在存在明显的上颌骨萎缩的情况下,使用骨内牙科植入物可能变得不可行;因此,在这种情况下,已经提出了手术技术来促进骨再生。然而,这种技术很复杂,可能会使患者出现并发症。骨膜下植入物,放置在骨膜和残余牙槽骨之间,在很大程度上与骨厚度无关。由于定位和适应受体骨部位的复杂性,此类设备已被放弃,但如今,随着新的收购程序的引入,新材料,创新的制造方法。我们已经分析了不同表面修饰的TiO2材料在C-12720人成骨细胞中诱导的基因和蛋白质表达的变化,以验证其促进骨形成的能力。测试的TiO2材料是(i)原始加工的,(ii)用酸混合物电抛光,(iii)喷砂+酸蚀,(iv)AlTiColorTM表面,和(v)阳极氧化。所有五个表面都有效刺激成骨细胞分化标志物的表达,附着力,和成骨,如RUNX2,骨钙蛋白,osterix,N-钙黏着蛋白,β-连环蛋白,和骨保护素,而细胞活力/增殖不受影响。总的来说,我们的观察表明,目前可用的TiO2材料非常适合制造现代骨膜下植入物。
The use of endosseous dental implants may become unfeasible in the presence of significant maxillary bone atrophy; thus, surgical techniques have been proposed to promote bone regeneration in such cases. However, such techniques are complex and may expose the patient to complications. Subperiosteal implants, being placed between the periosteum and the residual alveolar bone, are largely independent of bone thickness. Such devices had been abandoned due to the complexity of positioning and adaptation to the recipient bone site, but are nowadays witnessing an era of revival following the introduction of new acquisition procedures, new materials, and innovative manufacturing methods. We have analyzed the changes induced in gene and protein expression in C-12720 human osteoblasts by differently surface-modified TiO2 materials to verify their ability to promote bone formation. The TiO2 materials tested were (i) raw machined, (ii) electropolished with acid mixture, (iii) sand-blasted + acid-etched, (iv) AlTiColorTM surface, and (v) anodized. All five surfaces efficiently stimulated the expression of markers of osteoblastic differentiation, adhesion, and osteogenesis, such as RUNX2, osteocalcin, osterix, N-cadherin, β-catenin, and osteoprotegerin, while cell viability/proliferation was unaffected. Collectively, our observations document that presently available TiO2 materials are well suited for the manufacturing of modern subperiosteal implants.