Abstract

Decompression or healing chambers between the threads have been proposed to improve and accelerate the osseointegration process of dental implants. The aim of the present work was to test, in an in vivo sheep study, if healing chambers between the threads could produce a better osseointegration process. Thirty titanium implants (15 conventional design (control) and 15 implants with healing chambers (test)) were inserted in a random fashion in the tibia of 3 sheep. The animals were euthanized after 30 days of healing, and the retrieved specimens treated to obtain thin ground sections. Histological observations showed that the quantity of newly formed bone growing in an apical direction was lower in the control group (1095 µm) when compared to the Test group (1658 µm). This difference was statistically significant. Moreover, a layer of osteogenic matrix was present around the portion of implants immersed in the marrow spaces. This osteogenic tissue was thicker in the test group. In conclusion, the present study confirmed the very good results in implants with healing chambers that presented a higher percentage of new bone formation.

Highlights

  • The osseointegration of implants involves a cascade of biological events at the cellular and extracellular levels, on the interface of bone tissue and the implant surface, seeking to ensure that this surface is covered with a newly formed bone [1]

  • Statistical Analysis bone, in contact with the implant surface, was measured between lower portion of the cortical bone (LCB) and Newbone bone (NB). Both the Descriptive statistical analysis was evaluated by the mean values, standard deviation (SD) and measurements were made at a magnification of ×100

  • Descriptive statistical analysis was evaluated by the mean values, standard deviation (SD) and wereconfidence availableintervals for histological evaluation

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Summary

Introduction

The osseointegration of implants involves a cascade of biological events at the cellular and extracellular levels, on the interface of bone tissue and the implant surface, seeking to ensure that this surface is covered with a newly formed bone [1]. After osseointegration of the implant, when it is put into function under physiological conditions, the extent of the loads and tensions will be discharged into the supporting bone structures. This transfer of occlusal forces to the bone-implant interface is a fundamental factor in determining the result of long-term implant treatment, and a material design capable of distributing the functional forces to the supporting structures within physiological values is essential [5,6]. Public Health 2020, 17, 3477; doi:10.3390/ijerph17103477 www.mdpi.com/journal/ijerph

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