Table 3.
Outcomes of nanotopography enhancement techniques.
Technique | Rationale | Preclinical data | Clinical data |
---|---|---|---|
Discrete crystalline deposition | CaP particles (20-100 nm) deposited on a double acid-etched surface by a sol-gel process exert a high adhesive force on the implant surface; bacterial adhesion is reduced [62, 63] | Disruption force required at the bone-implant interface is high; high osteoconduction [64] | One year survival rate 94.9%-99.4% [65, 66] |
Laser ablation | Generates a pattern of nanoscale microchannels that act as a biological seal by eliciting the connective tissue and bone attachment, inhibiting epithelial down growth [67] | Dense cervical seal prevents apical migration of junctional epithelium [67] | Two-year survival rate 96.1%; long-term comparative results not yet available [68] |