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Bone response to calcium phosphate-coated and bisphosphonate-immobilized titanium implants.

Abstract
Thin calcium phosphate (Ca-P) coatings have been introduced to overcome the shortcomings of plasma-sprayed Ca-P coatings. In our previous experiments, thin Ca-P coatings also enabled the immobilization of bisphosphonate, which is a drug used to treat osteoporosis. The present study was designed to evaluate the bone response to titanium implants treated with a thin Ca-P coating and bisphosphonate. Forty cylindrical commercially pure titanium implants with a length of 7 mm and a diameter of 3 mm were used as test implant fixtures. Three groups of surface-treated implants were prepared: (1) blasted with titanium powder and etched with a solution of 10% HF + 5% HNO3 (control); (2) modified with 0.5-microm thick Ca-P coatings and rapid heat-treating, and (3) immobilized with bisphosphonate by immersion in pamidronate disodium solution (10(-2) M) for 24 h at 37 degrees C. These surface-treated implants were inserted into edentulous areas in the mandibular molar region of five beagle dogs. After implantation periods of 4 and 12 weeks, the bone implant interface was evaluated histologically and histomorphometrically. All measurements were statistically evaluated using a one-way ANOVA and Fisher PLSD test for multiple comparisons among the means. Four weeks after the implantation, higher percentage of bone contact was found around the thin Ca-P-coated implants compared to that of the control group. The highest percentage of bone contact was found around the bisphosphonate-immobilized implants after 12 weeks of implantation. These data suggest that a thin coating of calcium phosphate followed by bisphosphonate-immobilization is effective in the promotion of osteogenesis on surfaces of dental implants.
AuthorsM Yoshinari, Y Oda, T Inoue, K Matsuzaka, M Shimono
JournalBiomaterials (Biomaterials) Vol. 23 Issue 14 Pg. 2879-85 (Jul 2002) ISSN: 0142-9612 [Print] Netherlands
PMID12069328 (Publication Type: Evaluation Study, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Calcium Phosphates
  • Coated Materials, Biocompatible
  • Dental Implants
  • Diphosphonates
  • alpha-tricalcium phosphate
  • tetracalcium phosphate
  • calcium phosphate, monobasic, anhydrous
  • calcium phosphate
  • Titanium
  • calcium phosphate, dibasic, anhydrous
Topics
  • Animals
  • Bone and Bones (cytology, metabolism)
  • Calcium Phosphates
  • Coated Materials, Biocompatible (metabolism)
  • Dental Implantation, Endosseous
  • Dental Implants
  • Diphosphonates
  • Dogs
  • Male
  • Osseointegration (physiology)
  • Prostheses and Implants
  • Surface Properties
  • Titanium
  • X-Ray Diffraction

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