Nanomechanical Assessment of Bone Surrounding Implants Loaded for 3 Years in a Canine Experimental Model.

PURPOSE: This work evaluated the nanomechanical properties of bone surrounding submerged and immediately loaded implants after 3 years in vivo. It was hypothesized that the nanomechanical properties of bone would markedly increase in immediately and functionally loaded implants compared with submerged implants. MATERIALS AND METHODS: The second, third, and fourth right premolars and the first molar of 10 adult Doberman dogs were extracted. After 6 months, 4 implants were placed in 1 side of the mandible. The mesial implant received a cover screw and remained unloaded. The remaining 3 implants received fixed dental prostheses within 48 hours after surgery that remained in occlusal function for 3 years. After sacrifice, the bone was prepared for histologic and nanoindentation analysis. Nanoindentation was carried out under wet conditions on bone areas within the plateaus. Indentations (n = 30 per histologic section) were performed with a maximum load of 300 µN (loading rate, 60 µN per second) followed by a holding and unloading time of 10 and 2 seconds, respectively. Elastic modulus (E) and hardness (H) were computed in giga-pascals. The amount of bone-to-implant contact (BIC) also was evaluated. RESULTS: The E and H values for cortical bone regions were higher than those for trabecular bone regardless of load condition, but this difference was not statistically significant (P > .05). The E and H values were higher for loaded implants than for submerged implants (P < .05) for cortical and trabecular bone. For the same load condition, the E and H values for cortical and trabecular bone were not statistically different (P > .05). The loaded and submerged implants presented BIC values (mean ± standard deviation) of 57.4 ± 12.1% and 62 ± 7.5%, respectively (P > .05). CONCLUSION: The E and H values of bone surrounding dental implants, measured by nanoindentation, were higher for immediately loaded than for submerged implants.

Histomorphologic and bone-to-implant contact evaluation of dual acid-etched and bioceramic grit-blasted implant surfaces: an experimental study in dogs.

PURPOSE: The objective of this study was to histologically evaluate a bioceramic grit-blasted and acid-etched surface (presenting calcium and phosphorous incorporation within the surface and its oxide) versus a dual acid-etched (no calcium and phosphorous, control) moderately rough implant surface in a dog tibia model. MATERIALS AND METHODS: Implants 3 x 10 mm were placed bilaterally along the proximal tibia of 6 Doberman dogs and remained for 2 and 4 weeks in vivo. After the dogs were euthanized, the implants were nondecalcified processed to approximately 30-microm-thick plates. Transmitted light optical microscopy was used to evaluate healing patterns and bone-to-implant contact. Statistical analysis was performed by 1-way analysis of variance at the 95% level of significance and by Tukey post hoc tests. RESULTS: At 2 weeks, histologic evaluation showed woven bone formation throughout the perimeter of both implant surfaces. However, replacement of woven bone by lamellar bone was only observed around the test surface at 4 weeks in vivo. No significant differences in bone-to-implant contact were observed for the different groups (P > .27). CONCLUSION: Despite nonsignificant differences between bone-to-implant contact for the different surfaces and times in vivo, higher degrees of bone organization were observed for the test implants. Biomechanical testing is warranted to verify potential differences in biomechanical fixation effectiveness between surfaces.

Early bone healing around different implant bulk designs and surgical techniques: A study in dogs.

PURPOSE: To evaluate the bone healing response to different implant root shape designs in a dog model. MATERIALS AND METHODS: Three by eight millimeter screw-type short-pitch (SP) and large-pitch (LP) implants (Intra-Lock International, Boca Raton, FL, USA), and 4.5 x 6 mm plateau (P) implants (Bicon LLC, Boston, MA, USA) were placed along the proximal tibia of six dogs for 2 and 4 weeks. The combination of implant design and final osteotomy drilling resulted in healing chambers for the LP and P implants. The implants were nondecalcified processed to plates of approximately 30-microm thickness and were evaluated by optical microscopy for healing patterns and bone-to-implant contact (BIC). One-way analysis of variance at 95% level of significance and Tukey's test were utilized for multiple comparisons among the groups' BIC. RESULTS: Microscopy showed a approximately 150-microm region of newly deposited bone along the whole perimeter of SP implants, near the edge of the LP implant threads, and plateau tips for P implants. Rapid woven bone formation and filling was observed in regions where surgery and implant design resulted in healing chambers. No significant differences in BIC were observed (p > .75). CONCLUSIONS: Different implant design/surgical protocol resulted in varied bone healing patterns. However, the BIC and bone morphology evolution between implant designs were comparable. Regardless of the combination between implant design and final osteotomy drilling, bone morphology evolution from 2 to 4 weeks was comparable.

Histomorphometric evaluation of alumina-blasted/acid-etched and thin ion beam-deposited bioceramic surfaces: an experimental study in dogs.

PURPOSE: In an attempt to overcome the potential long-term limitations observed with plasma-sprayed hydroxyapatite-coated implants, nanothickness bioceramic coatings have been processed onto previously grit-blasted/acid-etched surfaces. Our objective was to evaluate the bone response to alumina-blasted/acid-etched and a thin ion beam-deposited bioceramic (Test) implant surfaces at 2 and 4 weeks in vivo with a dog tibia model. MATERIALS AND METHODS: Plateau root form implants (5 x 6 mm) were placed bilaterally along the proximal tibia of 6 Doberman dogs and remained for 2 and 4 weeks in vivo (n=6 per implant type and time in vivo). After euthanization, the implants were processed in a nondecalcified form and reduced to approximately 30 mum-thickness plates. Transmitted light optical microscopy at various magnifications was used to qualitatively evaluate the bone healing patterns. Bone-to-implant contact (BIC) was determined and 1-way ANOVA at 95% level of significance with Tukey's post-hoc multiple comparisons was used for statistical analysis. RESULTS: Histomorphology showed new bone formation filling the spaces between the plateaus at both in vivo time intervals through large quantities of woven bone formation. A higher degree of bone organization was observed between the plateaus of Test implants at 4 weeks in vivo than the alumina-blasted/acid-etched implants. No significant differences in BIC were observed for the different groups (P> .86). CONCLUSION: Despite nonsignificant differences between BIC for the different implant surfaces and times in vivo, higher degrees of bone organization were observed for the Test implants at 4 weeks, and biomechanical testing is suggested to verify its biomechanical fixation effectiveness.

Oxidação e corrosão na união dos implantes osseointegrados com diferentes ligas metálicas / Oxidation and corrosion between osseointegrated implants and different alloys

O desempenho funcional, a durabilidade e a biocompatibilidade dos materiais de implante são decorrência de vários fatores, dentre eles a sua resistência à oxidação e à corrosão no meio bucal. Propomo-nos a analisar, in vitro, os efeitos da oxidação e corrosão na unidade implante - abutment - cilindro de ouro, com o uso de estruturas metálicas fundidas em ligas de prata paládio e ouro. As estruturas metálicas foram adaptadas sobre implantes do sistema Branemark, com os respectivos abutments e cilindros de ouro, sendo posteriormente colocadas em solução de NaCl 0,9 por cento em pH=6. As amostras foram classificadas em dois grupos: Grupo I: prata-paládio; Grupo II: ouro, e depois divididas em dois subgrupos, de acordo com o tempo de permanência na solução, 336 horas e 1008 horas, respectivamente. Após a remoção da solução, as amostras foram submetidas à análise por microscopia eletrônica de varredura (MEV) e espectroscopia de energia dispersiva de raios X (EDS). Pela microscopia de varredura (MEV) foram observadas alterações superficiais sugestivas de oxidação. Com o EDS, observou-se uma maior intensidade relativa em função da energia no Cl e Na, quando a liga era de prata-paládio. Baseados nos resultados obtidos, concluímos, portanto, a possibilidade da ocorrência de ataque corrosivo com o uso das ligas de prata-paládio, nos tempos acima referidos, o que sugere uma limitação para seu uso clínico. Sugerimos que novos estudos sejam realizados