PMID- 19216272 OWN - NLM STAT- MEDLINE DCOM- 20090601 LR - 20131121 IS - 0882-2786 (Print) IS - 0882-2786 (Linking) VI - 23 IP - 6 DP - 2008 Nov-Dec TI - Biomechanical comparison of different surface modifications for dental implants. PG - 1037-46 AB - PURPOSE: A satisfactory clinical outcome in dental implant treatment relies on primary stability for immediate load bearing. While the geometric design of an implant contributes to mechanical stability, the nature of the implant surface itself is also critically important. Biomechanical and microcomputerized tomographic evaluation of implant osseointegration was performed to compare alternative structural, chemical and biochemical, and/or pharmaceutical surface treatments applied to an identical established implant design. MATERIALS AND METHODS: Dental implants with the same geometry but with 6 different surface treatments were tested in vivo in a sheep model (pelvis). Peri-implant bone density and removal torque were compared at 2, 4, and 8 weeks after implantation. Implant surfaces tested were: sandblasted and acid-etched titanium (Ti), sandblasted and etched zirconia, Ti coated with calcium phosphate (CaP), Ti modified via anodic plasma-chemical treatment (APC), bisphosphonate-coated Ti (Ti + Bisphos), and Ti coated with collagen containing chondroitin sulfate (CS). RESULTS: All dental implants were well integrated at the time of sacrifice. There were no significant differences observed in peri-implant bone density between implant groups. After 8 weeks of healing, removal torque values for Ti, Ti + CaP, Ti + Bisphos, and Ti + collagen + CS were significantly higher than those for zirconia and Ti + APC. CONCLUSIONS: Whereas the sandblasted/acid-etched Ti implant can still be considered the reference standard surface for dental implants, functional surface modifications such as bisphosphonate or collagen coating seem to enhance early peri-implant bone formation and should be studied further. FAU - Ferguson, Stephen J AU - Ferguson SJ AD - Institute for Surgical Technology and Biomechanics, University of Bern, Switzerland. stephen.ferguson@artorg.unibe.ch FAU - Langhoff, Jens D AU - Langhoff JD FAU - Voelter, Katrin AU - Voelter K FAU - von Rechenberg, Brigitte AU - von Rechenberg B FAU - Scharnweber, Dieter AU - Scharnweber D FAU - Bierbaum, Susanne AU - Bierbaum S FAU - Schnabelrauch, Matthias AU - Schnabelrauch M FAU - Kautz, Armin R AU - Kautz AR FAU - Frauchiger, Vinzenz M AU - Frauchiger VM FAU - Mueller, Thomas L AU - Mueller TL FAU - van Lenthe, G Harry AU - van Lenthe GH FAU - Schlottig, Falko AU - Schlottig F LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Int J Oral Maxillofac Implants JT - The International journal of oral & maxillofacial implants JID - 8611905 RN - 0 (Bone Density Conservation Agents) RN - 0 (Calcium Phosphates) RN - 0 (Coated Materials, Biocompatible) RN - 0 (Dental Implants) RN - 0 (Dental Materials) RN - 0 (Diphosphonates) RN - 9007-28-7 (Chondroitin Sulfates) RN - 9007-34-5 (Collagen) RN - 97Z1WI3NDX (calcium phosphate) RN - C6V6S92N3C (Zirconium) RN - D1JT611TNE (Titanium) RN - S38N85C5G0 (zirconium oxide) SB - IM MH - Acid Etching, Dental/methods MH - Animals MH - Biomechanical Phenomena MH - Bone Density/physiology MH - Bone Density Conservation Agents/chemistry MH - Calcium Phosphates/chemistry MH - Chondroitin Sulfates/chemistry MH - Coated Materials, Biocompatible/chemistry MH - Collagen/chemistry MH - Dental Etching/methods MH - *Dental Implants MH - Dental Materials/chemistry MH - *Dental Prosthesis Design MH - Dental Prosthesis Retention MH - Diphosphonates/chemistry MH - Electrochemical Techniques MH - Ilium/surgery MH - Materials Testing MH - Osseointegration/physiology MH - Osteogenesis/physiology MH - Random Allocation MH - Sheep MH - Stress, Mechanical MH - Surface Properties MH - Time Factors MH - Titanium/chemistry MH - Torque MH - X-Ray Microtomography MH - Zirconium/chemistry EDAT- 2009/02/17 09:00 MHDA- 2009/06/02 09:00 CRDT- 2009/02/17 09:00 PHST- 2009/02/17 09:00 [entrez] PHST- 2009/02/17 09:00 [pubmed] PHST- 2009/06/02 09:00 [medline] PST - ppublish SO - Int J Oral Maxillofac Implants. 2008 Nov-Dec;23(6):1037-46.