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The osseointegration stimulatory effect of macrogeometry-modified implants: a study in the rabbit
Malmö högskola, Faculty of Odontology (OD).ORCID iD: 0000-0002-3254-741X
Malmö högskola, Faculty of Odontology (OD).
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2014 (English)In: Clinical Oral Implants Research, ISSN 0905-7161, E-ISSN 1600-0501, Vol. 25, no 9, p. 1051-5Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To investigate the bone stimulatory effect of compression forces through histomorphometric analyses of macrothreaded implants with microthreads in between.

MATERIAL AND METHODS: Two sets of turned implants with different macrogeometries were prepared. The test group possessed microthreads in between macrothreads, and the control group had macrothreads only. The two-implant groups were placed in both the femur and the tibiae of 10 rabbits. After 4 weeks, the animals were sacrificed and were subjected to histologic processing and histomorphometry. On the prepared stained sections, the total bone area (BA), new BA and bone-to-implant (BIC) were calculated.

RESULTS: The mean new BA% (SD) for the test group in the femur presented significantly higher values compared with the control group, being 32.84 (32.5) ± 6.04 and 27.31 (28.19) ± 5.66, respectively (P = 0.04). There were no differences for the new BA in the tibia or the total BA% for both bone types (P = 0.86, P = 0.131, and P = 0.131, respectively). The mean BIC% (SD) in the femur was 13.66 (11.49) ± 6.86 for the test group and 8.48 (7.92) ± 3.31 for the control group and in the tibia, 11.4 (11.88) ± 4.21 for the test group and 13.91 (12.06) ± 6.07 for the control group, respectively. There was no statistical significance among the groups tested.

CONCLUSION: The modified implant macrogeometry with microthreads in between promoted effect in the femur. However, no statistical differences could be seen in the tibia, suggesting that the modification may be more effective in bone with poor bone quality, such as in the maxillary bone.

Place, publisher, year, edition, pages
John Wiley & Sons, 2014. Vol. 25, no 9, p. 1051-5
Keywords [en]
histomorphometric analysis, implant geometry alterations, macrothread, microthread
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-18752DOI: 10.1111/clr.12212ISI: 000340069700009PubMedID: 23782296Scopus ID: 2-s2.0-84904685686OAI: oai:DiVA.org:mau-18752DiVA, id: diva2:1478245
Available from: 2020-10-21 Created: 2020-10-21 Last updated: 2024-02-05Bibliographically approved
In thesis
1. On efficacy of implant thread design for bone stimulation
Open this publication in new window or tab >>On efficacy of implant thread design for bone stimulation
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Introduction – The mechanism and efficiency of force transfer by dental implants to surrounding biologic tissues are important determinants in the development of the implant-to-bone/tissue interface and implant longevity. Threads are used to improve the initial stability by maximizing bone contact through an enlarged implant surface area and thereby favor distribution of interfacial stresses. However, knowledge about optimal thread design for an enhanced implant integration in bone tissue is still lacking. Aim – The aim of this thesis was to evaluate the efficacy of implant micro thread design when combined with macro threads, for bone stimulation. The hypothesis is that the short threads will contribute with compression forces that may stimulate bone healing, while the larger threads will provide with primary stability necessary during the healing process. A further aim was to use an FEA model to describe the optimal thread form for reduced stress concentration immediately after implant insertion as well as after completed bone healing. Materials and methods – In study 1, Two-dimensional finite element models were made from 8 different thread designs. The crest module and apex of the implants were removed from the implant models, in order to enhance the effect of the thread designs only. Thus, the suprastructures and microstructures of the implants were not considered. All the eight implant models were assumed to be embedded in cortical bone. In addition, a 3D model was used to evaluate stress in the bone generated by 6 different thread designed implants when the implant models included the entire implant. In the In vivo studies 2 and 3, experimental turned implants with a diameter of 4mm and 8mm in length were prepared with micro threads in between macro threads along the body of the implants. These were used as test implants. Implants without micro-threads were used as controls. In study 4, similar implants were made but with alteration in depth of the macro-thread to improve the possibility for bone stimulation by compression during healing. Insertion and removal torque analysis along with histomophometric analyses were done to evaluate the bone response. Results – In study 1, stresses were calculated using von Mises stress analysis. The stress levels in the bone were in the range of 5-13 MPa in osseointegrated model and 14-107 MPa in immediate 2D models. 3D Analysis results showed the von Mises stress in the range of 4.8-30.9 MPa, when a load of 100N was applied vertically. In Study 4 FEA demonstrated stress levels in the range of 0.28 MPa to 62MPa for the control implant model designs, whereas the test implant models displayed a range of 0.28 MPa to 31Mpa. In study 2, the mean values of the ITQ for the control and test groups in the tibia were 15 and 20 Ncm respectively, and in the femur, the values were 11 and 12 Ncm, respectively. In study 4, the ITQ values were 11Ncm and 14 Ncm respectively in the tibia, and in the femur 13 Ncm and 19 Ncm respectively. The RTQ values for the control and test groups in tibia was 11Ncm and 17Ncm, respectively and in the femur, 13Ncm and 23Ncm, respectively. The histomorphometric analysis of study 3, showed the mean total bone area, BA% (SD) to be higher in the test implants, when compared to the control implants in both the tibia 24 (4), and 21(4), the femoral bone 29 (5), and 25 (7), respectively with no statistical significance. In study 4, the total bone area BA% was higher for the test implants with a mean value of 72% compared to 48% for the control group in tibial bone. In femural bone, the bone area was 63% for the test and 38 % for the control group implants with p value of 0.10 for both tibia and femur. Bone to implant contact showed significantly higher value for the test implants in the femur, p= 0.04. Conclusion – The impact of different thread designs, with respect to the magnitude of the transferred stress peak in the bone, was higher for the immediately inserted implants than for the osseointegrated implant model. The stress distribution was more effective in experimental micro-thread implant models, when compared to the non-micro thread models. The addition of pitch shortened threads in the test implant, did significantly improve the primary and secondary stability of the test implants, when mechanically evaluated with ITQ and RTQ analysis in corticular or trabecular bone rabbit bone. Histomophometrical analysis showed that the addition of the pitch shortened threads in between the macro threads did have a bone stimulatory effect in the femur of the rabbits.

Place, publisher, year, edition, pages
Malmö University, Faculty of Odontology, 2014. p. 84
Series
Doctoral Dissertation in Odontology
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-7740 (URN)17108 (Local ID)978-91-7104-396-2 (ISBN)17108 (Archive number)17108 (OAI)
Note

Note: The papers are not included in the fulltext online.

Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-03-12Bibliographically approved

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Chowdhary, RameshJimbo, RyoWennerberg, Ann

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