Stress shielding at the bone-implant interface: influence ...
Structure of the Interface Between Rabbit Cotrical Bone
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Transcript of Structure of the Interface Between Rabbit Cotrical Bone
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Structure of the interface
between rabbit cortical bone and
implants of gold, zirconium andtitanium
[Quelle: JOURNAL OF MATERIALS SCIENCE:MATERIALS IN MEDICINCE 8 (1997),
P. THOMSEN, C. LARSSON,
L.E. ERICSSON]
Biomaterials Science
Baris Agbuga
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Overview
1. Introduction
2. Materials and methods
3. Results
4. Conclusion & Discussion
Structure of the interface between rabbit cortical bone andimplants of gold, zirconium and titanium
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Introduction
Study was done in 1997 at Gteborg University, Sweden
Surface properties play an important role in the interactionbetween implants and tissue
Research to find correlations between different surfaceproperties and biological responses
Understand material-tissue (bone) interactions by using
different varations of metals
Application: Three different kind of implants were placedinto a cortical bone of a rabbit.
Structure of the interface between rabbit cortical bone andimplants of gold, zirconium and titanium
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Materials and methods
Metal implants
Titanium (Ti) Well known as implant in several different biomedical
applications
TiO2 Zirconium (Zr)
Is chemically closely to use as clinical material and similar totitanium
ZrO2
Gold (Au) Noble metal and does not form surface oxides
Real metallic surface
Structure of the interface between rabbit cortical bone andimplants of gold, zirconium and titanium
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Materials and methods
All three metals are chemically very stable
Highly corrosion resistant in most environments
Products released from the implants do not
influence the biological response
Structure of the interface between rabbit cortical bone andimplants of gold, zirconium and titanium
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Materials and methods
Implant preperation
12 Screw-shaped implants prepared by machining
Ultrasonically cleaned (TCE, acetone, sterile water etc.)
Dried in warm air (
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Materials and methods
Surface characterization by Scanning Auger microprobe
Scanning electron microscopy (SEM)
Surface topography and roughness of the implants
Auger electron spectroscopy (AES)
Relative concentration of detected elements at the surface
After ultrasonic cleaning step
Structure of the interface between rabbit cortical bone andimplants of gold, zirconium and titanium
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Materials and methods
Animal and surgical procedures
Six adult New Zealand rabbits of both sexes
Anaesthetized
A hole was drilled
Diameter = 1.8mm
Implant was inserted with a screwdriver in tibia
One of each material 5mm apart $
Structure of the interface between rabbit cortical bone andimplants of gold, zirconium and titanium
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Results
Surface characterization
Scanning electron micrography (SEM)
All three implants similar surface topographies
Roughness (important factor for ingrowing)
Titanium > Zirconium > Gold
Auger electron spectroscopy (AES)
Relative concentration (%) of the elements detected Depends on cleanness
Rest: Oxygen, Carbon, Ca, Cl, Na, Si, etc.
Oxygen Conc. Ti and Zr = 40%; Au = 8.5%
Structure of the interface between rabbit cortical bone andimplants of gold, zirconium and titanium
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Results
Structure of the interface between rabbit cortical bone andimplants of gold, zirconium and titanium
a) Titanium
b) Zirconium
c) Gold
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Results
Surface characterization
Light microscopy after 1 month
Titanium: bone formation and bone modelling is
observed in threads and sourrounding tissue & directcontact
Zirconium: Same as Titanium
Gold: Only the two upper threads are filled with
bone, no direct contact with bone & no change
Structure of the interface between rabbit cortical bone andimplants of gold, zirconium and titanium
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Results (after 1 month)
Structure of the interface between rabbit cortical bone andimplants of gold, zirconium and titanium
PB: Periosteal bone (Knochenhaut von aussen) / E: Endosteal (Knochenhaut Innen)/
BM: Bone Marrow (Knochenmark)
extended extended
No reactiononly bone
marrow
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Results (after 1 month)
Structure of the interface between rabbit cortical bone andimplants of gold, zirconium and titanium
a) Titanium b) Zirconium c) Gold
Direct bone
contact
No
reactions
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Results
Surface characterization
Light microscopy after 6 months
Ti/Zr implants were surrounded by compact, lamellar
bone and are often in direct contact with bone
Ti & Zr: bone are newly formed in several contact
with implants
In contrast: Gold were almost separated from bone bysoft tissue in threads, although a direct contact was
present
Structure of the interface between rabbit cortical bone andimplants of gold, zirconium and titanium
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Results (after 6 months)
Structure of the interface between rabbit cortical bone andimplants of gold, zirconium and titanium
All threads
(Schraube)are filled
with bone
Soft
tissue
reject
threads
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Conclusion & Discussion
Bone trabeculare (Knochenblkchen) only extendedin Ti and Zr
Direct bone contact was more often observed in Tiand Zr than in Gold
Distincly different bone response of Gold and Ti/Zr
Gold induced less bone formation around implants
Ti/Zr implants showed enormous interactions with
rabbit bone due to the oxid layer on the surface(TiO2 & ZrO2)
Ti/Zr = active materials; Au = inactive material
Structure of the interface between rabbit cortical bone andimplants of gold, zirconium and titanium
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Thank you for your attention
Questions
Structure of the interface between rabbit cortical bone andimplants of gold, zirconium and titanium