A light microscopy, scanning electron microscopy, and laser scanning microscopy analysis of retrieved blade implants after 7 to 20 years of clinical function. A report of 3 cases.

The aim of the present study was to evaluate by means of light microscopy, scanning electron microscopy, and laser scanning microscopy the thin ground sections of blade implants retrieved after 7 to 20 years of clinical function. Microscopic examination revealed that most of the implant surface had an intimate contact with compact lamellar bone tissue. Higher magnifications revealed the presence of a gap (1 to 5 mu) interposed between bone and implant. Many osteocytes were near the implant surface and, in many instances, osteocyte canaliculi, running from the lacunae towards the implant surface, were seen. Structures similar to bone reversal lines were observed at the edge of the bone side of the interface. The bone-titanium region is probably an area of dynamic biological activity.