Comparison of two dental implant surface modifications on implants with same macrodesign: an experimental study in the pelvic sheep model

Clin Oral Implants Res. 2015 Aug;26(8):898-908. doi: 10.1111/clr.12411. Epub 2014 May 21.

Abstract

Objectives: The aim of this study was to compare two different surfaces of one uniform macro-implant design in order to focus exclusively on the osseointegration properties after 2, 4 and 8 weeks and to discuss the animal model chosen.

Material and methods: In six mature sheep, n = 36 implants with a highly crystalline and phosphate-enriched anodized titanium oxide surface (TiU) and n = 36 implants with a hydrophilic, sandblasted, large grit and acid-etched surface (SLA) were placed in the pelvic bone. TiU implants were custom-made to match the SLA implant design. The implant stability and bone-to-implant contact (BIC) were assessed by resonance frequency (ISQ), backscatter scanning electron microscopy (B-SEM), light microscopy (LM), micro-CT and intravital fluorochrome staining. Biomechanical removal torque testing was performed.

Results: Overall, no statistically significant differences in BIC total (trabecular + cortical) between TiU and SLA were found via LM and B-SEM. BIC values (B-SEM; LM) in both groups revealed a steady rise in trabecular bone attachment to the implant surface after 2, 4 and 8 weeks. In the 2- to 4-week time interval in the TiU group (P = 0.005) as well as in the SLA group (P = 0.01), a statistically significant increase in BIC trabecular could be observed via LM. B-SEM values confirmed the statistically significant increase for TiU (P = 0.001). In both groups, BIC trabecular values after 8 weeks were significantly higher (P ≤ 0.05) than after 2 weeks (B-SEM; LM). Biomechanical data confirmed the histological data.

Conclusion: The two surfaces proved comparable osseointegration in this sheep model.

Keywords: SEM backscatter; bone‐to‐implant contact; dental implants; osseointegration; removal torque test; resonance frequency; sheep; surface.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Dental Implants*
  • Dental Prosthesis Design*
  • Female
  • Implants, Experimental
  • Materials Testing
  • Microscopy, Electron, Scanning
  • Osseointegration
  • Pelvic Bones / diagnostic imaging
  • Pelvic Bones / surgery*
  • Random Allocation
  • Sheep, Domestic
  • Surface Properties
  • Titanium
  • Torque
  • X-Ray Microtomography

Substances

  • Dental Implants
  • Titanium