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...
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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...
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...
Fig. 6. Bone to implant contact (BIC) values (%) for commercial and modified implants in osteoporotic (OVX) rabbits after 15 and 30 days of implantation. Vertical lines represent standard deviations
Fig. 6. Bone to implant contact (BIC) values (%) for commercial and modified implants in osteoporotic (OVX) rabbits after 15 and 30 days of implantation. Vertical lines represent standard deviat...
Fig. 5. Bone mineral density (BMD) values in osteoporotic (OVX) rabbits after 30 days of implantation of both commercial and modified implants. Vertical lines represent standard deviations
Fig. 5. Bone mineral density (BMD) values in osteoporotic (OVX) rabbits after 30 days of implantation of both commercial and modified implants. Vertical lines represent standard deviations
Fig. 4. SEM image of the nanoroughness of the oxidized surfaces on control Ti6Al4V dental implants after 700 °C for 1 h
Fig. 4. SEM image of the nanoroughness of the oxidized surfaces on control Ti6Al4V dental implants after 700 °C for 1 h
Fig. 3. SEM image of the surface of control commercial Ti6Al4V dental implants
Fig. 3. SEM image of the surface of control commercial Ti6Al4V dental implants
Animal group
15d
Commercial
Modified
Without GH
With GH
...
Animal group
BMD (g cm−2) tibiae
BMD (g cm−2) vertebral column
Control
0.323 ± 0.014
0.285 ±...
Element
Atomic, %
Al
11.00
P
0.54
Ca
...
Bodelón, O.G., Clemente, C., Alobera, M.A. et al. Osseointegration of TI6Al4V dental implants modified by thermal oxidation in osteoporotic rabbits.
Int J Implant Dent 2, 18 (2016). https://doi.org/10.1186/s40729-016-0051-5
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Received: 02 April 2016
Accepted: 07 July 2016
Published: 21 July 2016
DOI: https://doi.org/10.1186/s40729-016-0051-5
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...
Department of Characterization, Quality and Safety, Institute of Food Science, Technology and Nutrition (ICTAN-CSIC), Madrid, Spain
Oscar G. Bodelón
Department of Human Anatomy and Embryology, School of Medicine, University of Alcalá, Alcalá de Henares, Spain
Celia Clemente & Soledad Aguado-Henche
Stomatology Department IV, Complutense University of Madrid (UCM), Madrid, Spain
Miguel Ang...
Raschke MJ, Bail H, Windhagen HJ, et al. Recombinant growth hormone accelerates bone regenerate consolidation in distraction osteogenesis. Bone. 1999;24:81–8.
Schmidmaier G, Wildemann B, Bail H, et al. Local application of growth factors (insulin-like growth factor-1 and transforming growth factor-β1) from a biodegradable poly(D, L-lactide) coating of osteosynthetic implants accelerates fractu...
Chappard D, Baslé MF, Legrand E, et al. New laboratory tools in the assessment of bone quality. Osteoporos Int. 2011;22:2225–40.
Barranco V, Escudero ML, Garcia-Alonso MC. 3D, chemical and electrochemical characterization of blasted Ti6Al4V surfaces: Its influence on the corrosion behavior. Electrochim Acta. 2007;52:4374–84.
Diniz MG, Soares GA, Coelho MJ, et al. Surface topography modulate...
Lynch S, Buser D, Hernández RA, et al. Effects of the platelet derived growth factor insulin-like growth factor-I combination on bone regeneration around titanium dental implants. Results of a pilot study in beagle dogs. J Periodontol. 1991;62:710–6.
Calvo-Guirado JL, Mate-Sanchez J, Delgado-Ruiz R, et al. Effects of growth hormone on initial bone formation around dental implants: a dog study....
Lomholt TC, Pantleon K, Somers MAJ. In-vivo degradation mechanism of Ti-6Al-4V hip joints. Mater Sci Eng C. 2011;31:120–7.
Wisbey A, Gregson PJ, Peter LM, et al. Effect of surface treatment on the dissolution of titanium-based implant materials. Biomaterials. 1991;12:470–3.
Chen G, Wen X, Zhang N. Corrosion resistance and ion dissolution of titanium with different surface microroughness. Bio...
In summary, oxidation treatments of Ti6Al4V dental implants stimulate a better bone response at longer implantation times. The local application of GH on the implantation site showed no significant effect in the osseointegration process (from BMD and BIC measurements) of thermal and commercial Ti6Al4V dental implants during the first month of implantation.
During the first period of 15 days, the rabbit biokinetics is appropriate to initiate a formation of young bone, which can be confirmed or not, at 30 days. In this animal model, the bone formation can be initiated before 15 days, as has been seen in other studies, but it is very spars. Moreover, the first days guide us towards an evolution of the bone response that is confirmed at 15 days. It ...
In addition, the morphology of the hard rutile scale grown on the implant surface increases nanoroughness (Fig. 4). Studies carried out by Webster et al. [29] have pointed out the importance of the surface roughness at the nanometre range in the connectivity to bone. It has been discussed that the increase of micro- and submicro-scale surface roughness, with feature sizes comparable to those of r...
A good preparation of the implant surface in order to accommodate bone topographical features contributes to accelerate the assembly between the new bone formed and the metallic implant. Research has been consequently focused on the surface modifications of implants aimed to simulate the size of the proteins or cell membrane receptors. In vitro results about the influence of different micro-nanosc...
Table 2 shows the estimated mean values and standard deviations for the BMD in healthy (control) and osteoporotic (OVX) rabbits. The comparison of mean values established significant differences between control and OVX groups (p = 0.006). The BMD results show that the ovariectomy and hypocalcic diet described in (20) resulted being proper methods to have osteoporotic rabbits before the insert...
Figure 3 shows images at different magnifications by SEM of the typical threaded topography of the Ti6Al4V screws and the characteristic surface with cavities and holes heterogeneously dispersed due to the impingement of the particles used in the blasting process. The chemical analysis performed by EDX of a representative area (Table 1) shows the characteristics peaks of Ti, Al and V, together w...
Bone-implant interface sections were examined under the optical microscope (Zeiss, Oberkpchen, Germany) using histological laboratory stains such as toluidine blue with Weigert haematoxylin (Merck, Kenilworth, NJ, USA) that allows the differentiation between osteoblasts and osteoclasts [24].
The images were processed and cross-sections were compared by means of the MIP-4 image analyser software (...
The experimental design carried out with the experimental animals is summarized in Fig. 1. Rabbits were randomly divided into two groups: control (healthy rabbits) and OVX (osteoporotic rabbits). Both of them were subjected to surgery to insert commercial (no thermally treated Ti6Al4V) and modified (thermally treated Ti6Al4V) implants. The half of the healthy and osteoporotic rabbits was treated ...
Threaded commercial titanium alloy implants (3.3 mm diameter and 8 mm length) from Zimmer® were used as control implants. They consisted of Ti6Al4V screws blasted with hydroxyapatite and subsequent acid attack with HCl. Screws with these prior surface treatments were submitted to a thermal treatment. The oxidation treatment was performed at 700 °C for 1 h, in air. After oxidation, samples we...
The aim of this study is to study the influence of the thermal treatment of Ti6Al4V dental implants and topical administration of growth hormone on the osseointegration process of osteoporotic rabbits during the first month of implantation.
The metallic biomaterials used in the substitution of hard tissues are subjected to the action of the physiological environment and mechanical efforts like fatigue, wear or friction that alter the operation success of implants and affect drastically the electrochemical properties of the surface. That is the case of Ti and its alloys, in which in vivo conditions alter the stability of the passive l...
In this work, the effect of the heat treatment on Ti6Al4V implants and topical administration of growth hormone to address a better osseointegration in osteoporotic patients has been analysed.
The osseointegration process of Ti6Al4V implants modified by oxidation treatment at 700 °C for 1 h and the influence of local administration of growth hormone (GH) in osteoporotic female rabbits after 15 ...
Fig. 5. Change in BoP values according to the percentage of sites with a score of 1, 2 or 3 by visit
Fig. 5. Change in BoP values according to the percentage of sites with a score of 1, 2 or 3 by visit
Fig. 4. Percentages of sites with PPD 1–3, 4–5 and ≥6 mm by visit (p
Fig. 3. Changes in BoP values between baseline and the various examination time points
Fig. 3. Changes in BoP values between baseline and the various examination time points
Fig. 2. Changes in PPD values between baseline and the various examination time points
Fig. 2. Changes in PPD values between baseline and the various examination time points
Fig. 1. A chitosan brush (LBC, BioClean®, LABRIDA AS) seated in an oscillating dental handpiece
Fig. 1. A chitosan brush (LBC, BioClean®, LABRIDA AS) seated in an oscillating dental handpiece
Baseline
n = 306
2 weeks
n = 272
4 weeks
n = 267
12 weeks
n = 282
24 weeks
n = 294
P
...
Center
Oslo
Jonkoping
Rome
Stavanger
Kristianstad
Tons...
Wohlfahrt, J.C., Evensen, B.J., Zeza, B. et al. A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series.
Int J Implant Dent 3, 38 (2017). https://doi.org/10.1186/s40729-017-0098-y
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Received: 08 April 2017
Accepted: 13 July 2017
Published: 03 August 2017
DOI: https://doi.org/10.1186/s40729-017-0098-y
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...
J.C. Wohlfahrt is the inventor and patent holder of BioClean and is a shareholder in LABRIDA AS. B.J. Evensen, B. Zeza, H. Jansson, A. Pilloni, A.M. Roos-Jansåker, G.L. Di Tanna, A.M. Aass, M. Klepp and O.C. Koldsland state that there were no conflicts of interests during the undertaking of the study.
Ethical approval was provided by the regional ethical review boards of each center (Norway: 201...
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JCW, BJE, BZ, HJ, AP, AMR-J, AMA, MK and OCK par...
Department of Periodontology, Institute of Clinical Dentistry, University of Oslo, Pb. 1109 Blindern, 0317, Oslo, Norway
J. C. Wohlfahrt, A. M. Aass & O. C. Koldsland
Private Practice, Tønsberg, Norway
B. J. Evensen
Department of Dental and Maxillofacial Sciences, Section of Periodontology, Sapienza, University of Rome, Rome, Italy
B. Zeza & A. Pilloni
Center for Oral Health, Departmen...
Salvi GE, et al. Reversibility of experimental peri-implant mucositis compared with experimental gingivitis in humans. Clin Oral Implants Res. 2012;23(2):182–90.
Korsch M, Obst U, Walther W. Cement-associated peri-implantitis: a retrospective clinical observational study of fixed implant-supported restorations using a methacrylate cement. Clin Oral Implants Res. 2014;25(7):797–802.
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Muthukuru M, et al. Non-surgical therapy for the management of peri-implantitis: a systematic review. Clin Oral Implants Res. 2012;23(Suppl 6):77–83.
Esposito M, Grusovin MG, Worthington HV. Treatment of peri-implantitis: what interventions are effective? A Cochrane systematic review. Eur J Oral Implantol. 2012;5(Suppl):S21–41.
Armitage GC, Xenoudi P. Post-treatment supportive care for the n...
Rokn A, et al. Prevalence of peri-implantitis in patients not participating in well-designed supportive periodontal treatments: a cross-sectional study. Clin Oral Implants Res. 2017;28(3):314–9.
Faggion CM Jr, et al. A systematic review and Bayesian network meta-analysis of randomized clinical trials on non-surgical treatments for peri-implantitis. J Clin Periodontol. 2014;41(10):1015–25.
Me...
Koldsland OC, Scheie AA, Aass AM. Prevalence of peri-implantitis related to severity of the disease with different degrees of bone loss. J Periodontol. 2010;81(2):231–8.
Roos-Jansaker AM, et al. Nine- to fourteen-year follow-up of implant treatment. Part II: presence of peri-implant lesions. J Clin Periodontol. 2006;33(4):290–5.
Derks J, et al. Effectiveness of implant therapy analyzed in a ...
In this multicenter case series of implants affected by mild peri-implantitis, significant reductions in the clinical parameters of inflammation were demonstrated at all time points after the initial treatment with a chitosan brush. The use of an oscillating chitosan device appears to be safe and has potential merits for the treatment of mild peri-implantitis and for the maintenance of dental impl...
The chitosan brush used in this study is made of a material that is soft with the aim to make a device optimized for removal of the biofilm within the implant threads. The soft bristles on the contrary make the device suboptimal for removal of hard deposits, such as calculus and cement remnants. It has been reported that such cement remnants are a common finding around dental implants [41], and in...
In the present study, significant reductions were observed in the clinical parameters of peri-implant inflammation at 2, 4, 12 and 24 weeks relative to baseline after debridement with the chitosan brush seated in an oscillating dental drill piece. No progression in radiographic bone loss was reported at any of the implants at the final evaluation, and the method was thus judged safe to use in cas...
Identifying peri-implant disease at an early stage and promptly treating the inflammatory condition is crucial to prevent the progression of peri-implant bone loss and ensure long-term implant survival [23,24,25]. After completion of active treatment and when the condition is controlled, supportive peri-implant therapy will reduce the risk of disease re-occurrence [9]. A number of scientific repor...
During this study, all 63 implants were reported to have stable radiographic levels of osseous support as validated by the six different local examiners. No adverse events were reported during the study.
In total, 63 implants in 63 patients were ultimately included in the analysis. Demographic information is presented in Tables 1 and 2.
Significant reductions in both PPD and mBoP were seen at all time points relative to the baseline clinical measurements (p
Mann-Whitney rank sum tests were used to compare changes in the clinical parameters between baseline and subsequent time points. To assess the hierarchical structure of the data (center > patient > site), a linear mixed model using the restricted maximum likelihood method (multilevel logistic models for binary outcomes) was constructed to analyse the PPD, mBoP and suppuration, adjusting for fac...
All patient-related information and clinical recordings were recorded in a web-based clinical research form (VieDoc version 3.24, PCG solutions, Uppsala, Sweden).
Patients under 18 years of age; current smokers; patients who had undergone radiotherapy in the head and neck region, chemotherapy or systemic long-term corticosteroid treatment; patients who were pregnant or nursing; patients receivin...
A 6-month multicenter prospective consecutive case series was performed in six different periodontal specialist clinics in Norway, Sweden and Italy.
Ethical approval was provided by the regional ethical review boards of each center (Norway: 2014/852/REK sør-øst; Italy: Sapienza 2011/15, 3547; and Sweden: EPN Lund 2014/695.) Fifteen patients at each center were planned to be included in the stud...
A number of other studies also report that leaving fragments of the instrument on the implant surface or scratching the surface may impede optimal peri-implant healing [17,18,19,20].
Chitosan is a marine biopolymer which is based on chitin derived from the shells of marine crustaceans. The material has been approved for use in surgical bandages, as a haemostatic agent and as a dietary supplement ...
Inflammation and loss of attachment around dental implants (i.e. peri-implantitis) has become a growing concern within the field of dental implantology [1,2,3,4,5,6,7]. Peri-implantitis is a microbial infection-driven soft tissue inflammation with loss of bony attachment around an implant. Peri-implant mucositis is the precursor of peri-implantitis, as gingivitis is for periodontitis [8]. It is cl...
The aim of the present study was to evaluate the effect on peri-implant mucosal inflammation from the use of a novel instrument made of chitosan in the non-surgical treatment of mild peri-implantitis across several clinical centers.
In this 6-month multicenter prospective consecutive case series performed in six different periodontal specialist clinics, 63 implants in 63 patients were finally inc...
Fig. 5. Change in BoP values according to the percentage of sites with a score of 1, 2 or 3 by visit
Fig. 5. Change in BoP values according to the percentage of sites with a score of 1, 2 or 3 by visit
Fig. 4. Percentages of sites with PPD 1–3, 4–5 and ≥6 mm by visit (p
Fig. 3. Changes in BoP values between baseline and the various examination time points
Fig. 3. Changes in BoP values between baseline and the various examination time points
Fig. 2. Changes in PPD values between baseline and the various examination time points
Fig. 2. Changes in PPD values between baseline and the various examination time points
Fig. 1. A chitosan brush (LBC, BioClean®, LABRIDA AS) seated in an oscillating dental handpiece
Fig. 1. A chitosan brush (LBC, BioClean®, LABRIDA AS) seated in an oscillating dental handpiece
Baseline
n = 306
2 weeks
n = 272
4 weeks
n = 267
12 weeks
n = 282
24 weeks
n = 294
P
...
Center
Oslo
Jonkoping
Rome
Stavanger
Kristianstad
Tons...
Variable
Number (%)
SD
Range (min; max)
Gender (female/male)
45/18 (71.4/28.6)
...
Wohlfahrt, J.C., Evensen, B.J., Zeza, B. et al. A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series.
Int J Implant Dent 3, 38 (2017). https://doi.org/10.1186/s40729-017-0098-y
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Received: 08 April 2017
Accepted: 13 July 2017
Published: 03 August 2017
DOI: https://doi.org/10.1186/s40729-017-0098-y
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...
J.C. Wohlfahrt is the inventor and patent holder of BioClean and is a shareholder in LABRIDA AS. B.J. Evensen, B. Zeza, H. Jansson, A. Pilloni, A.M. Roos-Jansåker, G.L. Di Tanna, A.M. Aass, M. Klepp and O.C. Koldsland state that there were no conflicts of interests during the undertaking of the study.
Ethical approval was provided by the regional ethical review boards of each center (Norway: 201...
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JCW, BJE, BZ, HJ, AP, AMR-J, AMA, MK and OCK par...
Department of Periodontology, Institute of Clinical Dentistry, University of Oslo, Pb. 1109 Blindern, 0317, Oslo, Norway
J. C. Wohlfahrt, A. M. Aass & O. C. Koldsland
Private Practice, Tønsberg, Norway
B. J. Evensen
Department of Dental and Maxillofacial Sciences, Section of Periodontology, Sapienza, University of Rome, Rome, Italy
B. Zeza & A. Pilloni
Center for Oral Health, Departmen...
Salvi GE, et al. Reversibility of experimental peri-implant mucositis compared with experimental gingivitis in humans. Clin Oral Implants Res. 2012;23(2):182–90.
Korsch M, Obst U, Walther W. Cement-associated peri-implantitis: a retrospective clinical observational study of fixed implant-supported restorations using a methacrylate cement. Clin Oral Implants Res. 2014;25(7):797–802.
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Muthukuru M, et al. Non-surgical therapy for the management of peri-implantitis: a systematic review. Clin Oral Implants Res. 2012;23(Suppl 6):77–83.
Esposito M, Grusovin MG, Worthington HV. Treatment of peri-implantitis: what interventions are effective? A Cochrane systematic review. Eur J Oral Implantol. 2012;5(Suppl):S21–41.
Armitage GC, Xenoudi P. Post-treatment supportive care for the n...
Rokn A, et al. Prevalence of peri-implantitis in patients not participating in well-designed supportive periodontal treatments: a cross-sectional study. Clin Oral Implants Res. 2017;28(3):314–9.
Faggion CM Jr, et al. A systematic review and Bayesian network meta-analysis of randomized clinical trials on non-surgical treatments for peri-implantitis. J Clin Periodontol. 2014;41(10):1015–25.
Me...
Koldsland OC, Scheie AA, Aass AM. Prevalence of peri-implantitis related to severity of the disease with different degrees of bone loss. J Periodontol. 2010;81(2):231–8.
Roos-Jansaker AM, et al. Nine- to fourteen-year follow-up of implant treatment. Part II: presence of peri-implant lesions. J Clin Periodontol. 2006;33(4):290–5.
Derks J, et al. Effectiveness of implant therapy analyzed in a ...
In this multicenter case series of implants affected by mild peri-implantitis, significant reductions in the clinical parameters of inflammation were demonstrated at all time points after the initial treatment with a chitosan brush. The use of an oscillating chitosan device appears to be safe and has potential merits for the treatment of mild peri-implantitis and for the maintenance of dental impl...
In this multicenter case series of implants affected by mild peri-implantitis, significant reductions in the clinical parameters of inflammation were demonstrated at all time points after the initial treatment with a chitosan brush. The use of an oscillating chitosan device appears to be safe and has potential merits for the treatment of mild peri-implantitis and for the maintenance of dental impl...
The chitosan brush used in this study is made of a material that is soft with the aim to make a device optimized for removal of the biofilm within the implant threads. The soft bristles on the contrary make the device suboptimal for removal of hard deposits, such as calculus and cement remnants. It has been reported that such cement remnants are a common finding around dental implants [41], and in...
In the present study, significant reductions were observed in the clinical parameters of peri-implant inflammation at 2, 4, 12 and 24 weeks relative to baseline after debridement with the chitosan brush seated in an oscillating dental drill piece. No progression in radiographic bone loss was reported at any of the implants at the final evaluation, and the method was thus judged safe to use in cas...
Identifying peri-implant disease at an early stage and promptly treating the inflammatory condition is crucial to prevent the progression of peri-implant bone loss and ensure long-term implant survival [23,24,25]. After completion of active treatment and when the condition is controlled, supportive peri-implant therapy will reduce the risk of disease re-occurrence [9]. A number of scientific repor...
During this study, all 63 implants were reported to have stable radiographic levels of osseous support as validated by the six different local examiners. No adverse events were reported during the study.
In total, 63 implants in 63 patients were ultimately included in the analysis. Demographic information is presented in Tables 1 and 2.
Significant reductions in both PPD and mBoP were seen at all time points relative to the baseline clinical measurements (p
Mann-Whitney rank sum tests were used to compare changes in the clinical parameters between baseline and subsequent time points. To assess the hierarchical structure of the data (center > patient > site), a linear mixed model using the restricted maximum likelihood method (multilevel logistic models for binary outcomes) was constructed to analyse the PPD, mBoP and suppuration, adjusting for fac...
All patient-related information and clinical recordings were recorded in a web-based clinical research form (VieDoc version 3.24, PCG solutions, Uppsala, Sweden).
Patients under 18 years of age; current smokers; patients who had undergone radiotherapy in the head and neck region, chemotherapy or systemic long-term corticosteroid treatment; patients who were pregnant or nursing; patients receivin...
A 6-month multicenter prospective consecutive case series was performed in six different periodontal specialist clinics in Norway, Sweden and Italy.
Ethical approval was provided by the regional ethical review boards of each center (Norway: 2014/852/REK sør-øst; Italy: Sapienza 2011/15, 3547; and Sweden: EPN Lund 2014/695.) Fifteen patients at each center were planned to be included in the stud...
A number of other studies also report that leaving fragments of the instrument on the implant surface or scratching the surface may impede optimal peri-implant healing [17,18,19,20].
Chitosan is a marine biopolymer which is based on chitin derived from the shells of marine crustaceans. The material has been approved for use in surgical bandages, as a haemostatic agent and as a dietary supplement ...
Inflammation and loss of attachment around dental implants (i.e. peri-implantitis) has become a growing concern within the field of dental implantology [1,2,3,4,5,6,7]. Peri-implantitis is a microbial infection-driven soft tissue inflammation with loss of bony attachment around an implant. Peri-implant mucositis is the precursor of peri-implantitis, as gingivitis is for periodontitis [8]. It is cl...
The aim of the present study was to evaluate the effect on peri-implant mucosal inflammation from the use of a novel instrument made of chitosan in the non-surgical treatment of mild peri-implantitis across several clinical centers.
In this 6-month multicenter prospective consecutive case series performed in six different periodontal specialist clinics, 63 implants in 63 patients were finally inc...
Fig. 5. Box plot illustrating maximum PD reduction between the grafted and non-grafted patient groups that did not reach a significant difference (p = 0.968)
Fig. 5. Box plot illustrating maximum PD reduction between the grafted and non-grafted patient groups that did not reach a significant difference (p = 0.968)
Fig. 4. Box plot presenting mean BOP reduction between the two patient groups (grafted and non-grafted) with no significant difference (p = 0.778)
Fig. 4. Box plot presenting mean BOP reduction between the two patient groups (grafted and non-grafted) with no significant difference (p = 0.778)
Fig. 3. Dumbbell—dot plots illustrating (a) disease resolution and no resolution at non-grafted and grafted sites at the patient level analysis with no significant difference between the two groups (p = 0.579). Patents with improvement, deterioration, and no improvement following the treatment based on the max PD changes are depicted; (b) disease resolution and no resolution at the implant...
Fig. 2. Box plot depicting no significant differences of the baseline maximum PD values between the grafted and non-grafted patient groups (p = 0.353)
Fig. 2. Box plot depicting no significant differences of the baseline maximum PD values between the grafted and non-grafted patient groups (p = 0.353)
Fig. 1. Combined surgical therapy of peri-implantitis at respective defect sites: class I: intrabony component showing either a buccal dehiscency with a semicircular component (Ib) or a buccal dehiscency with a cicumferential component (Ic). Class II: supracrestal component. The red rectangles indicate the surface areas undergoing an implantoplasty, while the green areas indicate the defect area...
Group
Patient level
Implant level
Mean
SD
Median
...
Group
Patient level
Implant level
mean
SD
median
...
Non-grafted sites
Grafted sites
Total
Patient level
7/29 (24.1%)
4/10 (40%)
...
Non-grafted sites
Grafted sites
Implant number
41
16
Maxilla/mandible
...
Ramanauskaite, A., Becker, K., Juodzbalys, G. et al. Clinical outcomes following surgical treatment of peri-implantitis at grafted and non-grafted implant sites: a retrospective analysis.
Int J Implant Dent 4, 27 (2018). https://doi.org/10.1186/s40729-018-0135-5
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Received: 28 November 2017
Accepted: 21 May 2018
Published: 09 August 2018
DOI: https://doi.o...
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 protocol was approved by the Heinrich-Heine University (Düsseldorf, Germany) ethics committee.
Ausra Ramanauskaite, Kathrin Becker, Gintaras Juodzbalys, and Frank Schwarz declare that they have no competing interests.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Department of Oral Surgery, Westdeutsche Kieferklinik, Universitätsklinikum Düsseldorf, D-40225, Düsseldorf, Germany
Ausra Ramanauskaite
Clinic of Dental and Oral Pathology, Lithuanian University of Health Sciences, Kaunas, Lithuania
Ausra Ramanauskaite
Department of Orthodontics, Westdeutsche Kieferklinik, Universitätsklinikum Düsseldorf, D-40225, Düsseldorf, Germany
Kathrin Becker
De...
The study was self-funded by the authors’ own departments.
Carcuac O, Derks J, Abrahamsson I, Wennström JL, Petzold M, Berglundh T. Surgical treatment of peri-implantitis. 3-year results from a randomized controlled clinical trial. J Clin Periodontol. 2017;44(12):1294–303.
Canullo L, Peñarrocha-Oltra D, Covani U, Botticelli D, Serino G, Penarrocha M. Clinical and microbiological findings in patients with peri-implantitis: a cross-sectional study. Cli...
Lindhe J, Meyle J, Working Group D of European Workshop on Periodontology. Peri-implant diseases: Consensus Report of the Sixth European Workshop on Periodontology. J Clin Periodontol. 2008;35(Suppl 8):282–5.
Lang NP, Berglundh T, Working Group 4 of Seventh European Workshop on Periodontology. Periimplant diseases: where are we now?--Consensus of the Seventh European Workshop on Periodontology....
Within the limitations of the current study, it was concluded that the effectiveness of combined surgical therapy of peri-implantitis was comparable at both grafted and non-grafted implant sites and was not influenced by the initial bone-grafting procedures.
The further evaluation of maximum PD reduction did not indicate a significant difference between the two groups (i.e., grafted vs. non-grafted), with the range of 1.57 to 2.20 mm at the patient level analysis and 1.31 to 2.10 mm at the implant level. These results are in concurrence with data from the previous studies, where mean PD reduction amounted from 0.74 to 2.55 mm [16], up to 3 [18], an...
According to the eighth European Workshop of Periodontology (EFP), evaluation of the effectiveness of different peri-implantitis therapies should be based on a composite outcome of disease resolution, including resolutions of mucosal inflammation, reductions in probing pocket depths, and no further bone loss [3].
The current retrospective clinical investigation evaluated treatment outcomes follow...
At the implant level, BOP reduction was noted to be 74.96% (minimum 0%; maximum 100%) at grafted implant sites and 54.88% (minimum 0%; maximum 100%) at non-grafted implant sites. According to the results of the chi-square test, the mean BOP reduction did not differ significantly between the groups at either the patient (p = 0.778, df = 1, χ2 = 0.079) or the implant (p = 0.515, df...
The present analysis was based on 39 patients diagnosed with peri-implantitis in 57 implants. The patients were divided into 2 groups according to the grafting of the site: non-grafted implant sites (29 patients/41 implants) and grafted implant sites (10 patients/16 implants).
The characteristics of the implant sites are presented in Table 1. In total, 26 implants (45.6%) were located in the max...
For all patients, the following clinical parameters were available: BOP (as measured within 60 s after probing) and PD (as measured in millimeters from the mucosal margin to the bottom of the probeable pocket). BOP and PD were assessed at six aspects around the implant: mesio-buccal, mid-buccal, disto-buccal, mesio-oral, mid-oral, and disto-oral. Maximum PD values (max PD) and mean BOP scores wer...
Peri-implantitis was defined as bleeding on probing (BOP) with or without suppuration (Supp) in addition to changes in the radiographic bone level. Interproximal bone level changes were estimated on intraoral radiographs. In the absence of available baseline radiographs taken at prosthesis installation, “a threshold vertical distance of 2 mm from the expected marginal bone level” was used to a...
For this retrospective analysis, standardized clinical record forms of a total of 39 partially/fully edentulous patients (25 female and 12 male) exhibiting 57 implants were screened. All patients had attended the Department of Oral Surgery, Heinrich Heine University, Düsseldorf, Germany for the treatment of peri-implantitis between 2007 and 2010, and were under regular implant maintenance care. T...
Peri-implantitis is caused by a bacterial challenge and characterized by inflammation in the peri-implant soft tissues and a progressive loss of supporting bone [1, 2]. Consequently, its treatment is cause-related and primarily aimed at arresting disease progression [3].
Based on the currently available evidence, non-surgical mechanical debridement alone seems to have a limited efficacy for the m...
This retrospective analysis aimed at comparing the clinical outcomes following combined surgical therapy of peri-implantitis at initially grafted and non-grafted (i.e., pristine) implant sites.
A total of 39 patients exhibiting 57 implants diagnosed with peri-implantitis (i.e., 16 implants at grafted and 41 implants at non-grafted sites) were included. Each subject had received a combined (i.e., ...
Table 3 Means (grammes per square centimetre) and standard deviations of the bone mineral density (BMD) of above and below implant areas in tibiae with and without the local application of growth hormone (GH) in healthy (control) and osteoporotic (OVX) rabbits
Animal group
15d
Commercial
Modified
Without GH
With GH
Without GH
With GH
Control
Above
0.356 ± ...
Table 2 Mean (grammes per square centimetre) and standard deviations of the bone mineral density (BMD) of tibiae and vertebral column in healthy (control) and osteoporotic (OVX) rabbits
Animal group
BMD (g cm−2) tibiae
BMD (g cm−2) vertebral column
Control
0.323 ± 0.014
0.285 ± 0.007
OVX
0.301 ± 0.016
0.271 ± 0.009
Table 1 Chemical analysis by EDAX of the surface of Ti6Al4V commercial implants
Element
Atomic, %
Al
11.00
P
0.54
Ca
0.38
Ti
84.71
V
3.37
Figure 6. Bone to implant contact (BIC) values (%) for commercial and modified implants in osteoporotic (OVX) rabbits after 15 and 30 days of implantation. Vertical lines represent standard deviations
Figure 4. SEM image of the nanoroughness of the oxidized surfaces on control Ti6Al4V dental implants after 700 °C for 1 h
Figure 3. SEM image of the surface of control commercial Ti6Al4V dental implants
Figure 2. Transcortical osteotomy with Ti6Al4V implant inserted in the tibia bone
Figure 1. Schematic diagram of the classification of experimental animals in groups
References
Lomholt TC, Pantleon K, Somers MAJ. In-vivo degradation mechanism of Ti-6Al-4V hip joints. Mater Sci Eng C. 2011;31:120–7.
Wisbey A, Gregson PJ, Peter LM, et al. Effect of surface treatment on the dissolution of titanium-based implant materials. Biomaterials. 1991;12:470–3.
Chen G, Wen X, Zhang N. Corrosion resistance and ion dissolution of titanium with different surface m...
These results are in agreement with the authors’ previous data and other authors. For example, Calvo-Guirado et al. found topical application of 4 IU of GH like biomimetic agent at the moment of implant placement has no significant effects on the BIC at 5 and 8 weeks, although bone formation and inter-thread bone values did increase significantly. However, controversial about the efficienc...
The chemical composition of the oxidized surface after heat treatment at 700 °C for 1 h, verified by XRD, is rutile, which is formed on the free-particle areas of the Ti6Al4V surface. Rutile scale has been proved to enhance the osteoblast response, improve the resistance to pitting corrosion and decrease the ion release of the Ti6Al4V.
In addition, the morphology of the hard rutile scale g...
Discussion
A good preparation of the implant surface in order to accommodate bone topographical features contributes to accelerate the assembly between the new bone formed and the metallic implant. Research has been consequently focused on the surface modifications of implants aimed to simulate the size of the proteins or cell membrane receptors. In vitro results about the influence of diff...
Table 2 shows the estimated mean values and standard deviations for the BMD in healthy (control) and osteoporotic (OVX) rabbits. The comparison of mean values established significant differences between control and OVX groups (p = 0.006). The BMD results show that the ovariectomy and hypocalcic diet described in (20) resulted being proper methods to have osteoporotic rabbits be...
Table 2 shows the estimated mean values and standard deviations for the BMD in healthy (control) and osteoporotic (OVX) rabbits. The comparison of mean values established significant differences between control and OVX groups (p = 0.006). The BMD results show that the ovariectomy and hypocalcic diet described in (20) resulted being proper methods to have osteoporotic rabbits before the inserti...
Results
Figure 3 shows images at different magnifications by SEM of the typical threaded topography of the Ti6Al4V screws and the characteristic surface with cavities and holes heterogeneously dispersed due to the impingement of the particles used in the blasting process. The chemical analysis performed by EDX of a representative area (Table 1) shows the characteristics peaks of Ti, Al and V, t...
The injury was sutured with absorbable material after the implantation. Antibiotics and anti-inflammatory agents were delivered in the postoperative period to prevent infection and pain. Rabbits were sacrificed after 15 and 30 days of implantation by intravenous injection of 0.4 mg sodium pentobarbital (Dolethal®, Vetoquinol, Cedex, Francia) diluted in serum (Fig. 1).
Tibiae were cleaned from so...
The quantitative results were processed with the statistical package Statgraphics plus 5.1. The significance of the differences between the groups was studied according to Student’s t test and the one-way ANOVA test (analysis of variance). p value was 0.05.
Eight weeks post-surgery, rabbits were subjected to a densitometry to the vertebral column and tibia bone to verify the establishment o...
The injury was sutured with absorbable material after the implantation. Antibiotics and anti-inflammatory agents were delivered in the postoperative period to prevent infection and pain. Rabbits were sacrificed after 15 and 30 days of implantation by intravenous injection of 0.4 mg sodium pentobarbital (Dolethal®, Vetoquinol, Cedex, Francia) diluted in serum (Fig. 1).
Tibiae were cleaned from so...
Eight weeks post-surgery, rabbits were subjected to a densitometry to the vertebral column and tibia bone to verify the establishment of osteoporosis model. For the densitometric analysis, a Norland XR-26 densitometer was used (Norland Co., Fort Atkinson, WI, USA) calibrated prior to the measurement. The exploration parameters were as follows: speed 40 mm s−1, resolution 1.0 × 1.0 mm, and ...
Methods
Implant preparation and characterization
Threaded commercial titanium alloy implants (3.3 mm diameter and 8 mm length) from Zimmer® were used as control implants. They consisted of Ti6Al4V screws blasted with hydroxyapatite and subsequent acid attack with HCl. Screws with these prior surface treatments were submitted to a thermal treatment. The oxidation treatment was performed at 7...
Background
The metallic biomaterials used in the substitution of hard tissues are subjected to the action of the physiological environment and mechanical efforts like fatigue, wear or friction that alter the operation success of implants and affect drastically the electrochemical properties of the surface. That is the case of Ti and its alloys, in which in vivo conditions alter the stability of...
Osseointegration of TI6Al4V dental implants modified by thermal oxidation in osteoporotic rabbits
Abstract
Background
In this work, the effect of the heat treatment on Ti6Al4V implants and topical administration of growth hormone to address a better osseointegration in osteoporotic patients has been analysed.
Methods
The osseointegration process of Ti6Al4V implants modified by oxidation...