Osseodensification outperforms conventional implant subtractive instrumentation: A study in sheep

Autor(es)

de Oliveira, Paula G. F. Pessoa ^[1] ; Bergamo, Edmara T. P. ^[1] ; Neiva, Rodrigo ^[2] ; Bonfante, Estevam A. ^[3] ; Witek, Lukasz ^[1] ; Tovar, Nick ^[1] ; Coelho, Paulo G. ^{[1, 4, 5]}

Afiliação do(s) autor(es)

^[1] NYU, Dept Biomat & Biomimet, 433 1st Ave, New York, NY 10010 - USA

^[2] Univ Florida, Dept Periodontol, 1395 Ctr Dr, D1-11, Gainesville, FL 32610 - USA

^[3] Univ Sao Paulo, Dept Prosthodont & Periodontol, Bauru Sch Dent, Al Otavio Pinheiro Brisola 9-75, BR-17012901 Bauru, SP - Brazil

^[4] NYU, Langone Med Ctr, Hansjorg Wyss Dept Plast Surg, 550 First Ave, New York, NY 10016 - USA

^[5] NYU, Mech & Aerosp Engn, Tandon Sch Engn, 6 MetroTech Ctr, New York, NY 11201 - USA

• Tipo de documento: Artigo Científico
• Fonte: Materials Science & Engineering C-Materials for Biological Applications; v. 90, p. 300-307, SEP 1 2018.
• Citações Web of Science: 2

Resumo

Osseodensification is a surgical instrumentation technique where bone is compacted into open marrow spaces during drilling, increasing implant insertion torque through densification of osteotomy site walls. This study investigated the effect of osseodensification instrumentation on the primary stability and osseointegration of as-machined and acid-etched implants in low-density bone. Six endosteal implants were inserted bilaterally in the ilium of five sheep totaling 60 implants (n = 30 acid-etched and n = 30 as-machined). Each animal received three implants of each surface. The osteotomy sites were prepared as follows: (i) subtractive conventional-drilling (R): 2 mm pilot, 3.2 mm and 3.8 mm twist drills; (ii) osseodensification clockwise-drilling (CW), and (iii) osseodensification counterclockwise-drilling (CCW) with Densah Burs (Versah, Jackson, MI, USA) 2.0 mm pilot, 2.8 mm, and 3.8 mm multi-fluted tapered burs. Insertion torque, bone-to-implant contact (BIC) and bone-area-fraction occupancy (BAFO) were evaluated. Drilling techniques had significantly different insertion torque values (CCW > CW > R), regardless of implant surface. While BIC was not different as a function of time, BAFO significantly increased at 6-weeks. A significantly higher BIC was observed for acid-etched compared to as-machined surface. As-machined R-drilling presented lower BIC and BAFO than acid-etched R, CW, and CCW. New bone formation was depicted at 3-weeks. At 6-weeks, bone remodeling was observed around all devices. Bone chips within implant threads were present in both osseodensification groups. Regardless of implant surface, insertion torque significantly increased when osseodensification-drilling was used in low-density bone. Osseodensification instrumentation improved the osseointegration of as-machined implants to levels comparable to acid-etched implants inserted by conventional subtractive-drilling. (AU)

• Processo FAPESP: 16/18818-8 - EMU concedido no processo 2012/19078-7: ElectroPuls E3000 Linear-Torsion All-Electric dynamic test instrument package
• Beneficiário: Estevam Augusto Bonfante
• Linha de fomento: Auxílio à Pesquisa - Programa Equipamentos Multiusuários
• Processo FAPESP: 12/19078-7 - Desenvolvimento e processamento de compósito de Al2O3-ZrO2 para próteses monolíticas CAD/CAM: efeito do envelhecimento na resistência à flexão biaxial
• Beneficiário: Estevam Augusto Bonfante
• Linha de fomento: Auxílio à Pesquisa - Apoio a Jovens Pesquisadores