Compromised primary implant stability

J Craniofac Surg. 2012 Sep;23(5):e524-8. doi: 10.1097/SCS.0b013e31825b3863.

Abstract

The aim of this study was to evaluate implants installed with compromised primary stability associated or not with polylactide and polyglycolide copolymer (PLA/PGA). Two 0.4-mm overdrilled defects (3 mm in diameter and 6 mm long) were produced in the right tibia of 25 rabbits. Half of the defects were left untreated, and the other half was filled with PLA/PGA. Implants of 2.6 mm in diameter and 6 mm long were placed into all defects. Animals were killed at 5, 15, 40, and 60 postoperative days, and biomechanical analysis (torque-reverse), histomorphometry, and immunohistochemistry (osteoprotegerin, receptor activator of NF-κB ligand [RANKL], osteocalcin, and collagen-1 [COL-I] staining) were performed. All the implants achieved osseointegration. There were no statistically significant differences in the torque-reverse and in linear contact extension between bone tissue and implant surface and no statistically significant difference in osteoprotegerin, RANKL, osteocalcin, and collagen-1 expression between the studied groups in all studied periods (P > 0.05). We can conclude that osseointegration can occur in compromised primary implant stability situations, and the addition of PLA/PGA did not improve the osseointegration process in this experimental model.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Biocompatible Materials
  • Dental Implantation, Endosseous / methods*
  • Dental Prosthesis Design
  • Immunohistochemistry
  • Implants, Experimental*
  • Male
  • Microscopy, Electron, Scanning
  • Osseointegration
  • Polyesters
  • Polyglycolic Acid
  • Rabbits
  • Surface Properties
  • Tibia / surgery*
  • Torque

Substances

  • Biocompatible Materials
  • Polyesters
  • Polyglycolic Acid
  • poly(lactide)