De Maeztu Miguel A, Braceras Iñigo, Alava J Iñaki, Sánchez-Garcés M Angeles, Gay-Escoda Cosme
Int J Oral Maxillofac Implants. 2007 Mar-Apr;22(2):273-9.
Improvements in the bone-implant interface can provide clinical benefits, such as increasing the amount of bone in contact with the implant and shortening the time required to achieve sufficient bone appositioning to allow early prosthetic loading. The present study describes the results obtained with 2 new surface treatments: (a) CO ion implantation; and (b) diamond-like carbon (DLC) coating.
Each group (ion implantation, DLC, and the control group, turned titanium) consisted of 12 samples. Beagle dogs subjected to previous partial edentulation were used. Dual histologic evaluation was made of percentage bone-implant contact (% BIC) of all samples based on conventional histomorphometric analysis and environmental scanning electron microscopy (ESEM).
The results obtained after 3 and 6 months of dental implant placement showed greater and faster bone integration in the CO ion implantation group (61% and 62% BIC, respectively) compared with the DLC group (47% and 50%); the data corresponding to the ion implanted samples were statistically significant compared with the control group (33% and 49% BIC after 3 and 6 months, respectively).
The results showed improved % BIC for implants with ion-implanted surfaces in comparison to DLC coating and machined controls. Furthermore, bone integration appeared to be accelerated in the ion implantation group, since high % BIC values were recorded in the early stages after in vivo implantation.
改善骨-种植体界面可带来临床益处,例如增加与种植体接触的骨量,并缩短实现足够骨附着以允许早期义齿加载所需的时间。本研究描述了两种新的表面处理方法所获得的结果:(a)钴离子注入;(b)类金刚石碳(DLC)涂层。
每组(离子注入组、DLC组和对照组,即车削钛组)由12个样本组成。使用先前接受过部分缺牙的比格犬。基于传统组织形态计量学分析和环境扫描电子显微镜(ESEM),对所有样本的骨-种植体接触百分比(%BIC)进行双重组织学评估。
牙种植体植入3个月和6个月后获得的结果显示,与DLC组(分别为47%和50%)相比,钴离子注入组的骨整合更大且更快(分别为61%和62%BIC);与对照组(3个月和6个月后分别为33%和49%BIC)相比,离子注入样本的数据具有统计学意义。
结果表明,与DLC涂层和机械加工对照组相比,离子注入表面的种植体%BIC有所改善。此外,离子注入组的骨整合似乎加速,因为在体内植入后的早期阶段记录到了较高的%BIC值。