임플랜트 표면 처리 방법에 따른 골조직 반응에 대한 연구
ON THE BONE TISSUE REACTION TO IMPLANTS WITH DIFFERENT SURFACE TREATMENT METHODS
김용재, 조인호,
소속 상세정보
김용재 ( Kim Yong-Jai ) - 단국대학교 치과대학 보철학교실
조인호 ( Cho In-Ho ) - 단국대학교 치과대학 치과보철학교실
KMID : 0362420070450010071
Abstract
Statement of problem: Implant surface characteristics plays an important role in clinical success and many studies have been made for improvement of success by changing surface roughness.
Purpose: Appropriate increase of surface roughness increases the activity of osteoblast and enhance contact and retention between bone and implant.
Material and method: Machined, SLA and RBM surface implants, which are the most commonly used implants were implanted into the tibia of rabbits and after 1 week, 4 weeks, 8 weeks and 12 weeks there were histologic and histomorphometric analysis and study for bone gradient and change of Ca/P ratio using EDS(Energy Dispersive X-ray Spectroscope).
Results: Comparison of bone-implant contact showed no significant difference among each implant. In comparison of bone area rates, SLA showed higher value with significant difference at 1 week and 4 weeks, and SLA and RBM at 8 weeks than Machined implant (p<0.05). In analysis of bone constituents with EDS, titanium was specifically detected in new bones and the rates were constant by surface treatment method or period. In case of Ca/P ratio, according to surface treatment method, each group showed significant difference. Lots of old bone fragments produced during implantation remained on the rough surface of RBM implant surface and each group showed histological finding with active synthesis of collagen fibers until 12 weeks. In transmission electronic microscopic examination of sample slice after elapse of twelve weeks, tens nm of borderline (lamina limitans like dense line)was seen to contact the bone, on the interface between bone and implant.
Conclusion: SLA and RBM implant with rough surface shows better histomorphometrical result and the trend of prolonged bone formation and maturation in comparison with Machined implant. In addition, implant with rough surface seems to be helpful in early stage bone formation due to remaining of old bone fragments produced in implantation. From the results above, it is considered to be better to use implant with rough surface in implantation.
키워드
Surface roughness;Energy dispersive X-ray spectroscope;Transmission electronic microscope
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