Skip to main content
Top
Published in: International Journal of Implant Dentistry 1/2016

Open Access 01-12-2016 | Technical Advances Article

Twist removal of healed vs. nonhealed implants—a mechanical and histological study in mini pigs

Authors: Ricardo de Oliveira Silva, Fabrício Passador, Paulo Henrique Ferreira Caria

Published in: International Journal of Implant Dentistry | Issue 1/2016

Login to get access

Abstract

Purpose

The objective of this study was to evaluate the effect of removal torque (reverse torque) of titanium implants in peri-implant bone.

Methods

The P1-M1 teeth were extracted bilaterally of 6 mini pigs (BR-1). Each animal received 6 titanium implants, three for each side of mandible. On the right side of mandible, 3 implants reminded 9 months (9M) under masticatory activity and on the left side, other 3 implants were placed and immediately removed (IR). All 36 implants were removed by removal torque, and the recorded values were statistically analyzed. Animals were euthanized right after the removal torque and recording. Each third (cervical, medium, and apical) of peri-implant bone was extracted and analyzed histological and immunohistochemically. Student’s t test was used to determine statistical differences in the values between the 9M and IR samples. Data were presented as means with standard deviations. The level of significance was set at 5% (P < 0.05).

Results

Removal torque was higher in 9M experimental situation than in IR. Histological characteristics of mature bone were presented in the 9M experimental condition, and immature bone characteristics were presented in the IR experimental condition. Removal torque caused small fractures and rounding in the bone grooving. Immunohistochemical analysis reinforced the histological results; Student’s t test provided statistically significant differences to osteocalcin expression in 9M samples and no statistically significant differences expression to collagen I in both experimental conditions (P < 0.05).

Conclusions

Removal torque caused microscopical fractures and smoothing in the peri-implant bone grooves, but it does not compromise the bone healing.
Literature
1.
go back to reference Brånemark PI. Osseointegration and its experimental background. J Prosthet Dent. 1983;50(3):399–410.CrossRefPubMed Brånemark PI. Osseointegration and its experimental background. J Prosthet Dent. 1983;50(3):399–410.CrossRefPubMed
2.
go back to reference Chiapasco M, Gatti C. Immediate loading of dental implants placed in revascularized fibula free flaps: a clinical report on 2 consecutive patients. Int J Oral Maxillofac Implants. 2015;19(6):906–12. Chiapasco M, Gatti C. Immediate loading of dental implants placed in revascularized fibula free flaps: a clinical report on 2 consecutive patients. Int J Oral Maxillofac Implants. 2015;19(6):906–12.
4.
go back to reference Paolantonio M, Dolci M, Scarano A, Archivio D, Placido G. Immediate implantation in fresh extraction sockets. A controlled clinical and histological study in man. J Periodontol. 2001;72(11):1560-71. Paolantonio M, Dolci M, Scarano A, Archivio D, Placido G. Immediate implantation in fresh extraction sockets. A controlled clinical and histological study in man. J Periodontol. 2001;72(11):1560-71.
5.
go back to reference Esposito M, Grusovin MG, Coulthard P, Thomsen P, Worthington HV. A 5-year follow-up comparative analysis of the efficacy of various osseointegrated dental implant systems: a systematic review of randomized controlled clinical trials. Int J Oral Maxillofac Implants [Internet]. 2005;20(4):557–68. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16161740. Esposito M, Grusovin MG, Coulthard P, Thomsen P, Worthington HV. A 5-year follow-up comparative analysis of the efficacy of various osseointegrated dental implant systems: a systematic review of randomized controlled clinical trials. Int J Oral Maxillofac Implants [Internet]. 2005;20(4):557–68. Available from: http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​16161740.
8.
go back to reference Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JYK. Clinical complications with implants and implant prostheses. J Prosthet Dent. 2003;90(2):121–32.CrossRefPubMed Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JYK. Clinical complications with implants and implant prostheses. J Prosthet Dent. 2003;90(2):121–32.CrossRefPubMed
9.
go back to reference Klinge B, Hultin M, Berglundh T. Peri-implantitis. Dent Clin North Am. 2005;49(3 SPEC. ISS):661–76.CrossRefPubMed Klinge B, Hultin M, Berglundh T. Peri-implantitis. Dent Clin North Am. 2005;49(3 SPEC. ISS):661–76.CrossRefPubMed
10.
go back to reference Jemt T, Pettersson P. A 3-year follow-up study on single implant treatment. J Dent. 1993;21(4):203–8.CrossRefPubMed Jemt T, Pettersson P. A 3-year follow-up study on single implant treatment. J Dent. 1993;21(4):203–8.CrossRefPubMed
14.
go back to reference Adell R, Lekholm U, Rockler B, Brånemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg. 1981;10(6):387–416.CrossRefPubMed Adell R, Lekholm U, Rockler B, Brånemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg. 1981;10(6):387–416.CrossRefPubMed
17.
go back to reference Li CH, Chou CT. Bone sparing implant removal without trephine via internal separation of the titanium body with a carbide bur. Int J Oral Maxillofac Surg. 2014;43(2):248–50.CrossRefPubMed Li CH, Chou CT. Bone sparing implant removal without trephine via internal separation of the titanium body with a carbide bur. Int J Oral Maxillofac Surg. 2014;43(2):248–50.CrossRefPubMed
19.
22.
go back to reference Assenza B, Scarano A, Perrotti V, Vozza I, Quaranta A, Quaranta M, et al. Peri-implant bone reactions around immediately loaded conical implants with different prosthetic suprastructures: Histological and histomorphometrical study on minipigs. Clin Oral Investig. 2010;14(3):285–90.CrossRefPubMed Assenza B, Scarano A, Perrotti V, Vozza I, Quaranta A, Quaranta M, et al. Peri-implant bone reactions around immediately loaded conical implants with different prosthetic suprastructures: Histological and histomorphometrical study on minipigs. Clin Oral Investig. 2010;14(3):285–90.CrossRefPubMed
24.
go back to reference Christenson RH. Biochemical markers of bone metabolism: an overview. Clin Biochem. 1997;30(8):573–93.CrossRefPubMed Christenson RH. Biochemical markers of bone metabolism: an overview. Clin Biochem. 1997;30(8):573–93.CrossRefPubMed
27.
go back to reference Wennerberg A, Albrektsson T. Current challenges in successful rehabilitation with oral implants. J Oral Rehabil. 2011;38(1):286–94.CrossRefPubMed Wennerberg A, Albrektsson T. Current challenges in successful rehabilitation with oral implants. J Oral Rehabil. 2011;38(1):286–94.CrossRefPubMed
28.
go back to reference Ayub EA, Shiratori FK, Bonfante G, do Valle AL, Abrão AM. Nobel Direct - Um novo conceito de implantes para ativação imediata - Relato de caso clínico^ipt. ImplantNews. 2007;4(1):70–5. Ayub EA, Shiratori FK, Bonfante G, do Valle AL, Abrão AM. Nobel Direct - Um novo conceito de implantes para ativação imediata - Relato de caso clínico^ipt. ImplantNews. 2007;4(1):70–5.
30.
go back to reference Lekholm U, Gunne J, Henry P, Higuchi K, Lindén U, Bergström C, et al. Survival of the Brånemark implant in partially edentulous jaws: a 10-year prospective multicenter study. Int J Oral Maxillofac Implants. 1999;14:639–45.PubMed Lekholm U, Gunne J, Henry P, Higuchi K, Lindén U, Bergström C, et al. Survival of the Brånemark implant in partially edentulous jaws: a 10-year prospective multicenter study. Int J Oral Maxillofac Implants. 1999;14:639–45.PubMed
39.
go back to reference Piattelli A, Scarano A, Piattelli M. Histologie retrieved dental implants: 8 years’ experience ( 1989-1996 )*. J Periodontol. 1998;178–84. Piattelli A, Scarano A, Piattelli M. Histologie retrieved dental implants: 8 years’ experience ( 1989-1996 )*. J Periodontol. 1998;178–84.
42.
go back to reference Aloufi F, Bissada N, Ficara A, Faddoul F, Al-Zahrani MS. Clinical assessment of peri-implant tissues in patients with varying severity of chronic periodontitis. Clin Implant Dent Relat Res. 2009;11(1):37–40.CrossRefPubMed Aloufi F, Bissada N, Ficara A, Faddoul F, Al-Zahrani MS. Clinical assessment of peri-implant tissues in patients with varying severity of chronic periodontitis. Clin Implant Dent Relat Res. 2009;11(1):37–40.CrossRefPubMed
44.
go back to reference Mariano M. Minisuíno (minipig) na pesquisa biomédica experimental. O Minipig br1. Acta Cirúrgica Bras. 2003;18(5):387–91. Mariano M. Minisuíno (minipig) na pesquisa biomédica experimental. O Minipig br1. Acta Cirúrgica Bras. 2003;18(5):387–91.
45.
go back to reference Herring SW. How can animal models answer clinical questions? Futur Orthod. 1998;89–96. Herring SW. How can animal models answer clinical questions? Futur Orthod. 1998;89–96.
46.
go back to reference Swindle MM, Smith AC, Laber-laird K, Dungan L. Farm Animals in Biomedical Research — Part One Swine in Biomedical Research: Management and Models. 1994;36(1):1–5. Swindle MM, Smith AC, Laber-laird K, Dungan L. Farm Animals in Biomedical Research — Part One Swine in Biomedical Research: Management and Models. 1994;36(1):1–5.
48.
go back to reference McKinney Jr RV, Steflick DE, Koth DLSB. The scientific basis for dental implant therapy. J Dent Educ. 1988;52(12):696–705.PubMed McKinney Jr RV, Steflick DE, Koth DLSB. The scientific basis for dental implant therapy. J Dent Educ. 1988;52(12):696–705.PubMed
49.
go back to reference McKinney Jr RV, Koth D. The single-crystal sapphire endosteal dental implant: material characteristics and 18-month experimental animal trials. J Prosthet Dent. 1982;47(1):69–84.CrossRefPubMed McKinney Jr RV, Koth D. The single-crystal sapphire endosteal dental implant: material characteristics and 18-month experimental animal trials. J Prosthet Dent. 1982;47(1):69–84.CrossRefPubMed
50.
go back to reference McKinney RV Jr, Steflik DE, Kolt D. Histological results from a comparative endosteal dental implant study. J Dent Res. 1987;66(186):34–41. McKinney RV Jr, Steflik DE, Kolt D. Histological results from a comparative endosteal dental implant study. J Dent Res. 1987;66(186):34–41.
52.
go back to reference Cremers S GP and SM. Biochemical markers of bone metabolism. Princ Bone Biol 3rd ed. 2008;Press:1857–81. Cremers S GP and SM. Biochemical markers of bone metabolism. Princ Bone Biol 3rd ed. 2008;Press:1857–81.
54.
go back to reference Verbicaro T, Giovanini AF, Zielak JC, Baratto Filho F, de Araujo MR, Deliberador TM. Osteocalcin immunohistochemical expression during repair of critical-sized bone defects treated with subcutaneous adipose tissue in rat and rabbit animal model. Braz Dent J [Internet]. 2013;24(6):559–64. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24474349.CrossRef Verbicaro T, Giovanini AF, Zielak JC, Baratto Filho F, de Araujo MR, Deliberador TM. Osteocalcin immunohistochemical expression during repair of critical-sized bone defects treated with subcutaneous adipose tissue in rat and rabbit animal model. Braz Dent J [Internet]. 2013;24(6):559–64. Available from: http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​24474349.CrossRef
Metadata
Title
Twist removal of healed vs. nonhealed implants—a mechanical and histological study in mini pigs
Authors
Ricardo de Oliveira Silva
Fabrício Passador
Paulo Henrique Ferreira Caria
Publication date
01-12-2016
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Implant Dentistry / Issue 1/2016
Electronic ISSN: 2198-4034
DOI
https://doi.org/10.1186/s40729-016-0059-x

Other articles of this Issue 1/2016

International Journal of Implant Dentistry 1/2016 Go to the issue