Clin Oral Implants Res. 2021 Sep 21. doi: 10.1111/clr.13848. Online ahead of print.
ABSTRACT
OBJECTIVES: To assess the osseointegration of calcium-coated (CS) and chemically modified, sandblasted, large-grit, acid-etched (MS) dental implants with a lack of primary mechanical stability.
MATERIALS AND METHODS: Eighteen implants in CS and MS groups each were loosely placed in the mandible of 6 mongrel dogs and allowed to heal for 2, 4 and 8 weeks. Implant stability quotient (ISQ) and implant stability test (IST) values recorded periodically and bone-to-implant contact (BIC) and the number of Haversian canals per 1 mm2 measured histologically were statistically analyzed (p < 0.05).
RESULTS: All CS and MS implants placed survived. Compared with immediately after installation, ISQ and IST values in both groups increased significantly to over 76 at 2 weeks (p < 0.0083) and remained stable thereafter. BIC was significantly greater at 8 weeks (61.3 ± 13.6% in CS group; 57.6 ± 5.9% in MS group) compared to 2 and 4 weeks in both groups (p < 0.017). There were no significant intergroup differences in ISQ, IST or BIC at different time-points. Significantly more Haversian canals were observed in group CS (6.2 ± 1.0 /mm2 ) compared to group MS at 4 weeks (3.7 ± 1.8 /mm2 ; p < 0.05), while intergroup difference was not significant at 8 weeks.
CONCLUSION: Both CS and MS implants inserted without primary stability obtained osseointegration within 2 weeks, and lamellar bone adjacent to the implants was first observed at 8 weeks. The formation of primary osteons was more active at 4 weeks in group CS than in group MS.
PMID:34547819 | DOI:10.1111/clr.13848
