Abstract
Introduction
Dental implants are a usual treatment for the loss of teeth. The success of this therapy is due to the predictability, safety and longevity of the bone–implant interface. Dental implant surface characteristics like roughness, chemical constitution, and mechanical factors can contribute to the early osseointegration. The aim of the present article is to perform a review of the literature on surface roughness of dental implant and osseointegration.
Methodology
This work is a narrative review of some aspects of surface roughness of dental implant and osseointegration.
Conclusion
Despite technological advancement in the biomaterials field, the ideal surface roughness for osseointegration still remains unclear. In this study about surface nanoroughness of dental implant and osseointegration, the clinical relevance is yet unknown. Innovative findings on nanoroughness are valuable in the fields of dental implantology, maxillofacial or orthopedic implant surfaces and also on cardiovascular implants in permanent contact with patient’s blood.
Similar content being viewed by others
References
Albrektsson T, Wennerberg A (2019) On osseointegration in relation to implant surfaces. Clin Implant Dent Relat Res. 21:4–7
American Academy of Implant Dentistry (1986) Glossary of implant terms. J Oral Implantol 12:284–294
Albrektsson T, Zarb GA (1993) Current interpretations of the osseointegrated response: clinical significance. Int J Prosthodont 6:95–105
Matos GRM, Godoy MF (2015) Factors associated with long-term stability of dental implants. Full Dent Sci 6:194–198
Chrcanovic BR, Albrektsson T, Wennerberg A (2014) Reasons for failures of oral implants. J Oral Rehabil 41:443–476
Smeets R, Henningsen A, Jung O, Heiland M, Hammächer C, Stein JM (2014) Definition, etiology, prevention and treatment of peri-implantitis: a review. Head Face Med 10:34
Gómez-de Diego R, Mang-de la Rosa R, Romero-Pérez M-J, Cutando-Soriano A, López-Valverde-Centeno A (2014) Indications and contraindications of dental implants in medically compromised patients: update. Med Oral Patol Oral Cir Bucal 19:483–489
Dohan EDM, Coelho PG, Kang BS, Sul YT, Albrektsson T (2010) Classification of osseointegrated implant surfaces: materials, chemistry and topography. Trends Biotechnol 28:198–206
Junker R, Dimakis A, Thoneick M, Jansen JA (2009) Effects of implant surface coatings and composition on bone integration: a systematic review. Clin Oral Implants Res 20:185–206
Bagno A, Di Bello C (2004) Surface treatments and roughness properties of Ti-based biomaterials. J Mater Sci Mater Med 15:935–949
Hotchkiss KM, Sowers KT, Olivares-Navarrete R (2019) Novel in vitro comparative model of osteogenic and inflammatory cell response to dental implants. Dent Mater 35:176–184
Wennerberg A, Albrektsson T (2009) Effects of titanium surface topography on bone integration: a systematic review. Clin Oral Implants Res. 20(Suppl. 4):172–184
Le Guéhennec L, Soueidan A, Layrolle P, Amouriq Y (2007) Surface treatments of titanium dental implants for rapid osseointegration. Dent Mater 23:844–854
Ma Q-L, Zhao L-Z, Liu R-R et al (2014) Improved implant osseointegration of a nanostructured titanium surface via mediation of macrophage polarization. Biomaterials 35:9853–9867
Zhao G, Schwartz Z, Wieland M et al (2005) High surface energy enhances cell response to titanium substrate microstructure. J Biomed Mater Res A. 74:49–58
Berglundh T, Abrahamsson I, Albouy J-P, Lindhe J (2007) Bone healing at implants with a fluoride-modified surface: an experimental study in dogs. Clin Oral Implants Res 18:147–152
Coelho PG, Jimbo R, Tovar N, Bonfante EA (2015) Osseointegration: hierarchical designing encompassing the macrometer, micrometer, and nanometer length scales. Dent Mater 31:37–52
Buser D, Janner SFM, Wittneben J-G, Brägger U, Ramseier CA, Salvi GE (2012) 10-Year survival and success rates of 511 titanium implants with a sandblasted and acid-etched surface: a retrospective study in 303 partially edentulous patients. Clin Implant Dent Relat Res. 14:839–851
Esposito M, Ardebili Y, Worthington HV (2014) Interventions for replacing missing teeth: different types of dental implants. Cochrane Database Syst Rev. 7:CD003815
Abraham CM (2014) A brief historical perspective on dental implants, their surface coatings and treatments. Open Dent J. 8(1):50–55
Rupp F, Scheideler L, Rehbein D, Axmann D, Geis-Gerstorfer J (2004) Roughness induced dynamic changes of wettability of acid etched titanium implant modifications. Biomaterials 25:1429–1438
Wennerberg A, Albrektsson T, Chrcanovic B (2018) Long-term clinical outcome of implants with different surface modifications. Eur J Oral Implantol. 11(suppl 1):S123–S136
Fischer K, Stenberg T (2012) Prospective 10-year cohort study based on a randomized controlled trial (RCT) on implant supported full-arch maxillary prostheses. Part 1: sandblasted and acid-etched implants and mucosal tissue. Clin Implant Dent Relat Res 14:808–815
Pachauri P, Bathala LR, Sangur R (2014) Techniques for dental implant nanosurface modifications. J Adv Prosthodont 6:498–504
Mendonça G, Mendonça DBS, Aragão FJL, Cooper LF (2008) Advancing dental implant surface technology: from micron- to nanotopography. Biomaterials 29:3822–3835
Wennerberg A, Galli S, Albrektsson T (2011) Current knowledge about the hydrophilic and nanostructured SLActive surface. Clin Cosmet Investig Dent 3:59–67
Dohan Ehrenfest DM, Vazquez L, Park Y-J, Sammartino G, Bernard J-P (2011) Identification card and codification of the chemical and morphological characteristics of 14 dental implant surfaces. J Oral Implantol 37:525–542
Webster TJ, Ejiofor JU (2004) Increased osteoblast adhesion on nanophase metals: Ti, Ti6Al4V, and CoCrMo. Biomaterials 25:4731–4739
Alghamdi HS (2018) Methods to improve osseointegration of dental implants in low quality (type-IV) bone: an overview. J Funct Biomater. 9:pii:E7
Jemat A, Ghazali MJ, Razali M, Otsuka Y (2015) Surface modifications and their effects on titanium dental implants. Biomed Res Int 2015:791725
Elias CN, Meirelles LA (2010) Improving osseointegration of dental implants. Expert Rev Med Devices 7:241–256
Wennerberg A, Albrektsson T, Lindhe J (2003) Surface topography of titanium implants. Clin Periodontol Implant Dent 4:821–825
Elias CN, Rocha FA, Nascimento AL, Coelho PG (2012) Influence of implant shape, surface morphology, surgical technique and bone quality on the primary stability of dental implants. J Mech Behav Biomed Mater 16:169–180
Andrukhov O, Huber R, Shi B et al (2016) Proliferation, behavior, and differentiation of osteoblasts on surfaces of different microroughness. Dent Mater 32:1374–1384
Chrcanovic BR, Albrektsson T, Wennerberg A (2016) Turned versus anodised dental implants: a meta-analysis. J Oral Maxillofac Surg 74:1949–1964
Siegel RW, Fougere GE (1995) Mechanical properties of nanophase metals. Nanostruct Mater 6:205–216
Song Y, Ju Y, Morita Y, Song G (2013) Effect of the nanostructure of porous alumina on growth behavior of MG63 osteoblast-like cells. J Biosci Bioeng 116:509–515
Li X, Wang L, Fan Y, Feng Q, Cui FZ, Watari F (2013) Nanostructured scaffolds for bone tissue engineering. J Biomed Mater Res A. 101:2424–2435
Wennerberg A, Svanborg Melin L, Berner S, Andersson M (2013) Spontaneously formed nanostructures on titanium surfaces. Clin Oral Implants Res. 24:203–209
Jindal S, Bansal R, Singh BP et al (2014) Enhanced osteoblast proliferation and corrosion resistance of commercially pure titanium through surface nanostructuring by ultrasonic shot peening and stress relieving. J Oral Implantol. 40 Spec No:347–355
Wennerberg A, Jimbo R, Stübinger S, Obrecht M, Dard M, Berner S (2014) Nanostructures and hydrophilicity influence osseointegration: a biomechanical study in the rabbit tibia. Clin Oral Impl Res 25:1041–1050
Traini T, Murmura G, Sinjari B et al (2018) The surface anodization of titanium dental implants improves blood clot formation followed by osseointegration. Coatings 8:252
Subramani K, Lavenus S, Rozé J, Louarn G, Layrolle P (2018) Impact of nanotechnology on dental implants. In: Subramani K, Ahmed W (eds) Emerging nanotechnologies in dentistry, 2nd edn. Elsevier, New York, pp 71–83
Yazdani J, Ahmadian E, Sharifi S, Shahi S, Maleki Dizaj S (2018) A short view on nanohydroxyapatite as coating of dental implants. Biomed Pharmacother 105:553–557
Rupp F, Liang L, Geis-Gerstorfer J, Scheideler L, Hüttig F (2018) Surface characteristics of dental implants: a review. Dent Mater 34:40–57
Acknowledgements
The author is grateful to Dr. Ann Wennerberg at the Department of Prosthodontics, University of Gothenburg, Sweden, for their priceless attention, criticism and valuable suggestions.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
Dr. Geraldo Roberto Martins Matos declare that he has no conflict of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Matos, G.R.M. Surface Roughness of Dental Implant and Osseointegration. J. Maxillofac. Oral Surg. 20, 1–4 (2021). https://doi.org/10.1007/s12663-020-01437-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12663-020-01437-5