J Korean Assoc Oral Maxillofac Surg.  2013 Aug;39(4):161-167.

Effect of loading time on marginal bone loss around hydroxyapatite-coated implants

Affiliations
  • 1Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam, Korea.
  • 2Department of Dental Science, School of Dentistry, Chonnam National University, Gwangju, Korea.
  • 3Department of Prosthodontics, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam, Korea.
  • 4Department of Conservative Dentistry, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam, Korea. kyk0505@snubh.org
  • 5School of Dentistry, Seoul National University, Seoul, Korea.

Abstract


OBJECTIVES
The objective of this study is compare the rate of marginal bone resorption around hydroxyapatite-coated implants given different loading times in order to evaluate their stability.
MATERIALS AND METHODS
The study was conducted retrospectively for one year, targeting 41 patients whose treatment areas were the posterior maxilla and the mandible. Osstem TS III HA (Osstem Implant Co., Busan, Korea) and Zimmer TSV-HA (Zimmer Dental, Carlsbad, CA, USA), which employ the new hydroxyapatite coating technique, were used. The patients were divided into two groups - immediate and delayed loading - and the bone level at the time of loading commencement and after one year of loading was measured using periapical radiography. Differences between the groups were evaluated using Mann-Whitney (alpha=0.05).
RESULTS
For all patients as a single group, the survival rate of the implants was 100%, and the mean marginal bone loss was 0.26+/-0.59 mm. In comparison of the differences by loading, mean marginal bone loss of 0.32+/-0.69 mm was recorded for the immediate loading group whereas the delayed loading group had mean marginal bone loss of 0.16+/-0.42 mm. However, the difference was not significant (P>0.05).
CONCLUSION
Within the limited observation period of one year, predictable survival rates can be expected when using immediately loaded hydroxyapatite-coated implants.

Keyword

Loading; Bone loss

MeSH Terms

Bone Resorption
Durapatite
Humans
Mandible
Maxilla
Retrospective Studies
Survival Rate
Durapatite

Reference

1. Esposito M, Hirsch JM, Lekholm U, Thomsen P. Biological factors contributing to failures of osseointegrated oral implants. (II). Etiopathogenesis. Eur J Oral Sci. 1998; 106:721–764. PMID: 9672097.
Article
2. de Groot K, Geesink R, Klein CP, Serekian P. Plasma sprayed coatings of hydroxylapatite. J Biomed Mater Res. 1987; 21:1375–1381. PMID: 3429472.
Article
3. Whitehead RY, Lucas LC, Lacefield WR. The effect of dissolution on plasma sprayed hydroxylapatite coatings on titanium. Clin Mater. 1993; 12:31–39. PMID: 10171675.
Article
4. Overgaard S, Søballe K, Josephsen K, Hansen ES, Bünger C. Role of different loading conditions on resorption of hydroxyapatite coating evaluated by histomorphometric and stereological methods. J Orthop Res. 1996; 14:888–894. PMID: 8982130.
Article
5. Yoshinari M, Ozeki K, Sumii T. Properties of hydroxyapatite-coated Ti-6Al-4V alloy produced by the ion-plating method. Bull Tokyo Dent Coll. 1991; 32:147–156. PMID: 1668076.
6. Sugiyama T, Miake Y, Yajima Y, Yamamoto K, Sakurai K. Surface observation of thin hydroxyapatite-coated implants at 80 months after insertion. J Oral Implantol. 2011; 37:273–278. PMID: 20594064.
7. Lee JJ, Rouhfar L, Beirne OR. Survival of hydroxyapatite-coated implants: a meta-analytic review. J Oral Maxillofac Surg. 2000; 58:1372–1379. PMID: 11117685.
Article
8. Brånemark PI, Hansson BO, Adell R, Breine U, Lindström J, Hallén O, et al. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl. 1977; 16:1–132. PMID: 356184.
9. Albrektsson T. Direct bone anchorage of dental implants. J Prosthet Dent. 1983; 50:255–261. PMID: 6352912.
Article
10. Szmukler-Moncler S, Salama H, Reingewirtz Y, Dubruille JH. Timing of loading and effect of micromotion on bone-dental implant interface: review of experimental literature. J Biomed Mater Res. 1998; 43:192–203. PMID: 9619438.
Article
11. Roccuzzo M, Aglietta M, Bunino M, Bonino L. Early loading of sandblasted and acid-etched implants: a randomized-controlled double-blind split-mouth study. Five-year results. Clin Oral Implants Res. 2008; 19:148–152. PMID: 18067598.
Article
12. Ioannidou E, Doufexi A. Does loading time affect implant survival? A meta-analysis of 1,266 implants. J Periodontol. 2005; 76:1252–1258. PMID: 16101355.
Article
13. Vercruyssen M, Quirynen M. Long-term, retrospective evaluation (implant and patient-centred outcome) of the two-implant-supported overdenture in the mandible. Part 2: marginal bone loss. Clin Oral Implants Res. 2010; 21:466–472. PMID: 20443799.
Article
14. Oh TJ, Yoon J, Misch CE, Wang HL. The causes of early implant bone loss: myth or science? J Periodontol. 2002; 73:322–333. PMID: 11922263.
Article
15. Cochran DL, Morton D, Weber HP. Consensus statements and recommended clinical procedures regarding loading protocols for endosseous dental implants. Int J Oral Maxillofac Implants. 2004; 19(Suppl):109–113. PMID: 15635951.
16. Buser D, Mericske-Stern R, Bernard JP, Behneke A, Behneke N, Hirt HP, et al. Long-term evaluation of non-submerged ITI implants. Part 1: 8-year life table analysis of a prospective multi-center study with 2359 implants. Clin Oral Implants Res. 1997; 8:161–172. PMID: 9586460.
Article
17. Cochran DL, Buser D, ten Bruggenkate CM, Weingart D, Taylor TM, Bernard JP, et al. The use of reduced healing times on ITI implants with a sandblasted and acid-etched (SLA) surface: early results from clinical trials on ITI SLA implants. Clin Oral Implants Res. 2002; 13:144–153. PMID: 11952734.
18. Trisi P, Keith DJ, Rocco S. Human histologic and histomorphometric analyses of hydroxyapatite-coated implants after 10 years of function: a case report. Int J Oral Maxillofac Implants. 2005; 20:124–130. PMID: 15747684.
19. Hjorting-Hansen E, Worsaae N, Lemons JE. Histologic response after implantation of porous hydroxylapatite ceramic in humans. Int J Oral Maxillofac Implants. 1990; 5:255–263. PMID: 1965896.
20. Cook SD, Kay JF, Thomas KA, Jarcho M. Interface mechanics and histology of titanium and hydroxylapatite-coated titanium for dental implant applications. Int J Oral Maxillofac Implants. 1987; 2:15–22. PMID: 3032787.
21. Misch CM. Hydroxylapatite-coated implants. Design considerations and clinical parameters. N Y State Dent J. 1993; 59:36–41. PMID: 8510867.
22. Lim HS, Kim SG, Oh JS. Comparison of clinical initial stability of hydroxy-apatite coated implant and sandblasted, large-grit and acid-etched implant. J Korean Assoc Maxillofac Plast Reconstr Surg. 2012; 34:112–116.
23. Thierer T, Davliakos JP, Keith JD Jr, Sanders JJ, Tarnow DP, Rivers JA. Five-year prospective clinical evaluation of highly crystalline HA MP-1-coated dental implants. J Oral Implantol. 2008; 34:39–46. PMID: 18390242.
Article
24. Park HU, Yang JH, Lee SH. A study on the effects of early loading on the surrounding bone tissue of the dental implants. J Korean Acad Prosthodont. 1993; 31:101–127.
25. Prosper L, Crespi R, Valenti E, Capparé P, Gherlone E. Five-year follow-up of wide-diameter implants placed in fresh molar extraction sockets in the mandible: immediate versus delayed loading. Int J Oral Maxillofac Implants. 2010; 25:607–612. PMID: 20556262.
26. Cannizzaro G, Leone M. Restoration of partially edentulous patients using dental implants with a microtextured surface: a prospective comparison of delayed and immediate full occlusal loading. Int J Oral Maxillofac Implants. 2003; 18:512–522. PMID: 12939002.
27. Calandriello R, Tomatis M. Immediate occlusal loading of single lower molars using Brånemark System Wide Platform TiUnite implants: a 5-year follow-up report of a prospective clinical multicenter study. Clin Implant Dent Relat Res. 2011; 13:311–318. PMID: 19673926.
Article
28. Schincaglia GP, Marzola R, Giovanni GF, Chiara CS, Scotti R. Replacement of mandibular molars with single-unit restorations supported by wide-body implants: immediate versus delayed loading. A randomized controlled study. Int J Oral Maxillofac Implants. 2008; 23:474–480. PMID: 18700371.
29. Elsyad MA, Al-Mahdy YF, Fouad MM. Marginal bone loss adjacent to conventional and immediate loaded two implants supporting a ball-retained mandibular overdenture: a 3-year randomized clinical trial. Clin Oral Implants Res. 2012; 23:496–503. PMID: 21504479.
Article
30. Hermann JS, Buser D, Schenk RK, Schoolfield JD, Cochran DL. Biologic Width around one- and two-piece titanium implants. Clin Oral Implants Res. 2001; 12:559–571. PMID: 11737099.
Article
31. Cochran DL, Nummikoski PV, Schoolfield JD, Jones AA, Oates TW. A prospective multicenter 5-year radiographic evaluation of crestal bone levels over time in 596 dental implants placed in 192 patients. J Periodontol. 2009; 80:725–733. PMID: 19405825.
Article
32. Albrektsson T, Isidor F. In : Lang NP, Karring T, editors. Consensus report of session IV. Proceedings of the 1st European workshop on periodontology; London: Quintessence Publishing;1994. p. 365–369.
33. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986; 1:11–25. PMID: 3527955.
Full Text Links
  • JKAOMS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr