Randomized clinical trial to evaluate the efficacy and safety of two types of sandblasted with large-grit and acid-etched surface implants with different surface roughness
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: This study aims to evaluate the efficacy and safety of two types of sandblasted with large-grit and acid-etched (SLA) surface implants with different surface roughness. Patients and Methods: This study was conducted based on a clinical record review of 55 patients (mean age, 53.00 years). A total of 80 SLA sur-face implants was placed. Among the 80 implants, 38 implants placed in 29 subjects had surface roughness (Ra) of 3.09 µm (test group, TG), while the other 42 implants placed in 31 subjects had a surface roughness (Ra) of 2.50 µm (control group, CG). A comparison was made of implant primary/secondary stability; success and survival rates; marginal bone loss; and soft tissue assessment including probing pocket depth (PPD), plaque index (PI), gingival index (GI), and bleeding on probing (BOP) between the groups at 1 year after implant placement. Results: Among the implants that were initially registered, 1 from the TG and 4 from the CG dropped out, leaving 37 implants in the TG and 38 im-plants in the CG to be traced and analyzed. Although 1 TG case showed unstable primary stability, all cases showed stable secondary stability. Success and survival rates at 1 year after implant placement were 100% in both groups. Marginal bone loss was 0.07 mm and 0.00 mm for the TG and CG, respectively, but the difference was not significant. Among the several parameters for evaluation of soft tissue, the TG showed lower PI at 1 year after implant placement (TG=0.00, CG=0.29; P=0.0004), while the remaining categories showed no significant difference between the groups. Conclusion: This study shows that the two types of SLA implants with different surface roughness have no difference in efficacy or safety. Therefore, both of the implants can be used safely and with promising outcomes.
Abstract
Objectives: This study aims to evaluate the efficacy and safety of two types of sandblasted with large-grit and acid-etched (SLA) surface implants with different surface roughness. Patients and Methods: This study was conducted based on a clinical record review of 55 patients (mean age, 53.00 years). A total of 80 SLA sur-face implants was placed. Among the 80 implants, 38 implants placed in 29 subjects had surface roughness (Ra) of 3.09 µm (test group, TG), while the other 42 implants placed in 31 subjects had a surface roughness (Ra) of 2.50 µm (control group, CG). A comparison was made of implant primary/secondary stability; success and survival rates; marginal bone loss; and soft tissue assessment including probing pocket depth (PPD), plaque index (PI), gingival index (GI), and bleeding on probing (BOP) between the groups at 1 year after implant placement. Results: Among the implants that were initially registered, 1 from the TG and 4 from the CG dropped out, leaving 37 implants in the TG and 38 im-plants in the CG to be traced and analyzed. Although 1 TG case showed unstable primary stability, all cases showed stable secondary stability. Success and survival rates at 1 year after implant placement were 100% in both groups. Marginal bone loss was 0.07 mm and 0.00 mm for the TG and CG, respectively, but the difference was not significant. Among the several parameters for evaluation of soft tissue, the TG showed lower PI at 1 year after implant placement (TG=0.00, CG=0.29; P=0.0004), while the remaining categories showed no significant difference between the groups. Conclusion: This study shows that the two types of SLA implants with different surface roughness have no difference in efficacy or safety. Therefore, both of the implants can be used safely and with promising outcomes.
참고문헌 (26)
- Hak-Kyun Kim, "Five-year retrospective radiographic follow-up study of dental implants with sandblasting with large grit, and acid etching-treated surfaces", 대한구강악안면외과학회지, 41(6), pp.317~321 (2015), 대한구강악안면외과학회
- Rosales-Leal JI, "Effect of roughness, wettability and morphology of engineered titanium surfaces on osteoblast-like cell adhesion", Colloids Surf A Physicochem Eng Asp, 365, pp.222~229 (2010)[DOI]
- Elkhaweldi A, "The survival rate of RBM surface versus SLA surface in geometrically identical implant design", J Oral Biol, 1, pp.8~ (2014)
- Smeets R, "Impact of dental implant surface modifications on osseointegration", Biomed Res Int, 2016, pp.6285620~ (2016)[DOI]
- Buser D, "10-Year survival and success rates of 511 titanium implants with a sandblasted and acid-etched surface : a retrospective study in 303 partially edentulous patients", Clin Implant Dent Relat Res, 14, pp.839~851 (2012)[DOI]
- Seong-Beom Kim, "Prospective randomized clinical trial of hydrophilic tapered implant placement at maxillary posterior area: 6 weeks and 12 weeks loading", The Journal of Advanced of Prosthodontics, 8(5), pp.396~403 (2016), 대한치과보철학회[DOI]
- Min-Joong Kim, "The long-term evaluation of the prognosis of implants with acid-etched surfaces sandblasted with alumina: a retrospective clinical study", Maxillofacial Plastic Reconstructive Surgery, 42(4), pp.1~9 (2020), 대한악안면성형재건외과학회[DOI]
- Goyal N, "Effect of various implant surface treatments on osseointegration-a literature review", Indian J Dent Sci, 4, pp.154~157 (2012)
- Jemat A, "Surface modifications and their effects on titanium dental implants", Biomed Res Int, 2015, pp.791725~ (2015)[DOI]
- Knabe C, "In vitro investigation of titanium and hydroxyapatite dental implant surfaces using a rat bone marrow stromal cell culture system", Biomaterials, 23, pp.3235~3245 (2002)[DOI]
- Rodrigo D, "Diagnosis of implant stability and its impact on implant survival : a prospective case series study", Clin Oral Implants Res, 21, pp.255~261 (2010)[DOI]
- Matos GRM, "Surface roughness of dental implant and osseointegration", J Maxillofac Oral Surg, 20, pp.1~4 (2021)[DOI]
- Papaspyridakos P, "Success criteria in implant dentistry : a systematic review", J Dent Res, 91, pp.242~248 (2012)[DOI]
- Newman M, "Carranzaʼs clinical periodontology" (2014), Saunders
- Gittens RA, "Implant osseointegration and the role of microroughness and nanostructures : lessons for spine implants", Acta Biomater, 10, pp.3363~3371 (2014)[DOI]
- Albrektsson T, "Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man", Acta Orthop Scand, 52, pp.155~170 (1981)[DOI]
- Anil S, "Implant dentistry", pp.83~108 (2011), IntechOpen
- Elias CN, "Improving osseointegration of dental implants", Expert Rev Med Devices, 7, pp.241~256 (2010)[DOI]
- Lee JH, "Efficacy of deep convolutional neural network algorithm for the identification and classification of dental implant systems, using panoramic and periapical radiographs: a pilot study", Medicine (Baltimore), 99, pp.e20787~ (2020)[DOI]
- OʼSullivan D, "Influence of implant taper on the primary and secondary stability of osseointegrated titanium implants", Clin Oral Implants Res, 15, pp.474~480 (2004)[DOI]
- Javed F, "Role of primary stability for successful osseointegration of dental implants : factors of influence and evaluation", Interv Med Appl Sci, 5, pp.162~167 (2013)[DOI]
- Won-Woong Jang, "Long-term evaluation of the prognosis of straight and tapered implant with resorbable blast media surface: Retrospective clinical study", Oral Biology Research, 43(1), pp.23~31 (2019), 치의학연구원[DOI]
- Chambrone L, "Efficacy of standard(SLA)and modified sandblasted and acidetched(SLActive)dental implants in promoting immediate and", or early occlusal loading protocols : a systematic review of prospective studies, 2015, pp.26, 359~370
- van Velzen FJ, "10-Year survival rate and the incidence of peri-implant disease of 374titanium dental implants with a SLA surface : a prospective cohort study in 177 fully and partially edentulous patients", Clin Oral Implants Res, 26, pp.1121~1128 (2015)[DOI]
- Shi X, "Improved osseointegration of longterm stored SLA implant by hydrothermal sterilization", J Mech Behav Biomed Mater, 53, pp.312~319 (2016)[DOI]
- Lee JT, "Biomechanical evaluation of laser-etched Ti implant surfaces vs. chemically modified SLA Ti implant surfaces:Removal torque and resonance frequency analysis in rabbit tibias", J Mech Behav Biomed Mater, 61, pp.299~307 (2016)[DOI]
