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Objectives: The aim of this study was to test the following hypothesis: (1) Aging would adversely affect bone integration of implants; (2) Titanium-zirconium-SLActive (TiZr-SLActive) implant might perform better in osseointegration than Ti-SLA implant in aged group., Materials and Methods: Thirteen miniature pigs (six of them were young adult minipigs, with other seven being aged ones.) were enrolled in this study. The right mandibular premolars (P1, P2, P3) and the first molar (M1) were extracted in all animals. Three months later, one TiZr-SLActive and one Ti-SLA implants were inserted into the endentulous area in mandible of each animal. The animals were sacrificed 8 weeks after placement of implants. Implants in the mandibles were used for removal torque (RT) tests, while vertebra and femur being retrieved for bone mineral density (BMD) tests., Results: Implant success rate in the young group was significantly higher than that in the aged group. Higher survival rate of implants was also observed in younger group than that in the aged group but without significant difference. Within the young group, mean value for peak RT of Ti-SLA implants was higher than that of TiZr-SLActive implants without significant difference. In the aged group, the TiZr-SLActive implants showed a higher mean value for peak RT than Ti-SLA implants. No significant difference was found in the mean BMD in both vertebra and femur between different age groups., Conclusions: Within the limits of this study, aging could negatively affect osseointegration of dental implants. TiZr-SLActive implants might to some degree compensate for the compromise in osseointegration brought by aging., (© 2016 Wiley Periodicals, Inc.)

Background: Clinically, there is a demand for mechanically stronger alloyed implants; however, not much evidence exists with regard to these materials., Purpose: To test the osseointegration property of TiZr1317 implants in a rabbit model., Materials and Methods: Hydrophilic titanium-zirconium alloy (TiZr1317) implants with sand-blasted and acid-etched surface (test) and hydrophilic cpTi implants with the same treatment (control) were placed pairwise in the hind limbs (two in each tibia and one in each femur) of 36 Swedish lop-eared rabbits. After 2, 4, and 12 weeks (n = 12/time point), the bone samples were subjected to removal torque (RTQ, proximal tibia and femur) and histologic/histomorphometric (distal tibia) testings., Results: The control presented significantly higher RTQ than the test at 2 weeks (55 vs 36 Ncm). No differences were observed for other time points. The test presented higher mean BIC than the control (19.25 vs 13.89 %) at 4 weeks; however, there were no statistical differences for the following time point tested in vivo.The new bone area was significantly higher for the test at 4 weeks in the marrow areas., Conclusion: The TiZr1317 implants presented comparable biologic outcomes to that of the cpTi implants through a 12-week evaluation period., (© 2015 Wiley Periodicals, Inc.)

Background: It has been reported that titanium-zirconium alloy with 13-17% zirconium (TiZr1317) implants show higher biomechanical stability and bone area percentage relative to commercially pure titanium (cpTi) grade 4 fixtures., Purpose: This study aimed to determine whether the higher stability for TiZr1317 implants is associated with higher mechanical properties of remodeling bone in the areas around the implants., Materials and Methods: This study utilized 36 implants (n = 18: TiZr1317, n = 18: cpTi), which were placed in the healed ridges of the mandibular premolar and first molar of 12 mini pigs (n = 3 implants/animal). After 4 weeks in vivo, the samples were retrieved, and resin-embedded histologic sections of approximately 100 μm in thickness were prepared. In order to determine the nanomechanical properties, nanoindentation (n = 30 tests/specimen) was performed on the bone tissue of the sections under wet conditions with maximum load of 300 μN (loading rate: 60 μN/s)., Results: The mean (± standard deviation) elastic modulus (E) and hardness (H) for the TiZr1317 group were 2.73 ± 0.50 GPa and 0.116 ± 0.017 GPa, respectively. For the cpTi group, values were 2.68 ± 0.51 GPa and 0.110 ± 0.017 GPa for E and H, respectively. Although slightly higher mechanical properties values were observed for the TiZr1317 implants relative to the cpTi for both elastic modulus and hardness, these differences were not significant (E = p > 0.75; H = p > 0.59)., Conclusions: The titanium-zirconium alloy used in this study presented similar degrees of nanomechanical properties to that of the cpTi implants., (© 2013 Wiley Periodicals, Inc.)

Background: Titanium zirconium alloy with 13-17% zirconium (TiZr1317) shows significantly better mechanical attributes than pure Ti with respect to elongation and fatigue strength. This material may be suitable for thin implants and implant components exposed to high mechanical constraints., Purpose: The aim of this study was to test the hypothesis that TiZr1317 and Ti implants show comparable osseointegration and stability., Materials and Methods: The mandibular premolars (P1, P2, P3) and the first molar (M1) in 12 adult miniature pigs were extracted 3 months prior to the study. Six specially designed implants made from Ti (commercially pure, Grade 4) or TiZr1317 (Roxolid®, Institut Straumann AG, Basel, Switzerland) with a hydrophilic sandblasted and acid-etched (SLActive, Institut Straumann AG, Basel, Switzerland) surface were placed in each mandible; three standard implants modified for evaluation of removal torque (RT) in one side and three bone-chamber implants for histologic observations in the contralateral side. RT tests were performed after 4 weeks when also the bone chamber implants and surrounding tissue were biopsied for histologic analyses in ground sections., Results: The RT results indicated significantly higher stability (p=0.013) for TiZr1317 (230.9±22.4Ncm) than for Ti implants (204.7±24.0Ncm). The histology showed similar osteoconductive properties for both implant types. Histomorphometric measurements showed a statistically significant higher (p=0.023) bone area within the chamber for the TiZr1317 implants (45.5±13.2%) than did the Ti implants (40.2±15.2%). No difference was observed concerning the bone to implant contact between the groups with 72.3±20.5% for Ti and 70.2±17.3% for TiZr1317 implants., Conclusion: It is concluded that the TiZr1317 implant with a hydrophilic sandblasted and acid-etched surface showed similar or even stronger bone tissue responses than the Ti control implant., (© 2010 Wiley Periodicals, Inc.)