| 1. |
- Sul, Young-Taeg, 1960, et al.
(author)
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Characteristics of the surface oxides on turned and electrochemically oxidized pure titanium implants up to dielectric breakdown: the oxide thickness, micropore configurations, surface roughness, crystal structure and chemical composition.
- 2002
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In: Biomaterials. - 0142-9612 .- 1878-5905. ; 23:2, s. 491-501
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Journal article (peer-reviewed)abstract
- Titanium implants have been used widely and successfully for various types of bone-anchored reconstructions. It is believed that properties of oxide films covering titanium implant surfaces are of crucial importance for a successful osseointegration, in particular at compromized bone sites. The aim of the present study is to investigate the surface properties of anodic oxides formed on commercially pure (c.p.) titanium screw implants as well as to study 'native' oxides on turned c.p. titanium implants. Anodic oxides were prepared by galvanostatic mode in CH3COOH up to the high forming voltage of dielectric breakdown and spark formation. The oxide thicknesses, measured with Auger electron spectroscopy (AES), were in the range of about 200-1000 nm. Barrier and porous structures dominated the surface morphology of the anodic film. Quantitative morphometric analyses of the micropore structures were performed using an image analysis system on scanning electron microscopy (SEM) negatives. The pore sizes were
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| 2. |
- Wennerberg, Ann, 1955, et al.
(author)
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Titanium release from implants prepared with different surface roughness
- 2004
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In: Clin Oral Implants Res. ; 15:5, s. 505-12
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Journal article (peer-reviewed)abstract
- OBJECTIVES: There may be a risk of greater ion release for surface-enlarged implants than conventionally turned components. The major aim of the present paper was to investigate whether a correlation exists between ion release and a surface roughness relevant for today's commercial implants. Other aims were to compare ion release after two insertion times and concentration in bone tissue as a function of distance from the implant surface. MATERIAL AND METHODS: Lactic acid aqueous solution (pH=2.3) and phosphate-buffered saline were used for the in vitro investigation. For the in vivo investigation, synchrotron radiation X-ray fluorescence (SRXRF) spectroscopy and secondary ion mass spectroscopy (SIMS) were performed 12 weeks and 1 year after implantation in rabbit tibiae. RESULTS: The average height deviation (S(a)) was 0.7, 1.27, 1.43 and 2.21 microm, respectively, for the four surfaces investigated. No difference in ion release was found in vitro. In vivo, SRXRF demonstrated slightly higher values for the roughest surface up to a distance of 400 microm from the implant surface; thereafter no difference was found. SIMS demonstrated no difference in ion release for the roughest and smoothest surfaces, but slightly more titanium in bone tissue after 1 year than after 12 weeks. Titanium rapidly decreased with distance from the implant surface. CONCLUSION: At a level relevant for commercial oral implants, no correlation was found between increasing roughness and ion release, neither in vitro nor in vivo.
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| 3. |
- Meirelles, Luiz, 1974, et al.
(author)
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Bone reaction to nano hydroxyapatite modified titanium implants placed in a gap-healing model
- 2008
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In: Journal Biomedical MAterials Research - A. - : Wiley. - 1549-3296 .- 1552-4965. ; 87:3, s. 624-631
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Journal article (peer-reviewed)abstract
- Nanohydroxyapatite materials show similar chemistry to the bone apatite and depending on the underlying topography and the method of preparation, the nanohydroxyapatite may simulate the specific arrangement of the crystals in bone. Hydroxyapatite (HA) and other CaP materials have been indicated in cases in which the optimal surgical fit is not achievable during surgery, and the HA surface properties may enhance bone filling of the defect area. In this study, very smooth electropolished titanium implants were used as substrata for nano-HA surface modification and as control. One of each implant (control and nano HA) was placed in the rabbit tibia in a surgical site 0.7 mm wider than the implant diameter, resulting in a gap of 0.35 mm on each implant side. Implant stability was ensured by a fixating plate fastened with two side screws. Topographical evaluation performed with an optical interferometer revealed the absence of microstructures on both implants and higher resolution evaluation with AFM showed similar nanoroughness parameters. Surface pores detected on the AFM measurements had similar diameter, depth, and surface porosity (%). Histological evaluation demonstrated similar bone formation for the nano HA and electropolished implants after 4 weeks of healing. These results do not support that nano-HA chemistry and nanotopography will enhance bone formation when placed in a gap-healing model. The very smooth surface may have prevented optimal activity of the material and future studies may evaluate the synergic effects of the surface chemistry, micro, and nanotopography, establishing the optimal parameters for each of them.
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| 4. |
- Meirelles, Luiz, 1974, et al.
(author)
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Effect of hydroxyapatite and titania nanostructures on early in vivo bone response
- 2008
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In: Clinical Implant Dentistry and Related Research. - : Wiley. - 1708-8208 .- 1523-0899. ; 10:4, s. 245-254
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Journal article (peer-reviewed)abstract
- Objective: Hydroxyapatite or titania nano structures were applied on smooth titanium implant cylinders. The aim was to investigate whether nano HA may result in enhanced osseointegration compared to nano titania structures. Material and Methods: Surface topography evaluation included detailed characterization of nano size structures present at the implant surface combined with surface roughness parameters at the micro- and nano- meter level of resolution. Microstructures were removed from the surface to ensure that bone response observed was dependent only on the nanotopography and/or chemistry of the surface. Early in vivo bone response (4 weeks) evaluation was investigated in a rabbit model. Results: In the present study, nano titania coated implants showed an increased coverage area and feature density, forming a homogenous layer compared to nano HA implants. Bone response observed at 4 weeks could not be explained by the surface chemistry. New formed bone connected to the original cortical bone demonstrated an increase of 24% for the nano titania compared to the nano HA implant, although the difference was not statistically significant. Conclusion: Thus, no evidence of enhanced bone formation to nano hydroxyapatite modified implants was observed compared to nano titania modified implants. The presence of specific nano structures; dependent on the surface modification exhibiting different size and distribution did modulate in vivo bone response.
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| 5. |
- Meirelles, Luiz, 1974, et al.
(author)
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Nano hydroxyapatite structures influence early bone formation
- 2008
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In: Journal Biomedical Materials Research - A. - : Wiley. - 1549-3296 .- 1552-4965. ; 87:2, s. 299-307
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Journal article (peer-reviewed)abstract
- In a study model that aims to evaluate the effect of nanotopography on bone formation, micrometer structures known to alter bone formation, should be removed. Electropolished titanium implants were prepared to obtain a surface topography in the absence of micro structures, thereafter the implants were divided in two groups. The test group was modified with nanosize hydroxyapatite particles; the other group was left uncoated and served as control for the experiment. Topographical evaluation demonstrated increased nanoroughness parameters for the nano-HA implant and higher surface porosity compared to the control implant. The detected features had increased size and diameter equivalent to the nano-HA crystals present in the solution and the relative frequency of the feature size and diameter was very similar. Furthermore, feature density per m2 showed a decrease of 13.5% on the nano-HA implant. Chemical characterization revealed calcium and phosphorous ions on the modified implants, whereas the control implants consisted of pure titanium oxide. Histological evaluation demonstrated significantly increased bone formation to the coated (p < 0.05) compared to uncoated implants after 4 weeks of healing. These findings indicate for the first time that early bone formation is dependent on the nanosize hydroxyapatite features, but we are unaware if we see an isolated effect of the chemistry or of the nanotopography or a combination of both.
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| 6. |
- Meirelles, Luiz, 1974, et al.
(author)
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The effect of chemical and nano topographical modifications on early stage of osseointegration
- 2008
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In: The International Journal of Oral & Maxillofacial Implants. - 0882-2786. ; 23:4, s. 641-7
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Journal article (peer-reviewed)abstract
- Purpose: To investigate the effect of chemically modified implants with similar micro but different nano topography on early stage of osseointegration. Materials and Methods: Screw shaped implants were placed in the flat proximal medial tibial methaphyses of 10 New Zealand white rabbits. Blasted (control); blasted-fluoride and blasted-nano HA implants were investigated. Surface evaluation included chemical analyses with x-ray photoelectron spectroscopy, morphological analyses with scanning electron microscopy and topographical analyses with interferometry. Bone response was investigated with removal torque measurements and histological analyses after a healing period of 4 weeks. Results: Chemical analyses revealed the presence of Ti, O, C and N in all implant groups. The blasted-F group revealed F and the blasted nano HA group Ca and P with simultaneous decrease of Ti and O. Surface roughness parameters showed a slight decrease of the average height deviation for the blasted nano-HA and blasted-F compared to the blasted control implants. SEM images at high magnification indicated the presence of nano structures on the chemically modified implants. Removal torque (RTQ) mean values revealed an increase of 17% to 25% for the chemically modified implants compared to the control implants and the histological analyses demonstrated a similar enhanced bone formation to the chemically modified implants with nanostructures. Conclusion: Chemical modifications used in the present study were capable of producing a unique nano topography and together with the ions present at the implant surface may explain the increased RTQ and histomorphometric values after a healing period of 4 weeks.
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