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