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Does Biphasic Calcium Phosphate-Coated Surface Increase the Secondary Stability in Dental Implants? A Split-Mouth
Reza Tabrizi1, Hassan Mirmohammad Sadeghi1, Kimia Ghasemi1
1Oral and Maxillofacial surgery Department, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Journal of Maxillofacial and Oral Surgery
|June 17, 2022
Summary
Biphasic calcium phosphate coating (BCPC) dental implants showed potentially higher secondary stability than sand-blasted and acid-etched (SLA) implants. Resonance frequency analysis confirmed significant differences in implant stability over eight weeks.
Area of Science:
- Biomaterials Science
- Dental Implantology
- Orthopedic Research
Background:
- Secondary stability is crucial for successful dental implant osseointegration.
- Surface modifications aim to enhance implant osseointegration and stability.
- Comparing different surface coatings is essential for optimizing dental implant outcomes.
Purpose of the Study:
- To evaluate the secondary stability of biphasic calcium phosphate coating (BCPC) dental implants.
- To compare BCPC implants with sand-blasted and acid-etched (SLA) implants regarding secondary stability.
Main Methods:
- A split-mouth study design was employed with 30 subjects receiving bilateral mandibular molar implants.
- Implants were randomly assigned to either BCPC or SLA groups.
- Resonance frequency analysis (RFA) was used to measure implant stability (ISQ) at 2, 4, 6, and 8 weeks post-placement.
Main Results:
- Sixty implants were analyzed (30 per group).
- BCPC implants demonstrated progressively higher mean implant stability quotient (ISQ) values compared to SLA implants throughout the 8-week evaluation period.
- Statistical analysis revealed significant differences in mean ISQ between the BCPC and SLA groups at all measurement time points.
Conclusions:
- BCPC coating may enhance the secondary stability of dental implants compared to SLA surfaces.
- Higher implant stability observed with BCPC suggests improved osseointegration potential.
- Further research is warranted to confirm long-term clinical outcomes.

