An evaluation of superhydrophilic surfaces of dental implants - a systematic review and meta-analysis

Makowiecki, Arkadiusz; Hadzik, Jakub; Błaszczyszyn, Artur; Gedrange, Tomasz; Dominiak, Marzena

doi:10.1186/s12903-019-0767-8

Cited by 21 publications

(14 citation statements)

References 41 publications

(57 reference statements)

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“…Nanostructured implant surfaces, which have an extensive surface area, high surface free energy, and wettability, seem capable of modifying the host tissue response [9]. SA implant surfaces have demonstrated predictable clinical results and are regarded as standard implant surface [10,[26][27][28][29]. The superhydrophilicity of SA + VUV + BS, which was previously found on the flat surface of disks [15], was confirmed in our test of static surface wettability.…”

Section: Discussionsupporting

confidence: 75%

Coating of a Sand-Blasted and Acid-Etched Implant Surface with a pH-Buffering Agent after Vacuum-UV Photofunctionalization

et al. 2020

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Ultraviolet (UV) photofunctionalization can reset the biological aging of titanium after the preparation and storage of dental implants by transforming hydrophobic titanium surfaces into superhydrophilic surfaces. Blood clot formation around the implant can initialize and promote the healing process at the bone–implant interface. The aim of this study is to evaluate and compare the capabilities of surface wettability and blood clotting of implants with a conventional sand-blasted and acid-etched surface (SA), a sand-blasted and acid-etched surface with vacuum-UV treatment (SA + VUV), and a sand-blasted and acid-etched surface coated with a pH-buffering agent after vacuum-UV treatment (SA + VUV + BS). Static and dynamic tests for surface wettability and blood clotting were performed in vitro for SA + VUV and SA + VUV + BS (n = 5), while hemostasis resulting from blood clotting was evaluated in vivo for SA, SA +VUV, and SA + VUV + BS (n = 4). A Kruskal–Wallis test showed statistically significant differences (p < 0.05) in all tests, with the exception of in vitro test of static blood clotting. VUV treatment is therefore effective at making an SA surface superhydrophilic as an alternative to routine UV-C radiation. The addition of a pH-buffering agent to SA + VUV also improved surface wettability and blood clotting, which are crucial for successful osseointegration.

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Section: Discussionsupporting

confidence: 75%

Coating of a Sand-Blasted and Acid-Etched Implant Surface with a pH-Buffering Agent after Vacuum-UV Photofunctionalization

et al. 2020

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“…The hydrophilic surface implants modified with hydroxyl ion have been assessed for primary and secondary stability only in two other studies to date. Primary stability in the mentioned studies' plants amounted to 57.3 (±7.4) ISQ and raised to 71.3 (±8.2) ISQ while loading [28]. The above-mentioned studies mostly focused on measuring the stability of conventionally loaded implants.…”

Section: Discussionmentioning

confidence: 99%

Early Loading of Titanium Dental Implants with Hydroxyl Ion Modified Surface: A 12-Month Prospective Clinical Trial

et al. 2021

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(1) Background: implant surface topology and active hydrophilic ions could have some benefit on implant osteointegration and stability; (2) methods: 40 adult patients, suffering from a single missing tooth in the aesthetic zone, were enrolled in the study. Each patient had a single titanium implant (Thommen SPI®lement) inserted. The implant surface was obtained through conditioning using the Apliquiq system. Patients were divided into two equal groups depending on the implant’s diameter (3.5 and 4.0 mm). Each implant was loaded within four weeks. Stability levels, using the Ostell device, were checked immediately after implant placement and in four weeks; additionally, marginal bone loss (MBL) was calculated based on 12 months; (3) results: all implants survived the study. The average primary stability achieved for both groups was initially 71.59 ISQ (±4.04) and declined to 69.94 ISQ (±3.29) in four weeks. The average MBL was 0.2 mm (±0.88). There were no statistically important differences between groups. There was a positive correlation between the patient’s age and implant stability quotient (ISQ) values; (4) conclusions: hydrophilic surface implants can be used in a protocol for early functional occlusal loading. Higher values of primary stability positively influence the values of secondary stability, and the age of the patient affects the values of implant stability.

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“…Finally, early loading of the implant allows for establishing a peri-implant junction sooner, contributing a biological seal and preventing peri-implant sulcus from bacterial ingrowth. This can provide a higher chance to maintain crestal bone level [ 21 , 22 , 23 ]. However, what is worth noticing is that the group of thick biotype was still characterized by statistically important lower MBL levels in comparison to thin biotype.…”

Section: Discussionmentioning

confidence: 99%

Aesthetic Outcomes of Early Occlusal Loaded SLA Dental Implants with Hydroxyl Ion Modified Surface—A 12 Months Prospective Study

et al. 2021

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Background: Many efforts have been made recently to arrange a newer, more hydrophilic and more osteoconductive implant surface. One of the possible options in this matter is modification with hydroxyl ion. Materials and Methods: Forty implants with the diameters 3.5 and 4.0 mm were inserted as a single missing tooth restoration protocol in the frontal aspect of the maxilla. All implants were loaded early in a 4 week period. Prior to and during the surgery, the following indices were considered: height of keratinized tissue, the thickness of soft tissue, and the initial level of bone tissue. After 12 months, the implant and the tissues in its direct vicinity were evaluated once more with the following indices: marginal bone loss (MBL), height of keratinized tissue (HKT), probing pocket depth (PPD), pink and white aesthetics scores (PES, WES), as well as pain sensations combined with the procedure (VAS). All results were related to the diameter of the implant and thickness of periodontal biotype. Results: High aesthetic outcomes were reported regardless of soft tissue thickness and implant diameter. The VAS score was higher for the 4.0 implant group, and the thickness of soft tissue had no influence on VAS. In case of implantation in thin or soft tissue, higher MBL levels were reported (0.26 mm), while in case of a thick phenotype, MBL was 0.06 mm. Conclusions: Hydrophilic surface implants can be used for a protocol of early functional occlusal loading. The initial thickness of soft tissue does not influence aesthetic outcomes and does not raise pain perception, although it may elevate crestal bone resorption.

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An evaluation of superhydrophilic surfaces of dental implants - a systematic review and meta-analysis

Cited by 21 publications

References 41 publications

Coating of a Sand-Blasted and Acid-Etched Implant Surface with a pH-Buffering Agent after Vacuum-UV Photofunctionalization

Coating of a Sand-Blasted and Acid-Etched Implant Surface with a pH-Buffering Agent after Vacuum-UV Photofunctionalization

Early Loading of Titanium Dental Implants with Hydroxyl Ion Modified Surface: A 12-Month Prospective Clinical Trial

Aesthetic Outcomes of Early Occlusal Loaded SLA Dental Implants with Hydroxyl Ion Modified Surface—A 12 Months Prospective Study

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