Research Article
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Yüksek fruktoz diyetinin titanyum implantların osseointegrasyonu üzerine etkisi

Year 2026, Volume: 9 Issue: 2 , 271 - 275 , 12.03.2026
https://doi.org/10.32322/jhsm.1801173
https://izlik.org/JA98BF49HF

Abstract

Giriş/Amaç: Bu çalışma, yüksek fruktoz diyetinin sıçan tibiasında titanyum implantların osseointegrasyonu üzerindeki biyomekanik etkilerini araştırdı. Gereç ve Yöntem: Yirmi dört dişi Sprague-Dawley sıçan, kontrol grubu (n=12) ve 12 hafta boyunca içme suyunda %20 fruktoz alan yüksek fruktoz grubu (n=12) olarak ikiye ayrıldı. Tüm sıçanların tibial metafizine titanyum implantlar yerleştirildi. Deney sonunda, implant stabilitesini değerlendirmek için biyomekanik tork testi yapıldı. Bulgular: Sonuçlar, kontrol grubu (30,76 ± 9,54 N/cm) ile yüksek fruktoz grubu (33,46 ± 9,40 N/cm) arasında anlamlı bir fark olmadığını gösterdi (p>0,05). Bulgular, 12 haftalık yüksek fruktoz diyetinin osseointegrasyonun biyomekanik dayanımını olumsuz etkilemediğini düşündürmektedir. Sonuç: Önceki çalışmalar fruktozun kemik metabolizması ve mikro mimarisi üzerindeki etkilerini bildirse de, bu çalışmada implant stabilitesinde bozulma gözlenmedi. Bunun nedeni, 12 haftalık sürede adaptasyon mekanizmaları veya yüksek yağ içermeyen diyet gibi metodolojik farklılıklar olabilir. Çalışma, fruktozun kemik metabolizması ve implant başarısı üzerindeki etkilerini tam olarak anlamak için histolojik ve moleküler analizlerin birleştirildiği ileri araştırmaların gerekliliğini vurgulamaktadır.
yüksek fruktoz diyeti, osseointegrasyon, titanyum implantlar, biyomekanik analiz

Ethical Statement

etik kurul onayı: 12.08.2025-37784

References

  • Kaya CA, Sagsoz A, Tanrisever M, Gelic T, Ozercan IH, Dundar S. Histopathological evaluation of effects of high fructose diet on bone healing in tibial defects: an experimental study. Revista Cientifica-Facultad De Ciencias Veterinarias. 2025;35(2):1-6. doi:10.52973/rcfcv- e35624
  • King S, Baptiston Tanaka C, Ross D, et al. A diet high in fat and fructose adversely affects osseointegration of titanium implants in rats. Clin Exp Dent Res. 2020;6(1):107-116. doi:10.1002/cre2.255
  • Dutta B, Tripathy A, Archana PR, Kamath SU. Unraveling the complexities of diet induced obesity and glucolipid dysfunction in metabolic syndrome. Diabetol Metab Syndr. 2025;17(1):292. doi:10.1186/s 13098-025-01837-y
  • Alwahsh SM, Xu M, Itmezeh A, Kim MH, Ramadori GP. Excessive intake of fructose and alcohol aggravates high-fat diet-induced steatohepatitis and changes hepatic iron homeostasis. Histochem Cell Biol. 2025;163(1):77. doi:10.1007/s00418-025-02402-4
  • Babacanoglu C, Yildirim N, Sadi G, Pektas MB, Akar F. Resveratrol prevents high-fructose corn syrup-induced vascular insulin resistance and dysfunction in rats. Food Chem Toxicol. 2013;60:160-167. doi:10. 1016/j.fct.2013.07.026
  • Jeong Y, Oh AR, Jung YH, et al. Hepatocyte KCTD17-mediated SERPINA3 inhibition determines liver fibrosis in metabolic dysfunction-associated steatohepatitis. Exp Mol Med. doi: 10.1038/s 12276-025-01499-w
  • Pektas MB, Yücel G, Koca HB, et al. Dietary fructose-induced hepatic injury in male and female rats: influence of resveratrol. Drug Res (Stuttg). 2017;67(2):103-110. doi:10.1055/s-0042-118386
  • Pektas MB, Turan O, Ozturk Bingol G, Sumlu E, Sadi G, Akar F. High glucose causes vascular dysfunction through Akt/eNOS pathway: reciprocal modulation by juglone and resveratrol. Can J Physiol Pharmacol. 2018;96(8):757-764. doi:10.1139/cjpp-2017-0639
  • Ozcan EC, Sokmen K, Karasu N, et al. Biomechanical evaluation of the osseointegration levels of implants placed simultaneously with tibia, femur, and jaw allogeneic bone grafts. J Craniofac Surg. 2025;36(1):323-327. doi:10.1097/SCS.0000000000010517
  • Moraschini V, Poubel LA, Ferreira VF, Barboza Edos S. Evaluation of survival and success rates of dental implants reported in longitudinal studies with a follow-up period of at least 10 years: a systematic review. Int J Oral Maxillofac Surg. 2015;44(3):377-388. doi:10.1016/j.ijom.2014. 10.023
  • Bayliss LE, Culliford D, Monk AP, et al. The effect of patient age at intervention on risk of implant revision after total replacement of the hip or knee: a population-based cohort study. Lancet. 2017;389(10077):1424-1430. Erratum in: Lancet. 2017;389(10077):1398. doi:10.1016/S0140-6736(17)30059-4
  • Pedersen AB, Mehnert F, Johnsen SP, Sørensen HT. Risk of revision of a total hip replacement in patients with diabetes mellitus: a population-based follow up study. J Bone Joint Surg Br. 2010;92(7):929-934. doi:10. 1302/0301-620X.92B7.24461
  • Vural S, Abbasgholızadeh ZŞ, Evren B, Türker ŞB. Sert damak defektli diyabetik hastanın implant destekli hareketli protez ile protetik rehabilitasyonu: vaka sunumu. Eur J Res Dent. 2024;8(1):31-35.
  • Tekin S, Dundar S, Demirci F, et al. Biomechanical and biochemical evaluation of the effect of systemic application of omeprazole on the osseointegration of titanium implants. Int J Implant Dent. 2021;7(1):27. doi:10.1186/s40729-021-00310-5
  • Bulmus O, Dundar S, Bozoglan A, Canpolat S. Evaluation of the effects of systemic irisin hormone application on osseointegration of titanium implants: an experimental study. J Craniofac Surg. 2022;33(4):e402-e405. doi:10.1097/SCS.0000000000008267
  • Kobat MA, Dundar S, Bozoglan A, et al. Evaluation of the effects of dual antiplatelet therapy on guided bone regeneration in peri-implant bone defect. J Craniofac Surg. 2023;34(5):1590-1594. doi:10.1097/SCS. 0000000000009137
  • Felice JI, Gangoiti MV, Molinuevo MS, McCarthy AD, Cortizo AM. Effects of a metabolic syndrome induced by a fructose-rich diet on bone metabolism in rats. Metabolism. 2014;63(2):296-305. doi:10.1016/j.metabol.2013.11.002
  • Bass EF, Baile CA, Lewis RD, Giraudo SQ. Bone quality and strength are greater in growing male rats fed fructose compared with glucose. Nutr Res. 2013;33(12):1063-1071. doi:10.1016/j.nutres.2013.08.006
  • Chen J, Jiang X. A high-fructose diet leads to osteoporosis by suppressing the expression of Thrb and facilitating the accumulation of cholesterol. Cell Death Discov. 2025;11(1):159. doi:10.1038/s41420-025-02445-5
  • Khan J, Sadie-Van Gijsen H, Kotzé-Hörstmann LM, Kotze SH, Layman-Lemphane JI. Characterisation of the influence of dietary fat and sugar on bone health utilising densitometry, micro-computed tomography and histomorphometry. Bone. 2025;192:117380. doi:10.1016/j.bone.2024. 117380
  • Tladi R, Erlwanger KH, Donaldson J. Effect of quercetin administration during the first two weeks post-weaning on the development of non-alcoholic fatty liver disease and dyslipidaemia in Sprague Dawley rats fed a high fructose diet. Gen Physiol Biophys. 2024;43(1):25-36. doi:10. 4149/gpb_2023033

The impact of a high fructose diet on osseointegration of titanium implants

Year 2026, Volume: 9 Issue: 2 , 271 - 275 , 12.03.2026
https://doi.org/10.32322/jhsm.1801173
https://izlik.org/JA98BF49HF

Abstract

Aims: This study investigated the biomechanical effects of a high-fructose diet on the osseointegration of titanium implants in a rat tibia model.
Methods: Twenty-four female Sprague-Dawley rats were divided into two groups: a control group (n=12) and a high-fructose group (n=12), which received 20% fructose in drinking water for 12 weeks. Titanium implants were surgically placed in the tibial metaphysis of all rats. After the experimental period, biomechanical torque testing was performed to evaluate implant stability. Results showed no significant difference in torque values between the control group (30.76±9.54 N/cm) and the high-fructose group (33.46±9.40 N/cm) (p>0.05).
Results: These findings suggest that a 12-week high-fructose diet did not adversely affect the biomechanical strength of osseointegration. While previous studies reported metabolic and microarchitectural bone changes due to fructose, this study’s biomechanical approach revealed no impairment in implant stability. Potential explanations include adaptation mechanisms over the 12-week period or methodological differences, such as the absence of combined high-fat and high fructose dietary stress.
Conclusion: The study highlights the need for further research combining histological and molecular analyses to fully understand fructose’s impact on bone metabolism and implant success.

Ethical Statement

approved: 12.08.2025-37784

References

  • Kaya CA, Sagsoz A, Tanrisever M, Gelic T, Ozercan IH, Dundar S. Histopathological evaluation of effects of high fructose diet on bone healing in tibial defects: an experimental study. Revista Cientifica-Facultad De Ciencias Veterinarias. 2025;35(2):1-6. doi:10.52973/rcfcv- e35624
  • King S, Baptiston Tanaka C, Ross D, et al. A diet high in fat and fructose adversely affects osseointegration of titanium implants in rats. Clin Exp Dent Res. 2020;6(1):107-116. doi:10.1002/cre2.255
  • Dutta B, Tripathy A, Archana PR, Kamath SU. Unraveling the complexities of diet induced obesity and glucolipid dysfunction in metabolic syndrome. Diabetol Metab Syndr. 2025;17(1):292. doi:10.1186/s 13098-025-01837-y
  • Alwahsh SM, Xu M, Itmezeh A, Kim MH, Ramadori GP. Excessive intake of fructose and alcohol aggravates high-fat diet-induced steatohepatitis and changes hepatic iron homeostasis. Histochem Cell Biol. 2025;163(1):77. doi:10.1007/s00418-025-02402-4
  • Babacanoglu C, Yildirim N, Sadi G, Pektas MB, Akar F. Resveratrol prevents high-fructose corn syrup-induced vascular insulin resistance and dysfunction in rats. Food Chem Toxicol. 2013;60:160-167. doi:10. 1016/j.fct.2013.07.026
  • Jeong Y, Oh AR, Jung YH, et al. Hepatocyte KCTD17-mediated SERPINA3 inhibition determines liver fibrosis in metabolic dysfunction-associated steatohepatitis. Exp Mol Med. doi: 10.1038/s 12276-025-01499-w
  • Pektas MB, Yücel G, Koca HB, et al. Dietary fructose-induced hepatic injury in male and female rats: influence of resveratrol. Drug Res (Stuttg). 2017;67(2):103-110. doi:10.1055/s-0042-118386
  • Pektas MB, Turan O, Ozturk Bingol G, Sumlu E, Sadi G, Akar F. High glucose causes vascular dysfunction through Akt/eNOS pathway: reciprocal modulation by juglone and resveratrol. Can J Physiol Pharmacol. 2018;96(8):757-764. doi:10.1139/cjpp-2017-0639
  • Ozcan EC, Sokmen K, Karasu N, et al. Biomechanical evaluation of the osseointegration levels of implants placed simultaneously with tibia, femur, and jaw allogeneic bone grafts. J Craniofac Surg. 2025;36(1):323-327. doi:10.1097/SCS.0000000000010517
  • Moraschini V, Poubel LA, Ferreira VF, Barboza Edos S. Evaluation of survival and success rates of dental implants reported in longitudinal studies with a follow-up period of at least 10 years: a systematic review. Int J Oral Maxillofac Surg. 2015;44(3):377-388. doi:10.1016/j.ijom.2014. 10.023
  • Bayliss LE, Culliford D, Monk AP, et al. The effect of patient age at intervention on risk of implant revision after total replacement of the hip or knee: a population-based cohort study. Lancet. 2017;389(10077):1424-1430. Erratum in: Lancet. 2017;389(10077):1398. doi:10.1016/S0140-6736(17)30059-4
  • Pedersen AB, Mehnert F, Johnsen SP, Sørensen HT. Risk of revision of a total hip replacement in patients with diabetes mellitus: a population-based follow up study. J Bone Joint Surg Br. 2010;92(7):929-934. doi:10. 1302/0301-620X.92B7.24461
  • Vural S, Abbasgholızadeh ZŞ, Evren B, Türker ŞB. Sert damak defektli diyabetik hastanın implant destekli hareketli protez ile protetik rehabilitasyonu: vaka sunumu. Eur J Res Dent. 2024;8(1):31-35.
  • Tekin S, Dundar S, Demirci F, et al. Biomechanical and biochemical evaluation of the effect of systemic application of omeprazole on the osseointegration of titanium implants. Int J Implant Dent. 2021;7(1):27. doi:10.1186/s40729-021-00310-5
  • Bulmus O, Dundar S, Bozoglan A, Canpolat S. Evaluation of the effects of systemic irisin hormone application on osseointegration of titanium implants: an experimental study. J Craniofac Surg. 2022;33(4):e402-e405. doi:10.1097/SCS.0000000000008267
  • Kobat MA, Dundar S, Bozoglan A, et al. Evaluation of the effects of dual antiplatelet therapy on guided bone regeneration in peri-implant bone defect. J Craniofac Surg. 2023;34(5):1590-1594. doi:10.1097/SCS. 0000000000009137
  • Felice JI, Gangoiti MV, Molinuevo MS, McCarthy AD, Cortizo AM. Effects of a metabolic syndrome induced by a fructose-rich diet on bone metabolism in rats. Metabolism. 2014;63(2):296-305. doi:10.1016/j.metabol.2013.11.002
  • Bass EF, Baile CA, Lewis RD, Giraudo SQ. Bone quality and strength are greater in growing male rats fed fructose compared with glucose. Nutr Res. 2013;33(12):1063-1071. doi:10.1016/j.nutres.2013.08.006
  • Chen J, Jiang X. A high-fructose diet leads to osteoporosis by suppressing the expression of Thrb and facilitating the accumulation of cholesterol. Cell Death Discov. 2025;11(1):159. doi:10.1038/s41420-025-02445-5
  • Khan J, Sadie-Van Gijsen H, Kotzé-Hörstmann LM, Kotze SH, Layman-Lemphane JI. Characterisation of the influence of dietary fat and sugar on bone health utilising densitometry, micro-computed tomography and histomorphometry. Bone. 2025;192:117380. doi:10.1016/j.bone.2024. 117380
  • Tladi R, Erlwanger KH, Donaldson J. Effect of quercetin administration during the first two weeks post-weaning on the development of non-alcoholic fatty liver disease and dyslipidaemia in Sprague Dawley rats fed a high fructose diet. Gen Physiol Biophys. 2024;43(1):25-36. doi:10. 4149/gpb_2023033
There are 21 citations in total.

Details

Primary Language English
Subjects Nutritional Science, Clinical Nutrition, Oral Implantology
Journal Section Research Article
Authors

Can Ayhan Kaya 0000-0001-8226-7603

Serkan Dündar 0000-0003-3944-1957

Submission Date October 10, 2025
Acceptance Date January 10, 2026
Publication Date March 12, 2026
DOI https://doi.org/10.32322/jhsm.1801173
IZ https://izlik.org/JA98BF49HF
Published in Issue Year 2026 Volume: 9 Issue: 2

Cite

AMA 1.Kaya CA, Dündar S. The impact of a high fructose diet on osseointegration of titanium implants. J Health Sci Med / JHSM. 2026;9(2):271-275. doi:10.32322/jhsm.1801173

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