Influence of non-steroidal anti-inflammatory drugs (NSAIDs) on osseointegration of dental implants in rabbit calvaria

Clin Oral Implants Res. 2015 Apr;26(4):478-483. doi: 10.1111/clr.12392. Epub 2014 Mar 31.

Abstract

Aim: Until recently, adverse effects of non-steroidal anti-inflammatory drugs (NSAIDs) on osseointegration of dental implants were unknown. Hence, this study investigated the short- and long-term effects of a 7-day regimen of parecoxib and diclofenac sodium on osseointegration of dental implants in calvarial bone.

Material and methods: Eighteen New Zealand White rabbits were randomly allocated into three groups (each n = 6): Control group with no postoperative pain killers (Group A), diclofenac group (Group B) and parecoxib group (Group C). In each animal, one dental implant was placed into the calvarial bone (total n = 18). Three rabbits from each group were sacrificed in Week 4. The other three rabbits from each group were sacrificed in Week 12 postoperatively. The implant together with the calvarial bone and dura mater was harvested and subjected to micro-computed tomography (micro-CT) and histomorphometric analysis.

Results: Quantitative analysis of micro-CT data and histomorphometric data neither revealed any statistically significant (P ≤ 0.05) differences between the three different groups related to osseointegration nor between different time points of observation.

Conclusion: In rabbits, a 7-day regimen of appropriate doses of diclofenac sodium and parecoxib did not adversely affect osseointegration of dental implants and bone healing in calvaria, neither short nor long term (12 weeks).

Keywords: dental implant; diclofenac; non-steroidal anti-inflammatory drugs; osseointegration; parecoxib.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal / pharmacology*
  • Dental Implants*
  • Diclofenac / pharmacology*
  • Implants, Experimental
  • Isoxazoles / pharmacology*
  • Osseointegration / drug effects*
  • Rabbits
  • Skull / diagnostic imaging
  • Skull / surgery*
  • X-Ray Microtomography

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Dental Implants
  • Isoxazoles
  • Diclofenac
  • parecoxib