Histomorphometric Analysis of Osseointegrated Grade V Titanium Mini Transitional Implants in Edentulous Mandible by Backscattered Scanning Electron Microscopy (BS-SEM)

The purpose of this study is to assess the use of grade V titanium mini transitional implants (MTIs) immediately loaded by a temporary overdenture. For this, a histomorphometric analysis of the bone area fraction occupancy (BAFO) was performed by backscattered scanning electron microscopy (BS-SEM)....

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Main Authors: Víctor Beltrán, Benjamín Weber, Ricardo Lillo, María-Cristina Manzanares, Cristina Sanzana, Nicolás Fuentes, Pablo Acuña-Mardones, Ivan Valdivia-Gandur
Format: Article
Language:English
Published: MDPI AG 2020-12-01
Series:Metals
Subjects:
Online Access:https://www.mdpi.com/2075-4701/11/1/2
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author Víctor Beltrán
Benjamín Weber
Ricardo Lillo
María-Cristina Manzanares
Cristina Sanzana
Nicolás Fuentes
Pablo Acuña-Mardones
Ivan Valdivia-Gandur
author_facet Víctor Beltrán
Benjamín Weber
Ricardo Lillo
María-Cristina Manzanares
Cristina Sanzana
Nicolás Fuentes
Pablo Acuña-Mardones
Ivan Valdivia-Gandur
author_sort Víctor Beltrán
collection DOAJ
description The purpose of this study is to assess the use of grade V titanium mini transitional implants (MTIs) immediately loaded by a temporary overdenture. For this, a histomorphometric analysis of the bone area fraction occupancy (BAFO) was performed by backscattered scanning electron microscopy (BS-SEM). Four female patients were submitted to surgery in which two MTIs were installed and immediately loaded with a temporary acrylic prosthesis. During the same surgery, two regular diameter implants were placed inside the bone and maintained without mechanical load. After 8 months, the MTIs were extracted using a trephine and processed for ultrastructural bone analysis by BS-SEM, and the regular-diameter implants were loaded with an overdenture device. A total of 243 BAFOs of MTIs were analyzed, of which 94 were mainly filled with cortical bone, while 149 were mainly filled with trabecular bone. Bone tissue analysis considering the total BAFOs with calcified tissues showed 72.13% lamellar bone, 26.04% woven bone, and 1.82% chondroid bone without significant differences between the samples. This study revealed that grade V titanium used in immediately loaded MTI was successfully osseointegrated by a mature and vascularized bone tissue as assessed from the BAFO.
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spelling doaj.art-32d53efa5bd741799bf362310a1367442023-11-21T02:02:02ZengMDPI AGMetals2075-47012020-12-01111210.3390/met11010002Histomorphometric Analysis of Osseointegrated Grade V Titanium Mini Transitional Implants in Edentulous Mandible by Backscattered Scanning Electron Microscopy (BS-SEM)Víctor Beltrán0Benjamín Weber1Ricardo Lillo2María-Cristina Manzanares3Cristina Sanzana4Nicolás Fuentes5Pablo Acuña-Mardones6Ivan Valdivia-Gandur7Clinical Investigation and Dental Innovation Center (CIDIC), Dental School and Center for Translational Medicine (CEMT-BIOREN), Universidad de La Frontera, Temuco 4811230, ChilePostgraduate Program in Oral Rehabilitation, Department of Integral Adults Dentistry, Dental School, Universidad de La Frontera, Temuco 4811230, ChilePostgraduate Program in Oral Implantology, Dental School, Universidad Mayor, Santiago 7510041, ChileMuscular and Skeletal Pathology Research, Human Anatomy and Embryology Unit, Universitat de Barcelona, 08193 Barcelona, SpainInstitute of Dental Sciences and Postgraduate Program in Oral Implantology, Facultad de Odontología, Universidad de Chile, Santiago 8380544, ChilePostgraduate Program in Oral Implantology, Dental School, Universidad Mayor, Santiago 7510041, ChileClinical Investigation and Dental Innovation Center (CIDIC), Dental School and Center for Translational Medicine (CEMT-BIOREN), Universidad de La Frontera, Temuco 4811230, ChileDentistry Department, University of Antofagasta, Avenida Angamos 601, Antofagasta 1270300, ChileThe purpose of this study is to assess the use of grade V titanium mini transitional implants (MTIs) immediately loaded by a temporary overdenture. For this, a histomorphometric analysis of the bone area fraction occupancy (BAFO) was performed by backscattered scanning electron microscopy (BS-SEM). Four female patients were submitted to surgery in which two MTIs were installed and immediately loaded with a temporary acrylic prosthesis. During the same surgery, two regular diameter implants were placed inside the bone and maintained without mechanical load. After 8 months, the MTIs were extracted using a trephine and processed for ultrastructural bone analysis by BS-SEM, and the regular-diameter implants were loaded with an overdenture device. A total of 243 BAFOs of MTIs were analyzed, of which 94 were mainly filled with cortical bone, while 149 were mainly filled with trabecular bone. Bone tissue analysis considering the total BAFOs with calcified tissues showed 72.13% lamellar bone, 26.04% woven bone, and 1.82% chondroid bone without significant differences between the samples. This study revealed that grade V titanium used in immediately loaded MTI was successfully osseointegrated by a mature and vascularized bone tissue as assessed from the BAFO.https://www.mdpi.com/2075-4701/11/1/2grade V titaniummini transitional implantsnarrow diameter implantbackscattered electrons
spellingShingle Víctor Beltrán
Benjamín Weber
Ricardo Lillo
María-Cristina Manzanares
Cristina Sanzana
Nicolás Fuentes
Pablo Acuña-Mardones
Ivan Valdivia-Gandur
Histomorphometric Analysis of Osseointegrated Grade V Titanium Mini Transitional Implants in Edentulous Mandible by Backscattered Scanning Electron Microscopy (BS-SEM)
Metals
grade V titanium
mini transitional implants
narrow diameter implant
backscattered electrons
title Histomorphometric Analysis of Osseointegrated Grade V Titanium Mini Transitional Implants in Edentulous Mandible by Backscattered Scanning Electron Microscopy (BS-SEM)
title_full Histomorphometric Analysis of Osseointegrated Grade V Titanium Mini Transitional Implants in Edentulous Mandible by Backscattered Scanning Electron Microscopy (BS-SEM)
title_fullStr Histomorphometric Analysis of Osseointegrated Grade V Titanium Mini Transitional Implants in Edentulous Mandible by Backscattered Scanning Electron Microscopy (BS-SEM)
title_full_unstemmed Histomorphometric Analysis of Osseointegrated Grade V Titanium Mini Transitional Implants in Edentulous Mandible by Backscattered Scanning Electron Microscopy (BS-SEM)
title_short Histomorphometric Analysis of Osseointegrated Grade V Titanium Mini Transitional Implants in Edentulous Mandible by Backscattered Scanning Electron Microscopy (BS-SEM)
title_sort histomorphometric analysis of osseointegrated grade v titanium mini transitional implants in edentulous mandible by backscattered scanning electron microscopy bs sem
topic grade V titanium
mini transitional implants
narrow diameter implant
backscattered electrons
url https://www.mdpi.com/2075-4701/11/1/2
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