Osteogenesis and Morphology of the Peri-Implant Bone Facing Dental Implants

This study investigated the influence of different implant surfaces on peri-implant osteogenesis and implant face morphology of peri-implant tissues during the early (2 weeks) and complete healing period (3 months). Thirty endosseous titanium implants (conic screws) with differently treated surfaces...

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Main Authors: Marco Franchi, Ester Orsini, Alessandra Triré, Marilisa Quaranta, Desirée Martini, Gabriella Giuliani Piccari, Alessandro Ruggeri, Vittoria Ottani
Format: Article
Language:English
Published: Wiley 2004-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/tsw.2004.211
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author Marco Franchi
Ester Orsini
Alessandra Triré
Marilisa Quaranta
Desirée Martini
Gabriella Giuliani Piccari
Alessandro Ruggeri
Vittoria Ottani
author_facet Marco Franchi
Ester Orsini
Alessandra Triré
Marilisa Quaranta
Desirée Martini
Gabriella Giuliani Piccari
Alessandro Ruggeri
Vittoria Ottani
author_sort Marco Franchi
collection DOAJ
description This study investigated the influence of different implant surfaces on peri-implant osteogenesis and implant face morphology of peri-implant tissues during the early (2 weeks) and complete healing period (3 months). Thirty endosseous titanium implants (conic screws) with differently treated surfaces (smooth titanium = SS, titanium plasma sprayed = TPS, sand-blasted zirconium oxide = Zr-SLA) were implanted in femur and tibiae diaphyses of two mongrel sheep. Histological sections of the implants and surrounding tissues obtained by sawing and grinding techniques were observed under light microscopy (LM). The peri-implant tissues of other samples were mechanically detached from the corresponding implants to be processed for SEM observation. Two weeks after implantation, we observed osteogenesis (new bone trabeculae) around all implant surfaces only where a gap was present at the host bone-metal interface. No evident bone deposition was detectable where threads of the screws were in direct contact with the compact host bone. Distance osteogenesis predominated in SS implants, while around rough surfaces (TPS and Zr-SLA), both distance and contact osteogenesis were present. At SEM analysis 2 weeks after implantation, the implant face of SS peri-implant tissue showed few, thin, newly formed, bone trabeculae immersed in large, loose, marrow tissue with blood vessels. Around the TPS screws, the implant face of the peri-implant tissue was rather irregular because of the rougher metal surface. Zr-SLA screws showed more numerous, newly formed bone trabeculae crossing marrow spaces and also needle-like crystals in bone nodules indicating an active mineralising process. After 3 months, all the screws appeared osseointegrated, being almost completely covered by a compact, mature, newly formed bone. However, some marrow spaces rich in blood vessels and undifferentiated cells were in contact with the metal surface. By SEM analysis, the implant face of the peri-implant tissue showed different results. Around the SS screws, the compact bone with areas of different mineralisation rate appeared very smooth, while around the rougher TPS screws, the bone still showed an irregular surface corresponding to the implant macro/microroughness. Around the Zr-SLA screws, a more regular implant-bone surface and sparse, calcified marrow spaces were detectable.Results from this research suggest that 2 weeks after implantation, trabecular bone represents the calcified healing tissue, which supports the early biological fixation of the implants. The peri-implant marrow spaces, rich in undifferentiated cells and blood vasculature, observed both 2 weeks and 3 months after surgery, favour the biological turnover of both early and mature peri-implant bone. The implant surface morphology strongly influences the rate and the modality of peri-implant osteogenesis, as do the morphology and arrangement of the implant face in peri-implant bone both during early healing (after 2 weeks) and when the implant is just osseointegrated; rough surfaces, and in particular Zr-SLA, seem to better favour bone deposition on the metal surface.
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spelling doaj-art-77bc6ce9930142f499b2278b07d5df952025-08-20T02:07:09ZengWileyThe Scientific World Journal1537-744X2004-01-0141083109510.1100/tsw.2004.211Osteogenesis and Morphology of the Peri-Implant Bone Facing Dental ImplantsMarco Franchi0Ester Orsini1Alessandra Triré2Marilisa Quaranta3Desirée Martini4Gabriella Giuliani Piccari5Alessandro Ruggeri6Vittoria Ottani7Dipartimento di Scienze Anatomiche Umane e Fisiopatologia dell'Apparato Locomotore, Universitài Bologna, Via Irnerio 48, 40126 Bologna, ItalyDipartimento di Scienze Anatomiche Umane e Fisiopatologia dell'Apparato Locomotore, Universitài Bologna, Via Irnerio 48, 40126 Bologna, ItalyDipartimento di Scienze Anatomiche Umane e Fisiopatologia dell'Apparato Locomotore, Universitài Bologna, Via Irnerio 48, 40126 Bologna, ItalyDipartimento di Scienze Anatomiche Umane e Fisiopatologia dell'Apparato Locomotore, Universitài Bologna, Via Irnerio 48, 40126 Bologna, ItalyDipartimento di Scienze Anatomiche Umane e Fisiopatologia dell'Apparato Locomotore, Universitài Bologna, Via Irnerio 48, 40126 Bologna, ItalyDipartimento di Scienze Anatomiche Umane e Fisiopatologia dell'Apparato Locomotore, Universitài Bologna, Via Irnerio 48, 40126 Bologna, ItalyDipartimento di Scienze Anatomiche Umane e Fisiopatologia dell'Apparato Locomotore, Universitài Bologna, Via Irnerio 48, 40126 Bologna, ItalyDipartimento di Scienze Anatomiche Umane e Fisiopatologia dell'Apparato Locomotore, Universitài Bologna, Via Irnerio 48, 40126 Bologna, ItalyThis study investigated the influence of different implant surfaces on peri-implant osteogenesis and implant face morphology of peri-implant tissues during the early (2 weeks) and complete healing period (3 months). Thirty endosseous titanium implants (conic screws) with differently treated surfaces (smooth titanium = SS, titanium plasma sprayed = TPS, sand-blasted zirconium oxide = Zr-SLA) were implanted in femur and tibiae diaphyses of two mongrel sheep. Histological sections of the implants and surrounding tissues obtained by sawing and grinding techniques were observed under light microscopy (LM). The peri-implant tissues of other samples were mechanically detached from the corresponding implants to be processed for SEM observation. Two weeks after implantation, we observed osteogenesis (new bone trabeculae) around all implant surfaces only where a gap was present at the host bone-metal interface. No evident bone deposition was detectable where threads of the screws were in direct contact with the compact host bone. Distance osteogenesis predominated in SS implants, while around rough surfaces (TPS and Zr-SLA), both distance and contact osteogenesis were present. At SEM analysis 2 weeks after implantation, the implant face of SS peri-implant tissue showed few, thin, newly formed, bone trabeculae immersed in large, loose, marrow tissue with blood vessels. Around the TPS screws, the implant face of the peri-implant tissue was rather irregular because of the rougher metal surface. Zr-SLA screws showed more numerous, newly formed bone trabeculae crossing marrow spaces and also needle-like crystals in bone nodules indicating an active mineralising process. After 3 months, all the screws appeared osseointegrated, being almost completely covered by a compact, mature, newly formed bone. However, some marrow spaces rich in blood vessels and undifferentiated cells were in contact with the metal surface. By SEM analysis, the implant face of the peri-implant tissue showed different results. Around the SS screws, the compact bone with areas of different mineralisation rate appeared very smooth, while around the rougher TPS screws, the bone still showed an irregular surface corresponding to the implant macro/microroughness. Around the Zr-SLA screws, a more regular implant-bone surface and sparse, calcified marrow spaces were detectable.Results from this research suggest that 2 weeks after implantation, trabecular bone represents the calcified healing tissue, which supports the early biological fixation of the implants. The peri-implant marrow spaces, rich in undifferentiated cells and blood vasculature, observed both 2 weeks and 3 months after surgery, favour the biological turnover of both early and mature peri-implant bone. The implant surface morphology strongly influences the rate and the modality of peri-implant osteogenesis, as do the morphology and arrangement of the implant face in peri-implant bone both during early healing (after 2 weeks) and when the implant is just osseointegrated; rough surfaces, and in particular Zr-SLA, seem to better favour bone deposition on the metal surface.http://dx.doi.org/10.1100/tsw.2004.211
spellingShingle Marco Franchi
Ester Orsini
Alessandra Triré
Marilisa Quaranta
Desirée Martini
Gabriella Giuliani Piccari
Alessandro Ruggeri
Vittoria Ottani
Osteogenesis and Morphology of the Peri-Implant Bone Facing Dental Implants
The Scientific World Journal
title Osteogenesis and Morphology of the Peri-Implant Bone Facing Dental Implants
title_full Osteogenesis and Morphology of the Peri-Implant Bone Facing Dental Implants
title_fullStr Osteogenesis and Morphology of the Peri-Implant Bone Facing Dental Implants
title_full_unstemmed Osteogenesis and Morphology of the Peri-Implant Bone Facing Dental Implants
title_short Osteogenesis and Morphology of the Peri-Implant Bone Facing Dental Implants
title_sort osteogenesis and morphology of the peri implant bone facing dental implants
url http://dx.doi.org/10.1100/tsw.2004.211
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