The effect of dental implant spacing on peri‐implant bone using the rabbit (oryctolagus cuniculus) tibia model
Identifieur interne : 004471 ( Istex/Corpus ); précédent : 004470; suivant : 004472The effect of dental implant spacing on peri‐implant bone using the rabbit (oryctolagus cuniculus) tibia model
Auteurs : C. Lee Hatley ; Stephen M. Cameron ; Michael F. Cuenin ; M. Harry Parker ; Stevan H. Thompson ; Stephen B. HarveySource :
- Journal of Prosthodontics [ 1059-941X ] ; 2001-09.
English descriptors
- KwdEn :
- Bone density, Bone density changes, Bone growth, Bone height, Computer image analysis program, Computer statistics program, Dental implant spacing, Dental implants, Digital radiographs, Digital radiography, Eisenhower army, Endosseous implants, Fort gordon, Fracture, Fracture strength, Government work, Guide holes, Histologic, Histologic analysis, Implant, Implant center, Implant failure, Implant fracture, Implant innovations, Implant pair distances, Implant pairs, Implant placement, Implant proximity, Implant sites, Maxillofacial oncology, Measures analysis, Measures anova, Medial aspect, Oryctolagus cuniculus, Osseointegration, Palm beach gardens, Pilot study, Prosthodontic residency program, Radiograph, Radiographic, Radiographic evaluation, Retrospective study, Risk factors, Separation site, Surgical, Tibia, Tibia model, Tibial crest, Trichrome stain, Twist drills, Vertical bone growth, Vertical bone height, Vertical bone height changes.
- Teeft :
- Bone density, Bone density changes, Bone growth, Bone height, Computer image analysis program, Computer statistics program, Dental implant spacing, Dental implants, Digital radiographs, Digital radiography, Eisenhower army, Endosseous implants, Fort gordon, Fracture, Fracture strength, Government work, Guide holes, Histologic, Histologic analysis, Implant, Implant center, Implant failure, Implant fracture, Implant innovations, Implant pair distances, Implant pairs, Implant placement, Implant proximity, Implant sites, Maxillofacial oncology, Measures analysis, Measures anova, Medial aspect, Oryctolagus cuniculus, Osseointegration, Palm beach gardens, Pilot study, Prosthodontic residency program, Radiograph, Radiographic, Radiographic evaluation, Retrospective study, Risk factors, Separation site, Surgical, Tibia, Tibia model, Tibial crest, Trichrome stain, Twist drills, Vertical bone growth, Vertical bone height, Vertical bone height changes.
Abstract
Purpose This study investigated the effects of implant proximity on inter‐implant bone height, density, and osseointegration using digital radiography and histology.
Url:
DOI: 10.1111/j.1532-849X.2001.00154.x
Links to Exploration step
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<front><div type="abstract">Purpose This study investigated the effects of implant proximity on inter‐implant bone height, density, and osseointegration using digital radiography and histology.</div>
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<surname>Thompson</surname>
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<affiliation>Chief, Oral Pathology, Eisenhower Army Medical Center and U.S. Army Dental Activity, Fort Gordon, GA.</affiliation>
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<author xml:id="author-0005"><persName><forename type="first">Stephen B.</forename>
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<profileDesc><abstract xml:lang="en" style="main"><p><hi rend="bold"><emph><span>Purpose</span>
</emph>
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This study investigated the effects of implant proximity on inter‐implant bone height, density, and osseointegration using digital radiography and histology.</p>
<p><hi rend="bold"><emph><span>Materials and Methods</span>
</emph>
</hi>
After a feasibility study, a total of 80 endosteal implants were placed in 20 New Zealand White Rabbit tibias. With the aid of a surgical jig, four 8.5‐mm implants were placed in the medial aspect of the tibial crest at inter‐implant distances of approximately 1, 1.5, and 3 mm. Standardized digital radiographs using a paralleling device were made immediately after placement of implants. Implants were allowed to osseointegrate for 90 days. After this healing period, the animals were sacrificed, and the standardized radiographs were repeated. The tibias were harvested, processed, and invested in epoxy. Sagittal sections were made from each specimen for histologic evaluation. The initial and postmortem digital radiographs were evaluated for inter‐implant distances, vertical bone height changes over time and between implant pairs, and bone density changes over time and between implant pairs using a computer image analysis program and computer statistics program.</p>
<p><hi rend="bold"><emph><span>Results</span>
</emph>
</hi>
The actual inter‐implant distances were consistent in a range of 0.2 mm. Bone height increased significantly from presurgical levels at all 3 locations (<emph><span><hi rend="italic">p</hi>
< .0005</span>
</emph>
). Repeated measures analysis of variance comparing change in bone height at the 3 implant pair distances showed significant differences among the 3 (<emph><span><hi rend="italic">p</hi>
= .002</span>
</emph>
). Paired <hi rend="italic">t</hi>
tests showed that the amount of bone growth at the 1‐mm separation site was significantly greater than the 1.5‐mm site (<emph><span><hi rend="italic">p</hi>
= .026</span>
</emph>
) and the 3‐mm site (<emph><span><hi rend="italic">p</hi>
= .001</span>
</emph>
), whereas bone growth at the 1.5‐ and 3‐mm sites did not show significant differences (<emph><span><hi rend="italic">p</hi>
= .162</span>
</emph>
). A repeated measures analysis of variance comparing change in bone density showed no significant differences (<emph><span><hi rend="italic">p</hi>
> .05</span>
</emph>
) among the 3 inter‐implant distances for either the 8‐mm position (approximately crestal bone height) or the 6‐mm position (approximately 2 mm subcrestal).</p>
<p><hi rend="bold"><emph><span>Conclusions</span>
</emph>
</hi>
Within the limits of this study, it seems placing implants closely together does not adversely affect bone height or density. Conversely, it seems that placing implants closer together may increase bone growth.</p>
</abstract>
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<correspondenceTo> Stephen M. Cameron, DDS, Director, Prosthodontic Residency Program and Chief, Maxillofacial Prosthetics/Dental Oncology, Eisenhower Army Medical Center and U.S. Army Dental Activity, Fort Gordon, GA 30905–6500. E‐mail: <email>stephen.cameron@se.amedd.army.mil</email>
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<titleGroup><title type="main">The effect of dental implant spacing on peri‐implant bone using the rabbit (<i>oryctolagus cuniculus</i>
) tibia model</title>
</titleGroup>
<creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>C. Lee</givenNames>
<familyName>Hatley</familyName>
<degrees>DMD</degrees>
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<creator creatorRole="author" xml:id="cr3" affiliationRef="#a3"><personName><givenNames>Michael F.</givenNames>
<familyName>Cuenin</familyName>
<degrees>DMD</degrees>
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<creator creatorRole="author" xml:id="cr4" affiliationRef="#a4"><personName><givenNames>M. Harry</givenNames>
<familyName>Parker</familyName>
<degrees>DDS, MS</degrees>
</personName>
</creator>
<creator creatorRole="author" xml:id="cr5" affiliationRef="#a5"><personName><givenNames>Stevan H.</givenNames>
<familyName>Thompson</familyName>
<degrees>DDS</degrees>
</personName>
</creator>
<creator creatorRole="author" xml:id="cr6" affiliationRef="#a6"><personName><givenNames>Stephen B.</givenNames>
<familyName>Harvey</familyName>
<degrees>DVM, MS</degrees>
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<affiliationGroup><affiliation xml:id="a1"><unparsedAffiliation>Staff Prosthodontist, U.S. Army Dental Activity, Fort Stewart, GA.</unparsedAffiliation>
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<keywordGroup xml:lang="en"><keyword xml:id="k1">bone histology</keyword>
<keyword xml:id="k2">digital radiography</keyword>
<keyword xml:id="k3">digital radiodensitometry</keyword>
<keyword xml:id="k4">implants</keyword>
<keyword xml:id="k5">implant spacing</keyword>
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<abstractGroup><abstract type="main" xml:lang="en"><p><b><span cssStyle="text-decoration:underline">Purpose</span>
</b>
This study investigated the effects of implant proximity on inter‐implant bone height, density, and osseointegration using digital radiography and histology.</p>
<p><b><span cssStyle="text-decoration:underline">Materials and Methods</span>
</b>
After a feasibility study, a total of 80 endosteal implants were placed in 20 New Zealand White Rabbit tibias. With the aid of a surgical jig, four 8.5‐mm implants were placed in the medial aspect of the tibial crest at inter‐implant distances of approximately 1, 1.5, and 3 mm. Standardized digital radiographs using a paralleling device were made immediately after placement of implants. Implants were allowed to osseointegrate for 90 days. After this healing period, the animals were sacrificed, and the standardized radiographs were repeated. The tibias were harvested, processed, and invested in epoxy. Sagittal sections were made from each specimen for histologic evaluation. The initial and postmortem digital radiographs were evaluated for inter‐implant distances, vertical bone height changes over time and between implant pairs, and bone density changes over time and between implant pairs using a computer image analysis program and computer statistics program.</p>
<p><b><span cssStyle="text-decoration:underline">Results</span>
</b>
The actual inter‐implant distances were consistent in a range of 0.2 mm. Bone height increased significantly from presurgical levels at all 3 locations (<span type="mathematics"><i>p</i>
< .0005</span>
). Repeated measures analysis of variance comparing change in bone height at the 3 implant pair distances showed significant differences among the 3 (<span type="mathematics"><i>p</i>
= .002</span>
). Paired <i>t</i>
tests showed that the amount of bone growth at the 1‐mm separation site was significantly greater than the 1.5‐mm site (<span type="mathematics"><i>p</i>
= .026</span>
) and the 3‐mm site (<span type="mathematics"><i>p</i>
= .001</span>
), whereas bone growth at the 1.5‐ and 3‐mm sites did not show significant differences (<span type="mathematics"><i>p</i>
= .162</span>
). A repeated measures analysis of variance comparing change in bone density showed no significant differences (<span type="mathematics"><i>p</i>
> .05</span>
) among the 3 inter‐implant distances for either the 8‐mm position (approximately crestal bone height) or the 6‐mm position (approximately 2 mm subcrestal).</p>
<p><b><span cssStyle="text-decoration:underline">Conclusions</span>
</b>
Within the limits of this study, it seems placing implants closely together does not adversely affect bone height or density. Conversely, it seems that placing implants closer together may increase bone growth.</p>
<!--
J Prosthodont 2001;10:154–159. This is a US government work. There are no restrictions on its use.
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<noteGroup><note xml:id="n-fnt-1" numbered="no"><p>This research was funded in part through a Cooperative Research and Development Agreement with Implant Innovations, Inc, Palm Beach Gardens, FL.</p>
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<note xml:id="n-fnt-2" numbered="no"><p>This article was a finalist for the John J. Sharry Research Competition and was presented at the 1999 Annual Session of the American College of Prosthodontists in New York City.</p>
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<abstract>Purpose This study investigated the effects of implant proximity on inter‐implant bone height, density, and osseointegration using digital radiography and histology.</abstract>
<abstract>Materials and Methods After a feasibility study, a total of 80 endosteal implants were placed in 20 New Zealand White Rabbit tibias. With the aid of a surgical jig, four 8.5‐mm implants were placed in the medial aspect of the tibial crest at inter‐implant distances of approximately 1, 1.5, and 3 mm. Standardized digital radiographs using a paralleling device were made immediately after placement of implants. Implants were allowed to osseointegrate for 90 days. After this healing period, the animals were sacrificed, and the standardized radiographs were repeated. The tibias were harvested, processed, and invested in epoxy. Sagittal sections were made from each specimen for histologic evaluation. The initial and postmortem digital radiographs were evaluated for inter‐implant distances, vertical bone height changes over time and between implant pairs, and bone density changes over time and between implant pairs using a computer image analysis program and computer statistics program.</abstract>
<abstract>Results The actual inter‐implant distances were consistent in a range of 0.2 mm. Bone height increased significantly from presurgical levels at all 3 locations (p < .0005). Repeated measures analysis of variance comparing change in bone height at the 3 implant pair distances showed significant differences among the 3 (p= .002). Paired t tests showed that the amount of bone growth at the 1‐mm separation site was significantly greater than the 1.5‐mm site (p= .026) and the 3‐mm site (p= .001), whereas bone growth at the 1.5‐ and 3‐mm sites did not show significant differences (p= .162). A repeated measures analysis of variance comparing change in bone density showed no significant differences (p > .05) among the 3 inter‐implant distances for either the 8‐mm position (approximately crestal bone height) or the 6‐mm position (approximately 2 mm subcrestal).</abstract>
<abstract>Conclusions Within the limits of this study, it seems placing implants closely together does not adversely affect bone height or density. Conversely, it seems that placing implants closer together may increase bone growth.</abstract>
<subject lang="en"><genre>keywords</genre>
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<topic>digital radiography</topic>
<topic>digital radiodensitometry</topic>
<topic>implants</topic>
<topic>implant spacing</topic>
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