In vitro adherence of periodontopathic bacteria to zirconia and titanium surfaces

Tetragonal zirconia polycrystals (TZP) has drawn attention as a potential alternative to titanium (Ti) in dental implant treatment, as it minimizes both allergic reactions and esthetic problems. It is also important for dental implants to maintain plaque-free surfaces to prevent peri-implantitis. The purpose of this study was to investigate in vitro adherence of periodontopathic bacteria to TZP comparing with Ti. Periodontopathic bacteria were cultured on polished discs of two kinds of TZP, and Ti as a control. After incubation, the numbers of adherent bacteria were estimated. No significant differences among specimens were observed in the initial attachment, although a decrease was observed in initial attachment to saliva-coated specimens. In the bacterial colonization, no significant differences were recognized among specimens. The adherence of the periodontopathic bacteria on TZP was similar to that on Ti. These results suggest that a strategy is required for inhibition of the bacterial adherence to TZP.