대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제57권4호
  • /
  • Pages.328-334
  • /
  • 2019
  • /
  • 0301-2875(pISSN)
  • /
  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
권호 표지
DOI QR코드

DOI QR Code

0.9% 식염수 담금이 레이저 처리 임플란트의 초기 치유기간의 회전 제거력에 미치는 영향

The effects of saline soaking on the removal torque of titanium implants in rabbit tibia after 10 days

  • 박정현 (경북대학교 치과대학 치과보철학교실) ;
  • 조성암 (경북대학교 치과대학 치과보철학교실)
  • Park, Jung-Hyun (Department of Prosthodontics, School of Dentistry, Kyungpook National University) ;
  • Cho, Sung-Am (Department of Prosthodontics, School of Dentistry, Kyungpook National University)
  • 투고 : 2019.05.03
  • 심사 : 2019.07.05
  • 발행 : 2019.10.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

목적: 0.9% NaCl solution 에 2주간 담근 레이저 처리 임플란트 표면의 친수성 증가현상을 확인하고 그것이 각 임플란트의 초기 치유기간 10일 후에 임플란트의 회전 제거력에 미치는 영향을 확인하고자 한다. 재료 및 방법: 지름 3 mm, 길이 8 mm 되는 10개의 선반 가공된 티타늄 임플란트를 대조군은 레이저 처리하고, 다른 실험군 10개는 레이저 처리 후 2주간 0.9% 생리적 식염수에 담근 후 뉴질랜드산 흰 토끼의 경골에 식립한후, 10일 후에 각각 회전 제거력을 측정하였다. 각 시편의 젖음각과 표면조성 및 형태를 분석하였다. 결과: 10일 후에 실험군의 회전 제거력이 대조군보다 의미있는 증가세를 보였다 (P = .002, < .05). 주사전자 현미경 성분분석과, 형태는 별다른 차이를 보이지 않았다. 결론: 식염수에 담그는 과정은 의미있는 회전 제거력의 증진을 초기기간(10일 후)에 나타낼 수 있다.

Purpose: The aim of this study was to confirm if Laser-treated implants were soaked in 0.9% NaCl solution for 2 weeks could increase the surface hydrophilicity, and the Remoal Torque of each implant that inserted in rabbit tibia for initial healing period of 10 days. Materials and methods: Twenty machined titanium surface screws were produced with a diameter 3 mm, length 8 mm. Ten screws had their surface treated with a laser only (laser treated group), and the other 10 were soaked in saline for 2 weeks after surface treatment with a laser (laser treated + saline soaked group). Implants were inserted in rabbit tibia (ten adult New Zealand white rabbits), and the RTQ of each implant was measured after 10 days. The wettability among implants was compared by measuring the contact angle. Surface composition and surface topography were analyzed. Results: After 10 days, the laser treat + soaking group implants had a significantly higher mean RTQ than the laser treated implants (P = .002, < .05). There were no significant morphological differences between groups, and no remarkable differences were found between the two groups in the SEM analysis. Conclusion: Saline soaking implants is expected to produce excellent RTQ and surface analysis results.

키워드

참고문헌

  1. Parithimarkalaignan S, Padmanabhan TV. Osseointegration: An update. J Indian Prosthodont Soc 2013;13:2-6. https://doi.org/10.1007/s13191-013-0252-z
  2. Cooper LF. A role for surface topography in creating and maintaining bone at titanium endosseous implants. J Prosthet Dent 2000;84:522-34. https://doi.org/10.1067/mpr.2000.111966
  3. Wennerberg A, Jimbo R, Stubinger S, Obrecht M, Dard M, Berner S. Nanostructures and hydrophilicity influence osseointegration: a biomechanical study in the rabbit tibia. Clin Oral Implants Res 2014;25:1041-50. https://doi.org/10.1111/clr.12213
  4. Anil S, Anand PS, Alghamdi H, Jansen JA. Dental implant surface enhancement and osseointegration. In Tech; 2011. p. 83-108. http://www.intechopen.com/articles/show/title/dentalimplant-surface-enhancement-and-osseointegration.
  5. Cho SA, Jung SK. A removal torque of the laser-treated titanium implants in rabbit tibia. Biomaterials 2003;24:4859-63. https://doi.org/10.1016/S0142-9612(03)00377-6
  6. Berglundh T, Abrahamsson I, Lang NP, Lindhe J. De novo alveolar bone formation adjacent to endosseous implants. Clin Oral Implants Res 2003;14:251-62. https://doi.org/10.1034/j.1600-0501.2003.00972.x
  7. Wennerberg A, Albrektsson T. Effects of titanium surface topography on bone integration: a systematic review. Clin Oral Implants Res 2009;20:172-84. https://doi.org/10.1111/j.1600-0501.2009.01775.x
  8. Sittig C, Textor M, Spencer ND, Wieland M, Vallotton PH. Surface characterization of implant materials c.p. Ti, Ti-6Al-7Nb and Ti-6Al-4V with different pretreatments. J Mater Sci Mater Med 1999;10:35-46. https://doi.org/10.1023/A:1008840026907
  9. Massaro C, Rotolo P, De Riccardis F, Milella E, Napoli A, Wieland M, Textor M, Spencer ND, Brunette DM. Comparative investigation of the surface properties of commercial titanium dental implants. Part I: chemical composition. J Mater Sci Mater Med 2002;13:535-48. https://doi.org/10.1023/A:1015170625506
  10. Le Guehennec L, Soueidan A, Layrolle P, Amouriq Y. Surface treatments of titanium dental implants for rapid osseointegration. Dent Mater 2007;23:844-54. https://doi.org/10.1016/j.dental.2006.06.025
  11. Rupp F, Scheideler L, Eichler M, Geis-Gerstorfer J. Wetting behavior of dental implants. Int J Oral Maxillofac Implants 2011;26:1256-66.
  12. Zhao G, Schwartz Z, Wieland M, Rupp F, Geis-Gerstorfer J, Cochran DL, Boyan BD. High surface energy enhances cell response to titanium substrate microstructure. J Biomed Mater Res A 2005;74:49-58.
  13. Sartoretto SC, Alves AT, Resende RF, Calasans-Maia J, Granjeiro JM, Calasans-Maia MD. Early osseointegration driven by the surface chemistry and wettability of dental implants. J Appl Oral Sci 2015;23:279-87. https://doi.org/10.1590/1678-775720140483
  14. Elias CN. Factors affecting the success of dental implants. In: Turkyilmaz I, ed. Implant dentistry: a rapidly evolving practice. Rijeka: InTech; 2011. p. 319-64.
  15. Weber HP, Morton D, Gallucci GO, Roccuzzo M, Cordaro L, Grutter L. Consensus statements and recommended clinical procedures regarding loading protocols. Int J Oral Maxillofac Implants 2009;24:180-3.
  16. Kwon JU, Cho SA. Comparison of removal torque of salinesoaking RBM implants and RBM implants in rabbit tibias. J Korean Acad Prosthodont 2018;56:1-7. https://doi.org/10.4047/jkap.2018.56.1.1
  17. Sela MN, Badihi L, Rosen G, Steinberg D, Kohavi D. Adsorption of human plasma proteins to modified titanium surfaces. Clin Oral Implants Res 2007;18:630-8. https://doi.org/10.1111/j.1600-0501.2007.01373.x
  18. Buser D, Broggini N, Wieland M, Schenk RK, Denzer AJ, Cochran DL, Hoffmann B, Lussi A, Steinemann SG. Enhanced bone apposition to a chemically modified SLA titanium surface. J Dent Res 2004;83:529-33. https://doi.org/10.1177/154405910408300704
  19. Donos N, Hamlet S, Lang NP, Salvi GE, Huynh-Ba G, Bosshardt DD, Ivanovski S. Gene expression profile of osseointegration of a hydrophilic compared with a hydrophobic microrough implant surface. Clin Oral Implants Res 2011;22:365-72. https://doi.org/10.1111/j.1600-0501.2010.02113.x
  20. Ivanoff CJ, Sennerby L, Lekholm U. Influence of monoand bicortical anchorage on the integration of titanium implants. A study in the rabbit tibia. Int J Oral Maxillofac Surg 1996;25:229-35. https://doi.org/10.1016/S0901-5027(96)80036-1
  21. Albrektsson T, Branemark PI, Hansson HA, Lindstrom J. Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand 1981;52:155-70. https://doi.org/10.3109/17453678108991776
  22. Textor M, Sittig C, Frauchiger V, Tosatti S, Brunette DM. Properties and biological significance of natural oxide films on titanium and its alloys. In: Brunette DM, Tengvall P, Textor M, Thomsen P, eds. Titanium in medicine: material science, surface science, engineering, biological responses and medical applications. New York: Springer; 2001. p.171-230.
  23. Lang NP, Salvi GE, Huynh-Ba G, Ivanovski S, Donos N, Bosshardt DD. Early osseointegration to hydrophilic and hydrophobic implant surfaces in humans. Clin Oral Implants Res 2011;22:349-56. https://doi.org/10.1111/j.1600-0501.2011.02172.x