Biomechanical and Histologic Evaluation of Osseointegration of Titanium Dental Implants Modified by Various Combinations of Sandblasting, Acid-Etching, Hydroxyapatite, and Hyaluronic Acid Coating Techniques.

IF 1.7 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Emre Yurttutan, Ömür Dereci, Mine Alkaya Karagöz
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引用次数: 0

Abstract

Purpose: To compare the osseointegration process of the titanium dental implants with five different surface characteristics-sandblasted, sandblasted and acid-etched, hyaluronic acid-coated (HYA), hydroxyapatite-coated (HA), and machined-in an experimental sheep model at 1- and 3-month examinations.

Materials and methods: One hundred sixty dental implants were placed in the left and right tibias of 16 sheep. Five experimental groups were designed. Eight animals (80 implants) were used for biomechanical tests of reverse torque analysis and resonance frequency analysis (RFA). Eight of them (80 implants) were used for the evaluation of bone-to-implant contact (BIC) percentage in histomorphometric analysis. Forty of 80 implants (8 implants for each group) were used at 1-month examinations, and the remaining 40 (8 implants for each group) implants were used at 3-month examinations in the biomechanical test group and histomorphometric examination group, separately.

Results: Intergroup analysis at the 3-month followup showed that the increase in the implant stability quotient (ISQ) value was statistically significant for only the HYA group (P < .05). According to ISQ values at 1 and 3 months, group HYA showed statistically higher values at the 1 and 3-month examinations (P < .05). Groups HYA and HA had statistically higher reverse torque values than other groups at the 1-month examination (P < .05). At the 3-month evaluation, the HYA group showed significantly higher reverse torque values compared to other groups (P < .05). The BIC values of the sandblasted and acid-etched, HYA, and HA groups were significantly higher than the sandblasted and machined groups at the 1- and 3-month examinations (P < .05). The BIC value for the HA group showed decreased value at the 3-month examination compared to the 1-month examination (P < .05).

Conclusion: The RFA, reverse torque, and histomorphometric analysis at 1- and 3-month examinations show that dental implants coated with HYA may have increased potential for osseointegration compared to dental implants with sandblasted, sandblasted and acid-etched, machined, and HA-coated surfaces. Int J Oral Maxillofac Implants 2023;38:583-590. doi: 10.11607/jomi.9935.

喷砂、酸蚀、羟基磷灰石和透明质酸涂层技术组合改良钛牙种植体骨整合的生物力学和组织学评价
目的:比较喷砂、喷砂和酸蚀、透明质酸包覆(HYA)、羟基磷灰石包覆(HA)和机械加工五种不同表面特征的钛牙种植体在实验羊模型中1个月和3个月的骨整合过程。材料与方法:在16只羊的左右胫骨放置160颗牙种植体。共设计5个实验组。8只动物(80个植入物)进行反转矩分析和共振频率分析(RFA)的生物力学试验。其中8个(80个种植体)用于组织形态学分析中评估骨与种植体接触(BIC)百分比。80个种植体中的40个(每组8个)在1个月检查时使用,其余40个(每组8个)种植体在3个月检查时分别使用生物力学试验组和组织形态学试验组。结果:随访3个月组间分析显示,只有HYA组种植体稳定商(ISQ)值升高,差异有统计学意义(P < 0.05)。根据1、3个月时的ISQ值,HYA组在1、3个月时的ISQ值有统计学意义(P < 0.05)。在1个月检查时,HYA组和HA组的反向扭矩值高于其他组(P < 0.05)。在3个月的评估中,HYA组的反向扭矩值明显高于其他组(P < 0.05)。喷砂组和酸蚀组、HYA组和HA组在1个月和3个月时的BIC值显著高于喷砂组和机械加工组(P < 0.05)。HA组3个月时BIC值较1个月时有所下降(P < 0.05)。结论:在1个月和3个月的检查中,RFA、反向扭矩和组织形态学分析表明,与喷砂、喷砂和酸蚀、机械加工和ha涂层的牙种植体相比,涂有HYA涂层的牙种植体可能具有更高的骨整合潜力。口腔颌面种植[J]; 2009;38(3):583-590。doi: 10.11607 / jomi.9935。
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来源期刊
CiteScore
3.30
自引率
5.00%
发文量
115
审稿时长
6 months
期刊介绍: Edited by Steven E. Eckert, DDS, MS ISSN (Print): 0882-2786 ISSN (Online): 1942-4434 This highly regarded, often-cited journal integrates clinical and scientific data to improve methods and results of oral and maxillofacial implant therapy. It presents pioneering research, technology, clinical applications, reviews of the literature, seminal studies, emerging technology, position papers, and consensus studies, as well as the many clinical and therapeutic innovations that ensue as a result of these efforts. The editorial board is composed of recognized opinion leaders in their respective areas of expertise and reflects the international reach of the journal. Under their leadership, JOMI maintains its strong scientific integrity while expanding its influence within the field of implant dentistry. JOMI’s popular regular feature "Thematic Abstract Review" presents a review of abstracts of recently published articles on a specific topical area of interest each issue.
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