Early soft tissue response to zirconium oxide and titanium healing abutments in vivo: a study in dogs

Abstract Background This study aimed to investigate the clinical characteristics and early soft tissue response to zirconium oxide (Zr) and titanium (Ti) healing abutments in dogs. Methods Eight implants (four at each hemi-mandible) were inserted after bilateral mandibular third and fourth premolars...

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Main Authors: Min Wang, Shuang Zhang, Longjie Chen, Haixiao Zou, Yining Wang, Haibin Xia
Format: Article
Language:English
Published: BMC 2021-08-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-021-01748-0
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author Min Wang
Shuang Zhang
Longjie Chen
Haixiao Zou
Yining Wang
Haibin Xia
author_facet Min Wang
Shuang Zhang
Longjie Chen
Haixiao Zou
Yining Wang
Haibin Xia
author_sort Min Wang
collection DOAJ
description Abstract Background This study aimed to investigate the clinical characteristics and early soft tissue response to zirconium oxide (Zr) and titanium (Ti) healing abutments in dogs. Methods Eight implants (four at each hemi-mandible) were inserted after bilateral mandibular third and fourth premolars and first molar extraction in dogs. Then, two Zr and two Ti healing abutments were connected to each unilateral mandible eight weeks later. The ligation method was used to create a peri-implant mucositis model and the 24 abutments were divided into four groups: Zr or Ti healing abutments with ligation (ZrL, TiL) or non-ligation (ZrN, TiN). The clinical indices, peri-implant crevicular fluid (PICF), and inflammatory cytokines (TNF-α and IL-1β) were measured and analyzed on days 0 and 28. The dogs were then sacrificed on day 28, soft tissues around the implants were harvested, and inflammation infiltration was tested by immunohistochemistry. Normal distribution test and two-way analysis of variance was used to analyze the data. Results The results showed that the clinical indices were similar for Zr and Ti healing abutments. There was significantly more PICF in the ZrL and TiL groups compared to in the ZrN and TiN groups. The TNF-α levels in PICF were significantly different between ZrL and ZrN groups on day 28. And the TNF-α levels in PICF were significantly higher in TiL group on day 28 than that on day 0. However, the number of inflammatory cells was not significantly different between the groups as measured by immunohistochemistry. Conclusions These data indicate that soft tissue responses to Zr healing abutments with peri-implant mucositis were comparable to those of Ti healing abutments in vivo, providing a theoretical foundation for the clinical application of Zr abutments.
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spelling doaj.art-115757db3d904eb0835f0bdf8ef2e3a62022-12-21T22:03:00ZengBMCBMC Oral Health1472-68312021-08-012111910.1186/s12903-021-01748-0Early soft tissue response to zirconium oxide and titanium healing abutments in vivo: a study in dogsMin Wang0Shuang Zhang1Longjie Chen2Haixiao Zou3Yining Wang4Haibin Xia5The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education and Department of Oral Implantology, School & Hospital of Stomatology, Wuhan UniversityThe State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education and Department of Preventive Dentistry, School and Hospital of Stomatology, Wuhan UniversityLanzhou Hospital of StomatologyDepartment of Stomatology, Second Affiliated Hospital of Nanchang University, Nanchang UniversityThe State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education and Department of Prosthodontics, School and Hospital of Stomatology, Wuhan UniversityThe State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education and Department of Oral Implantology, School & Hospital of Stomatology, Wuhan UniversityAbstract Background This study aimed to investigate the clinical characteristics and early soft tissue response to zirconium oxide (Zr) and titanium (Ti) healing abutments in dogs. Methods Eight implants (four at each hemi-mandible) were inserted after bilateral mandibular third and fourth premolars and first molar extraction in dogs. Then, two Zr and two Ti healing abutments were connected to each unilateral mandible eight weeks later. The ligation method was used to create a peri-implant mucositis model and the 24 abutments were divided into four groups: Zr or Ti healing abutments with ligation (ZrL, TiL) or non-ligation (ZrN, TiN). The clinical indices, peri-implant crevicular fluid (PICF), and inflammatory cytokines (TNF-α and IL-1β) were measured and analyzed on days 0 and 28. The dogs were then sacrificed on day 28, soft tissues around the implants were harvested, and inflammation infiltration was tested by immunohistochemistry. Normal distribution test and two-way analysis of variance was used to analyze the data. Results The results showed that the clinical indices were similar for Zr and Ti healing abutments. There was significantly more PICF in the ZrL and TiL groups compared to in the ZrN and TiN groups. The TNF-α levels in PICF were significantly different between ZrL and ZrN groups on day 28. And the TNF-α levels in PICF were significantly higher in TiL group on day 28 than that on day 0. However, the number of inflammatory cells was not significantly different between the groups as measured by immunohistochemistry. Conclusions These data indicate that soft tissue responses to Zr healing abutments with peri-implant mucositis were comparable to those of Ti healing abutments in vivo, providing a theoretical foundation for the clinical application of Zr abutments.https://doi.org/10.1186/s12903-021-01748-0Peri-implant crevicular fluidHealing abutmentLigationZirconium oxideTitanium
spellingShingle Min Wang
Shuang Zhang
Longjie Chen
Haixiao Zou
Yining Wang
Haibin Xia
Early soft tissue response to zirconium oxide and titanium healing abutments in vivo: a study in dogs
BMC Oral Health
Peri-implant crevicular fluid
Healing abutment
Ligation
Zirconium oxide
Titanium
title Early soft tissue response to zirconium oxide and titanium healing abutments in vivo: a study in dogs
title_full Early soft tissue response to zirconium oxide and titanium healing abutments in vivo: a study in dogs
title_fullStr Early soft tissue response to zirconium oxide and titanium healing abutments in vivo: a study in dogs
title_full_unstemmed Early soft tissue response to zirconium oxide and titanium healing abutments in vivo: a study in dogs
title_short Early soft tissue response to zirconium oxide and titanium healing abutments in vivo: a study in dogs
title_sort early soft tissue response to zirconium oxide and titanium healing abutments in vivo a study in dogs
topic Peri-implant crevicular fluid
Healing abutment
Ligation
Zirconium oxide
Titanium
url https://doi.org/10.1186/s12903-021-01748-0
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