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Highly crystalline MP-1 hydroxylapatite coating. Part II: In vivo performance on endosseous root implants in dogs
A V Burgess1, B J Story, W R Wagner
1SULZERMEDICA, Sulzer Calcitek Inc., Carlsbad, California 92008, USA.
Clinical Oral Implants Research
|November 7, 1999
Summary
The MP-1 process enhances crystalline hydroxylapatite (HA) in dental implant coatings but does not significantly alter bone integration or apposition. This suggests HA dissolution isn't essential for bone bonding to implants.
Area of Science:
- Biomaterials Science
- Dental Implantology
- Orthopedic Research
Background:
- Oral endosseous implants often utilize plasma-sprayed hydroxylapatite (HA) coatings to enhance osseointegration.
- Variations in HA crystallinity may influence implant integration and bone apposition.
- The MP-1 process is a post-plasma-spray treatment designed to increase HA crystallinity.
Purpose of the Study:
- To compare the in vivo integration strength and bone apposition of standard HA coatings versus MP-1 treated HA coatings on oral endosseous implants.
- To evaluate the effect of increased HA crystallinity on implant osseointegration.
- To determine if extensive dissolution of HA is necessary for bone apposition.
Main Methods:
- Comparison of two plasma-sprayed HA coatings (75% vs. 95% crystalline HA) in a canine mandibular model.
- Assessment of implant integration using pullout strength measurements and histological analysis at 3 and 15 weeks.
- Quantification of bone apposition using two distinct methods at 15 weeks.
Main Results:
- No significant differences in pullout strength or bone apposition were observed between the standard and MP-1 treated HA coatings.
- Histological analysis confirmed that the MP-1 process did not negatively impact the osseointegration rate.
- Qualitative histology suggested potentially greater stability of the MP-1 treated coating, particularly with soft tissue attachment.
Conclusions:
- The MP-1 post-treatment process, while increasing HA crystallinity, does not significantly alter the osseointegration or bone apposition of plasma-sprayed HA-coated oral implants.
- Direct bone apposition to HA-coated implants can occur without substantial dissolution of the coating's calcium phosphate components.
- The findings support the efficacy of both standard and MP-1 treated HA coatings for dental implant applications.