Surface analysis of failed oral titanium implants
Identifieur interne : 009340 ( Main/Exploration ); précédent : 009339; suivant : 009341Surface analysis of failed oral titanium implants
Auteurs : Marco Esposito [Suède] ; Jukka Lausmaa [Suède] ; Jan Hirsch [Suède] ; Peter Thomsen [Suède]Source :
- Journal of Biomedical Materials Research [ 0021-9304 ] ; 1999.
Descripteurs français
English descriptors
- KwdEn :
- Abundant plaque accumulation, Abutment connection, Additional elements, Albrektsson, Asymptomatic infection, Auger electron spectroscopy, Basal bone, Biological factors, Biomed mater, Bone loss, Bone marrow, Cell biology, Chemical analysis, Clin, Contamination, Contradictory results, Control implants, Control samples, Cortical bone, Cylinder analysis, Dense trabecular bone, Different levels, Early losses, Edentulous patients, Electron beam, Electron spectroscopy, Esposito, Experimental study, Failure etiology, Glass vials, Goteborg, Goteborg university, Graft, Healing pain, High blood pressure, Hydrogen peroxide, Implant, Implant materials, Implant site, Implant surface, Implant surfaces, Implantation, John wiley sons, Kasemo, Late failures, Lausmaa, Lekholm, Macroscopic, Macroscopic contamination, Main difference, Maxilla, Maxillofac, Maxillofacial surgery, Months bone graft, Months bone graft sinus, Months overdenture overload pain, Monthsf, Monthsf bone graft, Oral implants, Oral maxillofac implants, Oral titanium impalnts, Oral titanium impalnts table, Organic overlayer, Organic overlayers, Organic residues, Osseointegrated implants, Osseointegration, Other hand, Other notes, Other studies, Overlayer, Overlayer thicknesses, Oxide, Oxide growth, Oxide layer, Oxide surface, Oxide thickness, Oxide thicknesses, Oxygen signal, Patchy surface, Percussion, Plastic vials, Possible role, Possible source, Present investigation, Present study, Prospective multicenter study, Radiolucent line, Resorbed maxillas, Rigorous protocols, Same material, Sample geometry, Scanning electron microscopy, Soft tissue contamination, Sputtering, Sputtering rate, Successful implants, Surface analysis, Surface characterization, Surface composition, Surface contaminants, Surface contamination, Surface oxide, Surface properties, Surface spectroscopic characterization, Surface topography, Surgical gloves, Surgical sheet, Survey spectra, Thin layer, Titanium, Titanium implant materials, Titanium implants, Trace amounts, Uorine contamination, Uppsala university hospital, Vial.
- Teeft :
- Abundant plaque accumulation, Abutment connection, Additional elements, Albrektsson, Asymptomatic infection, Auger electron spectroscopy, Basal bone, Biological factors, Biomed mater, Bone loss, Bone marrow, Cell biology, Chemical analysis, Clin, Contamination, Contradictory results, Control implants, Control samples, Cortical bone, Cylinder analysis, Dense trabecular bone, Different levels, Early losses, Edentulous patients, Electron beam, Electron spectroscopy, Esposito, Experimental study, Failure etiology, Glass vials, Goteborg, Goteborg university, Graft, Healing pain, High blood pressure, Hydrogen peroxide, Implant, Implant materials, Implant site, Implant surface, Implant surfaces, Implantation, John wiley sons, Kasemo, Late failures, Lausmaa, Lekholm, Macroscopic, Macroscopic contamination, Main difference, Maxilla, Maxillofac, Maxillofacial surgery, Months bone graft, Months bone graft sinus, Months overdenture overload pain, Monthsf, Monthsf bone graft, Oral implants, Oral maxillofac implants, Oral titanium impalnts, Oral titanium impalnts table, Organic overlayer, Organic overlayers, Organic residues, Osseointegrated implants, Osseointegration, Other hand, Other notes, Other studies, Overlayer, Overlayer thicknesses, Oxide, Oxide growth, Oxide layer, Oxide surface, Oxide thickness, Oxide thicknesses, Oxygen signal, Patchy surface, Percussion, Plastic vials, Possible role, Possible source, Present investigation, Present study, Prospective multicenter study, Radiolucent line, Resorbed maxillas, Rigorous protocols, Same material, Sample geometry, Scanning electron microscopy, Soft tissue contamination, Sputtering, Sputtering rate, Successful implants, Surface analysis, Surface characterization, Surface composition, Surface contaminants, Surface contamination, Surface oxide, Surface properties, Surface spectroscopic characterization, Surface topography, Surgical gloves, Surgical sheet, Survey spectra, Thin layer, Titanium, Titanium implant materials, Titanium implants, Trace amounts, Uorine contamination, Uppsala university hospital, Vial.
Abstract
The aim of the present study was to investigate the surface topography, composition, and oxide thickness of consecutively failed, oral Brånemark implants in order to determine possible causes for failure. The failure criterion was lack of osseointegration manifested as implant mobility. Ten implants were retrieved before loading (early failures) and 12 during a period of function up to 8 years (late failures). At retrieval, early losses did not display any clinical sign of infection. All late failures were radiographically characterized by peri‐implant radiolucency and did not show infectious signs with one exception. No implant seemed to be lost due to peri‐implantitis (plaque‐induced progressive marginal bone loss). Twelve implants were analyzed by scanning electron microscopy (SEM), Auger electron spectroscopy (AES), and depth profiling using a blind protocol. Two pristine fixtures, which underwent the same preparation as the failed implants, were used as controls. In the SEM, control samples were essentially free from macroscopic contamination, whereas failed implants contained varying amounts of tissue residues. AES showed that all surfaces consisted of Ti oxide and varying amounts of additional elements, with C dominating in most cases. Nitrogen and sometimes Na, Ca, P, Cl, S, and Si were detected. The Si contamination was most likely due to ion leaching from the glass vials used for storage. Depth profiles showed a typical oxide thickness of 5–8 nm for all samples. In conclusion, no significant changes in the oxide layer composition or thickness as a result of implantation were observed. The results do not indicate any material‐related cause for the failures of these implants. Possible reasons for these failures were impaired healing, asymptomatic infection, and overload. © 1999 John Wiley & Sons, Inc. J Biomed Mater Res (Appl Biomater) 48: 559–568, 1999
Url:
DOI: 10.1002/(SICI)1097-4636(1999)48:4<559::AID-JBM23>3.0.CO;2-M
Affiliations:
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wicri:level="4"><country xml:lang="fr">Suède</country><wicri:regionArea>Institute of Anatomy and Cell Biology, Göteborg University, Göteborg</wicri:regionArea><orgName type="university">Université de Göteborg</orgName><placeName><settlement type="city">Göteborg</settlement><region nuts="1">Götaland</region><region nuts="1">Suède occidentale</region></placeName></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Uppsala University Hospital, Uppsala</wicri:regionArea><wicri:noRegion>Uppsala</wicri:noRegion></affiliation><affiliation wicri:level="4"><country xml:lang="fr">Suède</country><wicri:regionArea>Correspondence address: Institute of Anatomy and Cell Biology, Göteborg University, Box 420, SE‐405 30 Göteborg</wicri:regionArea><orgName type="university">Université de Göteborg</orgName><placeName><settlement type="city">Göteborg</settlement><region nuts="1">Götaland</region><region nuts="1">Suède occidentale</region></placeName></affiliation></author><author><name sortKey="Lausmaa, Jukka" sort="Lausmaa, Jukka" uniqKey="Lausmaa J" first="Jukka" last="Lausmaa">Jukka Lausmaa</name><affiliation wicri:level="1"><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Chemistry and Materials Technology, Swedish National Testing and Research Institute SP, Borås</wicri:regionArea><wicri:noRegion>Borås</wicri:noRegion></affiliation></author><author><name sortKey="Hirsch, Jan" sort="Hirsch, Jan" uniqKey="Hirsch J" first="Jan" last="Hirsch">Jan Hirsch</name><affiliation wicri:level="1"><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Uppsala University Hospital, Uppsala</wicri:regionArea><wicri:noRegion>Uppsala</wicri:noRegion></affiliation><affiliation wicri:level="4"><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Göteborg University, Göteborg</wicri:regionArea><orgName type="university">Université de Göteborg</orgName><placeName><settlement type="city">Göteborg</settlement><region nuts="1">Götaland</region><region nuts="1">Suède occidentale</region></placeName></affiliation></author><author><name sortKey="Thomsen, Peter" sort="Thomsen, Peter" uniqKey="Thomsen P" first="Peter" last="Thomsen">Peter Thomsen</name><affiliation wicri:level="4"><country xml:lang="fr">Suède</country><wicri:regionArea>Institute of Anatomy and Cell Biology, Göteborg University, Göteborg</wicri:regionArea><orgName type="university">Université de Göteborg</orgName><placeName><settlement type="city">Göteborg</settlement><region nuts="1">Götaland</region><region nuts="1">Suède occidentale</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Biomedical Materials Research</title><title level="j" type="alt">JOURNAL OF BIOMEDICAL MATERIALS RESEARCH</title><idno type="ISSN">0021-9304</idno><idno type="eISSN">1097-4636</idno><imprint><biblScope unit="vol">48</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="559">559</biblScope><biblScope unit="page" to="568">568</biblScope><biblScope unit="page-count">10</biblScope><publisher>John Wiley & Sons, Inc.</publisher><pubPlace>New York</pubPlace><date type="published" when="1999">1999</date></imprint><idno type="ISSN">0021-9304</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0021-9304</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abundant plaque accumulation</term><term>Abutment connection</term><term>Additional elements</term><term>Albrektsson</term><term>Asymptomatic infection</term><term>Auger electron spectroscopy</term><term>Basal bone</term><term>Biological factors</term><term>Biomed mater</term><term>Bone loss</term><term>Bone marrow</term><term>Cell biology</term><term>Chemical analysis</term><term>Clin</term><term>Contamination</term><term>Contradictory results</term><term>Control implants</term><term>Control samples</term><term>Cortical bone</term><term>Cylinder analysis</term><term>Dense trabecular bone</term><term>Different levels</term><term>Early losses</term><term>Edentulous patients</term><term>Electron beam</term><term>Electron spectroscopy</term><term>Esposito</term><term>Experimental study</term><term>Failure etiology</term><term>Glass vials</term><term>Goteborg</term><term>Goteborg university</term><term>Graft</term><term>Healing pain</term><term>High blood pressure</term><term>Hydrogen peroxide</term><term>Implant</term><term>Implant materials</term><term>Implant site</term><term>Implant surface</term><term>Implant surfaces</term><term>Implantation</term><term>John wiley sons</term><term>Kasemo</term><term>Late failures</term><term>Lausmaa</term><term>Lekholm</term><term>Macroscopic</term><term>Macroscopic contamination</term><term>Main difference</term><term>Maxilla</term><term>Maxillofac</term><term>Maxillofacial surgery</term><term>Months bone graft</term><term>Months bone graft sinus</term><term>Months overdenture overload pain</term><term>Monthsf</term><term>Monthsf bone graft</term><term>Oral implants</term><term>Oral maxillofac implants</term><term>Oral titanium impalnts</term><term>Oral titanium impalnts table</term><term>Organic overlayer</term><term>Organic overlayers</term><term>Organic residues</term><term>Osseointegrated implants</term><term>Osseointegration</term><term>Other hand</term><term>Other notes</term><term>Other studies</term><term>Overlayer</term><term>Overlayer thicknesses</term><term>Oxide</term><term>Oxide growth</term><term>Oxide layer</term><term>Oxide surface</term><term>Oxide thickness</term><term>Oxide thicknesses</term><term>Oxygen signal</term><term>Patchy surface</term><term>Percussion</term><term>Plastic vials</term><term>Possible role</term><term>Possible source</term><term>Present investigation</term><term>Present study</term><term>Prospective multicenter study</term><term>Radiolucent line</term><term>Resorbed maxillas</term><term>Rigorous protocols</term><term>Same material</term><term>Sample geometry</term><term>Scanning electron microscopy</term><term>Soft tissue contamination</term><term>Sputtering</term><term>Sputtering rate</term><term>Successful implants</term><term>Surface analysis</term><term>Surface characterization</term><term>Surface composition</term><term>Surface contaminants</term><term>Surface contamination</term><term>Surface oxide</term><term>Surface properties</term><term>Surface spectroscopic characterization</term><term>Surface topography</term><term>Surgical gloves</term><term>Surgical sheet</term><term>Survey spectra</term><term>Thin layer</term><term>Titanium</term><term>Titanium implant materials</term><term>Titanium implants</term><term>Trace amounts</term><term>Uorine contamination</term><term>Uppsala university hospital</term><term>Vial</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Abundant plaque accumulation</term><term>Abutment connection</term><term>Additional elements</term><term>Albrektsson</term><term>Asymptomatic infection</term><term>Auger electron spectroscopy</term><term>Basal bone</term><term>Biological factors</term><term>Biomed mater</term><term>Bone loss</term><term>Bone marrow</term><term>Cell biology</term><term>Chemical analysis</term><term>Clin</term><term>Contamination</term><term>Contradictory results</term><term>Control implants</term><term>Control samples</term><term>Cortical bone</term><term>Cylinder analysis</term><term>Dense trabecular bone</term><term>Different levels</term><term>Early losses</term><term>Edentulous patients</term><term>Electron beam</term><term>Electron spectroscopy</term><term>Esposito</term><term>Experimental study</term><term>Failure etiology</term><term>Glass vials</term><term>Goteborg</term><term>Goteborg university</term><term>Graft</term><term>Healing pain</term><term>High blood pressure</term><term>Hydrogen peroxide</term><term>Implant</term><term>Implant materials</term><term>Implant site</term><term>Implant surface</term><term>Implant surfaces</term><term>Implantation</term><term>John wiley sons</term><term>Kasemo</term><term>Late failures</term><term>Lausmaa</term><term>Lekholm</term><term>Macroscopic</term><term>Macroscopic contamination</term><term>Main difference</term><term>Maxilla</term><term>Maxillofac</term><term>Maxillofacial surgery</term><term>Months bone graft</term><term>Months bone graft sinus</term><term>Months overdenture overload pain</term><term>Monthsf</term><term>Monthsf bone graft</term><term>Oral implants</term><term>Oral maxillofac implants</term><term>Oral titanium impalnts</term><term>Oral titanium impalnts table</term><term>Organic overlayer</term><term>Organic overlayers</term><term>Organic residues</term><term>Osseointegrated implants</term><term>Osseointegration</term><term>Other hand</term><term>Other notes</term><term>Other studies</term><term>Overlayer</term><term>Overlayer thicknesses</term><term>Oxide</term><term>Oxide growth</term><term>Oxide layer</term><term>Oxide surface</term><term>Oxide thickness</term><term>Oxide thicknesses</term><term>Oxygen signal</term><term>Patchy surface</term><term>Percussion</term><term>Plastic vials</term><term>Possible role</term><term>Possible source</term><term>Present investigation</term><term>Present study</term><term>Prospective multicenter study</term><term>Radiolucent line</term><term>Resorbed maxillas</term><term>Rigorous protocols</term><term>Same material</term><term>Sample geometry</term><term>Scanning electron microscopy</term><term>Soft tissue contamination</term><term>Sputtering</term><term>Sputtering rate</term><term>Successful implants</term><term>Surface analysis</term><term>Surface characterization</term><term>Surface composition</term><term>Surface contaminants</term><term>Surface contamination</term><term>Surface oxide</term><term>Surface properties</term><term>Surface spectroscopic characterization</term><term>Surface topography</term><term>Surgical gloves</term><term>Surgical sheet</term><term>Survey spectra</term><term>Thin layer</term><term>Titanium</term><term>Titanium implant materials</term><term>Titanium implants</term><term>Trace amounts</term><term>Uorine contamination</term><term>Uppsala university hospital</term><term>Vial</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Oxyde</term><term>Titane</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of the present study was to investigate the surface topography, composition, and oxide thickness of consecutively failed, oral Brånemark implants in order to determine possible causes for failure. The failure criterion was lack of osseointegration manifested as implant mobility. Ten implants were retrieved before loading (early failures) and 12 during a period of function up to 8 years (late failures). At retrieval, early losses did not display any clinical sign of infection. All late failures were radiographically characterized by peri‐implant radiolucency and did not show infectious signs with one exception. No implant seemed to be lost due to peri‐implantitis (plaque‐induced progressive marginal bone loss). Twelve implants were analyzed by scanning electron microscopy (SEM), Auger electron spectroscopy (AES), and depth profiling using a blind protocol. Two pristine fixtures, which underwent the same preparation as the failed implants, were used as controls. In the SEM, control samples were essentially free from macroscopic contamination, whereas failed implants contained varying amounts of tissue residues. AES showed that all surfaces consisted of Ti oxide and varying amounts of additional elements, with C dominating in most cases. Nitrogen and sometimes Na, Ca, P, Cl, S, and Si were detected. The Si contamination was most likely due to ion leaching from the glass vials used for storage. Depth profiles showed a typical oxide thickness of 5–8 nm for all samples. In conclusion, no significant changes in the oxide layer composition or thickness as a result of implantation were observed. The results do not indicate any material‐related cause for the failures of these implants. Possible reasons for these failures were impaired healing, asymptomatic infection, and overload. © 1999 John Wiley & Sons, Inc. J Biomed Mater Res (Appl Biomater) 48: 559–568, 1999</div></front></TEI><affiliations><list><country><li>Suède</li></country><region><li>Götaland</li><li>Suède occidentale</li></region><settlement><li>Göteborg</li></settlement><orgName><li>Université de Göteborg</li></orgName></list><tree><country name="Suède"><region name="Götaland"><name sortKey="Esposito, Marco" sort="Esposito, Marco" uniqKey="Esposito M" first="Marco" last="Esposito">Marco Esposito</name></region><name sortKey="Esposito, Marco" sort="Esposito, Marco" uniqKey="Esposito M" first="Marco" last="Esposito">Marco Esposito</name><name sortKey="Esposito, Marco" sort="Esposito, Marco" uniqKey="Esposito M" first="Marco" last="Esposito">Marco Esposito</name><name sortKey="Hirsch, Jan" sort="Hirsch, Jan" uniqKey="Hirsch J" first="Jan" last="Hirsch">Jan Hirsch</name><name sortKey="Hirsch, Jan" sort="Hirsch, Jan" uniqKey="Hirsch J" first="Jan" last="Hirsch">Jan Hirsch</name><name sortKey="Lausmaa, Jukka" sort="Lausmaa, Jukka" uniqKey="Lausmaa J" first="Jukka" last="Lausmaa">Jukka Lausmaa</name><name sortKey="Thomsen, Peter" sort="Thomsen, Peter" uniqKey="Thomsen P" first="Peter" last="Thomsen">Peter Thomsen</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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