bone bonding and/or the occurrence of post-operative infections. Hydroxyapatite is commonly used as a bone filler biomaterial or as a coat for titanium prosthesis due to its decent biocompatibility, osseoconductivity, and bioactivity [26]. However, as ...
Following the examination of X cut areas after the adhesive tape removal; the adhesion was rated to be 5A, as no peeling or coat removal occurred along the incisions' length or at their intersection.
Figure 2 shows the FT-IR spectra of Ca(NO3)2·4H2O with weak sharp absorption peak bands at 742, 821, and 1048 cm−1, a strong broad absorption band at 1354 cm-1, and a strong shoulder absorption band at 1455 cm−1. A wide broad absorption band peak appears at 3442 cm−1 due to the presence of water. Figure 3 shows the FT-IR spectra of HA-Zn powder scrapped from CpTi specimens; the band a...
The coating was scrapped from Ti specimen's surface and investigated for its chemical structure using FT-IR spectroscopy. The powder was investigated by double-beam dispersive IR spectrometer (Nicolet iS10, Thermo Electron Corporation, UK) which utilized the selected range of 400 to 4000 wave numbers (cm−1) at 4 cm−1 resolution and averaging of 100 scans. Two milligrams of scrapped powder was...
Commercially pure Ti (CpTi) grade II specimens were cut down into plates with dimensions 10 × 10 × 2 mm and used as substrates (cathode material) for depositing HA and Zn. CpTi specimens were polished with successive grades of silicon carbide papers, ultra-sonicated in acetone (99.5%, EM Science), rinsed in distilled water, and then air dried at room temperature, before they were used f...
The aim of the present work was to develop well-adhered and uniform hydroxyapatite-zinc coatings on titanium metal substrate, through an in vitro electro-chemical deposition method. The coating was characterized for functional chemical group, surface morphology, surface chemical analysis, surface roughness, and coat adhesive bonding by Fourier transform infrared spectrometer (FT-IR), scanning elec...
The aim of the present work was to develop well-adhered and uniform hydroxyapatite-zinc coatings on titanium metal substrate, through an in vitro electro-chemical deposition method. The coating was characterized for functional chemical group, surface morphology, surface chemical analysis, surface roughness, and coat adhesive bonding by Fourier transform infrared spectrometer (FT-IR), scanning elec...
Titanium metal is one of the most widely used biomedical orthopedic materials because of its decent mechanical properties [1]. However, as an inert material, it cannot induce osteogenesis and has no antibacterial properties [2]. In order to improve surface bioactivity of titanium substrates, numerous methods have been proposed to cover it with bio-ceramic coatings [1]. Various clinical studies ...
Titanium is an inert metal that does not induce osteogenesis and has no antibacterial properties; it is proposed that hydroxyapatite coating can enhance its bioactivity, while zinc can contribute to antibacterial properties and improve osseointegration.
A nano-sized hydroxyapatite-zinc coating was deposited on commercially pure titanium using an electro-chemical process, in order to increase its ...
Fig. 4. Scatterplot depicting indirect calculated and direct measured ISQ values of the tested implants
Fig. 4. Scatterplot depicting indirect calculated and direct measured ISQ values of the tested implants
Fig. 3. Example of a typical autospectrum pointing to a 1 maximum RF based on 1000 measurements in case of a Straumann test implant
Fig. 3. Example of a typical autospectrum pointing to a 1 maximum RF based on 1000 measurements in case of a Straumann test implant
Fig. 2. Clamped Osstell probe orientated towards a Smartpeg mounted on a test implant. Note the red laser beam dot on the flat surface of the Smartpeg hexagon part
Fig. 2. Clamped Osstell probe orientated towards a Smartpeg mounted on a test implant. Note the red laser beam dot on the flat surface of the Smartpeg hexagon part
Fig. 1. Concept for study of deflection and stiffness aspects of implant-Smartpeg complex by laser Doppler vibrometry. Intentional partial imbedding of implants allows to detect both the deflection of implant and Smartpeg separately at different vertical levels by changing the position of the laser beam
Fig. 1. Concept for study of deflection and stiffness aspects of implant-Smartpeg complex ...
Batch #
Implant system
Implant length (mm)
Implant diameter (mm)
Mean measured resonance freq (kHz)
SD meas...
Author and study
Implant position (implant number)
Mean ISQ values at given time-point post-insertion
Type of Osstell device used
Barewal et al. 2003 [10]
...
Debruyne, S., Grognard, N., Verleye, G. et al. ISQ calculation evaluation of in vitro laser scanning vibrometry-captured resonance frequency.
Int J Implant Dent 3, 44 (2017). https://doi.org/10.1186/s40729-017-0105-3
Download citation
Received: 11 April 2017
Accepted: 28 September 2017
Published: 12 October 2017
DOI: https://doi.org/10.1186/s40729-017-0105-3
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were...
Stijn Debruyne, Nicolas Grognard, Gino Verleye, Korneel Van Massenhove, Dimitrios Mavreas, and Bart Vande Vannet declare that they have no competing interests.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Correspondence to
Nicolas Grognard.
Department of Mechanics, Research Group Propolis, School of Engeneering Sciences, Katholieke Hoge School Brugge-Oostende, Ostend, Belgium
Stijn Debruyne
Kliniek Royal, Koningstraat 41, 8400, Ostend, Belgium
Nicolas Grognard
CHIR-Unit Dentistry–ORHE, Department of Orthodontics, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090, Brussels, Belgium
Nicolas Gro...
Han J, Lulic M, Lang NP. Factors influencing resonance frequency analyis assessed by Osstell Mentor during implant issue integration: II: implant surface modifications and implant diameter. Clin Oral Implants Res. 2010;6:605–11.
Bornstein M, Hart C, Halbritter S, Morton D, Buser D. Early loading of nonsubmerged titanium implants with a chemically modified sand-blasted and acid-etched surface: 6...
Adell R, Lekholm U, Brånemark PI. Surgical procedures. In: Brånemark PI, Zarb GA, Albrektsson T, editors. Tissue integrated prothese. Osseointegration in clinical dentistry. Chigaco: Quintessence; 1985. p. 211–32.
Strid K. Radiographic procedures. In: Brånemark P-I, Zarb G, Albrektsson T, editors. Tissue integrated prothese. Osseointegration in clinical dentistry. Chigaco: Quintessence; 1985...
In conclusion, the present study demonstrated that the algorithm applied and provided by Osstell to calculate ISQ values is correct, making the laboratory procedure valuable for future research focused on stiffness aspects of the implant-Smartpeg complex and its possible influence on the overall RFA measurement. Vice versa, the present study demonstrates the correctness of the actual applied algor...
The focus of this in vitro study was to develop a laboratory method, intended for future research of aspects of implant-Smartpeg complex stiffness and its possible influence on the overall RFA-based implant stability determination. In the past, other laboratory methodologies have been engineered to investigate implant deflection and/or lateral displacement by means of transducers. A setup using a ...
Mean values (± SD) of recorded maximum RF values, calculated indirect ISQ values, and direct recorded ISQ values for Ankylos (A) and Straumann (S) test implants are shown in Table 2.
Using the Shapiro-Wilk test for indirect ISQ (p = 0.05) and direct ISQ (p = 0.02), we can conclude that both indirect and direct ISQ measures are not drawn from a normal distribution (data not shown). Bot...
In total, for each given implant type with a given diameter/length configuration, 25 measurements for indirect and 5 measurements for direct ISQ computing were performed.
The SPSS statistical software package 22.0 (IBM SPSS, Chicago, USA) was used. A Shapiro-Wilk test was used to verify distribution normality for both direct and indirect determined ISQ values. The paired sample t test and the Wil...
The Smartpeg excitation mode was exactly performed as described above. Notation of the maximum resonance frequency for indirect measurements is followed by notation of direct ISQ value on the display of Osstell IDx device. Positioning of the probe was not changed during indirect and direct recordings for a given test implant.
Each resin block contained five identical implants with attached Smartp...
Test implants originating from various manufacturers were investigated. Straumann sandblasted, large-grit, acid-etched (SLA)® tissue level standard implants (Straumann AG, Basel, Switzerland) with the following diameter: length configurations were 3.3–12 mm (RN connection), 3.3–4.1 mm (RN connection), and 4.8–8 mm (WN connection), Ankylos Cell Plus® surfaced B-implant types (Dentsply Im...
Laser Doppler vibrometry possesses a working principle based on the so-called Doppler effect and allows non-contact quantitative measurement of vibration (https://en.wikpedia.org/wiki/Laser_scanning_vibrometry, 2017). The Doppler effect itself finds its origin when a light beam is backscattered on a vibrating surface and experiences a change in wave phase (https://en.wikipedia.org/wiki/Doppler_eff...
The computed ISQ value is based on the following calculation formulae:
Hereby, f denotes the measured maximum resonance frequency (RF). Coefficients a, b, c, d, and e are property information of Osstell (Osstell AB, Gothenburg, Sweden). The coefficients were provided for internal use under the agreement of no publication. From clinical reports [10,11,12,13,14,15,16] listed in Table 1, it ...
At present, multiple implant stability assessment methodologies are used, both of invasive and non-invasive nature, including percussion test [1], X-ray evaluation [2], cutting resistance during implant insertion (e.g., electronic insertion torque determination) [3], turn-out or reverse torque test [4], Periotest® [5, 6], and resonance frequency analysis (“RFA”), e.g., the Osstell method [7, ...
Implant stability testing at various stages of implant therapy by means of resonance frequency analysis is extensively used. The overall measurement outcome is a function of the resulting stiffness of three entities: surrounding bone, bone-implant complex, and implant-Smartpeg complex. The influence of the latter on the overall measurement results is presently unknown. It can be investigated in vi...
Fig. 2. a Radiographic image of a 3.5-mm-wide by 7-mm-length dental implant at the time of its placement at the mandibular left second premolar in a 63-year-old Caucasian female. b Radiographic image of a three-unit fixed partial denture upon its initial placement. The dental implant is the anterior abutment with the prosthesis screw retained to it. The distal abutment is the mandibular left sec...
Fig. 1. a Initial radiograph exposed at abutment installation on a 5-mm-wide by 7-mm-length dental implant used to help support a removable partial denture for a 71-year-old Caucasian male. b Radiograph of the area taken at 82 months demonstrates good bone stability. c Clinical image of the area 82 months later. Soft tissue remains healthy. The two teeth anterior are in the process of receivin...
Time
ISQ
n
Implant insertion
73.6 ± 8.1
86
1–4 weeks
...
Interval
Implants
Failed
Not followed
CSR (%)
Insertion to 1 year
...
Sex
Age
Smoker
Risk factors
Position
Implant diameter
...
Number
Percent
Jaw
Maxilla
60
69.8
Mandible
...
Number
Percent
Age (years)
20–29
1
1.3
30–39
...
Rosen, P.S., Sahlin, H., Seemann, R. et al. A 1–7 year retrospective follow-up on consecutively placed 7-mm-long dental implants with an electrowetted surface.
Int J Implant Dent 4, 24 (2018). https://doi.org/10.1186/s40729-018-0136-4
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Received: 08 January 2018
Accepted: 21 May 2018
Published: 23 August 2018
DOI: https://doi.org/10.1186/s40729-018-0136...
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were m...
The study was performed in compliance with the Declaration of Helsinki. Data collection was performed in such a manner that subjects could not be identified, and therefore, it was exempt from IRB review according to Federal Regulation 45 CFR 46.101(b).
All participants consented to publish their information details through the clinic’s standard patient consent procedure. Also, all images appear...
Clinical Professor of Periodontics, Baltimore College of Dental Surgery, University of Maryland Dental School, Baltimore, MD, USA
Paul S. Rosen
Private Practice limited to Periodontics and Dental Implants, 907 Floral Vale Boulevard, Yardley, PA, 19067, USA
Paul S. Rosen
Neoss Ltd, Gothenburg, Sweden
Herman Sahlin
University Clinic of Craniofacial, Maxillofacial and Oral Surgery, Vienna, Aust...
Due to the ethical and legal responsibility to respect participants’ rights to privacy and to protect their identity, the clinical dataset is not made publicly available.
Srinivasan M, Vazquez L, Rieder P, Moraguez O, Bernard JP, Belser UC. Survival rates of short (6 mm) micro-rough surface implants: a review of literature and meta-analysis. Clin Oral Implants Res. 2014;25(5):539–45.
Chrcanovic BR, Albrektsson T, Wennerberg A. Diabetes and oral implant failure: a systematic review. J Dent Res. 2014;93(9):859–67.
Giro G, Chambrone L, Goldstein A, Rodrigues JA,...
Jemt T, Olsson M, Franke SV. Incidence of first implant failure: a retroprospective study of 27 years of implant operations at one specialist clinic. Clin Implant Dent Relat Res. 2015;17(Suppl 2):e501–10.
Pommer B, Frantal S, Willer J, Posch M, Watzek G, Tepper G. Impact of dental implant length on early failure rates: a meta-analysis of observational studies. J Clin Periodontol. 2011;38(9):856...
Cumulative survival rate
Implant stability quotient
Insertion torque
Odds ratio
Resonance frequency analysis
Relative risk
The current retrospective consecutive case series study provides preliminary data that treatment with 7-mm-length short implants with a hydrophilic electrowetted surface is a reasonable approach in sites with limited vertical bone dimension. It adds to the body of evidence supporting short implant use for compromised sites. The success seen might be attributed to the larger implant diameters that ...
Thirty-six percent of the implants in the study were placed in extraction sockets. Provided that sufficient initial implant stability is achieved, there should be no additional risk factors compared to implants in healed sites. Studies have shown no difference in marginal bone remodeling between immediately placed and delayed implants [15].
The biggest limitation of the current study is its very ...
A wide distribution in implant insertion torque (10–50 Ncm) was seen in the study. This reflects the variety of clinical situations in which the implants were placed. Assessments were made by using both the RFA value and the insertion torque as to first whether an implant should have been left to heal in the first place and if so, how this would be best accomplished, i.e., through its submergen...
This retrospective study is the first to look at short dental implants with a hydrophilic electrowetted surface. The survival data suggest that this treatment is a viable option to care. In a systematic review that identified 13 studies on implants shorter than 10 mm, the CSR from the individual studies ranged from 80 to 100% with a combined CSR of 98.3% after 5 years, 94.8% after 6 years, and ...
The chart review identified 86 placed implants in 75 patients. Table 1 summarizes the patient demographics of the 75 patients. Patients ranged in age from 29 to 88 years with a mean of 61.0 ± 12.5 years. Twenty-seven of the patients were males and 48 were females. Table 2 summarizes the implant and site-related information of the 86 placed implants. Mean insertion torque was 30.1 ± 7...
Baseline parameters, both patient- and implant-related, as well as follow-up parameters (implant survival, follow-up time, and resonance frequency analysis) were collected from a review of the patient records.
The main study parameters (principal outcome parameters) were defined to be implant loss and follow-up time. The cumulative survival rate was estimated. The influence of several factors on ...
A retrospective study on short 7 mm hydrophilic implants from a single center was conducted in a private practice limited to periodontics and surgical dental implant placements from one of the authors, PSR (Yardley, Pennsylvania, USA). An exhaustive chart review identified 75 patients for analysis that were treated with 86 short (7 mm) implants during a 5-year period (September 1, 2009, to Novem...
The aim of this retrospective consecutive case series study was to investigate implant survival rate and analyze possible factors affecting the survival of short implants placed in one surgical practice focused on implantology and periodontology in a temporal cohort.
In the past decades, the osseointegration rate of dental implants has dramatically increased, particularly in sites of softer dental bone, which may be attributed to the introduction of moderately roughened surfaces [1, 2]. Moreover, because of this increase in success, clinicians have attempted to push the envelope and place implants into sites that may provide a greater challenge as they wish to...
This retrospective consecutive case series study was performed to determinate the survival rate and implant stability of short (7 mm length) dental implants with an electrowetted hydrophilic surface that were in function from 1 to 7 years.
A retrospective chart review identified and evaluated 86 consecutively placed 7-mm-long dental implants (ProActive, Neoss Ltd., Harrogate, England) in 75 pat...
Fig. 6. Forest plot on differences in implant mean marginal bone loss between MS and RS groups in alle included RCT's
Fig. 6. Forest plot on differences in implant mean marginal bone loss between MS and RS groups in alle included RCT's
Fig. 5. Forest plot on differences in implant survival between MS and RS groups in all included RCT's
Fig. 5. Forest plot on differences in implant survival between MS and RS groups in all included RCT's
Fig. 4. Forest plot on differences in implant mean marginal bone loss between MS and RS groups in all included studies
Fig. 4. Forest plot on differences in implant mean marginal bone loss between MS and RS groups in all included studies
Fig. 3. Forest plot on differences in implant survival between MS and RS groups in all included studies
Fig. 3. Forest plot on differences in implant survival between MS and RS groups in all included studies
Fig. 2. a Presentation of risk of bias evaluation for included RCTs according to the Cochrane Collaboration’s tool. b Presentation of risk of bias evaluation for included non-RCTs according to the Newcastle-Ottawa assessment scale
Fig. 2. a Presentation of risk of bias evaluation for included RCTs according to the Cochrane Collaboration’s tool. b Presentation of risk of bias evaluation fo...
Fig. 1. Flowchart of the search strategy
Fig. 1. Flowchart of the search strategy
Study (first author and year of publication)
Design
General health
Perio health
Perio status
...
Dank, A., Aartman, I.H.A., Wismeijer, D. et al. Effect of dental implant surface roughness in patients with a history of periodontal disease: a systematic review and meta-analysis.
Int J Implant Dent 5, 12 (2019). https://doi.org/10.1186/s40729-019-0156-8
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Received: 14 August 2018
Accepted: 06 January 2019
Published: 13 February 2019
DOI: https://doi.org/...
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were m...
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Not applicable.
All authors read and approved the final manuscript.
Anton Dank, Irene H.A. Aartman, Daniël Wismeijer, and Ali Tahmaseb declare that they have no competing interests (Additional files 1, 2, 3 and 4).
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Section of Oral Implantology and Prosthetic Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Gustav Mahlerlaan 3004, 1081 LA, Amsterdam, The Netherlands
Anton Dank, Daniël Wismeijer & Ali Tahmaseb
Department of Social Dentistry, Academic Centre for Dentistry Amsterdam (ACTA) University of Amsterdam and Vrije Universiteit Ams...
The authors would like to thank Dr. Elena Nicu for providing missing information about her study.
None.
This paper is distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the author gives appropriate credit to the original author(s) and the source, provide a link to the Cr...
Jungner M, Legrell PE, Lundgren S. Follow-up study of implants with turned or oxidized surfaces placed after sinus augmentation. Int J Oral Maxillofac Implants. 2014;29:1380–7.
Esposito M, Ardebili Y, Worthington HV. Intervention for replacing missing teeth: different types of dental implants. Cochrane Database Syst Rev. 2014;22:CD003815.
Doornewaard R, Christiaens V, De Bruyn H, Jacobsson M, ...
Nemli SK, Güngör MB, Aydin C, Yilmaz H, Türkcan I, Demirköprülü H. Clinical evaluation of submerged and non-submerged implants for posterior single-tooth replacements: a randomized split-mouth clinical trial. Int J Oral Maxillofac Surg. 2014;43:1484–92.
Sánchez-Siles M, Munoz-Cámara D, Salazar-Sánchez N, Camacho-Alonso F, Calvo-Guirado JL. Crestal bone loss around submerged and non-sub...
Wennström JL, Ekestubbe A, Gröndahl K, Karlsson S, Lindhe J. Oral rehabilitation with implant-supported fixed partial dentures in periodontitis-susceptible subjects. J Clin Periodontol. 2004;31:713–24.
Matarasso S, Rasperini G, Siciliano V, Salvi GE, Lang NP, Aglietta M. A 10-year retrospective analysis of radiographic bone-level changes of implants supporting single-unit crowns in periodonta...
Kumar A, Jaffin RA, Berman C. The effect of smoking on achieving osseointegration of surface-modified implants: a clinical report. Int J Oral Maxillofac Implants. 2002;17:816–9.
Albouy JP, Abrahamsson I, Persson LG, Berghlundh T. Spontaneous progression of peri-implantitis of different types of implants: an experimental study in dogs. I: clinical and radiographic observations. Clin Oral Implant...
Rosenberg ES, Dent HD, Cho S, Elian N, Jalbout ZN, Froum S. A comparison of characteristics of implant failure and survival in periodontally compromised and periodontally healthy patients: a clinical report. Int J Oral Maxillofac Implants. 2004;19:873–9.
Balshe AA, Eckert SE, Koka S, Assad DA, Weaver AL. The effects of smoking on the survival of smooth- and rough-surface dental implants. Int J ...
Quirynen M, Abarca M, Van Assche N, Nevins M, Van Steenberghe D. Impact of supportive periodontal therapy and implant surface roughness on implant outcome in patients with a history of periodontitis. J Clin Periodontol. 2007;34:805–15.
Albrektsson T, Wennerberg A. Oral implant surfaces: part 1–review focusing on topographic and chemical properties of different surfaces and in vivo responses t...
Acid-etched
Anterior
Fixed partial denture
Fully edentulous
Hydroxyl apatite
Hybrid surface
Mandible
Maxilla
Machined surface
No data
Not reported
Non-smoking
Partially edentulous
Periodontally compromised patient
Periodontally healthy patient
Posterior
Prospective
Retrospective
Rough surface
Smoking
Sandblasted acid-etched
Titanium plasma sprayed
Due to lack of long-term data (> 5 years), the heterogeneity and variability in study designs and lack of reporting on confounding factors, definitive conclusions on differences in implant survival, and mean marginal bone loss between machined and moderate rough implants in periodontally compromised patients cannot be drawn. In order to understand whether or not machined surfaces are superior to...
The heterogeneity and the variability in the study designs, together with the fact that most previous studies have not reported on confounding factors, make it difficult to draw definitive conclusions. In addition, the broad confidence intervals provide an uncertain outcome. In spite of their relatively higher failure rate, machined implants have possible advantages on the long term, because they ...
Bias is present in the included papers, and this can have a substantial impact on our findings. For example, in the studies by Wennström et al. and Nicu et al., smoking is a confounding factor, since both non-smokers and smokers have been combined [38, 40]. However, Cavalcanti et al. have performed a retrospective multicenter cohort study and have demonstrated almost twice as many implant failure...
The current study reviews the literature on the effect of dental implant surfaces in patients with a history of periodontal disease. The six included papers comprised both retrospective and prospective studies [36,37,38,39,40,41]. The two prospective randomized clinical trials were analyzed separately [38, 40]. As demonstrated by equality of the risk ratios and on account of the limited amount of ...
Figure 3 illustrates a forest plot showing no significant differences in implant survival between MS and RS groups in all included studies [36,37,38,39,40,41]. The implant mean marginal bone loss in the remaining group of six included studies containing 1342 implants ranged from 0.33 to 3.77 mm, with a minimum and maximum of − 0.74 and 5.20 mm, respectively [36,37,38,39,40,41]. The forest ...
There is some variation in the follow-up between the different studies. Two studies had a follow-up of 5 years (Sayardoust et al. and Wennström et al.), two had a follow-up of 10 years (Aglietta et al. and Matarasso et al.), and for two studies, it was 3 years (Nicu et al. and Gallego et al.) [36,37,38,39,40,41]. All included periodontally compromised patients participated in a regular periodo...
The initial electronic database search on PubMed/MEDLINE and Cochrane library resulted in 2411 titles. Thirteen articles were cited in both databases (duplicates). After screening the abstracts, 45 relevant titles were selected by two independent reviewers and 2353 were excluded for not being related to the topic. Following examination and discussion by the reviewers, 43 articles were selected for...
Two reviewers independently extracted data from the included studies. Disagreements were again resolved through discussion. Corresponding authors were contacted when data were incomplete or unclear. With respect to the listed PICO question, data were sought for (P) periodontally compromised and patients without a history of periodontitis receiving dental implant placement, (I) machined surface den...
This study followed the PRISMA statement guidelines and is registered at PROSPERO under registration code CRD42018093063. A review protocol does not exist.
The listed PICO question is used in the present systematic search strategy. The electronic data resources consulted were PubMed/MEDLINE and Cochrane Library, including all published clinical studies until May 2018. The results were limited to ...
Several animal studies have suggested that the roughness of the implant surface influences the progression of peri-implantitis and the outcome of peri-implantitis treatment [27,28,29,30,31]. There is some evidence in men showing that machined implants are less prone to peri-implantitis compared with implants with rougher surfaces [32]. Moreover, implants with a rough surface have higher rates of l...
Rough titanium implants are currently the standard treatment in implant dentistry [1]. They are roughly divided into three different types of surface roughness (Sa): machined/minimal (± 0.5 μm), moderate (1.0–2.0 μm), and rough (> 2.0 μm) [2]. Generally, rougher implant surfaces have greater bone-to-implant contact [3]. In a randomized controlled clinical trial, it has been demonstra...
To review the literature on the effect of dental implant surface roughness in patients with a history of periodontal disease. The present review addresses the following focus question: Is there a difference for implant survival, mean marginal bone loss, and the incidence of bleeding on probing in periodontally compromised patients receiving a machined dental implant or rough surface dental implant...
Fig. 1. Anatomical location of the control and Ca2+-modified dental implants
Fig. 1. Anatomical location of the control and Ca2+-modified dental implants
Variable
Experimental
Control
P
Diameter (mm)
Total
4.25
5.00
5.50
6.00
6.25
...
Diameter (mm)
Total
4.25
5.00
5.50
6.00
6.25
...
Anitua, E., Piñas, L. & Alkhraisat, M.H. Early marginal bone stability of dental implants placed in a transalveolarly augmented maxillary sinus: a controlled retrospective study of surface modification with calcium ions.
Int J Implant Dent 3, 49 (2017). https://doi.org/10.1186/s40729-017-0111-5
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Received: 04 September 2017
Accepted: 15 November 2017
Publi...
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were...
An exemption from IRB approval of the study protocol was granted by the author’s institution as it was a retrospective study, and the evaluated medical device had already been approved for clinical use. This study was performed following the Helsinki declaration regarding the investigation with human subjects.
Not applicable.
Eduardo Anitua is the Scientific Director of BTI Biotechnology Insti...
Private practice in oral implantology, Clínica Eduardo Anitua, Vitoria, Spain
Eduardo Anitua
University Institute for Regenerative Medicine and Oral Implantology - UIRMI (UPV/EHU-Fundación Eduardo Anitua), Vitoria, Spain
Eduardo Anitua & Mohammad Hamdan Alkhraisat
BTI Biotechnology Institute, Vitoria, Spain
Eduardo Anitua & Mohammad Hamdan Alkhraisat
Universidad Europea de Madrid, Madr...
Not applicable
No funding was received for this study.
The data will not be shared but are available upon request.
Schulze R, Krummenauer F, Schalldach F, d'Hoedt B. Precision and accuracy of measurements in digital panoramic radiography. Dentomaxillofac Radiol. 2000;29:52–6.
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Jaffin RA, Berman CL. The excessive loss of Branemark fixtures in type IV bone: a 5-year analysis. J Periodontol. 1991;62:2–4.
Anitua E, Alkhraisat MH, Pinas L, Orive G. Efficacy of biologically guided implant site preparation to obtain adequate primary implant stability. Ann Anat. 2015;199:9–15.
Anitua E, Alkhraist MH, Piñas L, Orive G. Association of transalveolar sinus floor elevation, p...
Moraschini V, Poubel LA, Ferreira VF, Barboza Edos S. Evaluation of survival and success rates of dental implants reported in longitudinal studies with a follow-up period of at least 10 years: a systematic review. Int J Oral Maxillofac Surg. 2015;44:377–88.
Berglundh T, Abrahamsson I, Lang NP, Lindhe J. De novo alveolar bone formation adjacent to endosseous implants. Clin Oral Implants Res. 200...
Plasma rich in growth factors
Strengthening the Reporting of Observational studies in Epidemiology
The modification of an acid-etched surface with calcium ions (UnicCa®) seems to enhance the marginal bone stability of dental implants, placed after transalveolar sinus floor elevation.
Unlike Ca2+-modified dental implants, two early implant losses were observed for the same dental implants but without Ca2+. Moderately rough implant surface has enhanced implant osseointegration and has increased the implant secondary stability [2, 3, 19]. Hydrophilic moderately rough surfaces showed faster osseointegration compared to those with hydrophobic characteristics [20, 21]. Ca2+ ions hav...
In this study, 51 patients participated with 65 dental implants. The mean age of the patients was 58 ± 11 years (range 38 to 72 years) at the time of surgery, and 28 were females.
The experimental group had 34 Ca2+-modified dental implants, and the control group had 31 dental implants (without surface modification with calcium ions).
Tables 1 and 2 show the diameters and lengths of the p...
The plasma rich in growth factors (PRGF) was prepared using the Endoret® system following the manufacturer instructions (BTI Biotechnology Institute, Vitoria, Spain). The technique for transalveolar sinus floor elevation is explained elsewhere [15]. Briefly, conventional drills working at low speed (150 rpm) without irrigation was used to prepare the implant site. A frontal cutting drill was the...
The manuscript was written following STROBE (Strengthening the Reporting of Observational studies in Epidemiology) guidelines. All described data and treatments were obtained from a single dental clinic in Vitoria, Spain. The time period of the study was between December 2014 and April 2016. Patients’ records were retrospectively reviewed to identify patients that fulfilled the following inclusi...
Dental implants are nowadays the treatment of choice to replace missing teeth due to their high predictability and long-term success [1]. This success is the outcome of several cellular and molecular events that take place at the implant-bone interface. Although the process of osseointegration is not fully understood, research is ongoing to enhance and accelerate this process. Moderately rough imp...
Recently, components of the extracellular cellular matrix have been assessed to enhance the biological response to dental implants. This study aims to assess the effect of surface modification with calcium ions on the early marginal bone loss of dental implants placed in a transalveolarly augmented maxillary sinus.
A retrospective study of transalveolar sinus floor augmentation was conducted in a...
Fig. 6. Roughness (Sa) box plot
Fig. 6. Roughness (Sa) box plot
Fig. 5. 3D profile
Fig. 5. 3D profile
Fig. 4. CLSM
Fig. 4. CLSM
Fig. 3. SEM for localization of EDX analysis
Fig. 3. SEM for localization of EDX analysis
Fig. 2. SEM. White arrow (→) exemplary mark the droplet like shape of surface as described in the text
Fig. 2. SEM. White arrow (→) exemplary mark the droplet like shape of surface as described in the text
Fig. 1. Diagram of different implant areas used for sampling. 1) Machined (untreated) area. 2) rough (treated) area
Fig. 1. Diagram of different implant areas used for sampling. 1) Machined (untreated) area. 2) rough (treated) area
Amplitude parameters
Group
Name
Sa (μm)
Machined area
WhiteSKY
...
Element composition/semi-quantitative evaluation
Location
Type
Zr at %min–at %max
Hf at %
Y at %min–at %max...
NoneTable 1 Five commercially available ceramic implants and surface characteristics
Beger, B., Goetz, H., Morlock, M. et al. In vitro surface characteristics and impurity analysis of five different commercially available dental zirconia implants.
Int J Implant Dent 4, 13 (2018). https://doi.org/10.1186/s40729-018-0124-8
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Received: 11 December 2017
Accepted: 08 February 2018
Published: 26 April 2018
DOI: https://doi.org/10.1186/s40729-018...
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were m...
Not applicable.
Not applicable.
Beger B, Goetz H, Morlock M, Schiegnitz E, and Al-Nawas B declare that they have no competing interests.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Department of Maxillofacial Surgery, University Medical Center of the Johannes Gutenberg-University Mainz, Augustusplatz 2, 55131, Mainz, Germany
B. Beger, M. Morlock, E. Schiegnitz & B. Al-Nawas
Biomaterials in Medicine (BioAPP), University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany
H. Goetz
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Papanagiotou HP, Morgano SM, Giordano RA, Pober R. In vitro evaluation of low-temperature aging effects and finishing procedures on the flexural strength and structural stability of Y-TZP dental ceramics. J Prosthet Dent. 2006;96(3):154–64.
Ewais OH, Al Abbassy F, Ghoneim MM, Aboushelib MN. Novel zirconia surface treatments for enhanced osseointegration: laboratory characterization. Int J Dent....
Ong JL, Carnes DL, Cardenas HL, Cavin R. Surface roughness of titanium on bone morphogenetic protein-2 treated osteoblast cells in vitro. Implant Dent. 1997;6(1):19–24.
Schwartz Z, Kieswetter K, Dean DD, Boyan BD. Underlying mechanisms at the bone-surface interface during regeneration. J Periodontal Res. 1997;32(1 Pt 2):166–71.
Al-Nawas B, Gotz H. Three-dimensional topographic and metrologic...
Jacobi-Gresser E, Huesker K, Schutt S. Genetic and immunological markers predict titanium implant failure: a retrospective study. Int J Oral Maxillofac Surg. 2013;42(4):537–43.
Wenz HJ, Bartsch J, Wolfart S, Kern M. Osseointegration and clinical success of zirconia dental implants: a systematic review. Int J Prosthodont. 2008;21(1):27–36.
Shulte W. The intra-osseous Al2O3 (Frialit) Tuebingen...
Aluminum oxide
Ceramic injection molding
Confocal laser scanning microscopy
Energy-dispersive X-ray spectroscopy
Hot isostatic pressing
Implant
Kilovolt
Millibar
Megapascal
Nanometer
Area roughness parameter
Scanning electron microscopy
Sandblasted, Large-grit, Acid-etched
Yttrium-stabilized tetragonal zirconium polycrystalline
Micrometer
New ceramic implants are showing a variety of surface characteristics due to different manufacturing processes as shown by other groups [2, 28]. The surface structures of the investigated implants are close to titanium implants. If the surface characteristics really have a high influence on osseointegration, ceramic implants cannot yet compare to the long experience with titanium. However, there a...
The semi-quantitative energy-dispersive X-ray spectroscopy (EDX) can be used to further analyze the components of the implant surface. None of the implants showed any impurity or unexpected results. Implants 4 and 5 showed yttrium under the detection limit in the EDX analysis. This could be caused by the lower dosage of yttrium endowment in the stabilization processing in comparison to other impla...
The surface shape (droplet-like surface), which was observed in the SEM samples, can be caused due to the sintering process in which ceramic powder was melted and then formed. Different particle, immersion, and droplet sizes can also change due to possible reasons like usage of various types and dosages of acid for the etching process and change of exposure time to acid effect. A longer exposure t...
Implant surface characteristics are of ongoing scientific interest. Implants made from titanium are still the most common to be used. Titanium implants are made from alpha-beta alloy which consists of 6% aluminum and 4% vanadium (Ti-6Al-4V). These materials have low density, high strength, and resistance to fatigue and corrosion, and their modulus of elasticity is closer to the bone than any other...
Implant 2 (Sa 1.27 μm ± 0.24) and implant 5 (Sa 1.22 μm ± 0.36) show the highest roughness values (Sa) of all tested implants: Straumann’s pure ceramic implant was blasted and etched and shows the overall highest Sa value in the rough area. Implant 3 (vitaclinical) shows correspondingly lower Sa around 1.05 μm (± 0.17) (Table 3). The lowest Sa value could be found in implant ...
SEM micrographs presented in Fig. 2 demonstrate the dissimilarity of the sample surface microstructure. Implant 1 shows an overall smoother surface and a slaty-like surface without evidence of a typical etching process. The surface shows sparse roughness. Implants 2–4 show deep markings from their brand’s specific etching and sandblasting processes. In × 10,000 magnification, immersions ca...
Subsequently, the depth map images are imported in the SPIP™ 4.2.6 (Image Metrology) software for roughness and texture evaluation. According to the ISO 25178-2 reference, all surface roughness parameters implemented in SPIP™ are evaluated and classified as amplitude, hybrid, functional, and spatial parameters. Selected values are shown in Table 3.
Analysis of the element composition of the implant surfaces by means of energy-dispersive X-ray spectroscopy (EDX) was performed with an INCA Energy 350 system (Oxford Instruments, Wiesbaden, Germany) coupled with the SEM Quanta 200 FEG (Fig. 2). Similar to the micro-morphological presentation, each implant was divided into comparable sites of interest. Typical areas were selected and evaluated (...
The following five commercially available dental zirconia implants were used in this study (Table 1). Bredent whiteSKY™ implant (I1) is made from unground Brezirkon™, an yttrium oxide (Y2O3)-stabilized tetragonal polycrystalline zirconium oxide and is sandblasted. Zirconium oxide is endowed with 3 mol% yttrium oxide to gain a rectangle and room temperature stable structure [17]. Straumann® ...
Dental implants have become a well-established treatment method for oral rehabilitation after tooth loss. Pure titanium is still the material of choice when it comes to dental intraosseous implants and has been used for decades. However, titanium implants have esthetic limitations, especially in the front aspect of the maxillary jaw. The recession of the gingiva can lead to visible implant necks. ...
The aim of this study was to assess surface characteristics, element composition, and surface roughness of five different commercially available dental zirconia implants.
Five zirconia implants (Bredent whiteSKY™ (I1), Straumann® PURE Ceramic (I2), ceramic.implant vitaclinical (I3), Zeramex® (I4), Ceralog Monobloc M10 (I5)) were evaluated.
The evaluation was performed by means of scanning el...
Fig. 2. a Radiographic image of a 3.5-mm-wide by 7-mm-length dental implant at the time of its placement at the mandibular left second premolar in a 63-year-old Caucasian female. b Radiographic image of a three-unit fixed partial denture upon its initial placement. The dental implant is the anterior abutment with the prosthesis screw retained to it. The distal abutment is the mandibular left sec...
Fig. 1. a Initial radiograph exposed at abutment installation on a 5-mm-wide by 7-mm-length dental implant used to help support a removable partial denture for a 71-year-old Caucasian male. b Radiograph of the area taken at 82 months demonstrates good bone stability. c Clinical image of the area 82 months later. Soft tissue remains healthy. The two teeth anterior are in the process of receivin...
Time
ISQ
n
Implant insertion
73.6 ± 8.1
86
1–4 weeks
...
Interval
Implants
Failed
Not followed
CSR (%)
Insertion to 1 year
...
Sex
Age
Smoker
Risk factors
Position
Implant diameter
...
Number
Percent
Jaw
Maxilla
60
69.8
Mandible
...
Number
Percent
Age (years)
20–29
1
1.3
30–39
...
Rosen, P.S., Sahlin, H., Seemann, R. et al. A 1–7 year retrospective follow-up on consecutively placed 7-mm-long dental implants with an electrowetted surface.
Int J Implant Dent 4, 24 (2018). https://doi.org/10.1186/s40729-018-0136-4
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Received: 08 January 2018
Accepted: 21 May 2018
Published: 23 August 2018
DOI: https://doi.org/10.1186/s40729-018-0136...
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were m...
The study was performed in compliance with the Declaration of Helsinki. Data collection was performed in such a manner that subjects could not be identified, and therefore, it was exempt from IRB review according to Federal Regulation 45 CFR 46.101(b).
All participants consented to publish their information details through the clinic’s standard patient consent procedure. Also, all images appear...
Clinical Professor of Periodontics, Baltimore College of Dental Surgery, University of Maryland Dental School, Baltimore, MD, USA
Paul S. Rosen
Private Practice limited to Periodontics and Dental Implants, 907 Floral Vale Boulevard, Yardley, PA, 19067, USA
Paul S. Rosen
Neoss Ltd, Gothenburg, Sweden
Herman Sahlin
University Clinic of Craniofacial, Maxillofacial and Oral Surgery, Vienna, Aust...
Due to the ethical and legal responsibility to respect participants’ rights to privacy and to protect their identity, the clinical dataset is not made publicly available.
Srinivasan M, Vazquez L, Rieder P, Moraguez O, Bernard JP, Belser UC. Survival rates of short (6 mm) micro-rough surface implants: a review of literature and meta-analysis. Clin Oral Implants Res. 2014;25(5):539–45.
Chrcanovic BR, Albrektsson T, Wennerberg A. Diabetes and oral implant failure: a systematic review. J Dent Res. 2014;93(9):859–67.
Giro G, Chambrone L, Goldstein A, Rodrigues JA,...
Jemt T, Olsson M, Franke SV. Incidence of first implant failure: a retroprospective study of 27 years of implant operations at one specialist clinic. Clin Implant Dent Relat Res. 2015;17(Suppl 2):e501–10.
Pommer B, Frantal S, Willer J, Posch M, Watzek G, Tepper G. Impact of dental implant length on early failure rates: a meta-analysis of observational studies. J Clin Periodontol. 2011;38(9):856...
Cumulative survival rate
Implant stability quotient
Insertion torque
Odds ratio
Resonance frequency analysis
Relative risk
The current retrospective consecutive case series study provides preliminary data that treatment with 7-mm-length short implants with a hydrophilic electrowetted surface is a reasonable approach in sites with limited vertical bone dimension. It adds to the body of evidence supporting short implant use for compromised sites. The success seen might be attributed to the larger implant diameters that ...
Thirty-six percent of the implants in the study were placed in extraction sockets. Provided that sufficient initial implant stability is achieved, there should be no additional risk factors compared to implants in healed sites. Studies have shown no difference in marginal bone remodeling between immediately placed and delayed implants [15].
The biggest limitation of the current study is its very ...
A wide distribution in implant insertion torque (10–50 Ncm) was seen in the study. This reflects the variety of clinical situations in which the implants were placed. Assessments were made by using both the RFA value and the insertion torque as to first whether an implant should have been left to heal in the first place and if so, how this would be best accomplished, i.e., through its submergen...
This retrospective study is the first to look at short dental implants with a hydrophilic electrowetted surface. The survival data suggest that this treatment is a viable option to care. In a systematic review that identified 13 studies on implants shorter than 10 mm, the CSR from the individual studies ranged from 80 to 100% with a combined CSR of 98.3% after 5 years, 94.8% after 6 years, and ...
The chart review identified 86 placed implants in 75 patients. Table 1 summarizes the patient demographics of the 75 patients. Patients ranged in age from 29 to 88 years with a mean of 61.0 ± 12.5 years. Twenty-seven of the patients were males and 48 were females. Table 2 summarizes the implant and site-related information of the 86 placed implants. Mean insertion torque was 30.1 ± 7...
Baseline parameters, both patient- and implant-related, as well as follow-up parameters (implant survival, follow-up time, and resonance frequency analysis) were collected from a review of the patient records.
The main study parameters (principal outcome parameters) were defined to be implant loss and follow-up time. The cumulative survival rate was estimated. The influence of several factors on ...
A retrospective study on short 7 mm hydrophilic implants from a single center was conducted in a private practice limited to periodontics and surgical dental implant placements from one of the authors, PSR (Yardley, Pennsylvania, USA). An exhaustive chart review identified 75 patients for analysis that were treated with 86 short (7 mm) implants during a 5-year period (September 1, 2009, to Novem...
The aim of this retrospective consecutive case series study was to investigate implant survival rate and analyze possible factors affecting the survival of short implants placed in one surgical practice focused on implantology and periodontology in a temporal cohort.
In the past decades, the osseointegration rate of dental implants has dramatically increased, particularly in sites of softer dental bone, which may be attributed to the introduction of moderately roughened surfaces [1, 2]. Moreover, because of this increase in success, clinicians have attempted to push the envelope and place implants into sites that may provide a greater challenge as they wish to...
This retrospective consecutive case series study was performed to determinate the survival rate and implant stability of short (7 mm length) dental implants with an electrowetted hydrophilic surface that were in function from 1 to 7 years.
A retrospective chart review identified and evaluated 86 consecutively placed 7-mm-long dental implants (ProActive, Neoss Ltd., Harrogate, England) in 75 pat...
Hazard ratio
95% confidence interval
p value
Gender (male)
1.82
0.946~3.487
...
Hazard ratio
95% confidence interval
p value
Gender (male)
2.38
1.138~5.362
...
Hazard ratio
95% confidence interval
p value
Gender (male)
1.99
0.538~8.201
...
Dia. (mm)
Maxilla anterior
Maxilla posterior
Mandible anterior
Mandible posterior
Tot...
Dia. (mm)
Maxilla anterior
Maxilla posterior
Mandible anterior
Mandible posterior
Tot...
Age/gender
Male
Female
Total
20–29
3
...
References
Brånemark PI, Adell R, Breine U, Hansson BO, Lindström J, Ohlsson A. Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand J Plast Reconstr Surg. 1969;3:81–100.
Buser D, Sennerby L, De Bruyn H. Modern implant dentistry based on osseointegration: 50 years of progress, current trends and open questions. Periodontol. 2017;73:7–...
Conclusions
In conclusion, our analyses revealed a cumulative survival rate of 89.8% of TPS-surface implants with at least 25 years of functioning. The survival rate of maxillary positioned implants was significantly lower than that of mandibulary positioned implants. The patient gender, implant location, and width of keratinized mucosa affected the rate of peri-implantitis, resulting in l...
A total of 48 implants were eventually accompanied by a peri-implant infection: the cumulative incidence of peri-implantitis was 9.5, 15.3, 21.0, and 27.9% at 5, 10, 15, and 25 years after the prosthesis delivery, respectively (Fig. 3). After stepwise backward selection, the gender, implant type, and width of keratinized mucosa showed the significant difference in the cumulative survival rate (T...
Results
Patient cohort
A total of 92 patients (38 men, 54 women; mean age 54.3 years, range 20–78) received implant-supported prostheses (at the seven private practices) between 1984 and 1990. The distribution of patients by age and gender is presented in Table 1. Fifty-seven patients (140 implants) were considered dropouts due to the fact that no data were obtained at the endpoint, bu...
Methods
Study design
This retrospective observational study was approved by the ethical committee of Nagasaki University (No. 1512). The cases of all of the patients who underwent dental implant treatment with a TPS-surfaced solid-screw implant and whose prosthesis was set in the years 1984–1990 at seven private practices were analyzed. All inserted implants were either a TPS-type (TPS-t...
Background
Dental implant treatment based on the concept of osseointegration [1] is now a widely accepted restorative treatment for fully and partially edentulous patients. In the earliest days of the use of osseointegrated implants, two different topographies were applied on the implant surfaces: a machined minimally rough titanium surface such as the Brånemark system and a rough micropor...
Abstract
Background
The longitudinal clinical outcomes over decades contribute to know potential factors leading to implant failure or complications and help in the decision of treatment alternatives.
Methods
The cases of all patients who received dental implants treated with titanium plasma-sprayed surfaces and whose prostheses were set in the period 1984–1990 at seven...
Figure 4. Bone implant contact of different test groups
Figure 3. a Stained histomorphometric section demonstrating bone implant contact of uncoated zirconia implant. b Stained histomorphometric section demonstrating bone implant contact of HA–hybrid–zirconia surface. c Stained histomorphometric section demonstrating bone implant contact of PRP–hybrid–zirconia surface
Figure 3. a Stained histomorphometric section demonstrating bone...
Figure 2. a SEM image, ×10,000, demonstrating the characteristic porous surface of selective infiltration etching surface of zirconia. b SEM image, ×500, demonstrating deposition of PRP coat and complete filling of the porous surface. c SEM image, ×500, demonstrating filling of the porous surface with particles of HA
Figure 2. a SEM image, ×10,000, demonstrating the characteristic...
Figure 1. a Mercury porosimetry and the average pore diameter of the prepared implants. b EDX analysis of hybrid–zirconia surface showing peaks of zirconia, calcium, and phosphate. Ca/P ratio is 1.67. c XRD peaks of uncoated and bioactive implants showing characteristic peaks specific for tetragonal yttrium zirconium oxide crystal system represented by (101), (112), (200), and (211) a...
References
Pye AD, Lockhart DEA, Dawson MP, et al. A review of dental implants and infection. J Hosp Infect. 2009;72:104–10.
Heydecke G, Thomason JM, Lund JP, Feine JS. The impact of conventional and implant supported prostheses on social and sexual activities in edentulous adults: results from a randomized trial 2 months after treatment. J Dent. 2005;33:649–57.
Albrektsson T, Branema...
Discussion
Several techniques were previously tested for coating hydroxyl apatite particles in the surface of implants as the following: thermal (plasma) spraying, dipping coating, electrochemical deposition, sputter coating, pulsed laser deposition, and sol-gel technique. Many parameters determined the performance of HA coating both in vitro and in vivo, including chemical composition, crystal...
Results
Mercury porosimetry revealed comparable (F = 0.047, P
Methods
Preparation of zirconia implants
CAD/CAM zirconia milling blocks (NobelBiocare, Göteborg, Sweden) were used for preparation of zirconia implants (cylinders 3.7 mm × 8 mm). The milled implants were sintered according to manufacturer recommendations (1350 °C for 6 h). To produce a nano-porous surface, all specimens were subjected to selective infiltration etching (SIE) techniq...
Background
Dental implants became one of the most reliable techniques used to restore missing teeth. Material composition and surface topography play a fundamental role in osseointegration. Therefore, various chemical and physical surface modifications have been developed to improve osseous healing around the inserted implants. Two main approaches have been suggested to improve surface properti...
Bioactive–hybrid–zirconia implant surface for enhancing osseointegration: an in vivo study
Abstract
Background
Zirconia is characterized by a hard, dense, and chemically inert surface which requires additional surface treatments in order to enhance osseointegration. The proposed hypothesis of the study was that combination of a nano-porous surface infiltrated with a bioactive material may...
Figure 5. a Florescence microscopy showing H33258-stained MC3T3-E1 cells on Ankylos® and 3M™ESPE™ MDI disks. Although equal numbers of cells were plated, after 12 days of culture, more cells were detected on the 3M™ESPE™ MDI disks. b Increased Alamar blue® reduction in MC3T3-E1 cells seeded on 3M™ESPE™ MDI disks when compared to cells cultured on Ankylos®. c Increase...
Figure 4. a C2C12 cells (control) and pBMP-2-transfected C2C12 cells were seeded on a 24-well plate (50,000 cell/well) and cultured in DMEM medium for 48 h. ALPL assay showing upregulated ALPL activity in the BMP-2-transfected C2C12 cells. b Cell extracts of C2C12 cells and pBMP-2-transfected cells were run on a 10% SDS-PAGE under non-denaturing conditions. The gel was then stained with ...
Figure 3. Increased proliferation of C2C12 cells grown on 3M™ESPE™ MDI disks in comparison to the cells grown on the Ankylos® disks untreated and treated with bone morphogenetic protein-BMP-2
Figure 2. Implant surface characterization under SEM. Increased surface roughness in the 3M™ESPE™ MDI dental implants when compared to Ankylos® implants
Figure 1. Preparation of specimens. Small disks represent 3M™ESPE™ MDI implants, and large disks represent Ankylos® implants. Note that the attachment of polystyrene rings ensures the area of culture remains constant regardless of the disk size
MacDonald et al. have shown that wettability, i.e., hydrophilic surfaces support cell interactions and biological fluids better than the hydrophobic surfaces. It has also been shown that roughening the titanium surface improves hydrophilicity. In addition, many authors have stated that rougher surfaces promote differentiation, growth and attachment of bone cells, and higher production of gro...
Because of their pluripotency, these cells have been considered as a type of mesenchymal stem cells. It has been shown that when treated with BMPs, these cells readily upregulate many key osteoblast markers including RUNX2, OSX, osteocalcin, and alkaline phosphatase (ALPL). In the current study, we used C2C12 cells that were treated with BMP-2 or stably transfected with a BMP-2 expression v...
Discussion
In the current study, we used an in vitro cell culture system to evaluate the biocompatibility of two implant materials with different surface topography. Our objective was to establish the osseointegration potential of MDIs versus an established regular implant. Disks prepared from the implant material were coated with gelatin to grow cells, and proliferation and osteogenic diff...
Alkaline phosphatase immunostaining and assay
BMP-2-transfected C2C12 cells were fixed in 4% PFA for 15 min, and then blocked with 5% bovine serum albumin (Fisher, Pittsburgh, PA, USA) in Tris buffered saline-0.025%Triton for 30 min at room temperature, followed by overnight incubation with an anti-mouse alkaline phosphatase antibody (R&D systems, Minneapolis, MN, USA). Detection was done by ...
The reduction of Alamar blue was measured at 560 nm (reference wavelength 610 nm) after 5-h incubation at 37 °C using a microplate reader (Infinite 200, Tecan).
Generation of BMP2 expressing C2C12 cells
C2C12 cells were electroporated together with 0.4 μg of a BMP-2 expression vector (a kind gift from Dr. Katagiri) and 0.1 μg of pCMV-Tag, which expresses a neomycin-resistance gene. Culture...
Results
Ring culture technique
The variable sizes of the implant disks obtained from two different manufacturers demanded an innovative culture system to ensure equal surface areas on both disks for the cell culture experiments. We achieved this by attaching constant diameter (5 mm) plastic cylinders to the disk surface. Disks were sterilized with absolute alcohol, and polystyrene cloning cyli...
Methods
Implant disks
Titanium disks made up with the same materials and surface characteristics as those with the original implants were obtained from the respective manufacturers. Two types of disks were used; the small disks represented 3M™ESPE™ MDI implants, while the large disks represented Ankylos®, Dentsply Friadent implants. A total of 10 disks of each brand were used for the stud...
Background
Prosthetic devices are often used as surrogates for missing skeletal and dental elements. These devices are in close contact with the surrounding tissues, and their functionality and stability are critically dependent on the successful integration within the tissue’s extracellular matrix (ECM). The surface of the implanted device directly interacts with cell and extracellular milie...
In vitro comparison of two titanium dental implant surface treatments: 3M™ESPE™ MDIs versus Ankylos®
Abstract
Background
An ideal implant should have a surface that is conducive to osseointegration. In vitro cell culture studies using disks made of same materials and surface as of implants may provide useful information on the events occurring at the implant-tissue interface. In the curr...
Figure 6. BIC percentage measured with ImageJ analysis software
Figure 5. Time arrow about the stages of the study
Figure 4. A 2-month period was allowed for plaque retention and peri-implantitis
Figure 3. Silk ligatures placed in a submarginal position around the implants
Figure 2. Edentulous posterior mandible of the dog at 3 months after tooth extraction
Figure 1. Flowchart of the research design employed in the study. *Three dogs were used in each group 1 and 2. Three implants were inserted right side of the mandibles. After peri-implantitis period, extracted implants were inserted into the left side of the mandibles. **Two dogs were used in each group 3 and 4. Six failed implants from human inserted into the one dog’s mandible bilaterall...
Table 3 Inter- and intra-group ISQ analysis and measurements on day of surgery and at 3-month follow-up
Mean ± SDISQ day 0
Mean ± SDISQ at 3 month
p
Group 1
69.33 ± 8.48
77.77 ± 1.78
.019
Group 2
68.88 ± 5.90
79.44 ± 2.55
.001*
Group 3
71.77 ± 5.71
75.11 ± 5.84
.366
Group 4
70.44 ± 5.15
79.12 ± 4...
Table 2 Comparison of BIC percentages of 3 mm crestal area of the implants at 3-month follow-up
Group 1[Mean ± SD]
Group 2[Mean ± SD]
Group3[Mean ± SD]
Group 4[Mean ± SD]
p
77.67 ± 5.03
75.28 ± 10.65
71.86 ± 8.34
80.63 ± 5.58
.144*
Group 1[Mean ± SD]
Group 2[Mean ± SD]
Group3[Mean ± SD]
Group 4[Mean± SD]
p
83.39 ± 6.37
79.93 ± 11.83
75.45 ± 9.09
80.53 ± 5.22
290*
Levin et al. conducted a similar study and investigated the success rate of retrieved dental implants that were re-implanted into dogs. The infected implants were re-implanted into dog jaws without any chemical or mechanical cleaning and the authors reported that there was no difference in terms of BIC percentage between the infected/reinserted and new dental implants after a...
Levin et al. conducted a similar study and investigated the success rate of retrieved dental implants that were re-implanted into dogs. The infected implants were re-implanted into dog jaws without any chemical or mechanical cleaning and the authors reported that there was no difference in terms of BIC percentage between the infected/reinserted and new dental implants after an appropriate he...
Discussion
Approximately two million new dental implants are inserted per year around the world and tens of millions of implants are still in use. Moreover, it is estimated that approximately 200,000–250,000 implants are removed every year. Peri-implantitis is the major cause of the implant retrieval and also the most common complication caused by implant surgery. Mombelli et al. reported...
Results
The experimental period and the laboratory workup of the study were unremarkable. Surgical operations were uneventful and the post-operative healing periods were completed with no complications. Histologic analysis and the ISQ values indicated that osseointegration was achieved in all the implants.
Histomorphometric analysis
Histomorphometric analysis demonstrated that adequate bone f...
Removal and preparation of the implant-bone specimens
The implants with a neighboring bone were removed en bloc, and the adhesive soft tissues were dissected to investigate the healing status and the bone-implant contact (BIC) percentage. The specimens were fixed in 10% neutral buffered formalin for 48 h and dehydrated in subsequent concentrations of 70–99.9% ethanol. After dehydration, the sp...
Subsequently, the implant surfaces were rinsed with sterile saline solution and then all the implants were inserted in the contralateral side of the mandible of the same dog. After a 3-month osseointegration period, the animals were sacrificed with a high dose of pentobarbital (i.v.).
In group 2, the same procedures were applied as in group 1. However, unlike the implants in group 1, the implants...
Infiltration anesthesia with 2% articaine (Ultracaine DS, Sanofi Aventis Drugs, Istanbul, Turkey) was applied to the premolar area for hemostasis and for post-operative pain control. A full-thickness vestibular flap was elevated gently, and surgical tooth extraction was performed using surgical burs with straight elevators. Surgical wounds were closed with 3/0 vicryl sutures and streptomycin 0.5 g...
Methods
Research design
This in vivo study had a comparative, randomized, prospective research design, and each group consisted of 10 male beagle dogs that were veterinarian-controlled, healthy, and of similar weight. Animal Research Reporting in Vivo Experiment (ARRIVE) guidelines were used, and surgical procedure was approved by the Local Animal Experiments Ethical Committee of Erciyes Unive...
Background
Branemark et al. conducted the first experimental trial with titanium dental implants and created a new vision by defining the term “osseointegration” in the 1960s. Despite the advances in implant technology and protocols and the accumulating evidence in the literature, implant failure/loss may still occur due to several reasons. On the other hand, although dental implant therapy...
Reusing dental implants: an experimental study for detecting the success rates of re-osseointegration
Abstract
Background
The aim of this study was to histomorphometrically compare the implant-host integration between retrieved implants and new implants.
Methods
Jaws in 10 male beagle dogs were divided into four groups, and 36 dental implants were inserted into the jaws. In groups 1 and...
Type III tests of fixed effects
Num
Den
Effect
DF
DF
F value
P
Surface
1
11
0.84
0.3787
Length
7
11
0.97
0.4951
Location
1
11
0.00
0.9868
Q
P
2.7008
0.7460
I 2
ci−
ci+
0.00 %
0.00 %
74.62 %
τ 2
ci−
ci+
0.0000
0.0000
0.0069
Authors
Number
Success
ci−
ci+
Weight (%)
Polizzi et al.
38
0.921
0.810
0.990
12.71
Friberg et al.
13
1.000
0.872
1.000
4.46
Tawil and Younan
109
0.945
0.893
0.981
36.14
Khayat et al.
111
0.946
0.895
0.982
36.80
Deporter et al.
14
1.000
0.881
1.000
4.79
Schincaglia et al.
15
1.000
0.888
1.000
5.12
300
0.963
0.9...
Study
Implant surface
Implant type
No. of implants in maxilla (no. failed)
No. of implants in mandible (no. failed)
% survived in maxilla
% survived in mandible
Khayat et al. 2001
Acid-etched, uncoated
Zimmer (Screw vent, Paragon)
49 (2)
62 (4)
95.9
93.5
Deporter et al. 2001
Sintered porous
Endopore (Innova Corp)
0
14 (0)
–
100
Schincaglia et al. 2008
...
Study
Implant surface
Implant type
Implant length
No. of implants
No. failed
% survived
Polizzi et al. 2000
Machined
Brånemark (Nobel Biocare)
7
2
0
100
8.5
8
1
87.5
10
15
1
93.3
11.5
13
1
92.3
Friberg et al. 2000
Machined
Brånemark (Nobel Biocare)
6
13
0
100
Tawil and Younan 2003
Machined
Brånemark (Nobel Biocare)
6
16
0
...
Study
Implant surface
Implant type
Implant length
No. of implants
No. failed
% survived
Khayat et al. 2001
Acid-etched, uncoated
Zimmer (Screw vent, Paragon)
8
29
2
93.1
10
45
4
91.1
13
28
0
100
16
15
0
100
Deporter et al. 2001
Sintered porous
Endopore (Innova Corp)
7
14
0
100
Schincaglia et al. 2008
Ti-unite
Mark III WP (Nobel B...
Implant diameter (mm)
Implant lengths
No. of implants (total)
Implant type
Implant surface
Prospective clinical study
Placement follow-up/mean (range)
Implant survival (%)
Age range (years)
4.7
8, 10, 13, 16
117
Zimmer (Screw vent, Paragon)
Acid-etched, uncoated
Khayat et al. 2001
Healing 3–6 months plus 17 months loading (11–21 months)
95
–
5.0
7
14
...
Figure 3. Funnel plot
Figure 3. Funnel plot
Figure 1. Study selection for wide-diameter implant articles
Conclusions
This meta-analysis concluded that the location, length, and surface treatment of the wide-diameter implant do not significantly affect its survival. It is therefore suggested with caution that when the conditions of the implant site corresponds to the inclusion criteria used in our meta-analysis, choosing a wide implant in the posterior mandible or maxilla, where implant length may ...
This suggests that the implant surface characteristics may have an impact on implant survival rate based on the implant diameter, and as the diameter of the implant is increased, as in the wide-diameter implant, this impact mConversely, Maló and Araújo Nobre reported significantly more failures for machined compared to surface-treated narrow (3.3-mm diameter) implants.ay not be stati...
The present meta-analysis was limited to prospective clinical studies and utilized a rigorous inclusion and exclusion criteria. Studies included in the analysis were limited to cases in which implants placed in sites with adequate bone volume without grafting. Implants were placed in healed sites and loaded after at least 1–3 months of healing. All studies had at least 1-year follow-up. Pa...
Results
Of the six studies selected, three evaluated surface-treated implants and three machined implants (Table 1). The included studies all used similar criteria for implant survival, which was defined as the absence of mobility, pain, and radiolucent lesions. The implant survival was based on the percentage of implants evaluated, and the implant lengths in the studies range from 6 to 16 mm (Ta...
Screening and selection
Two reviewers participated in selection of studies (MT and MP). At the initial phase of selection, abstracts and titles of articles were screened by one reviewer (MT) to exclude articles that clearly were not related to wide-diameter dental implants. The previously described inclusion and exclusion criteria were applied when including articles for full-text screening. When...
Materials and methods
Focused question
Does length of the wide-diameter implant influence its survival?
Does the surface modification influence its survival compared to machined implant surfaces?
Does the implant placement in the maxilla or the mandible influence its survival?
Literature search and study design
The database on PubMed, Web of Science, and Cochrane Central Register of Cont...
Review
Introduction
Endosseous implants were used reliably in the treatment of various degrees of edentulism. In restoring the edentulous ridge, the clinician could be faced with difficult bony situations. The wide-diameter implant could be used in these situations to improve primary stability by increasing the surface area available for osteointegration. Biomechanically, the wide-diameter imp...
A meta-analysis on the effect of implant characteristics on the survival of the wide-diameter implant
Abstract
The purposes of the study are to study the implant survival of the wide-diameter implant and to analyze if the length, the implant surface, or the placement location has any effect on its survival. Electronic databases were searched from inception to Dec 2014. Studies included in the ...
Figure 6. SEM picture of implant with external hexagonal connection
Figure 5. SEM picture of CAMLOG implant after torsion test
Figure 5. SEM picture of CAMLOG implant after torsion test
Figure 4. The mean value of torsional yield strength
Figure 3. The mean value of maximum fracture torque strength
Figure 1. Torsion testing device
For comparison between the mechanical strength of CP-Ti screw implants with internal tube-in-tube implant-abutment connections and that of external hexagonal-type connections, all abutments and CP-Ti implants with external hexagonal-type connections were heavily damaged or destroyed in all phases of loading. A typical fracture curve for CP-Ti implants with external connections is shown. The propor...
Discussion
During the physiological function of chewing, or the non-physiological function of bruxism, compressive, bending, and torsional stresses are generated in teeth or prosthetics. These stress will cause the abutment screw loosening or fracture, fracture of the abutment, fracture of the implant, and the implant/abutment connection. The extent of the damage is influenced by the design o...
Methods
Thirty titanium screw implants of five different diameters (3.3, 3.8, 4.3, 5.0, and 6.0 mm) with tube-in-tube implant-abutment connections (CAMLOG Biotechnologies, Wimsheim, Germany) were used as test specimens. Implants of each size were connected to abutments, and abutment screws were tightened to 20 N · cm using a digital torque meter (Hios HDM-5; Hios Inc, Chiba...
Background
A single-tooth osseointegrated implant is composed of an implant body, an abutment, an abutment screw, and an artificial crown. The implant and abutment are typically connected by an abutment screw. The degree of mechanical integrity at the implant-abutment interface depends on screw preload, abutment connection design, the fitness of all components, and dynamic loading conditions. F...
Abstract
Background
Fractured connections between implants and implant abutments or abutment screws are frequently encountered in a clinical setting. The purpose of this study was to investigate fracture strength using a torsion test at the interface between the implant and the abutment.
Methods
Thirty screw-type implant with diameters of 3.3, 3.8, 4.3, 5.0, and 6.0 mm were submitted to a t...
Table 3 Quantitative analysis of CFU counts (× 105) from rough and machined surface implants after cleansing by each method
Rough surface
Cont
G
US
Air
Rot
Las
Median
137.5
3.4
46.5
13.0
4.8
16.3
Min
73.0
0.3
6.8
0.5
0.6
3.0
Max
785.0
27.0
240.0
35.5
37.0
34.0
Machine surface
Cont
G
US
Air
Rot
Las
Median
84.5
0.9
8.5
3.2
3.3
...
Table 2 Qualitative evaluation by SEM analysis of micro- and macrothread areas of machined surface implants
Machined surface (microthread)
No effect
Fair
Good
Excellent
G
+
US
+
Air
+
Rot
+
Las
+
Machined surface (macrothread)
No effect
Fair
Good
Excellent
G
+
US...
Table 1 Qualitative evaluation by SEM analysis of micro- and macrothread areas of rough surface implants
Rough surface (microthread)
No effect
Fair
Good
Excellent
G
+
US
+
Air
+
Rot
+
Las
+
Rough surface (macrothread)
No effect
Fair
Good
Excellent
G
+
US
...
Figure 6. Comparison of cleansability of each decontamination method on the different implant surfaces. Asterisk indicates p < 0.05
Figure 5. Quantitative analysis of CFU counts on rough and machined surface implants after cleansing by each method. Asterisk represents vs Cont; a, vs G; b, vs US; c, vs Air; d, vs Rot; e, vs Las which indicates p < 0.05
Figure 4. SEM analysis of 4 areas. 1 Rough surface—microthread area. 2 Rough surface—macrothread area. 3 Machined surface—microthread area. 4 Machined surface—macrothread area
Figure 3. Decontamination methods. a Gauze soaked in saline applied using a sawing motion. b Ultrasonic scaler (SUPRASSON P-MAX, Satelec-Acteon group, Bordeaux, France, power setting: P5, tip: Implant Protect IP3L/R). c Air abrasives (AIR-FLOW MASTER PIEZON®, EMS, Nyon, Switzerland, power setting: water flow 100%, air pressure 75%, powder: AIR-FLOW® PERIO POWDER, nozzle: PERIO-FLOW®...
Figure 2. GC Aadva® implant; 3.3-mm diameter, 8-mm length
Surface characteristics
Through SEM analysis and CFU counts, it was demonstrated that, except for the Er:YAG laser, decontamination of the machined surface implant was easier than that of the rough surface implant regardless of decontamination method. Gauze soaked in saline and the ultrasonic scaler demonstrated a statistically significant difference in CFU counts between the two surfaces. ...
Our results are also in accordance with their results in terms of the high cleansability of the rotary metal instrument. In addition, the cotton pellet showed moderate cleansability among the tested methods, but the cleansing time for the cotton pellet (60 s) was shorter than that of the titanium brush with (120 s + 60 s)/without (120 s) photodynamic therapy. If adjusting the d...
Charalampakis et al. examined the effectiveness of mechanical and chemical decontamination methods using titanium disks contaminated intraorally. They employed four decontamination methods: gauze in saline, chlorhexidine, delmopinol, and an essential oil mixture. The authors discovered there was no significant difference in CFU counts among the four methods. In the present study, our findin...
However, the rotary stainless steel instrument created numerous shallow scratches, especially on machined surface implants. John et al. compared the supragingival plaque cleansability of a rotary titanium instrument to that of a stainless metal curette on contaminated titanium disks. The residual biofilm area left on implant treated with the rotary titanium instrument was significantl...
However, the rotary stainless steel instrument created numerous shallow scratches, especially on machined surface implants. John et al. compared the supragingival plaque cleansability of a rotary titanium instrument to that of a stainless metal curette on contaminated titanium disks. The residual biofilm area left on implant treated with the rotary titanium instrument was significantl...
Regarding the air abrasives, the cleansing effect in the SEM analysis was also as considerable as that achieved by the ultrasonic scaler in the present study, in contrast to the results of the aforementioned study. Louropoulou et al. also stated in their systematic review that an air-powder abrasive system with sodium bicarbonate powder could cleanse contaminated rough/smooth implant surface...
The SEM analysis demonstrated that three different rough surface disks harbored complex and firmly attached biofilms after gauze scrubbing irrespective of which antiseptic or saline was used.
However, the disks with a turned surface hosted fewer biofilm clusters after scrubbing. This finding is in line with our result showing the better cleansability of gauze soaked in saline on the m...
Augthun et al. examined the cultivability of mouse fibroblasts after cleansing machined or plasma-splayed surface implants carried on acrylic plates that had been contaminated with supragingival plaque from individuals. A plastic hand scaler and an air-abrasive system with sodium bicarbonate powder were employed in their study. A similar number of viable fibroblasts were observed after clean...
Discussion
Study design
This study was performed following an ex vivo design to overcome the drawbacks of previous studies. One particular difference in this study was the use of a commercially available screw-shaped implant. As the implant shape and design have rather complicated macro- and microstructures compared with titanium disks or different forms of titanium commonly used in experi...
Results
Complications
During the experiment, three participants experienced small ulcers caused by the implants carried on the splints; however, it did not affect their daily life. Additionally, there were no signs of gingival inflammation in any participant.
SEM analysis (Fig 4, Tables 1 and 2)
Rough surface implants
G and Rot achieved relatively clean implant surfaces compared with Las in...
This study protocol was approved by the ethical committee of Osaka University (H26.E-36).
SEM analysis
The SEM analysis was performed as previously described. The decontaminated implant samples were fixed with 2% glutaraldehyde-RPMI 1640 immediately for 1 h at room temperature and washed with distilled water. Then, the samples were dehydrated with 100% t-butyl alcohol and freeze-dried. Finall...
At the end of the 4-day experimental period, the implants were carefully removed from the splints by breaking the resin caps that held them in place. Each implant was randomly assigned to a treatment method (Cont, control (no decontamination); G, gauze soaked in saline; US, ultrasonic scaler (SUPRASSON P-MAX, Satelec-Acteon Group, Bordeaux, France; power setting: P5, tip: Implant Protect IP3L/R); ...
Materials and methods
Study subjects
Eleven participants, nine men and two women between 28 and 42 years of age (mean age 31.3 ± 4.6), were recruited as the study subjects. All participants provided informed consent verbally. Study information was disseminated to participants both verbally and in written form. The inclusion criteria were as follows:
Generally healthy subjects
Dent...
Background
Dental implants are now used broadly for recovering loss of masticatory function and esthetics. Although it has been revealed that dental implants can often survive long term, biological and mechanical complications may arise. Recent cross-sectional and retrospective studies noted a higher prevalence of peri-implantitis at the implant and subject level than previously considered. Add...
Abstract
Background
To evaluate the effect of several representative decontamination methods of oral biofilms on different implant surfaces.
Material and methods
Eleven participants wore a hard resin splint carrying 6 rough (GC Aadva® implant; 3.3-mm diameter, 8-mm length) or machined (not commercially available) surface implants for 4 days to accumulate dental plaque naturally on the ti...
Analisis RFA (Resonance Frequency Analysis) termasuk dalam analisis yang cukup sering digunakan. Alat untuk analisis ini juga relatif terjangkau dan mudah diperoleh. Analisis RFA menggunakan frekwensi resonansi untuk mendeteksi apakah implan stabil atau tidak.Mekanisme analisis RFADetektor resonansi ditempatkan pada ujung implant untuk membaca frekwensi resonansi. Sumber getaran diletakkan dekat ...