Nimmawitt Pawhat, Sittikornpaiboon Paknisa, Jaemsuwan Svas, Arunjaroensuk Sirida, Wang Jen-Chyan, Hung Chun-Cheng, Kaboosaya Boosana, Pimkhaokham Atiphan
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
Department of Prosthodontics, Kaohsiung Medical University Hospital, School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
J Dent Sci. 2022 Apr;17(2):1030-1034. doi: 10.1016/j.jds.2022.02.003. Epub 2022 Feb 23.
BACKGROUND/PURPOSE: Bioceramic tetracalcium phosphate (TTCP) is used as a surface modifier on the implant surface and the clinical studies on this surface modification are still limited. The objective of this clinical study was to investigate short-term implant stability of titanium implant surfaces being modified through sandblasting and acid etching (SLA), followed by TTCP sintered bioceramic anchoring.
A total of 20 patients who had single tooth space were included in this study. Surface modification by SLA plus with TTCP on Ti implants with a diameter of 4.0 mm and lengths of 10 and 11.5 mm were placed. Implant stability quotient (ISQ) value was measured immediately (ISQ0) and one month (ISQ1), two months (ISQ2), three months (ISQ3), and four months (ISQ4) after implantation. Subgroup analysis was defined to location (maxilla, mandible) and bone density (soft or hard bone). Statistical analysis was performed using Friedman test and Mann-Whitney U test.
The mean ISQ values with standard deviation at the different time points of ISQ0 to ISQ4 were 60.03 ± 14.12, 53.48 ± 15.24, 58.91 ± 14.43, 63.14 ± 12.22, and 63.50 ± 13.61, respectively. The results showed significant differences between the ISQ1 and ISQ3 groups and between the ISQ1 and ISQ4 groups. On the other hand, there was no statistical differences between the maxilla and mandible as well as between soft and hard bone types in all implant groups.
TTCP/titanium implant showed favorable stability in short-term ISQ values over 4 months. The locations and bone types demonstrated no effect on implant stability.
背景/目的:生物陶瓷磷酸四钙(TTCP)用作种植体表面的改性剂,关于这种表面改性的临床研究仍然有限。本临床研究的目的是调查通过喷砂和酸蚀(SLA)进行改性,然后进行TTCP烧结生物陶瓷锚固的钛种植体表面的短期种植体稳定性。
本研究共纳入20名单牙间隙患者。在直径4.0毫米、长度10和11.5毫米的钛种植体上进行SLA加TTCP的表面改性。植入后立即(ISQ0)、1个月(ISQ1)、2个月(ISQ2)、3个月(ISQ3)和4个月(ISQ4)测量种植体稳定性商(ISQ)值。亚组分析根据位置(上颌、下颌)和骨密度(软或硬骨)进行定义。使用Friedman检验和Mann-Whitney U检验进行统计分析。
ISQ0至ISQ4不同时间点的平均ISQ值及标准差分别为60.03±14.12、53.48±15.24、58.91±14.43、63.14±12.22和63.50±13.61。结果显示ISQ1组与ISQ3组之间以及ISQ1组与ISQ4组之间存在显著差异。另一方面,所有种植体组的上颌和下颌之间以及软、硬骨类型之间均无统计学差异。
TTCP/钛种植体在4个月以上的短期ISQ值中显示出良好的稳定性。位置和骨类型对种植体稳定性无影响。