The Endotoxin Assay of Contaminated Titanium Implants following Various Techniques of Detoxification.
10.5051/jkape.2004.34.1.71
- Author:
Joong Hee PARK
1
;
Sung Bin LIM
Author Information
1. Department of Periodontology, College of Dentistry, Dan-Kook University, Korea.
- Publication Type:Original Article
- Keywords:
peri-implantitis;
endotoxin;
osseointegration
- MeSH:
Bacteria;
Citric Acid;
Decontamination;
Dental Implants;
Dental Plaque;
Fibroblasts;
Osseointegration;
Peri-Implantitis;
Tetracycline;
Titanium*;
Tooth;
Water
- From:The Journal of the Korean Academy of Periodontology
2004;34(1):71-81
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Peri-implantitis could be the result of biomechanical and occlusal overload as well as microbiologic invasion. The dental implant may be more susceptible to dental plaque than the natural tooth, as the predictability of a stable soft tissue attachment complex has not yet been confirmed. With the development of peri-implantitis, the implant surface would be exposed to the oral environment and becomes coated with bacteria. The objective of therapy for this condition is to regain integration of the implant with bone. Since fibroblast adherence to surfaces is impeded by endotoxin, it would seem that decontamination would be desirable to obtain maximum osseointegration. The purpose of this study was to determine whether various chemotherapeutic and mechanical treatments(distilled water, air-powder abrasive, hypersaturated citric acid, tetracycline) can detoxify contaminated titanium implant surface by means of kinetic LAL test. Experimental rough surface titanium disks were fabricated. All of them were divided into two groups(A.a group and P.g group) and each contaminated by A. actinomycetemcomitans and P. gingivalis suspension. Contaminated disks were treated with distilled water, air-powder abrasive, citric acid and tetracycline, and then all disks were placed into LPS-free water for elution. The results were as follows : 1. In A.a group, LPS elute level of all test groups were significantly lower than control group(p<0.05). 2. In A.a group, LPS elute level of test 2, test 3 and test4 groups were significantly lower than that of control group(p<0.05). But, among the test 2, test 3, test4 groups, the significant differences were not detected. 3. In P.g group, LPS elute level of test 2, test 3 and test 4 groups were lower than that of control group(p<0.05). But, among the test groups, the significant differences were not detected. From the result of this study, it would be concluded that air-powder abrasive, hypersaturated citric acid and tetracycline treatments may be effective at reducing endotoxin level on rough titanium implant surfaces, and can be clinically used. But the treatments in peri-implantitis differentially impact osseointegration making one method clinically superior. To gain this knowledges, further molecular biologic and histopathologic studies should be developed.
