After implant removal, bone specimens were immediately fixed in 10% neutral buffered formalin and maintained at room temperature. Then, they were decalcified for at least 72 h in a mixture of formic and hydrochloric acids (BIODEC R, Bio Optica Milano, Italy), sectioned along the longitudinal implant axis and embedded in paraffin. From each bone portion, sections (5 µm) were obtained and stained with hematoxylin-eosin (H&E) for optical microscopy. The following parameters were analyzed in peri-implant tissue corresponding to 2 mm around each implant site: (1) maximum length of the newly formed bone (mm) measured from the implant profile; (2) bone tissue percentage; (3) number of osteoblasts. All data represent the mean of 10 fields.
Furthermore, sections stained with H&E were digitized using the Hamamatsu’s Nanozoomer 2 scanner (Aperio ImageScope, Buccinasco, Milano, Italy). Areas of new bone deposition and fibrous tissue were marked using an imaging computer software (Aperio ImageScope, Buccinasco, Milano, Italy), analyzed according to a protocol proposed by Han, J.-M. et al. [19 (link)], and expressed as total surface area.
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