TY - JOUR
T1 - Modified surgical drilling protocols influence osseointegration performance and predict value of implant stability parameters during implant healing process
AU - Huang, Haw-Ming
AU - Chee, Tze-Jian
AU - Lew, Wei-Zhen
AU - Feng, Sheng-Wei
N1 - Funding Information:
The work was supported by the Ministry of Science and Technology, Taiwan (Grant MOST 106-2314-B-038-014) and Taipei Medical University Hospital (107TMU-TMUH-21).
Publisher Copyright:
© 2020, Springer-Verlag GmbH Germany, part of Springer Nature.
PY - 2020/10/1
Y1 - 2020/10/1
N2 - OBJECTIVE: The aim of this study was to evaluate the effects of three different surgical drilling protocols on changes of implant stability parameters and osseointegration performance during the healing period in rabbit femoral condyles.MATERIAL AND METHODS: Thirty New Zealand white rabbits were used in this study. Three experimental groups according to different surgical drilling protocols (undersized, standard and oversized preparation) were designed. Measurements of implant stability parameters were performed immediately after implant insertion and then at 1, 2, 4, and 8 weeks after the operation. After the animals were sacrificed, the bone blocks with implant were prepared for histological evaluation and histomorphometric analysis.RESULTS: The results demonstrated that the ISQ values of each group increased gradually through the whole healing period, while the damping factor showed the opposite tendency. The histomorphometric analysis revealed that BIC (bone-implant contact) values gradually increased with time until 8 weeks of healing at each group. In addition, the undersized group has the highest initial BIC (25.16% ± 7.25%) and the lowest values were found in oversized group (9.13% ± 5.89%). Moreover, a higher correlation (R2 = 0. 9817) between ISQ and BIC values in oversized group and moderate correlations between DF and BIC values in undersized group (R2 = 0.823) were demonstrated.CONCLUSIONS: The undersized drilling protocol group presented the highest implant stability and BIC values in the whole healing period, while the similar tendency of results was found between standard and oversized drilling protocol groups.CLINICAL RELEVANCE: These results suggested that undersized drilling protocol is mechanically and biologically beneficial in low-density bone. The modifications of surgical drilling protocols would influence the predictive value of implant stability parameters for osseointegration performance.
AB - OBJECTIVE: The aim of this study was to evaluate the effects of three different surgical drilling protocols on changes of implant stability parameters and osseointegration performance during the healing period in rabbit femoral condyles.MATERIAL AND METHODS: Thirty New Zealand white rabbits were used in this study. Three experimental groups according to different surgical drilling protocols (undersized, standard and oversized preparation) were designed. Measurements of implant stability parameters were performed immediately after implant insertion and then at 1, 2, 4, and 8 weeks after the operation. After the animals were sacrificed, the bone blocks with implant were prepared for histological evaluation and histomorphometric analysis.RESULTS: The results demonstrated that the ISQ values of each group increased gradually through the whole healing period, while the damping factor showed the opposite tendency. The histomorphometric analysis revealed that BIC (bone-implant contact) values gradually increased with time until 8 weeks of healing at each group. In addition, the undersized group has the highest initial BIC (25.16% ± 7.25%) and the lowest values were found in oversized group (9.13% ± 5.89%). Moreover, a higher correlation (R2 = 0. 9817) between ISQ and BIC values in oversized group and moderate correlations between DF and BIC values in undersized group (R2 = 0.823) were demonstrated.CONCLUSIONS: The undersized drilling protocol group presented the highest implant stability and BIC values in the whole healing period, while the similar tendency of results was found between standard and oversized drilling protocol groups.CLINICAL RELEVANCE: These results suggested that undersized drilling protocol is mechanically and biologically beneficial in low-density bone. The modifications of surgical drilling protocols would influence the predictive value of implant stability parameters for osseointegration performance.
KW - Implant stability
KW - Osseointegration
KW - Rabbit femoral condyle
KW - Undersized drilling protocol
KW - Bone and Bones
KW - Rabbits
KW - Animals
KW - Dental Implantation, Endosseous
KW - Dental Implants
KW - Wound Healing
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U2 - 10.1007/s00784-020-03215-6
DO - 10.1007/s00784-020-03215-6
M3 - Article
C2 - 31989368
SN - 1432-6981
VL - 24
SP - 3445
EP - 3455
JO - Clinical Oral Investigations
JF - Clinical Oral Investigations
IS - 10
ER -