Accelerated and Enhanced Bone Formation on Novel Simvastatin-Loaded Porous Titanium Oxide Surfaces
Corresponding Author
Myat Nyan BDS, PhD
Lecturer
Department of Prosthodontics, University of Dental Medicine, Yangon, Myanmar
Department of Oral Implantology and Regenerative Dental Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Global Center of Excellence Program, International Research Center for Molecular Science in Tooth and Bone Diseases, Tokyo Medical and Dental University, Tokyo, Japan
Reprint requests: Dr. Myat Nyan, Department of Prosthodontics, University of Dental Medicine, Thanthumar Road, Thingangyun Township, Yangon 11071, Myanmar; e-mail: [email protected]Search for more papers by this authorJia Hao DDS, PhD
researcher
Department of Oral Implantology and Regenerative Dental Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Global Center of Excellence Program, International Research Center for Molecular Science in Tooth and Bone Diseases, Tokyo Medical and Dental University, Tokyo, Japan
Search for more papers by this authorTakayuki Miyahara DDS, PhD
researcher
Department of Oral Implantology and Regenerative Dental Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Global Center of Excellence Program, International Research Center for Molecular Science in Tooth and Bone Diseases, Tokyo Medical and Dental University, Tokyo, Japan
Search for more papers by this authorKanako Noritake DDS, PhD
assistant professor
Department of Oral Implantology and Regenerative Dental Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Global Center of Excellence Program, International Research Center for Molecular Science in Tooth and Bone Diseases, Tokyo Medical and Dental University, Tokyo, Japan
Search for more papers by this authorReena Rodriguez BDS, PhD
researcher
Department of Oral Implantology and Regenerative Dental Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Global Center of Excellence Program, International Research Center for Molecular Science in Tooth and Bone Diseases, Tokyo Medical and Dental University, Tokyo, Japan
Search for more papers by this authorShohei Kasugai DDS, PhD
professor
Department of Oral Implantology and Regenerative Dental Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Global Center of Excellence Program, International Research Center for Molecular Science in Tooth and Bone Diseases, Tokyo Medical and Dental University, Tokyo, Japan
Search for more papers by this authorCorresponding Author
Myat Nyan BDS, PhD
Lecturer
Department of Prosthodontics, University of Dental Medicine, Yangon, Myanmar
Department of Oral Implantology and Regenerative Dental Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Global Center of Excellence Program, International Research Center for Molecular Science in Tooth and Bone Diseases, Tokyo Medical and Dental University, Tokyo, Japan
Reprint requests: Dr. Myat Nyan, Department of Prosthodontics, University of Dental Medicine, Thanthumar Road, Thingangyun Township, Yangon 11071, Myanmar; e-mail: [email protected]Search for more papers by this authorJia Hao DDS, PhD
researcher
Department of Oral Implantology and Regenerative Dental Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Global Center of Excellence Program, International Research Center for Molecular Science in Tooth and Bone Diseases, Tokyo Medical and Dental University, Tokyo, Japan
Search for more papers by this authorTakayuki Miyahara DDS, PhD
researcher
Department of Oral Implantology and Regenerative Dental Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Global Center of Excellence Program, International Research Center for Molecular Science in Tooth and Bone Diseases, Tokyo Medical and Dental University, Tokyo, Japan
Search for more papers by this authorKanako Noritake DDS, PhD
assistant professor
Department of Oral Implantology and Regenerative Dental Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Global Center of Excellence Program, International Research Center for Molecular Science in Tooth and Bone Diseases, Tokyo Medical and Dental University, Tokyo, Japan
Search for more papers by this authorReena Rodriguez BDS, PhD
researcher
Department of Oral Implantology and Regenerative Dental Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Global Center of Excellence Program, International Research Center for Molecular Science in Tooth and Bone Diseases, Tokyo Medical and Dental University, Tokyo, Japan
Search for more papers by this authorShohei Kasugai DDS, PhD
professor
Department of Oral Implantology and Regenerative Dental Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Global Center of Excellence Program, International Research Center for Molecular Science in Tooth and Bone Diseases, Tokyo Medical and Dental University, Tokyo, Japan
Search for more papers by this authorAbstract
Background
With increasing application of dental implants in poor-quality bones, the need for implant surfaces ensuring accelerated osseointegration and enhanced peri-implant bone regeneration is increased.
Purpose
A study was performed to evaluate the osseointegration and bone formation on novel simvastatin-loaded porous titanium oxide surface.
Materials and Methods
Titanium screws were treated by micro-arc oxidation to form porous oxide surface and 25 or 50 μg of simvastatin was loaded. The nontreated control, micro-arc oxidized, and simvastatin-loaded titanium screws were surgically implanted into the proximal tibia of 16-week-old male Wistar rats (n = 36). Peri-implant bone volume, bone-implant contact, and mineral apposition rates were measured at 2 and 4 weeks. Data were analyzed by one-way analysis of variance followed by Tukey's post hoc test.
Results
New bone was formed directly on the implant surface in the bone marrow cavity in simvastatin-loaded groups since 2 weeks. Bone-implant contact values were significantly higher in simvastatin-loaded groups than control and micro-arc oxidized groups at both time points (p < .05). Peri-implant bone volume and mineral apposition rate of simvastatin-loaded groups were significantly higher than control and micro-arc oxidized groups at 2 weeks (p < .05).
Conclusions
These data suggested that simvastatin-loaded porous titanium oxide surface provides faster osseointegration and peri-implant bone formation and it would be potentially applicable in poor-quality bones.
References
- 1 Le Gu'ehennec L, Soueidan A, Layrolle P, Amouriq Y. Surface treatments of titanium dental implants for rapid osseointegration. Dent Mater 2007; 23: 844–854.
- 2 Shibli JA, Grassi S, de Figueiredo LC, et al. Influence of implant surface topography on early osseointegration: a histological study in human jaws. J Biomed Mater Res B Appl Biomater 2007; 80: 377–385.
- 3 Buser D, Schenk RK, Steinemann S, Fiorellini JP, Fox CH, Stich H. Influence of surface characteristics on bone integration of titanium implants. A histomorphometric study in miniature pigs. J Biomed Mater Res 1991; 25: 889–902.
- 4 Wong M, Eulenberger J, Schenk R, Hunziker E. Effect of surface topology on the osseointegration of implant materials in trabecular bone. J Biomed Mater Res 1995; 29: 1567–1575.
- 5
Buser D, Nydegger T, Oxland T, et al. Interface shear strength of titanium implants with a sandblasted and acid-etched surface: a biomechanical study in the maxilla of miniature pigs. J Biomed Mater Res 1999; 45: 75–83.
10.1002/(SICI)1097-4636(199905)45:2<75::AID-JBM1>3.0.CO;2-P CAS PubMed Web of Science® Google Scholar
- 6 Ellingsen JE, Johansson CB, Wennerberg A, Holmén A. Improved retention and bone-to-implant contact with fluoride modified titanium implants. Int J Oral Maxillofac Implants 2004; 19: 659–666.
- 7 Cooper LF, Zhou Y, Takebe J, et al. Fluoride modification effects on osteoblast behavior and bone formation at TiO2 gritblasted c.p. titanium endosseous implants. Biomaterials 2006; 27: 926–936.
- 8 Boyne P, Jones SD. Demonstration of the osseoinductive effect of bone morphogenetic protein within endosseous dental implants. Implant Dent 2004; 13: 180–184.
- 9 Liu Y, de Groot K, Hunziker EB. BMP-2 liberated from biomimetic implant coatings induces and sustains direct ossification in an ectopic rat model. Bone 2005; 36: 745–757.
- 10 Han Y, Hong SH, Xu K. Synthesis of nanocrystalline titania films by micro-arc oxidation. Mater Lett 2002; 56: 744–747.
- 11 Li LH, Kong YM, Kim HW, et al. Improved biological performance of Ti implants due to surface modification by micro-arc oxidation. Biomaterials 2004; 25: 2867–2875.
- 12 Wei D, Zhou Y, Jia D, Wang Y. Effect of heat treatment on the structure and in vitro bioactivity of microarc-oxidized (MAO) titania coatings containing Ca and P ions. Surf Coat Technol 2007; 201: 8723–8729.
- 13 Han Y, Xu K. Photoexcited formation of bone apatite-like coatings on micro-arc oxidized titanium. J Biomed Mater Res 2004; 71A: 608–614.
- 14 Mundy G, Garrett R, Harris S, et al. Stimulation of bone formation in vitro and in rodents by statins. Science 1999; 18: 53–57.
- 15 Thylin MR, McConnell JC, Schmid MJ, et al. Effects of statin gels on murine calvarial bone. J Periodontol 2002; 73: 1141–1148.
- 16 Wong RWK, Rabie ABM. Statin collagen grafts used to repair bone defects in the parietal bone of rabbits. Br J Oral Maxillofac Surg 2003; 41: 244–248.
- 17 Stein D, Lee Y, Schmid MJ, et al. Local simvastatin effects on mandibular bone growth and inflammation. J Periodontol 2005; 76: 1861–1870.
- 18 Sato D, Nishimura K, Ishioka T, Kondo H, Kuroda S, Kasugai S. Local application of simvastatin to rat incisor socket: carrier-dependent effect on bone augmentation. J Oral Tissue Eng 2005; 2: 81–85.
- 19 Nyan M, Sato D, Oda M, et al. Bone formation with the combination of simvastatin and calcium sulfate in critical-sized rat calvarial defect. J Pharmacol Sci 2007; 104: 384–386.
- 20 Garrett IR, Gutierrez GE, Rossini G, et al. Locally delivered lovastatin nanoparticles enhance fracture healing in rats. J Orthop Res 2007; 25: 1351–1357.
- 21 Ozec I, Kilic E, Gumus C, Goze F. Effect of local simvastatin application on mandibular defects. J Craniofac Surg 2007; 18: 546–550.
- 22 Wang JW, Xu SW, Yang DS, Lv RK. Locally applied simvastatin promotes fracture healing in ovariectomized rat. Osteoporos Int 2007; 18: 1641–1650.
- 23 Wu Z, Liu C, Zang G, Sun H. The effect of simvastatin on remodeling of the alveolar bone following tooth extraction. Int J Oral Maxillofac Surg 2008; 37: 170–176.
- 24 Lee Y, Schmid MJ, Marx DB, et al. The effect of local simvastatin delivery strategies on mandibular bone formation in vivo. Biomaterials 2008; 29: 1940–1949.
- 25 Ma B, Clarke SA, Brooks RA, Rushton N. The effect of simvastatin on bone formation and ceramic resorption in a peri-implant defect model. Acta Biomater 2008; 4: 149–155.
- 26 Moriyama Y, Ayukawa Y, Ogino Y, Atsuta I, Koyano K. Topical application of statin affects bone healing around implants. Clin Oral Implants Res 2008; 19: 600–605.
- 27 Jeon JH, Piepgrass WT, Lin YL, Thomas MV, Puleo DA. Localized intermittent delivery of simvastatin hydroxyacid stimulates bone formation in rats. J Periodontol 2008; 79: 1457–1464.
- 28 Ayukawa Y, Yasukawa E, Moriyama Y, et al. Local application of statin promotes bone repair through the suppression of osteoclasts and the enhancement of osteoblasts at bone-healing sites in rats. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 107: 336–342.
- 29 Nyan M, Sato D, Kihara H, Machida T, Ohya K, Kasugai S. Effects of the combination with alpha-tricalcium phosphate and simvastatin on bone regeneration. Clin Oral Implants Res 2009; 20: 280–287.
- 30 Sul YT, Johansson CB, Jeong Y, Roser K, Wennerberg A, Albrektsson T. Oxidized implants and their influence on the bone response. J Mater Sci Mater Med 2001; 12: 1025–1031.
- 31 Sul YT, Johansson C, Wennerberg A, Cho LR, Chang BS, Albrektsson T. Optimum surface properties of oxidized implants for reinforcement of osseointegration: surface chemistry, oxide thickness, porosity, roughness, and crystal structure. Int J Oral Maxillofac Implants 2005; 20: 349–359.
- 32 Xiropaidis AV, Qahash M, Lim WH, et al. Bone-implant contact at calcium phosphate-coated and porous titanium oxide (TiUnite)-modified oral implants. Clin Oral Implants Res 2005; 16: 532–539.
- 33 Huang YH, Xiropaidis AV, Sorensen RG, Albandar JM, Hall J, Wikesjo UM. Bone formation at titanium porous oxide (TiUnite) oral implants in type IV bone. Clin Oral Implants Res 2005; 16: 105–111.
- 34 Sul YT, Johansson CB, Roser K, Albrektsson T. Qualitative and quantitative observations of bone tissue reactions to anodised implants. Biomaterials 2002; 23: 1809–1817.
- 35 Sul YT, Johansson CB, Jeong Y, Wennerberg A, Albrektsson T. Resonance frequency and removal torque analysis of implants with turned and anodized surface oxides. Clin Oral Implants Res 2002; 13: 252–259.
- 36
Rocci A, Martignoni M, Gottlow J. Immediate loading of Branemark System TiUnite and machined-surface implants in the posterior mandible: a randomized open-ended clinical trial. Clin Implant Dent Relat Res 2003; 5: S57–S63.
10.1111/j.1708-8208.2003.tb00016.x Google Scholar
- 37 Jungner M, Lundqvist P, Lundgren S. Oxidized titanium implants (Nobel Biocare TiUnite) compared with turned titanium implants (Nobel Biocare mark III) with respect to implant failure in a group of consecutive patients treated with early functional loading and two-stage protocol. Clin Oral Implants Res 2005; 16: 308–312.
- 38 Schupbach P, Glauser R, Rocci A, et al. The human bone-oxidized titanium implant interface: a light microscopic, scanning electron microscopic, back-scatter scanning electron microscopic, and energy-dispersive x-ray study of clinically retrieved dental implants. Clin Implant Dent Relat Res 2005; 7: 36–43.
- 39 Sul YT, Johansson CB, Albrektsson T. Oxidized titanium screws coated with calcium ions and their performance in rabbit bone. Int J Oral Maxillofac Implants 2002; 17: 625–634.
- 40 Nyan M, Miyahara T, Noritake K, et al. Molecular and cellular mechanisms in the healing of rat calvarial defects after local application of simvastatin combined with alpha tricalcium phosphate. J Biomed Mater Res B Appl Biomater 2009; 93B: 65–73.