title: A human histologic analysis of osseotite and machined surfaces using implants with 2 opposing surfaces.
abstract: A human histologic study was conducted to compare the percentage of bone-to-implant contact (BIC) at 6 months for Osseotite and machined, commercially pure titanium implant surfaces. To eliminate potential influences caused by differences in bone density at different intraoral locations, 2 mm x 5 mm, threaded, 2-surfaced titanium implants were manufactured; 1 side received the Osseotite surface modification and the opposite side maintained a machined surface. In each of 11 patients, 1 test implant was placed in the posterior maxilla (Types III and IV bone) during conventional dental implant surgery. Following 6 months of unloaded healing, the conventional implants were uncovered, and the test implants and surrounding hard tissue were removed. Histologic analysis indicated that at 6 months of unloaded healing, the mean BIC value for the Osseotite surfaces (72.96% +/- 25.13%) was statistically significantly higher (P < 0.05) than the mean BIC value for the machined surfaces (33.98% +/- 31.04%). When the BIC values for the machined and Osseotite surface pairs were ranked from high to low based on the machined BIC value range of 93% to 0%, the upper 50th percentile (20 surface pairs) mean BIC value was 86.1% +/- 16.7% for the Osseotite surfaces and 60.1% +/- 18.3% for the machined surfaces. The lower 50th percentile (19 surface pairs) mean BIC value was 59.1% +/- 25.3% for the Osseotite surfaces and 6.5% +/- 10.8% for the machined surfaces. Differences between mean BIC values for the 2 surfaces in both the upper and lower 50th percentiles were statistically significant (P < 0.05). The results of this study indicate that in the poorer quality bone typically found in the posterior maxilla, a statistically significantly higher percentage of bone contacts Osseotite surfaces when compared to opposing machined surfaces on the same implant.
authors.affiliation: Periodontal and Implant Regenerative Center, University of Maryland, USA.
authors.forename: R J
authors.initials: RJ
authors.lastname: Lazzara
authors.forename: T
authors.initials: T
authors.lastname: Testori
authors.forename: P
authors.initials: P
authors.lastname: Trisi
authors.forename: S S
authors.initials: SS
authors.lastname: Porter
authors.forename: R L
authors.initials: RL
authors.lastname: Weinstein
mesh_terms: D000539:Alveolar Process / Q000033:anatomy & histology; D001861:Bone Regeneration; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D003775:Dental Polishing; D017267:Dental Prosthesis Design; D020878:Device Removal; D006801:Humans; D016348:Osseointegration; D013499:Surface Properties; D014025:Titanium
chemical_list: D015921:Dental Implants; D014025:Titanium