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双波长(2780/940nm)激光照射后牙种植体表面形貌、化学成分和形貌。一项体外研究。

Dental implant surface morphology, chemical composition, and topography following double wavelength (2780/940 nm) laser irradiation. An in vitro study.

机构信息

Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway.

Department of Prosthodontics, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

出版信息

Clin Exp Dent Res. 2023 Feb;9(1):25-35. doi: 10.1002/cre2.709. Epub 2023 Jan 1.

Abstract

OBJECTIVE

The aim of this in vitro study was to evaluate morphology alterations, chemical composition, and topography of moderately rough dental implants following double-wavelength laser irradiation.

MATERIAL AND METHODS

Commercial-grade titanium dental implants representing different surface characteristics (Osseospeed [OS], TiUnite [TiU], and Roxolid SLActive [RS]) were used. Laser irradiation was performed using a computer-controlled robotic device with calibrated energy/power settings and deionized water spray. Micro-, nano-morphology surface alterations, chemical composition, and surface topography (S , S , S ) in the test group (laser plus water), control group A (water only), and control group B (no treatment) were analyzed using scanning electron microscopy (SEM), energy-dispersive X-ray analysis (EDX), and white light laser profilometer (Interferometry).

RESULTS

SEM-evaluation revealed minor between-group differences in micro- and nano-morphology within each implant system. Significant overall differences in surface element content were observed between the test and control group B for all implant systems (p < .05). For the test compared with control group B, statistically significantly higher oxygen content was detected for OS and RS (p < .05), a corresponding significant difference was detected for carbon for TiU (p < .05). For RS, a significantly lower content of titanium and zirconium was detected within the test group (p < .05). A significant difference in topography between test and control group B was observed for OS (S : p = .039 and S : p = .041) with the highest roughness value for control group B.

CONCLUSIONS

Altered chemical composition and surface topography were observed for all implant surfaces compared with untreated control following double wavelength laser irradiation. A clinical evaluation of the impact of the altered surface composition following double wavelength laser irradiation on the ability to reosseointegrate appears warranted.

摘要

目的

本体外研究旨在评估双波长激光辐照后中粗糙牙科种植体的形态改变、化学成分和形貌。

材料与方法

使用不同表面特性的商用级钛牙科种植体(Osseospeed [OS]、TiUnite [TiU]和 Roxolid SLActive [RS])。激光辐照使用具有校准能量/功率设置和去离子水喷雾的计算机控制机器人设备进行。使用扫描电子显微镜(SEM)、能谱分析(EDX)和白光激光轮廓仪(干涉测量法)分析测试组(激光加水)、对照组 A(仅水)和对照组 B(无处理)的微纳形貌表面变化、化学成分和表面形貌(S 、S 、S )。

结果

SEM 评估显示,每个种植体系统中组间微纳形貌差异较小。所有种植体系统中,测试组与对照组 B 之间的表面元素含量存在显著总体差异(p<.05)。与对照组 B 相比,OS 和 RS 的氧含量明显更高(p<.05),TiU 的碳含量也有相应的显著差异(p<.05)。对于 RS,测试组的钛和锆含量明显较低(p<.05)。OS 的测试组与对照组 B 之间的形貌存在显著差异(S :p=.039 和 S :p=.041),对照组 B 的粗糙度值最高。

结论

与未经处理的对照组相比,所有种植体表面在双波长激光辐照后,化学成分和表面形貌均发生改变。双波长激光辐照后表面化学成分改变对再骨整合能力的影响需要进行临床评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9784/9932231/edae502e99c2/CRE2-9-25-g005.jpg

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