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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2014; 04(04): 046-054
DOI: 10.1055/s-0040-1703831
Original Article

SURFACE TOPOGRAPHY OF DENTAL IMPLANTS

Vinaya Bhat
1   Professor, Department of Prosthodontics & Implantology, A.B. Shetty Memorial Institute of Dental Sciences,Nitte University, Mangalore - 575018, Karnataka.
,
S. Sriram Balaji
2   Senior Lecturer, Department of Prosthodontics, Sri Ramakrishna Dental College & Hospital, Coimbatore - 641 006, India
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Abstract

Surface treatment of titanium implants has been a new frontier in clinical dentistry. Usually it is based on additive and subtractive techniques that modify the surface topography of implants. It alters the roughness/smoothness of the implant surface which becomes more favourable to achieve osseointegration. This modified surface exhibits varied biological responses when the implant is placed in the oral cavity.

This article reviews the principles behind treating the surface of titanium, the numerous methods employed for treating the surface and the cellular response elicited. A complete electronic search and hand search has been conducted for the purpose.

Keywords

Dental Implants - Surface treatment - topography - osseointegration


Publication History

Article published online:
26 April 2020

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Thieme Medical and Scientific Publishers Private Ltd.
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  • References

  • 1 Uehennec, A. Soueidan, P.Layrolle, Y.Amouriq. Surface Treatments Of titanium dental implants for rapid osseointegration. Dental Materials 23(2007)844-54.
  • 2 Albrektsson T, Branemark PI, Hansson HA, Lindstrom J. Osseointegrated titanium implants. Requirements for ensuring a longlasting, direct bone-to-implant anchorage in man. Acta Orthop Scand. 1981;52(2):155–170
  • 3 Buser D, Nydegger T, Hirt HP. Removal torque values of titanium implants in the maxilla of miniature pigs. Int J OralMaxillofac Implants. 1998;13:611-19.
  • 4 Klokkevold PR, Johnson P, Dadgostari S. Early endosseous integration enhanced by dual acid etching of titanium: A torque removal Study in the rabbit. Clin Oral Implants Res. 2001;12:350-57.
  • 5 Buser D, Schenk RK, Steinemann S. Influence of surface characteristics on bone integration of titanium implants. A histomorphometric study in miniature pigs. J Biomed Mater Res. 1991;25:889-902.
  • 6 Filiaggi MJ, Coombs NA, Pilliar RM. Characterization of the interface in the plasma-sprayed HA coating/Ti-Al6-4V implant system. J Biomed Mater Res. 1991;25:1211–1230
  • 7 Radin S, Ducheyne P. Plasma spraying induced changes of calcium phosphate ceramic characteristics and the effect on in vitro stability. Mater Med. 1992;3:33–42
  • 8 De Groot K, Wolke JCG, Jansen JA. State of the art: hydroxylapatite coatings for dental implants. J Oral Implant. 1994;20:232–234 v
  • 9 Kim Y, LeGeros J, LeGeros RZ. Characterization of commercial HAcoated implants. J Dent Res. 1994;73:137;[abstract no. 287]
  • 10 LeGeros RZ, LeGeros JP, Kim Y, Kijkowska R, Zheng R, Bautista C. Calcium phosphates in plasma-sprayed HA coatings.Ceram Trans. 1995;48:173–189
  • 11 Wheeler S. Eight-year clinical retrospective study of titanium plasmasprayed and hydroxyapatite-coated cylinder implants. Int J Oral Maxillofac Implants. 1996;11:340–350
  • 12 Chang YL, Lew D, Park JB, Keller JC. Biomechanical and morphometric analysis of hydroxyapatite-coated implants with varying cristallinity. J Oral Maxillofac Surg. 1999;57:1096–1108
  • 13 Lee J, Rouhfar L, Beirne O. Survival of hydroxypatite-coated implants: a meta-analytic review. J Oral Maxillofac Surg.2000;58:1372–1379 [discussion 1379–80]
  • 14 Tinsley D, Watson C, Russell J. A comparison of hydroxyapatite coated implant retained fixed and removable mandibular prostheses over 4 to 6 years. Clin Oral Implant Res. 2001;12:159–166
  • 15 Anselme K, Bigerelle M, Noel B, Iost A, Hardouin P. Effect of grooved titanium substratum on human osteoblastic cell growth.J Biomed Mater Res. 2002;60:529–540
  • 16 Steinemann S. Titanium-the material of choice?. Periodontology 2000. 1998;17:7–21
  • 17 Buser D, Broggini N, Wieland M, Schenk RK, Denzer AJ, Cochran DL. Enhanced bone apposition to a chemically modified SLA titanium surface. J Dent Res. 2004;83:529–533
  • 18 Zhao G, Schwartz Z, Wieland M, Rupp F, Geis-Gerstorfer J, Cochran DL. High surface energy enhances cell response to titanium substrate microstructure. J Biomed Mater Res A. 2005;74:49–58
  • 19 Bagno A, Di Bello C. Surface treatments and roughness properties of Ti-based biomaterials. J Mater Sci Mater Med. 2004;15:935–949
  • 20 Giavaresi G, Fini M, Cigada A, Chiesa R, Rondelli G, Rimondini L. Mechanical and histomorphometric evaluations of titanium implants with different surface treatments inserted in sheep cortical bone. Biomaterials. 2003;24:1583–1594
  • 21 Carlsson L, Albrektsson T, Berman C. Bone response to plasma-cleaned titanium implants. Int J Oral Maxillofac Implants.1989;4:199–204
  • 22 Wennerberg A, Bolind P, Albrektsson T. Glow discharge pre-treated implants combined with temporary bone ischaemia.Swed Dent J. 1991;15:95–101
  • 23 Cochran DL, Schenk RK, Lussi A, Higginbottom FL, Buser D. Bone response to unloaded and loaded titanium implants with a sandblasted and acid-etched surface: a histometric study in the canine mandible. J Biomed Mater Res. 1998;40:1–11
  • 24 Wennerberg A, Hallgren C, Johansson C, Danelli S. A histomorphometric evaluation of screw-shaped implants each prepared with two surface roughnesses. Clin Oral Implants Res. 1998;9:11–19
  • 25 Buser D, Schenk R, Steinemann S, Fiorellini J, Fox C, Stich H. Influence of surface characteristics on bone integration of titanium implants. A histomorphometric study in miniature pigs. J Biomed Mater Res. 1991;25:889–902
  • 26 Gotfredsen K, Wennerberg A, Johansson C, Skovgaard LT, Hjorting- Hansen E. Anchorage of TiO2-blasted, HA-coated, and machined implants: an experimental study with rabbits. J Biomed Mater Res. 1995;29:1223–1231
  • 27 Wennerberg A, Albrektsson T, Albrektsson B, Krol JJ. Histomorphometric and removal torque study of screw-shaped titanium implants with three different surface topographies. Clin Oral Implant Res. 1996;6:24–30
  • 28 Becker W, Becker BE, Ricci A, Bahat O, Rosenberg E, Rose LF. A prospective multicenter clinical trial comparing one- and two-stage titanium screw-shaped fixtures with one-stage plasma-sprayed solidscrew fixtures. Clin Implant Dent Relat Res. 2000;2:159–165
  • 29 Albrektsson T, Wennerberg A. The impact of oral implants—past and future, 1966–2042. J Can Dent Assoc. 2005;71:327
  • 30 Hansson S, Norton M. The relation between surface roughness and interfacial shear strength for bone-anchored implants. A mathematical model. J Biomech. 1999;32:829–836
  • 31 Testori T, Wiseman L, Woolfe S, Porter S. A prospective multicenter clinical study of the Osseotite implant: four-year interim report. Int J Oral Maxillofac Implants. 2001;16:193–200
  • 32 Conner K, Sabatini R, Mealey B, Takacks V, Mills M, Cochran D. Guided bone regeneration around titanium plasma-sprayed, acid-etched and hydroxyapatite-coated implants in the canine model. J Periodontol. 2003;74:658–668
  • 33 Brett PM, Harle J, Salih V, Mihoc R, Olsen I, Jones FH. Roughness response genes in osteoblasts. Bone. 2004;35:124–133
  • 34 Roccuzzo M, Bunino M, Prioglio F, Bianchi SD. Early loading of sandblasted and acid-etched (SLA) implants: a prospective splitmouth comparative study. Clin Oral Implants Res. 2001;12:572–578
  • 35 Taba Junior M, Novaes Junior AB, Souza SL, Grisi MF, Palioto DB, Pardini LC. Radiographic evaluation of dental implants with different surface treatments: an experimental study in dogs. Implant Dent. 2003;12:252–258
  • 36 Ong JL, Carnes DL, Bessho K. Evaluation of titanium plasma-sprayed and plasma-sprayed hydroxyapatite implants in vivo.Biomaterials. 2004;25:4601–4606
  • 37 Stefano Guizzardi, Carlo Galli, Deisree Martini, Silvana Bellati, Anna Tinti, Mario Raspanti, Paola Taddei, Alessandro Ruggeri. Different titanium surface treatment influences on human mandibular osteoblast response. J Periodontol 2004; 75:273-82.
  • 38 Aparicio C, Gil FJ, Fonseca C, Barbosa M, Planell JA. Corrosion behavior of commercially pure titanium shot blasted with different materials and size of shot particles for dental implant applications. Biomaterials. 2003;24:263–273
  • 39 Ivanoff CJ, Hallgren C, Widmark G, Sennerby L, Wennerberg A. Histologic evaluation of the bone integration of TiO(2) blasted and turned titanium microimplants in humans. Clin Oral Implants Res. 2001;12:128–134
  • 40 Rasmusson L, Kahnberg KE, Tan A. Effects of implant design and surface on bone regeneration and implant stability: an experimental study in the dog mandible. Clin Implant Dent Relat Res. 2001;3:2–8
  • 41 Gotfredsen K, Karlsson U. A prospective 5-year study of fixed partial prostheses supported by implants with machined and TiO2-blasted surface. J Prosthodont. 2001;10:2–7
  • 42 Rasmusson L, Roos J, Bystedt H. A 10-year follow-up study of titanium dioxide-blasted implants. Clin Implant Dent Relat Res.2005;7:36–42
  • 43 Abron A, Hopfensperger M, Thompson J, Cooper L. Evaluation of a predictive model for implant surface topography effects on early osseointegration in the rat tibia model. J Prosth Dent. 2001;85:40–46
  • 44 Novaes A, Souza S, de Oliveira P, Souza A. Histomorphometric analysis of the bone-implant contact obtained with 4 different implant surface treatments placed side by side in the dog mandible. Int J Oral Maxillofac Implants. 2002;17:377–383
  • 45 Piatelli M, Scarano A, Paolantonio M, Iezzi G, Petrone G, Piatelli A. Bone response to machined and resorbable blast material titanium implants: an experimental study in rabbits. J Oral Implantol. 2002;28:2–8
  • 46 Massaro C, Rotolo F, De Riccardis F, Milella E, Napoli A, Wieland M. Comparative investigation of the surface of commercial titanium dental implants. Part 1: chemical composition. J Mater Sci Mater Med. 2002;13:535–548
  • 47 Zinger O, Anselme K, Denzer A, Habersetzer P, Wieland M, Jeanfils J. Time-dependent morphology and adhesion of osteoblastic cells on titanium model surfaces featuring scale-resolved topography. Biomaterials. 2004;25:2695–2711
  • 48 Wong M, Eulenberger J, Schenk R, Hunziker E. Effect of surface topology on the osseointegration of implant materials in trabecular bone. J Biomed Mater Res. 1995;29:1567–1575
  • 49 Cho SA, Park KT. The removal torque of titanium screw inserted in rabbit tibia treated by dual acid etching. Biomaterials.2003;24: 3611–3617
  • 50 Park JY, Davies JE. Red blood cell and platelet interactions with titanium implant surfaces. Clin Oral Implants Res.2000;11:530–539
  • 51 Davies JE. Mechanisms of endosseous integration. Int J Prosthodont. 1998;11:391–401
  • 52 Trisi P, Lazzara R, Rao W, Rebaudi A. Bone-implant contact and bone quality: evaluation of expected and actual bone contact on machined and osseotite implant surfaces. Int J Periodontics Restorative Dent. 2002;22:535–545
  • 53 Trisi P, Marcato C, Todisco M. Bone-to-implant apposition with machined and MTX microtextured implant surfaces in human sinus grafts. Int J Periodontics Restorative Dent. 2003;23:427–437
  • 54 Cochran DL, Buser D, ten Bruggenkate CM, Weingart D, Taylor TM, Bernard JP, et al. The use of reduced healing times on ITI implants with a sandblasted and acid-etched (SLA) surface: early results from clinical trials on ITI SLA implants. Clin Oral Implants Res. 2002;13:144–153
  • 55 Novaes AB, Papalexiou V, Grisi MF, Souza SS, Taba M, Kajiwara JK. Influence of implant microstructure on the osseointegration of immediate implants placed in periodontally infected sites. A histomorphometric study in dogs. Clin Oral Implants Res. 2004;15:34–43
  • 56 Papalexiou V, Novaes AB, Grisi MF, Souza SS, Taba M, Kajiwara JK. Influence of implant microstructure on the dynamics of bone healing around immediate implants placed into periodontally infected sites. A confocal laser scanning microscopic study. Clin Oral Implants Res. 2004;15:44–53
  • 57 Mohammad Qahash, Ross Hardwick, Micheal D Rohrer, John M Wozney, Ulf M. Wikesjo. Surface etching enhances titanium implant osseointegration in newly formed(rhBMP-2-induced) and native bone. Int J Oral Maxillofac Implants 2007; 22:472-477.
  • 58 Nelson K, Semper W, Hidelbrand D, Ozyuvaci H. A retrospective analysis of sandblasted acid etched implants with reduced healing times with an observation period up to 5 years. Int J Oral Maxillofac Implants 2008;23:726-732.
  • 59 Cooper LF, Takabe J, Guo J, Abron A, Holmen A, Ellingsen JE. Fluoride modification effects on osteoblast behavior and bone formation at TiO(2) grit-blasted c.p. titanium endosseous implants. Biomaterials. 2006;27:926–936
  • 60 Ellingsen JE. Pre-treatment of titanium implants with fluoride improves their retention in bone. J Mater Sci Mater Med. 1995;6:749–758
  • 61 Ellingsen JE, Johansson CB, Wennerberg A, Holmen A. Improved retention and bone-to-implant contact with fluoride-modified titanium implants. Int J Oral Maxillofac Implants. 2004;19:659–666
  • 62 Yokoyama K, Ichikawa T, Murakami H, Miyamoto Y, Asaoka K. Fracture mechanisms of retrieved titanium screw thread in dental implants. Biomaterials. 2002;23:2459–2465
  • 63 Xiropaidis AV, Qahash M, Lim WH, Shanaman RH, Rohrer MD, Wikesjo UM. Bone-implant contact at calcium phosphate-coated and porous titanium oxide (TiUnite)-modified oral implants. Clin Oral Implants Res. 2005;16:532–539
  • 64 Huang YH, Xiropaidis AV, Sorensen RG, Albandar JM, Hall J, Wikesjo UM. Bone formation at titanium porous oxide (TiUnite) oral implants in type IV bone. Clin Oral Implants Res. 2005;16:105–111
  • 65 Sul YT, Johansson CB, Jeong Y, Roser K, Wennerberg A, Albrektsson T. Oxidized implants and their influence on the bone response. J Mater Sci Mater Med. 2001;12:1025–1031
  • 66 Sul YT, Johansson C, Wennerberg A, Cho LR, Chang BS, Albrektsson T. Optimum surface properties of oxidized implants for reinforcement of osseointegration: surface chemistry, oxide thickness, porosity, roughness, and crystal structure. Int J Oral Maxillofac Implants. 2005;20:349–359
  • 67 Sul YT, Johansson CB, Roser K, Albrektsson T. Qualitative and quantitative observations of bone tissue reactions to anodised implants. Biomaterials. 2002;23:1809–1817
  • 68 Sul YT, Johansson CB, Jeong Y, Wennerberg A, Albrektsson T. Resonance frequency and removal torque analysis of implants with turned and anodized surface oxides. Clin Oral Implants Res. 2002;13:252–259
  • 69 Rocci A, Martignoni M, Gottlow J. Immediate loading of Branemark System TiUnite and machined-surface implants in the posterior mandible: a randomized open-ended clinical trial. Clin Implant Dent Relat Res. 2003;5: S57–S63
  • 70 Jungner M, Lundqvist P, Lundgren S. Oxidized titanium implants (Nobel Biocare TiUnite) compared with turned titanium implants (Nobel Biocare mark III) with respect to implant failure in a group of consecutive patients treated with early functional loading and twostage protocol. Clin Oral Implants Res. 2005;16:308–312
  • 71 Krupa D, Baszkiewz j, Kozubowski JA, Mizera J, Barcz A, Sobczak JW, Bilinski A, Rajchel B. Corrosion resistance and bioactivity of titanium after surface treatment by three different methods: ion implantation,alkaline treatment and anodic oxidation. Anal Bioanal Chem 2005;381:617-625.
  • 72 Krupa D, Baszkiewz j, Kozubowski JA, Mizera J, Barcz A, Sobczak JW, Bilinski A, Rajchel B.2001 Biomaterials 22:2139-2151.
  • 73 Kim H-M, Miyaji F, Kokubo T, Nakamura T(1996) J BiomedMatter Res 32:409-417.
  • 74 Munisamy S, Vaidyathan TK, Vaidhyanathan TK. A bone like precoating strategy for implants: Collagen immobilization and its mineralization on pure titanium implant surface. 2008. 34;2:67-75.
  • 75 Josse S, Faucheux C, Soueidan A, Grimandi G, Massiot D, A1onso B. Chemically modified calcium phosphates as novel materials for bisphosphonate delivery. Adv Mater. 2004;16:1423–1427
  • 76 Meraw SJ, Reeve CM. Qualitative analysis of peripheral peri-implant bone and influence of alendronate sodium on early bone regeneration. J Periodontol. 1999;70:1228–1233
  • 77 Meraw SJ, Reeve CM, Wollan PC. Use of alendronate in peri-implant defect regeneration. J Periodontol. 1999;70:151–158
  • 78 Yoshinari M, Oda Y, Ueki H, Yokose S. Immobilization of bisphosphonates on surface modified titanium. Biomaterials.2001; 22: 709–715
  • 79 Kajiwara H, Yamaza T, Yoshinari M, Goto T, Iyama S, Atsuta I. The bisphosphonate pamidronate on the surface of titanium stimulates bone formation around tibial implants in rats. Biomaterials. 2005;26:581–587
  • 80 Park CY, Kim Su Gwan, Kim MD, Eom TG, Yoon JH, Surface properties of endosseous dental implants after NDYag and CO2 laser treatment at various energies. J Oral Maxillofac Surg 2005;63:1522-27.
  • 81 Lu X, Wang Y, Yang X, Zhang Q, Zhao Z, Weng LT, Leng Y. Spectroscopic analysis of titanium surface functional groups under various surface modification and their behaviours in vivo and in vitro. J Biomed Matter Res 84A:523-534,2008.
  • 82 Ban S. Effect of alkaline treatment of pure titanium and its alloys on the bonding strength of dental veneering resins. J Biomed Matter Res. 66A:138-145,2003.