Study on Osseointegration of the Immediate Placement Using Korean Implant Systems in Beagle Dog

성견에서 즉시 임플란트 식립시 국내 임플란트에서의 골 유착반응에 관한 연구

  • Seo, Jung-Yoon (Department of Periodontology, School of Dentistry, Wonkwang University) ;
  • Lee, Wook-Jae (Department of Periodontology, School of Dentistry, Wonkwang University) ;
  • Lee, Jong-cheol (Department of Periodontology, School of Dentistry, Wonkwang University) ;
  • Shin, Mee-Ran (Department of Dentistry, Hangang Sacred Heart Hospital, Hallym University) ;
  • Kim, Yun-Sang (Department of Periodontology, School of Dentistry, Wonkwang University) ;
  • Pi, Sung-Hee (Department of Periodontology, School of Dentistry, Wonkwang University) ;
  • Shin, Hyung-Shik (Department of Periodontology, School of Dentistry, Wonkwang University) ;
  • You, Hyung-Keun (Department of Periodontology, School of Dentistry, Wonkwang University)
  • 서정윤 (원광대학교 치과대학 치주과학교실) ;
  • 이욱재 (원광대학교 치과대학 치주과학교실) ;
  • 이종철 (원광대학교 치과대학 치주과학교실) ;
  • 신미란 (한림대학교 한강성심병원 치과학교실) ;
  • 김윤상 (원광대학교 치과대학 치주과학교실) ;
  • 피성희 (원광대학교 치과대학 치주과학교실) ;
  • 신형식 (원광대학교 치과대학 치주과학교실) ;
  • 유형근 (원광대학교 치과대학 치주과학교실)
  • Published : 2007.06.30

Abstract

This study was attempted to evaluate home-manufactured implants by placing $Stage-1^{(R)}$ Implant (Lifecore, Co., USA) whose surface is treated with REM that has already been varified clinically,$Chaorum^{(R)}$ Implant(Chaorum Co., Korea) whose surface treatment is same as that of Stage-1 Implant and $Atlas^{(R)}$ Implant(Cewellmedi Co., Korea) whose surface is treated with anodic oxidation immediately after the teeth of experimental animals were extracted to compare histological findings among them. Stage-l Implant(diameter: 3.5mm, length: IOmm), Chaorum Implant(diameter: 3.3mm, length: 8.5mm) and Cowell medi Implant(diameter: 4.0mm, length: 8.0mm) were placed into the mandible premolars of 2 adult beagle dogs immediately after their teeth were extracted, and then histological findings were analyzed at 6 weeks. After those implants were inserted directly after their teeth were extracted, the results of periotest were recorded, radiography was done, the subjects went through thorough control for 6 weeks, and then comparison among periotest, radiography and histological finding was made. After comparison of those findings, the values of periotest were satisfactory and bone healing was relatively satisfactory on radiography at 6 weeks. For osseointegration with the bone tissue, Stage-1 was 45.3%, Chaorum 55.3%, and Cowellmedi 52.5%, which was a satisfactory result. Although implant surgery immediately after teeth were extracted involves difficulties among recent implant surgeries, it is being frequently used in that it may reduce surgery hours, the frequency of surgery, and bone loss for patients. This experiment was conducted to evaluate the technological levels of home-manufactured implants that have been remarkably developed in recent years and in conclusion, those implants showed nearly similar result.

Keywords

References

  1. Branemark, P. I., Hansson B. O., Adell R., Breine, U., Lindstorm, J., Hallen, O. and Ohman, A. : Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-years period. Scand. J. Plast. Recontr. surg., 1977; 11(suppl,16) 1-132 https://doi.org/10.3109/02844317709025488
  2. Adell, R., Lekholm, U., Rockler, B., and Branemark, P.I : A 15-year study of osseointegrated implants in the treatment of edentulous jaw. Int. J. Oral Surg., 1981;10: 387-416 https://doi.org/10.1016/S0300-9785(81)80077-4
  3. Zarb, G.A, and Schmitt, A, : The longitudinal clinical effectiveness of osseointegrated dental implants. The Toronto study: part I surgical results. J. prosthet Dent., 1990;63:451-457 https://doi.org/10.1016/0022-3913(90)90237-7
  4. Ericsson, I., Lekholm, U., Branemark, P. I., Lindhe J., Glantz, P O., and Nyman, S.: A clinical evaluation of fixed bridge restorations supported by the combination of tooth and osseointegrated tianinum implant. J. Clin, Peiodontol., 1986;13:307-312 https://doi.org/10.1111/j.1600-051X.1986.tb02227.x
  5. Hobo, S., Ichida, E., and Garcia, L. T. : Osseointegration and Occlusal Rehabilitation Quintessence co. 1989;pp21-32
  6. Branemark, P I, Zard, G. A Allbrekson, T. : Tissue integrated prosthesis. Osseointegration in clinical dentistry. Chicago: Quintessence Publishing Co inc. 1985
  7. Gottlander, M., and Albrektsson T, A., : Histomorphometric studies of hydroxyapatite coated and uncoated CP titanium threaded implants in bone. Int. J. Oral. Maxillofac. implants., 1991;6:399-404
  8. Gottlander, M., and Albrektsson, T A.,: Histomorphometric study of unthreaded hydroxyapatite coated and titanium coated implants in rabbit bone. Int. J. Oral. Maxillofac. implants., 1992;7:485-490
  9. Denissen, H. W., Kalk, W., Nieuport H. M., Maltha, J. C., and Hoofe, A: Mandibular bone response to plasma-sprayed coatings of hydroxyapatite. Int Prosthodont., 1990;3: 53-58
  10. Oonishi, H. Yamamoto, M., ishimura, H. Tsuji, E., Kushitani S., Aono, M., and Ukon, Y :The Effect of Hydroxyapatite coating on bone Growth into porous titanium alloy implants. J. Bone. joint. surg., 1989;71-B:213-216 https://doi.org/10.1302/0301-620X.71B2.2925737
  11. Wennerberg, A., Eksessabi, A., Albrektsson, T., Johansson, C., and Andersson, B.: A 1-year follow-up of implants of differing surface roughness placed in rabbit bone. Int. Oral. maxillofac, Implant, 1997;12: 486-494
  12. Preecki P. Auslaender BA, Stephan JE, Mooney VL, Stanitski C: Attachment of bone to threaded implants by ingrowth and mechanical interlocking. J Biomed Mater Res 1972;6:401-412 https://doi.org/10.1002/jbm.820060507
  13. Martinez H, Davarpanah M, Missika P, Celletti R, Lazzara R:Optimal implant stabilization in low density bone. Clin Oral Implants Res 2001;12:423-432 https://doi.org/10.1034/j.1600-0501.2001.120501.x
  14. Cook SD, Kay JF, Thomas KA, Jarcho M : interface mechanics and histology of titanium and hydroxyapatite-coated titanium for dental implant applications. Int J Oral Maxillofac Implants 1987;2:15-22
  15. Block MS, Kent JN, Kay JF : Evaluation of hydroxyapatite-coated titanium dental implants in dogs. J Oral Maxillofac Surg 1987;45:601-607 https://doi.org/10.1016/0278-2391(87)90270-9
  16. Trisi P, Lazzaara R, Rao W, Rabaudi A : Bone implant contact and bone quality: Evaluation of expected and actual bone contact on machined and osseotite implant surface. Int J Periodontics Restorative Dent 2002;22:535-545
  17. Piattelli M, Scarano A, Paolantonio, Iezzi G, Petrone G, Piatteli A: Bone response to machined and resorbable blast material titanium implants: An experimental study in rabbits. J Oral Implantol 2002;28:2-8 https://doi.org/10.1563/1548-1336(2002)028<0002:BRTMAR>2.3.CO;2
  18. Sanz A, Oyarzun A, Farias D, Diaz I: Experimental study of bone response to a new surface treatment of endosseous titanium implants. Implant Dent 2001;10:126-131 https://doi.org/10.1097/00008505-200104000-00009
  19. Cochran DL, Buser D, Bruggenkate CM, Weingart D, Taylor TM, Bernard JP, et al: The use of reduced healing times on ITI implants with a sandblasted and acidetched (SLA) surface : early results from clinical trials on ITI SLA implants. Clin Oral Implants Res 2002;28:2-8
  20. Buser D, Schenk RK, Steinemann S, Fiorellini JP, Fox CH, Stich H: Influence of surface characteritics on bone integration of titanium implants. A histomorphometric study in miniature pigs. J Biomed Mat Res 1991;25:889-902 https://doi.org/10.1002/jbm.820250708
  21. Krump J.L. and Barnett B.G. : The immediate implant :A treatment alternative. Int J Oral Maxillofac Impl, 1991;6:19-23
  22. Gelb DA : Immediate implant surgery: Three-year retrospective evaluation of 50 consecutive cases. Int J Oral Maxillofac Implants. 1993;8:388
  23. Bergilay I, Graser GN et al, : Immediate implantation of pure titanium implants into extraction sockets of Macaca facicularis. Part II : Histologic observations. Int J Oral Maxillofac Implants. 1996;11:489
  24. Robert RW, Smith, Zilberman Y, Mozsary PG, Smith R. Osseous adaptation to continuous loading of rigid endosseous implant. Am J orthod 1984;86:95-111 https://doi.org/10.1016/0002-9416(84)90301-4
  25. Albrektsson T, and Sennerby L: Direct bone anchorage of oral implants: Clinical and experimental considerations of the concept of osseointegration. Int J Prosthodont 1990; 3:30-41
  26. Harris LM : An artiflcial wonders. Oral impiant., 1990;16:57-63
  27. Buser D, Schenk RK, Steinemann S, Fiorellini JP, Fox CH, Stich H: Influence of surface characteritics on bone integration of titanium implants. A histomorphometric study in miniature pigs. J Biomed Mat Res 1991; 25: 889-902 https://doi.org/10.1002/jbm.820250708
  28. Branemark PI : Osseointegration and its experimental background. J Prosthet Dent 1983; 50: 399-410 https://doi.org/10.1016/S0022-3913(83)80101-2
  29. P. J., Tolman, D. E., and Bolender, C. H. : The applicability of osseointegrated implants in the treatmentof partially edentulous patients: Three years result of a prospectivemulticenter study, Quintessence Int, 1993;24:123-129
  30. Johansson, C., and Albrektsson, T. : Integration of screw implants in the rabbit; a 1-year follow-up of removal torque of titanium implants. Int. J. Oral. Maxillofac. Implants, 1987;2:69-75
  31. Adell, R., Lekholm U. Grondahl, K., Br. nemark, P-I., Lindstrom, J., and Jacobsson, M. : Reconstruction of severely resorbed edentulous maxillae using osseointegrated fixturesin immediate autogenous bone grafts. Int J Oral Maxillofac Implants., 1990;5:233-246
  32. Keller JC, Stanford CM, Wightman JP, Draughn RA, Zaharias R: Characteerization of titanium implant surface 3. J Biomed Maer Res., 1988;22:45-158 https://doi.org/10.1002/jbm.820220106
  33. Martin JY, Schwartz Z, Hummert TW, Schraub DM, Simpson J, Lankfort Jr J, Dean DD, Cochran, Boyan BD : Effect of titaium surface roughness on proliferation, differentitaion, and protein synthesis of human osteoblast-like cell(MG63). J Biomed Mater Res, 1995; 29: 389-401 https://doi.org/10.1002/jbm.820290314
  34. Predecki P, Stephan JE, Auslaender BA, Mooney VL, Kirkland K: Kineticsof bone growth into cylindrical channels in aluminum oxide and titanium. J Biomed Mater Res., 1972;6:375-400 https://doi.org/10.1002/jbm.820060506
  35. Thomas KA, Cook S : An evaluationof variables influencing implant fixation by direct bone apposition. J Biomed Mater Res., 1985;19:875-901 https://doi.org/10.1002/jbm.820190802
  36. Buser D, Schenk RK, Steinemann S, Fiorellini JP, Fox CH, Stich H: Influence of surface characteristics on bone integration of titaniumimplants. A histomorphometric study in miniature pigs. J Biomed Mat Res 1991; 25: 889-902 https://doi.org/10.1002/jbm.820250708
  37. Bowers KT, Keller JC, Randolph BA, Wick DG, Michaels CM: Optimization of surface micromorphology for enhanced osteoblas tresponses in vitro. Int J Oral Maxillofac Implants 1992;7:302-310
  38. Piattelli M, Scarano A, Paolantonio M, Iezzi G, Petrone G, Piattelli A: Bone response to machined and resorbable blast material titaniumimplants: An experimental study in rabbits. J Oral Implantol 2002;28: 2-8 https://doi.org/10.1563/1548-1336(2002)028<0002:BRTMAR>2.3.CO;2
  39. Wennerberg A, Ektessabi A, Albrektsson T, Johansson C, Andersson B : A 1-year follow-up of implants of differing surface roughnessplaced in rabbit bone. Int J Oral Maxillofac Implants. 1997;12:486-494
  40. Piattelli M, Scarano A, Paolantonio M, Iezzi G, Petrone G, Piattelli A: Bone response to machined and resorbable blast material titanium implants: An experimental study in rabbits. J Oral Implantol 2002; 28:2-8 https://doi.org/10.1563/1548-1336(2002)028<0002:BRTMAR>2.3.CO;2
  41. Sanz A, Oyarzun A, Farias D, Diaz I: Experimental study of bone response to a new surface treatment of endosseous titanium implants. Implant Dent 2001;10:126-131 https://doi.org/10.1097/00008505-200104000-00009