Calcium-phosphate-coated oral implants promote osseointegration in osteoporosis

J Dent Res. 2013 Nov;92(11):982-8. doi: 10.1177/0022034513505769. Epub 2013 Sep 20.

Abstract

Osteoporotic conditions are anticipated to affect the osseointegration of dental implants. This study aimed to evaluate the effect of a radiofrequent magnetron-sputtered calcium phosphate (CaP) coating on dental implant integration upon installment in the femoral condyles of both healthy and osteoporotic rats. At 8 weeks post-implantation, bone volume and histomorphometric bone area were lower around non-coated implants in osteoporotic rats compared with healthy rats. Interestingly, push-out tests revealed significantly enhanced implant fixation for CaP-coated compared with non-coated implants in both osteoporotic (i.e., 2.9-fold) and healthy rats (i.e., 1.5-fold), with similar implant fixation for CaP-coated implants in osteoporotic conditions compared with that of non-coated implants in healthy conditions. Further, the presence of a CaP coating significantly increased bone-to-implant contact compared with that in non-coated implants in both osteoporotic (i.e., 1.3-fold) and healthy rats (i.e., 1.4-fold). Sequential administration of fluorochrome labels showed significantly increased bone dynamics close to CaP-coated implants at 3 weeks of implantation in osteoporotic conditions and significantly decreased bone dynamics in osteoporotic compared with healthy conditions. In conclusion, analysis of the data obtained demonstrated that dental implant modification with a thin CaP coating effectively improves osseointegration in both healthy and osteoporotic conditions.

Keywords: animal models; calcium phosphates; dental implantation; dental implants; postmenopausal osteoporosis; wound healing.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Bone Density / drug effects
  • Bone Remodeling / drug effects
  • Coated Materials, Biocompatible / chemistry
  • Coated Materials, Biocompatible / pharmacology*
  • Dental Etching / methods
  • Dental Implants*
  • Dental Materials / chemistry
  • Dental Prosthesis Design
  • Disease Models, Animal
  • Durapatite / chemistry
  • Durapatite / pharmacology*
  • Female
  • Femur / pathology
  • Femur / surgery
  • Fluorescent Dyes
  • Humans
  • Osseointegration / drug effects*
  • Osteoblasts / pathology
  • Osteoclasts / pathology
  • Osteoporosis, Postmenopausal / physiopathology*
  • Ovariectomy
  • Rats
  • Rats, Wistar
  • Stress, Mechanical
  • Surface Properties
  • Time Factors
  • Titanium / chemistry
  • X-Ray Microtomography

Substances

  • Coated Materials, Biocompatible
  • Dental Implants
  • Dental Materials
  • Fluorescent Dyes
  • Durapatite
  • Titanium