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Journal ArticleDOI

Histomorphometry and bone mechanical property evolution around different implant systems at early healing stages: an experimental study in dogs

TLDR
The effect of different implant designs on osseointegration was evident especially at early stages of bone healing, and both time and implant system interaction significantly affected the bone-to-implant contact.
Abstract
Purpose Commercial implants differ at macro-, micro-, and nanolevels, which makes it difficult to distinguish their effect on osseointegration. The aim of this study was to evaluate the early integration of 5 commercially available implants (Astra OsseoSpeed, Straumann SLA, Intra-Lock Blossom Ossean, Nobel Active, and OsseoFix) by histomorphometry and nanoindentation. Materials and methods Implants were installed in the tibiae of 18 beagle dogs. Samples were retrieved at 1, 3, and 6 weeks (n = 6 for each time point) and were histologically and nanomechanically evaluated. Results The results presented that both time (P 0.80; H: P > 0.75) or implant system (E: P > 0.90; H: P > 0.85). Conclusions The effect of different implant designs on osseointegration was evident especially at early stages of bone healing.

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Osseointegration: Hierarchical designing encompassing the macrometer, micrometer, and nanometer length scales

TL;DR: A proportional inconsistency in findings hitherto encountered warrants a call for appropriate multivariable study designing to ensure that adequate data collection will enable osseointegration maximization and/or optimization, which will possibly lead to the engineering of endosteal implant designs that can be immediately placed/loaded regardless of patient dependent conditions.
Journal ArticleDOI

Osseointegration of metallic devices: Current trends based on implant hardware design

TL;DR: The present manuscript presents how the interplay between surgical instrumentation and device macrogeometry not only plays a key role on both early and delayed stages of osseointegration, but may also be key in how efficient smaller length scale designing (at the micrometer and nanometer scale levels) may be in hastening early stages.
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Reality of Dental Implant Surface Modification: A Short Literature Review

TL;DR: Physical properties like roughening by sandblasting and acid etching may be major contributors to favorable bone response in biological environments over chemical properties obtained from various modifications including fluoride treatment and calcium phosphate application.
Journal ArticleDOI

Biomechanical, Biologic, and Clinical Outcomes of Undersized Implant Surgical Preparation: A Systematic Review.

TL;DR: Clinical studies indicate that performing an undersized drilling protocol on low-density bone is a safe procedure; however, more extensive studies are needed to confirm these data.
Journal ArticleDOI

Nanometer-scale features on micrometer-scale surface texturing: A bone histological, gene expression, and nanomechanical study

TL;DR: The nanotopographical featured surfaces presented an overall higher host-to-implant response compared to the microtextured only surfaces and presented significantly higher-rank hardness and elastic modulus for the MB compared to AA at all time points tested.
References
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Journal ArticleDOI

An improved technique for determining hardness and elastic modulus using load and displacement sensing indentation experiments

TL;DR: In this paper, the authors used a Berkovich indenter to determine hardness and elastic modulus from indentation load-displacement data, and showed that the curve of the curve is not linear, even in the initial stages of the unloading process.
Journal ArticleDOI

A method for interpreting the data from depth-sensing indentation instruments

TL;DR: In this paper, a method for obtaining hardness and Young's modulus from the data obtained from these types of instruments is described, where the elastic displacements are determined from data obtained during unloading of the indentation.
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Effects of titanium surface topography on bone integration: a systematic review

TL;DR: Some indications exist that surface topography influences bone response at the nanometre level and the majority of published papers present an inadequate surface characterization.
Journal ArticleDOI

Enhanced Bone Apposition to a Chemically Modified SLA Titanium Surface

TL;DR: It is concluded that the modSLA surface promoted enhanced bone apposition during early stages of bone regeneration, as compared with a standard SLA surface.
Journal Article

Oral implant surfaces: Part 1--review focusing on topographic and chemical properties of different surfaces and in vivo responses to them.

TL;DR: Modately roughened surfaces seem to have some clinical advantages over smoother or rougher surfaces, but the differences are small and often not statistically significant.
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