PMID- 30461438 OWN - NLM STAT- MEDLINE DCOM- 20190610 LR - 20190906 IS - 1538-2982 (Electronic) IS - 1056-6163 (Linking) VI - 28 IP - 1 DP - 2019 Feb TI - The Influence of Type 2 Diabetes Mellitus on the Osseointegration of Titanium Implants With Different Surface Modifications-A Histomorphometric Study in High-Fat Diet/Low-Dose Streptozotocin-Treated Rats. PG - 11-19 LID - 10.1097/ID.0000000000000836 [doi] AB - OBJECTIVES: Type 2 diabetes mellitus (T2DM) is a systemic disease that also compromises the bone healing capacity. In healthy individuals, surface modifications of dental implants are proven to increase bone response and implant success. The aim of this study was to clarify if the surface modifications also improve osseointegration in a setting with diabetes mellitus. METHODS: T2DM was induced in 7 rats by a high-fat diet/low-dose streptozotocin injection. All animals received a hydroxyapatite (HA) implant, a sandblasted and acid-etched (SLA) implant, and a standard machined titanium implant for control in the tibia. After 4 weeks, thin-ground sections were produced, and the volume of new bone formation (nBV/TV) and bone-to-implant contact (nB.I/Im.I) were histomorphometrically analyzed. RESULTS: Both surface modifications led to an increase of osseointegration compared with the machined surface implant in rats with T2DM. nBV/TV was highest in the SLA implants, whereas nB.I/Im.I was highest in the HA group. Regardless of the surface modification, a superordinate regional pattern of new bone formation over the length of the implant was observed. CONCLUSIONS: Implants with HA coating and SLA surface modifications seem to have the potential to increase osseointegration also in T2DM rats when compared with a conventional machined surface. FAU - Zhou, Wenjuan AU - Zhou W AD - Dentist, Department of Implant Dentistry, Yantai Stomatological Hospital, Shangdong, China. AD - Research Fellow, Karl Donath Laboratory for Hard Tissue and Biomaterial Research, Division of Conservative Dentistry and Periodontology, Competence Center for Periodontal Research, University Clinic of Dentistry, Medical University of Vienna, Vienna, Austria. FAU - Tangl, Stefan AU - Tangl S AD - Head of Laboratory, Karl Donath Laboratory for Hard Tissue and Biomaterial Research, Division of Oral Surgery, School of Dentistry, Austrian Cluster for Tissue Regeneration, Medical University of Vienna, Vienna, Austria. FAU - Reich, Karoline Maria AU - Reich KM AD - Research Fellow, Karl Donath Laboratory for Hard Tissue and Biomaterial Research, Division of Oral Surgery, School of Dentistry, Austrian Cluster for Tissue Regeneration, Medical University of Vienna, Vienna, Austria. FAU - Kirchweger, Franziska AU - Kirchweger F AD - Research Associate, Karl Donath Laboratory for Hard Tissue and Biomaterial Research, Division of Oral Surgery, School of Dentistry, Medical University of Vienna, Austria and Austrian Cluster for Tissue Regeneration, Vienna, Austria. FAU - Liu, Zhonghao AU - Liu Z AD - Professor and Chairman, Department of Implant Dentistry, Yantai Stomatological Hospital, Professor, Shandong University, Shangdong, China. FAU - Zechner, Werner AU - Zechner W AD - Professor and Deputy Head, Division of Oral Surgery, School of Dentistry, Medical University of Vienna, Vienna, Austria. FAU - Ulm, Christian AU - Ulm C AD - Professor and Head, Division of Oral Surgery, School of Dentistry, Medical University of Vienna, Vienna, Austria. FAU - Rausch-Fan, Xiaohui AU - Rausch-Fan X AD - Professor and Head, Competence Center for Periodontal Research, Head for Periodontology and Prophylaxis, Division of Conservative Dentistry and Periodontology, School of Dentistry, Medical University of Vienna, Vienna, Austria. LA - eng PT - Journal Article PL - United States TA - Implant Dent JT - Implant dentistry JID - 9206481 RN - 0 (Dental Implants) RN - 5W494URQ81 (Streptozocin) RN - 91D9GV0Z28 (Durapatite) RN - D1JT611TNE (Titanium) MH - Acid Etching, Dental MH - Animals MH - Dental Implantation, Endosseous/*methods MH - *Dental Implants MH - Diabetes Mellitus, Type 2/*physiopathology MH - Diet, High-Fat MH - Durapatite MH - Implants, Experimental MH - Male MH - Osseointegration/*physiology MH - Rats MH - Rats, Wistar MH - Streptozocin/administration & dosage MH - Surface Properties MH - Tibia/surgery MH - Titanium EDAT- 2018/11/22 06:00 MHDA- 2019/06/14 06:00 CRDT- 2018/11/22 06:00 PHST- 2018/11/22 06:00 [pubmed] PHST- 2019/06/14 06:00 [medline] PHST- 2018/11/22 06:00 [entrez] AID - 10.1097/ID.0000000000000836 [doi] PST - ppublish SO - Implant Dent. 2019 Feb;28(1):11-19. doi: 10.1097/ID.0000000000000836.