Hwang Ji-Wan, Lee Eun-Ung, Lee Jung-Seok, Jung Ui-Won, Lee In-Seop, Choi Seong-Ho
Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, Korea.
Institute of Physics & Applied Physics, Atomic-Scale Surface Science Research Center, Yonsei University, Seoul, Korea.
J Periodontal Implant Sci. 2013 Dec;43(6):291-300. doi: 10.5051/jpis.2013.43.6.291. Epub 2013 Dec 31.
Calcium phosphate (CaP)-coated implants promote osseointegration and survival rate. The aim of this study was to (1) analyze the dissolution behavior of the residual CaP particles of removed implants and (2) evaluate bone apposition of CaP-coated machined surface implants at the early healing phase.
Mandibular premolars were extracted from five dogs. After eight weeks, the implants were placed according to drilling protocols: a nonmobile implant (NI) group and rotational implant (RI) group. For CaP dissolution behavior analysis, 8 implants were removed after 0, 1, 2, and 4 weeks. The surface morphology and deposition of the coatings were observed. For bone apposition analysis, block sections were obtained after 1-, 2-, and 4-week healing periods and the specimens were analyzed.
Calcium and phosphorus were detected in the implants that were removed immediately after insertion, and the other implants were composed mainly of titanium. There were no notable differences between the NI and RI groups in terms of the healing process. The bone-to-implant contact and bone density in the RI group showed a remarkable increase after 2 weeks of healing.
It can be speculated that the CaP coating dissolves early in the healing phase and chemically induces early bone formation regardless of the primary stability.
磷酸钙(CaP)涂层植入物可促进骨整合和提高存活率。本研究的目的是:(1)分析取出的植入物中残留CaP颗粒的溶解行为;(2)评估CaP涂层机械加工表面植入物在愈合早期的骨附着情况。
从五只犬中拔除下颌前磨牙。八周后,按照钻孔方案植入植入物:非移动植入物(NI)组和旋转植入物(RI)组。为分析CaP溶解行为,在0、1、2和4周后取出8枚植入物,观察涂层的表面形态和沉积情况。为分析骨附着情况,在愈合1、2和4周后获取块状切片并进行标本分析。
植入后立即取出的植入物中检测到钙和磷,其他植入物主要由钛组成。NI组和RI组在愈合过程方面无显著差异。RI组在愈合2周后骨与植入物接触及骨密度显著增加。
可以推测,CaP涂层在愈合早期溶解,并在不考虑初始稳定性的情况下化学诱导早期骨形成。