Secondary stability assessment of titanium implants with an alkali-etched surface: a resonance frequency analysis study in beagle dogs.
OBJECTIVE
This study was carried out to quantify the effect of an alkali-modified surface on implant stability during healing using an animal model.


METHODS
A total of 24 screw-shaped, self-tapping, commercially pure titanium dental implants, divided into a test group (implants with an alkali-modified surface or "biosurface") and a control group (implants with a turned, machined surface) were inserted without pretapping in the tibiae of 3 beagle dogs. The resonance frequency analysis method was used to measure the implant stability quotient (ISQ) 0, 1, 3, 9, and 12 weeks after implantation. The animals were sacrificed after 2, 5, and 12 weeks, and the bone-implant contact (BIC%) was evaluated histomorphometrically.


RESULTS
The difference in the osseointegration rates (deltaISQ/deltahealing time) between the implants with alkali-modified surface (biosurface) and those with a turned, machined surface was evaluated as a mean of 0.843 ISQ/week within the first 9 weeks of healing. The mean increase in the secondary implant stability was found to be proportional to the mean increase in the BIC at healing period earlier than 5 weeks.


CONCLUSIONS
The characteristics that differed between the implant surfaces, ie, specific surface area, contact angle, and hydroxylation/hydration, may represent factors that influence the rate of osseointegration and the secondary implant stability.


CONCLUSIONS
The alkali-treated surface enhances the secondary stability in the early stages of healing compared to the turned, machined surface, as a consequence of faster BIC formation.
Strnad
Jakub
J
Laboratory for Glass and Ceramics, Lasak, Prague, Czech Republic. strnad@lasak.cz
Urban
Karel
K
Povysil
Ctibor
C
Strnad
Zdenek
Z
D000468:Alkalies; D000818:Animals; D045662:Dental Etching / Q000379:methods*; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D003775:Dental Polishing; D017267:Dental Prosthesis Design; D017268:Dental Prosthesis Retention; D019232:Dental Restoration Failure; D004285:Dogs; D006878:Hydroxides; D020007:Implants, Experimental; D016348:Osseointegration; D013499:Surface Properties; D013977:Tibia; D014025:Titanium; D014732:Vibration; D017155:Wettability
D000468:Alkalies; D015921:Dental Implants; D006878:Hydroxides; C031356:hydroxide ion; D014025:Titanium