Journal of Oral Implantology October 2013 - (Page 533)
RESEARCH
Effect of Surface Roughness and Low-Level Laser Therapy
on Removal Torque of Implants Placed in Rat Femurs
Bruno Tochetto Primo, MsC1
Rovene Cordeiro da Silva, DDS1
Eduardo Grossmann, PhD2
Sergio Augusto Quevedo Miguens Jr, PhD1
Pedro Antonio Gonzalez Hernandez, PhD1
´
Aurelıcio Novaes Silva Jr, PhD1*
The present study measured removal torque and bone-implant interface resistance of machined implants, acidetched implants, or machined implants irradiated around the implant area with infrared low-level laser therapy
(LLLT; 830 nm) immediately after surgery. There were statistically significant differences between Groups A
(control) and B (rough surface) (P ¼ .03). Implants with a rough surface seem to add resistance to the boneimplant interface compared with smooth titanium implants or implants treated with LLLT.
Key Words: osseointegration, dental implants, laser
INTRODUCTION
T
he success of implants relies on the
degree of osseointegration, which is
defined as the direct structural and
functional connection between organized living bone and the surface of a
load-carrying implant.1 Several studies have focused
on changes in the characteristics of implant
surfaces, because they may have a significant effect
on bone-implant interface repair and may produce
a better bone anchorage for osseointegration.2–5
Implant surface roughness has been shown to
positively influence the extent of the bone-implant
interface.4–6
Implant surfaces can be roughened using acid
etching, laser therapy, sputtering with different
materials, or any combination of these methods.
Rough surfaces improve the osseointegration of
titanium implants, improve biological responses,
and shorten the time necessary for osseointegra1
School of Dentistry, Lutheran University of Brazil (ULBRA),
Canoas, Brazil.
2
Department of Morphological Sciences, Federal University of
Rio Grande do Sul, Porto Alegre, Brazil.
* Corresponding author, e-mail: aurelicio.junior@uol.com.br
DOI: 10.1563/AAID-JOI-D-10-00141
tion.3,7 Among the different treatments used to
produce chemical and topographic changes on
implant surfaces, acid etching has been shown by
some researchers to provide excellent characteristics for bone-implant integration.6,8,9
Previous studies using microscopic analyses and
torque removal tests revealed a superior performance of implants with an increased surface
roughness, which strongly supports the use of this
type of surface in clinical practice.9 Bone-implant
contact and resistance to removal tend to be greater
in implants in which surface roughness is enhanced.8
The use of low-level laser therapy (LLLT) in
dentistry has positive effects, such as pain relief,
management of premalignant lesions of the oral
cavity,10 reduction of postoperative trismus and
swelling, and faster wound healing and nerve
regeneration.11 In implantology, LLLT seems to be
a promising treatment to accelerate osseointegration, as demonstrated by its effects on bone
repair.12,13
Current studies in the field of dental implants
have been directly related to the development of
methods to accelerate tissue repair and increase the
amount of bone-implant contact.9,14 Because the
results of implant rehabilitation in patients with
Journal of Oral Implantology
533
Table of Contents for the Digital Edition of Journal of Oral Implantology October 2013
Food and Drug Administration: Reclassification of Blade Form Dental Implants
Optimizing Platelet-Rich Plasma Gel Formation by Varying Time and Gravitational Forces During Centrifugation
Effect of Surface Roughness and Low-Level Laser Therapy on Removal Torque of Implants Placed in Rat Femurs
Impression Techniques for Multiple Implants: A Photoelastic Analysis. Part I: Comparison of Three Direct Methods
Impression Techniques for Multiple Implants: A Photoelastic Analysis. Part II: Comparison of Four Acrylic Resins
A Pig Model for the Histomorphometric Evaluation of Hard Tissue Around Dental Implants
In Situ Tooth Replica Custom Implant: A 3-Dimensional Finite Element Stress and Strain Analysis
Influence of Different Soft Liners on Stress Distribution in Peri-Implant Bone Tissue During Healing Period. A 3D Finite Element Analysis
Influence of Surface Nano-Roughness on Osseointegration of Zirconia Implants in Rabbit Femur Heads Using Selective Infiltration Etching Technique
Modified Titanium Surfaces Alter Osteogenic Differentiation: A Comparative Microarray- Based Analysis of Human Mesenchymal Cell Response to Commercial Titanium Surfaces
Hemorrhage Secondary to Interforaminal Implant Surgery: Anatomical Considerations and Report of a Case
Rehabilitation of a Patient With Mandibular Resection Using Osteointegrated Implants: A Case Report
Two-Stage Bone Expansion Technique Using Spear-Shaped Implants Associated With Overlapped Flap: A Case Report
Implant Esthetic Restoration in Ridge Deficiencies in Cases of Trauma: A Case Report
Rehabilitation of the Atrophic Maxilla With Tilted Implants: Review of the Literature
Journal of Oral Implantology October 2013
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