Histological and synchrotron radiation-based computed microtomography study of 2 human-retrieved direct laser metal formed titanium implants

Implant Dent. 2013 Apr;22(2):175-81. doi: 10.1097/ID.0b013e318282817d..

Abstract

Background: The macroscopic structure of bone has been traditionally studied through x-ray radiography or x-ray tomography. However, the resolution limits of these techniques do not enable the reconstruction of the composite bone architecture at the nanometer level. Compared with histomorphometry, x-ray micro-CT has shown its efficiency in providing nondestructive and rapid 3D images and measurements on bone microstructure. Micro-CT higher resolution has been achieved with synchrotron radiation-based computed microtomography (SRμCT).

Purpose: The aim of this study was a histological and SRμCT analysis of 2 porous titanium implants.

Materials and methods: Two direct laser metal forming titanium implants were inserted in the posterior maxilla of a patient and retrieved after 2 months. One of these implants was treated to obtain thin ground sections, whereas the other underwent a SRμCT evaluation.

Results: The histological results, showing that the implant surface presented superficial debris and particle inclusions in the surrounding tissue close to the bone area, were confirmed by micro-CT investigations.

Conclusions: SRμCT allowed high resolution with good sample penetration and depth of focus and an evaluation of the relative arrangement of structures that cannot be determined by 2D imaging.

MeSH terms

  • Alloys
  • Bone Regeneration / physiology
  • Bone Remodeling / physiology
  • Dental Alloys / chemistry*
  • Dental Implants*
  • Dental Prosthesis Design*
  • Humans
  • Image Processing, Computer-Assisted / methods
  • Imaging, Three-Dimensional / methods
  • Lasers*
  • Male
  • Maxilla / diagnostic imaging
  • Maxilla / pathology*
  • Maxilla / surgery
  • Microscopy, Video / methods
  • Middle Aged
  • Miniaturization
  • Osseointegration / physiology
  • Osteoblasts / pathology
  • Osteocytes / pathology
  • Osteogenesis / physiology
  • Porosity
  • Surface Properties
  • Synchrotrons
  • Titanium / chemistry*
  • X-Ray Microtomography / methods*

Substances

  • Alloys
  • Dental Alloys
  • Dental Implants
  • titanium alloy (TiAl6V4)
  • Titanium