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Related Experiment Videos

Implant surface roughness and bone healing: a systematic review.

M M Shalabi1, A Gortemaker, M A Van't Hof

  • 1Department of Periodontology and Biomaterials, Dentistry 309, College of Dental Science, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.

Journal of Dental Research
|May 26, 2006
PubMed
Summary

This systematic review found that increased implant surface roughness generally enhances bone-to-implant contact and fixation strength in animal studies. While data heterogeneity limited definitive conclusions, evidence supports a positive relationship between surface roughness and bone integration.

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Area of Science:

  • Biomaterials Science
  • Orthopedic Research
  • Dental Implantology

Background:

  • Implant surface topography is a critical factor influencing osseointegration.
  • Understanding the relationship between surface roughness and bone response is essential for improving dental and orthopedic implant success.

Purpose of the Study:

  • To systematically review animal studies investigating the effects of implant surface roughness on bone response and implant fixation.
  • To evaluate the correlation between surface roughness parameters and bone-to-implant contact (BIC) and biomechanical fixation.

Main Methods:

  • Systematic literature search of MEDLINE (1953-2003) for animal studies on implant surface roughness and bone healing.
  • Inclusion criteria focused on three-month bone healing, surface topography, biomechanical tests, BIC, and surface roughness data.

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  • Data extraction and statistical analysis of selected articles.

    • Main Results:

    • The search identified 5966 abstracts, with 14 articles meeting final inclusion criteria.
    • Nearly all studies indicated enhanced bone-to-implant contact (BIC) with increased surface roughness.
    • Significant positive relationships were observed between surface roughness and both BIC and push-out strength.

    Conclusions:

    • Evidence suggests a positive correlation between increased implant surface roughness and improved bone-to-implant contact.
    • Surface roughness appears to positively influence biomechanical fixation strength.
    • Heterogeneity among studies limited definitive data inference, but findings support roughness as a key factor in osseointegration.