대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제45권1호
  • /
  • Pages.131-143
  • /
  • 2007
  • /
  • 0301-2875(pISSN)
  • /
  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
권호 표지

티타늄 임플랜트의 두 가지 표면처리방식에 대한 골반응 - 양극 산화표면, IBAD HA 코팅 표면

BONE RESPONSE OF TWO DIFFERENT SURFACE TITANIUM SUBPERIOSTEAL IMPLANTS - ANODIZED SURFACE, IBAD HA COATING SURFACE

  • 이인구 (고려대학교 치과대학 보철학교실) ;
  • 서규원 (고려대학교 치과대학 보철학교실) ;
  • 최준언 (고려대학교 치과대학 보철학교실) ;
  • 정성민 (고려대학교 치과대학 보철학교실) ;
  • 류재준 (고려대학교 치과대학 보철학교실)
  • Lee, In-Ku (Department of Esthetic Restorative Dentistry, Graduate School of Clinical Dentistry, Korea University) ;
  • Suh, Kyu-Won (Department of Esthetic Restorative Dentistry, Graduate School of Clinical Dentistry, Korea University) ;
  • Choi, Joon-Eon (Department of Esthetic Restorative Dentistry, Graduate School of Clinical Dentistry, Korea University) ;
  • Jung, Sung-Min (Department of Esthetic Restorative Dentistry, Graduate School of Clinical Dentistry, Korea University) ;
  • Ryu, Jae-Jun (Department of Esthetic Restorative Dentistry, Graduate School of Clinical Dentistry, Korea University)
  • 발행 : 2007.02.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Statement of the problem: In case of poor bone quality or immediately loaded implant, various strategies have been developed focusing on the surface of materials to improve direct implant fixation to the bone. The microscopic properties of implant surfaces play a major role in the osseous healing of dental implant. Purpose of study: This study was undertaken to evaluate bone response of ion beam-assisted deposition(IBAD) of hydroxyapatite(HA) on the anodized surface of subperiosteal titanium implants. Material and methods: Two half doughnut shape subperiosteal titanium implants were made. The control group was treated with Anodized surface treatment and the test group was treated with IBAD of HA on control surface. Then two implants inserted together into the subperiosteum of the skull of 30 rats and histological response around implant was observed under LM(light microscope) and TEM(transmission electron microscope) on 4th, 6th and 8th week. Results: Many subperiosteal implants were fixed with fibrous connective tissue not with bony tissue because of weak primary stability. The control group observed poor bone response and there was no significant change at any observation time. However the test group showed advanced bone formation and showed direct bone to implant contact under LM on 8th week. The test group observed much rER in the cell of osteoblast but the control group showed little rER under TEM. Conclusions: The test group showed better bone formation than the control group at the condition of weak primary stability. With these results IBAD surface treatment method on Anodized surface, may be good effect at the condition of weak primary stability.

키워드

참고문헌

  1. Albreksson T. Osseointegrated titanium implants. Acta Orthop Scand 1981;51:155-170
  2. Kim YK, Hwang JW. Controversy in dental implant. Kunza publishing company, 2004
  3. Wong M, Eulenberger J, Schenk R, Hunziker E. Effect of surface topography on the osseointegration of implant materials in trabecular bone. J Biomed Master Res 1995;29:1567-1576 https://doi.org/10.1002/jbm.820291213
  4. Larsson C, Thomsen P, Aronsson B-O. Bone response to surface modified titanium implants. Studies on the tissue response after one year to machined and electropolished implants with different thickness. J of Mat Sci Materials in medicine 1997;8:721-729 https://doi.org/10.1023/A:1018548225899
  5. Osstem implant system 2005
  6. Jung YC, Han CH, Lee IS, Kim HE. Effects of ion beam-assisted deposition of hydroxyapatite on the osseointegration of endosseous implants in rabbit tibiae. Int J Oral Maxillofac Implants 2001; 16:809-818
  7. Paolo Trisi, Daulton Keith, Sabina Rocco. Human histologic and histometric analysis of HA-coated implants after 10 years of function: A case report. Int J Oral Maxillofac Implants 2005;20:124-130
  8. Vercaigne S, Wolke JGC, Naert I, Jansen JA. Bone healing capacity of titanium plasma-sprayed and hydroxyaoatite-coated oral implants. Clin Oral Impl Res 1998;9:261-271 https://doi.org/10.1034/j.1600-0501.1998.090407.x
  9. Gottlander M, Johansson CB, Albrektsson T. Short and long term animal studies with a plasma-sprayed calcium phosphatecoated implant. Clin Oral Implants Res 1997;8:345-351 https://doi.org/10.1034/j.1600-0501.1997.080501.x
  10. Devorah Schwartz-Arad, Ofer Mardinger, Liran Levin, Avital Kozlovsky, Avraham Hirshberg. Marginal bone loss pattern around HA-coated versus commercially pure titanium implants after up to 12 years of follow-up. Int J Oral Maxillofac Implants 2005;20:238-244
  11. Watson CJ, Ogden AR, Tinsley D, Russel JL, Davidson EM. A 3-6year study of overdentures suppoted by HA-coated endosseous dental implants. Int J Prosthodont 1998;11:610-619
  12. Park YS, Yi KY, Lee IS, Han CH, Jung YC. The effects of Ion Beam-Assisted Deposition of HA on the grit-blasted surface of endosseous implants in rabbit tibiae. Int J Oral Maxillofac Implants 2005;20:31-38
  13. Ong JL, Kazuhisa B, Carnes DL. Bone response to plasma-sprayed hydroxyapatitie and radiofrequency-sputtered calcium phosphate implants in vivo. Int J Oral Maxillofac Implants 2002;17:581-586
  14. Li LH, Kong YM, Kim HW, Kim YW, Kim HE, Heo SJ, Koak JY. Improved biological performance of Ti implants due to surface modification by micro-arc oxidation. Biomaterials 2004;25:2867-2875 https://doi.org/10.1016/j.biomaterials.2003.09.048
  15. Lee IS, Kim DH, Kim HE, Jung YC, Han CH. Biological performance of calcium phosphate films formed on commercially pure Ti by electron-beam evaporation. Biomaterials 2002;23:609-615 https://doi.org/10.1016/S0142-9612(01)00147-8
  16. Sul YT, Johansson CB, Petronis S, Krozer A, Jeong Y, Wennerberg A, Albrektsson T. Characteristics of the surface oxides on turned and electrochemically oxidized pure titanium implants up to dielectric breakdown:the oxide thickness, micropore configurations, surface roughness, crystal structure and chemical composition. Biomaterials 2002;23:491-501 https://doi.org/10.1016/S0142-9612(01)00131-4
  17. Sul YT, Johansson CB, Jeong YS, Wennerberg A, Albrektsson T. Resonance frequency and remaval torque analysis of implants with turned and anodized surface oxides. Clin Oral Impl Res 2002;13:252-259 https://doi.org/10.1034/j.1600-0501.2002.130304.x
  18. McQueen D, Sundgren JE, Ivarsson B, Lundstrom I, Ekenstam BF, Svensson A, Albrektsson T, Branemark PI. Auger electron spectroscopic studies of titanium implants. Clinical Applications of Biomaterials 1982;179-185
  19. Esposito M, Lausmaa J, Hirsch JM, Thomsen P. Surface analysis of failed oral titanium implants. Journal of Biomedical Materials Research 1999;48:559- 568 https://doi.org/10.1002/(SICI)1097-4636(1999)48:4<559::AID-JBM23>3.0.CO;2-M
  20. Sul YT, Johansson CB, Jeong Y, Roser K, Wennerberg A, Albrektsson T. Oxidized implants and their influence on the bone response. Materials In Medicine 2001;12: 1025-1031 https://doi.org/10.1023/A:1012837905910
  21. Kim YH, Koak JY, Chang IT, Ann Wennerberg, Heo SJ. A histomorphometric analysis of the effects of various surface treatment methods on ossointegration. Int J Oral Maxillofac Implants 2003;18:349-356
  22. Wennerberg A. On surface roughness and implant incorporation (Thesis), Goteborg: Dept of Biomaterials, University of Goteborg 1997
  23. Wisbey A Gregson PJ, Peter IM, Tuke M. Effect of surface treatment on the dissolution of titanium-based implant materials. Biomaterials 1991;12:470-473 https://doi.org/10.1016/0142-9612(91)90144-Y
  24. Kim SJ, Shin SW, Jung SM, Ryu JJ. A study on the stability of 5 different surface treatment methods to dental implant using resonance frequency and histomorphometric analysis. J Korean Acad Prosthodont 2005;43:78-92
  25. Ivanoff CJ, Widmark G, Johansson C, Wennerberg A. Histologic evaluation of bone response to oxidized and turned titanium micro-implants in human jawbone. Int J Oral Maxillifac Implants 2003;18:341-348
  26. Huang YH, Xiropaidis AV, Sorensen RG, Albandar JM, Hall J, Wikesjo UME. Bone formation at titanium porous oxide(TiUnite) oral implants in type IVbone. Clin Oral Impl Res 2005;16:105-111 https://doi.org/10.1111/j.1600-0501.2004.01086.x
  27. Jungner M, Lundqvist P, Lundgren S. Oxidized titanium implants compared with turned titanium implants with respect to implant failure in a group of consecutive patients treated with early functional loading and two-stage protocol. Clin Oral Impl Res 2005;16:308-312 https://doi.org/10.1111/j.1600-0501.2005.01101.x
  28. Knobloch L, Larsen PA, Rashid B, Carr AB. Six-month performance of implants with oxidized and machined surfaces restored at 2, 4, 6 weeks postimplantation in adult Beagle dogs. Int J Oral Maxillofac Implants 2004;19:350-356
  29. Buser D, Schenk RK. Influence of surface characteristics on bone integration of titanium implants. A histomorphometric study in miniature pigs. Journal of Biomedical Materials Research 1991;25:889- 902 https://doi.org/10.1002/jbm.820250708
  30. Piattelli M, Scarano A, Paolantonia M, Iezzi G. Bone response to machined and resorbable blast material titanium implants: An experimental study in rabbits. Journal of oral Implantology 2002
  31. Piattelli A, Scarano A, Piattelli M. Histologic observation on 230retrieved dental implants- 8years'experience(1989-1996). J Periodontol 1998;69:178-184 https://doi.org/10.1902/jop.1998.69.2.178
  32. Rohrer MD, Sobczak RR, Prasad HS, Morris HF. Postmortem histologic evaluation of mandibular titanium and maxillary HA-coated implants from 1 patient. Int J Oral Maxillofac Implants 1999;14:579- 586
  33. Zechner W, Tangl S, Furst G, Tepper G, Thams U, Maolath G, Watzek G. Osseous healing characteristics of three different implant type. Clinical Oral Impl Res 2003; 14:150-15 https://doi.org/10.1034/j.1600-0501.2003.140203.x
  34. Xiropaidis AV, Qahash M, Lim WH, Shanaman RH, Rohrer MD, Wikesjo UME, Hall J. Bone-implant contact at calcium phosphate-coated and porous titanium oxide-modified oral implants. Clin Oral Impl Res 2005;16:532-539 https://doi.org/10.1111/j.1600-0501.2005.01126.x
  35. Lioubavina-Hack N, Lang NP, Karring T. Significance of primary stability for osseointegration of dental implants. Clin Oral Impl Res 2006;17:244-250 https://doi.org/10.1111/j.1600-0501.2005.01201.x
  36. Rompen E, DaSilva D, Lundgren AK. Stability measurements of a doublethreaded titanium implant design with turned or oxidized surface. Applied Osseointegration Research 2000;2:18- 20