Results of thermal osteonecrosis for implant removal on electron microscopy, implant stability, and radiographic parameters - a rat study.


Journal

Head & face medicine
ISSN: 1746-160X
Titre abrégé: Head Face Med
Pays: England
ID NLM: 101245792

Informations de publication

Date de publication:
07 Mar 2023
Historique:
received: 16 09 2022
accepted: 25 01 2023
entrez: 7 3 2023
pubmed: 8 3 2023
medline: 10 3 2023
Statut: epublish

Résumé

This rat study aimed to evaluate the feasibility of temperature thresholds that affect peri-implant bone cells and morphology and the potential usefulness of thermal necrosis for inducing implant removal for a subsequent in vivo pig study. On one side, rat tibiae were thermally treated before implant insertion. The contralateral side was used as the control group without tempering. Temperatures of 4 °C, 3 °C, 2 °C, 48 °C, 49 °C, and 50 °C were evaluated with a tempering time of 1 min. Energy-dispersive X-ray spectroscopy (EDX) and transmission electron microscopy (TEM) analyses were performed. The EDX analysis revealed significant increases in element weights at 50 °C (e.g., calcium, phosphate, sodium, and sulfur; p < 0.01). The results of the TEM analysis showed that at all the applied cold and warm temperatures, signs of cell damage were observed, including vacuolization, shrinkage, and detachment from the surrounding bone matrix. Some cells became necrotic, leaving the lacunae empty. Temperature of 50 °C led to irreversible cell death. The degree of damage was more significant at 50 °C and 2 °C than at 48 °C and 5 °C. Although this was a preliminary study, from the results, we identified that a temperature of 50 °C at a time interval of 60 min can lower the number of samples in a further study of thermo-explantation. Thus, the subsequent planned in vivo study in pigs, which will consider osseointegrated implants, is feasible.

Sections du résumé

BACKGROUND BACKGROUND
This rat study aimed to evaluate the feasibility of temperature thresholds that affect peri-implant bone cells and morphology and the potential usefulness of thermal necrosis for inducing implant removal for a subsequent in vivo pig study.
METHODS METHODS
On one side, rat tibiae were thermally treated before implant insertion. The contralateral side was used as the control group without tempering. Temperatures of 4 °C, 3 °C, 2 °C, 48 °C, 49 °C, and 50 °C were evaluated with a tempering time of 1 min. Energy-dispersive X-ray spectroscopy (EDX) and transmission electron microscopy (TEM) analyses were performed.
RESULTS RESULTS
The EDX analysis revealed significant increases in element weights at 50 °C (e.g., calcium, phosphate, sodium, and sulfur; p < 0.01). The results of the TEM analysis showed that at all the applied cold and warm temperatures, signs of cell damage were observed, including vacuolization, shrinkage, and detachment from the surrounding bone matrix. Some cells became necrotic, leaving the lacunae empty.
CONCLUSIONS CONCLUSIONS
Temperature of 50 °C led to irreversible cell death. The degree of damage was more significant at 50 °C and 2 °C than at 48 °C and 5 °C. Although this was a preliminary study, from the results, we identified that a temperature of 50 °C at a time interval of 60 min can lower the number of samples in a further study of thermo-explantation. Thus, the subsequent planned in vivo study in pigs, which will consider osseointegrated implants, is feasible.

Identifiants

pubmed: 36882765
doi: 10.1186/s13005-023-00349-2
pii: 10.1186/s13005-023-00349-2
pmc: PMC9990269
doi:

Substances chimiques

Dental Implants 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

4

Subventions

Organisme : AiF Projekt
ID : research project 20302N
Organisme : AiF Projekt
ID : research project 20302N
Organisme : AiF Projekt
ID : research project 20302N
Organisme : AiF Projekt
ID : research project 20302N

Informations de copyright

© 2023. The Author(s).

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Auteurs

Kristian Kniha (K)

Department of Oral and Cranio-Maxillofacial Surgery, University Hospital RWTH, Pauwelstraße 30, Aachen, Germany. kkniha@ukaachen.de.
Private Clinic for Oral Surgery Dres. Kniha, Rosental 6, 80331, Munich, Germany. kkniha@ukaachen.de.

Eva Miriam Buhl (EM)

Institute for Pathology, Electron Microscopy Facility, University Hospital RWTH, Pauwelstraße 30, 52074, Aachen, Germany.

Faruk Al-Sibai (F)

Institute of Heat and Mass Transfer, University Hospital RWTH, Augustinerbach 6, Aachen, Germany.

Stephan Christian Möhlhenrich (SC)

Department of Orthodontics, University of Witten/Herdecke, Alfred-Herrhausen Str. 45, 58455, Witten, Germany.

Anna Bock (A)

Department of Oral and Cranio-Maxillofacial Surgery, University Hospital RWTH, Pauwelstraße 30, Aachen, Germany.

Marius Heitzer (M)

Department of Oral and Cranio-Maxillofacial Surgery, University Hospital RWTH, Pauwelstraße 30, Aachen, Germany.

Frank Hölzle (F)

Department of Oral and Cranio-Maxillofacial Surgery, University Hospital RWTH, Pauwelstraße 30, Aachen, Germany.

Ali Modabber (A)

Department of Oral and Cranio-Maxillofacial Surgery, University Hospital RWTH, Pauwelstraße 30, Aachen, Germany.

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Classifications MeSH