Volume 14, Issue s1 pp. e204-e212

An Experimental Comparison of Two Different Clinically Used Implant Designs and Surfaces

Jan Gottlow DDS, PhD

Corresponding Author

Jan Gottlow DDS, PhD

Researcher, Department of Biomaterials, Institute for Surgical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden;

Dr. Jan Gottlow, Department of Biomaterials, Gothenburg University, PO Box 412, SE 405 30 Gothenburg, Sweden; e-mail: [email protected]Search for more papers by this author
Sargon Barkarmo DDS

Sargon Barkarmo DDS

research student, Department of Biomaterials, Institute for Surgical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden;

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Lars Sennerby DDS, PhD

Lars Sennerby DDS, PhD

professor, Department of Oral & Maxillofacial Surgery, Institute for Odontology, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden

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First published: 05 April 2012
Citations: 46

[Correction statement added after online publication 17 August 2012: author name Sargon Barkamo corrected to Sargon Barkarmo.]

ABSTRACT

Background: Various designs of dental implants representing different geometries and surface technologies are commercially available and clinically used in patients. However, data with regard to bone tissue responses and stability for comparison of their biologic performances are rare.

Purpose: The aim of the present experimental investigation was to compare the bone tissue responses and implant stability between two commonly used dental implants representing different geometries and surface characteristics.

Materials and Methods: A total of 90 dental implants (4.3 mm in diameter, 10 mm long) with an oxidized surface (Replace Select Tapered, TiUnite, Nobel Biocare AB, Gothenburg, Sweden) (OX) and 90 implants (4.1 mm in diameter, 10 mm total length) with a hydrophilic sand-blasted and acid etched surface (Standard Plus, SLActive, Institut Straumann AG, Basel, Switzerland) (HSBA) were placed in the distal femur (n = 1) and tibia (n = 2) of 30 rabbits. The implants were analyzed with implant stability quotient (ISQ) measurements, removal torque (RTQ) and histomorphometry (bone–implant contact, BIC) after 10 days, 3, and 6 weeks. Moreover, RTQ values were corrected for differences in surface area by calculating the shear strength for each implant.

Results: RTQ and ISQ measurements showed an increase with time for both implant types. A significantly higher RTQ value was observed for the HSBA implant at 3 weeks (p = .05). A lower ISQ value was seen for HSBA than for OX implants at placement in the tibia (p < 0.001). HSBA implants showed higher shear strength values than OX implants after 3 weeks (p < .001), and 6 weeks (p < .01). The morphometric measurements showed significantly higher BIC for HSBA implants after 10 days (p < .01), similar values after 3 weeks and significantly higher BIC for OX implants after 6 weeks (p < .001).

Conclusions: Both HSBA and OX implants were well integrated in bone and showed firm and increased stability from placement to after 6 weeks of healing. The HSBA implant showed more BIC after 10 days and the OX implant more BIC after 6 weeks of healing. The HSBA implant showed significantly higher shear strength after 3 and 6 weeks and higher RTQ values after 3 weeks than the OX implant. The results may be due to differences in surface roughness and hydrophilic properties.

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