Background The application of nanotechnology to biomedical surfaces is explained by the ability of cells to interact with nanometric features. The aim of this study was to consider the role of nanoscale topographic modification of CPTi dental implant using chemical etching method for the purpose of improving osseointegration. Materials and methods: Commercial pure titanium rod was machined into 20 dental implants. Each implant was machined in diameter about 3mm, length of 8mm (5mm was threaded part and 3mm was flat part). Implants were prepared and divided into 2 groups according to the types of surface modification method used: 1st group (10 implant) remained without nano surface modification (control), 2nd group include (10 implant) etched with 15N H2SO4 and 30% H2O2, Surfaces were characterized by scanning electron microscope (SEM), Xray diffraction (XRD), atomic force microscope (AFM), thickness measurement for the invitro experiments. While for invivo part tibia of 5 white new Zealand rabbits were chosen as implantation sites. The tibia of each rabbit received two screws. Biomechanical test was performed to understand the bone-implant interface, after two weeks healing periods. Implants from 4animals were tested for the torque required to remove the implant from the bone and the other one animal was prepared for histological examination. Results and Conclusion: For in vitro results, scanning electron microscope showed that the chemical etching of Ti substrate becomes highly porous and has surface consisting of nanosized pits. Removal torque means value after 2 weeks of implantation mentioned that, there was a gradual increase in the removal torque mean values as a follow (M±SD): 12.625(N.cm) ± 0.517, 30.500(N.cm) ± 4.071for machined surface(X), nano chemically etched (X1) respectively. In addition, the histological analysis showed improved quality of bone in response to the nano modified screws, that the chemically treated implants shows trabeculated thread.
Abstract
Due to the lack of previous statistical study of the behavior of payments, specifically health insurance, which represents the largest proportion of payments in the general insurance companies in Iraq, this study was selected and applied in the Iraqi insurance company.
In order to find the convenient model representing the health insurance payments, we initially detected two probability models by using (Easy Fit) software:
First, a single Lognormal for the whole sample and the other is a Compound Weibull for the two Sub samples (small payments and large payments), and we focused on the compoun
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