Roughness and wettability effect on histological and mechanical response of self-drilling orthodontic mini-implants

Clin Oral Investig. 2016 Jun;20(5):1115-20. doi: 10.1007/s00784-016-1770-y. Epub 2016 Mar 9.

Abstract

Objectives: Self-drilling orthodontic mini-implants can be used as temporary devices for orthodontic treatments. Our main goal was to evaluate surface characteristics, roughness and wettability, of surface modified mini-implants to increase their stability during orthodontic treatment without inducing bone fracture and tissue destruction during unscrewing.

Materials and methods: Modified mini-implants by acid etching, grit-blasting and its combination were implanted in 20 New Zealand rabbits during 10 weeks. After that, the bone-to-implant (BIC) parameter was determined and the torque during unscrewing was measured. The surface characteristics, roughness and wettability, were also measured, onto modified Ti c.p. discs.

Results: Acid-etched mini-implants (R a ≈ 1.7 μm, contact angle (CA) ≈ 66°) significantly improved the bone-to-implant parameter, 26 %, compared to as-machined mini-implants (R a ≈ 0.3 μm, CA ≈ 68°, BIC = 19 %) due to its roughness. Moreover, this surface treatment did not modify torque during unscrewing due to their statistically similar wettability (p > 0.05). Surface treatments with higher roughness and hydrophobicity (R a ≈ 4.5 μm, CA ≈ 74°) lead to a greater BIC and to a higher removal torque during unscrewing, causing bone fracture, compared to as-machined mini-implants.

Conclusions: Based on these in vivo findings, we conclude that acid-etching surface treatment can support temporary anchoring of titanium mini-implants.

Clinical relevance: This treatment represents a step forward in the direction of reducing the time prior to mini-implant loading by increasing their stability during orthodontic treatment, without inducing bone fracture and tissue destruction during unscrewing.

Keywords: In vivo animal studies; Mini-implants; Osseointegration; Surface treatments; Torque.

MeSH terms

  • Acid Etching, Dental
  • Animals
  • Biomechanical Phenomena
  • Bone Plates
  • Bone-Implant Interface
  • Dental Implants*
  • Dental Polishing
  • Device Removal
  • Femur / surgery*
  • Implants, Experimental
  • Materials Testing
  • Orthodontic Anchorage Procedures / instrumentation*
  • Rabbits
  • Surface Properties
  • Titanium
  • Torque
  • Wettability

Substances

  • Dental Implants
  • Titanium