Evidence map›Paper›PMID 39292113›Full record

ArticleJournal of applied oral science : revista FOB2024

Titanium micro-nano textured surface with strontium incorporation improves osseointegration: an in vivo and in vitro study.

Pio Moerbeck da Costa Filho, Camila Chiérici Marcantonio, Diego Pedreira de Oliveira, Maria Eduarda Scordamaia Lopes, Julio Cesar Sanchez Puetate, Luan Viana Faria, Letícia de Freitas Carvalho, Rafael Scaf de Molon, Idelmo Rangel Garcia Junior, Andressa Vilas Bôas Nogueira and 2 more

Abstract readEvaluation Study
In one paragraph

Article in Journal of applied oral science : revista FOB, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Pio Moerbeck da Costa FilhoUniversidade Estadual Paulista - UNESP, Faculdade de Odontologia de Araraquara, Departamento de Diagnóstico e Cirurgia, Araraquara, São Paulo, Brasil.
Camila Chiérici MarcantonioUniversidade Estadual Paulista - UNESP, Faculdade de Odontologia de Araraquara, Departamento de Diagnóstico e Cirurgia, Araraquara, São Paulo, Brasil.ORCID http://orcid.org/0000-0002-0610-7074
Diego Pedreira de OliveiraExtremus Smart Surface, São Carlos, São Paulo, Brasil.
Maria Eduarda Scordamaia LopesUniversidade Estadual Paulista - UNESP, Faculdade de Odontologia de Araraquara, Departamento de Diagnóstico e Cirurgia, Araraquara, São Paulo, Brasil.ORCID http://orcid.org/0000-0003-4878-3174
Julio Cesar Sanchez PuetateUniversidade Estadual Paulista - UNESP, Faculdade de Odontologia de Araraquara, Departamento de Diagnóstico e Cirurgia, Araraquara, São Paulo, Brasil.
Luan Viana FariaUniversidade Estadual Paulista - UNESP, Faculdade de Odontologia de Araraquara, Departamento de Diagnóstico e Cirurgia, Araraquara, São Paulo, Brasil.ORCID http://orcid.org/0000-0003-2336-9946
Letícia de Freitas CarvalhoUniversidade Estadual Paulista - UNESP, Faculdade de Odontologia de Araraquara, Departamento de Diagnóstico e Cirurgia, Araraquara, São Paulo, Brasil.
Rafael Scaf de MolonUniversidade Estadual Paulista - UNESP, Faculdade de Odontologia de Araraçatuba, Departamento de Diagnóstico e Cirurgia, Araçatuba, São Paulo, Brasil.ORCID http://orcid.org/0000-0003-1110-6233
Idelmo Rangel Garcia JuniorUniversidade Estadual Paulista - UNESP, Faculdade de Odontologia de Araraçatuba, Departamento de Diagnóstico e Cirurgia, Araçatuba, São Paulo, Brasil.
Andressa Vilas Bôas NogueiraUniversity Medical Mainz, Center of the Johannes Gutenberg University, Department of Periodontology and Operative Dentistry, Germany.
James DeschnerUniversity Medical Mainz, Center of the Johannes Gutenberg University, Department of Periodontology and Operative Dentistry, Germany.
Joni Augusto CirelliUniversidade Estadual Paulista - UNESP, Faculdade de Odontologia de Araraquara, Departamento de Diagnóstico e Cirurgia, Araraquara, São Paulo, Brasil.ORCID http://orcid.org/0000-0002-7082-9290

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to investigate the osseointegration of titanium (Ti) implants with micro-nano textured surfaces functionalized with strontium additions (Sr) in a pre-clinical rat tibia model. METHODOLOGY: Ti commercially pure (cp-Ti) implants were installed bilaterally in the tibia of 64 Holtzman rats, divided into four experimental groups (n=16/group): (1) Machined surface - control (C); (2) Micro-nano textured surface treatment (MN); (3) Micro-nano textured surface with Sr2+ addition (MNSr); and (4) Micro-nano textured surface with a higher complementary addition of Sr2+ (MNSr+). In total, two experimental euthanasia periods were assessed at 15 and 45 days (n=8/period). The tibia was subjected to micro-computed tomography (μ-CT), histomorphometry with the EXAKT system, removal torque (TR) testing, and gene expression analysis by PCR-Array of 84 osteogenic markers. Gene expression and protein production of bone markers were performed in an in vitro model with MC3T3-E1 cells. The surface characteristics of the implants were evaluated by scanning electron microscopy (SEM), energy-dispersive spectroscopy (EDS), and laser scanning confocal microscopy.

resultsSEM, confocal, and EDS analyses demonstrated the formation of uniform micro-nano textured surfaces in the MN group and Sr addition in the MNSr and MNSr+ groups. TR test indicated greater osseointegration in the 45-day period for treated surfaces. Histological analysis highlighted the benefits of the treatments, especially in cortical bone, in which an increase in bone-implant contact was found in groups MN (15 days) and MNSr (45 days) compared to the control group. Gene expression analysis of osteogenic activity markers showed modulation of various osteogenesis-related genes. According to the in vitro model, RT-qPCR and ELISA demonstrated that the treatments favored gene expression and production of osteoblastic differentiation markers.

conclusionsMicro-nano textured surface and Sr addition can effectively improve and accelerate implant osseointegration and is, therefore, an attractive approach to modifying titanium implant surfaces with significant potential in clinical practice.

Indexed as

Dental ImplantsOsseointegrationStrontiumSurface PropertiesTibiaTitaniumX-Ray MicrotomographyAnalysis of VarianceAnimalsGene ExpressionMaleMaterials TestingMiceMicroscopy, Electron, ScanningNanostructuresOsteogenesisDental ImplantsStrontiumTitanium

Identifiers

PMID39292113
PMCPMC11464079

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.