Implant DentistryPub Date : 2019-10-01DOI: 10.1097/id.0000000000000939
S. Wallace
{"title":"Next-Generation Biomaterials for Bone and Periodontal Regeneration","authors":"S. Wallace","doi":"10.1097/id.0000000000000939","DOIUrl":"https://doi.org/10.1097/id.0000000000000939","url":null,"abstract":"","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/id.0000000000000939","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44810619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Implant DentistryPub Date : 2019-10-01DOI: 10.1097/ID.0000000000000910
Hakan Hifzi Tüz, Onur Koç, Salih Eren Meral, Azime Sibel El
{"title":"Reconstruction and Implant-Supported Rehabilitation of an Iatrogenically Caused Maxillary Alveolar Defect.","authors":"Hakan Hifzi Tüz, Onur Koç, Salih Eren Meral, Azime Sibel El","doi":"10.1097/ID.0000000000000910","DOIUrl":"https://doi.org/10.1097/ID.0000000000000910","url":null,"abstract":"<p><p>Defects of the oral and maxillofacial region may arise from several reasons such as trauma, infection, cyst, tumor, medication related osteonecrosis of the jaw, and misuse of some irritant agents. For reconstruction, autogenous grafts remain the gold standard among the alternatives. In our case, a 42-year-old woman referred to our clinic for implant-supported fixed bridge rehabilitation of her edentulous and defected left 2nd premolar and 1st molar region. In examinations, devitalizing agent-dependent large defect was observed. Anterior iliac crest (AIC) grafting technique was preferred for reconstruction. Consecutively, 16-week bone healing and 3-month implant osseointegration periods were uneventful. After fabrication of the implant-supported fixed bridge, the patient was followed up for 2.5 years with no signs of bone resorption, gingival inflammation, and pain. AIC grafting and implant-borne fixed bridges seem stable and satisfactory methods for large maxillofacial defects.</p>","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":"28 5","pages":"510-513"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000910","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37283470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Implant DentistryPub Date : 2019-10-01DOI: 10.1097/ID.0000000000000916
Rafał Radzewski, Krzysztof Osmola
{"title":"Osseointegration of Dental Implants in Organ Transplant Patients Undergoing Chronic Immunosuppressive Therapy.","authors":"Rafał Radzewski, Krzysztof Osmola","doi":"10.1097/ID.0000000000000916","DOIUrl":"https://doi.org/10.1097/ID.0000000000000916","url":null,"abstract":"<p><strong>Introduction: </strong>The depressive impact of immunosuppressive medications used by patients after organ transplantations is commonly known and well proven. The aim of research is the assessment of functional and esthetic results of implantoprosthetic treatment in patients subject to immunosuppressive treatment after organ transplants.</p><p><strong>Materials and methods: </strong>The study encompassed a group of 21 patients in the course of maintenance immunosuppression after transplantation procedures, in whom altogether 24 implants were inserted. The control group comprised 15 people with 15 implants in place. The research protocol assumed replacing a single missing tooth with a titanium implant. After 4 months, a prosthetic reconstruction in the form of a single crown was performed. After 24 months, the preliminary assessment of treatment results was attempted. The measured parameter was crestal bone level (CBL). The mechanical assessment was performed by measuring the torque indispensable to locate the implant and by an objective measurement of implant stability.</p><p><strong>Results: </strong>The basic measured parameter of CBL median in the experimental group and in the control group amounted to 0.325 mm (min 0-max 0.95) and 0.5 mm (min 0.15-max 1.8), respectively. The comparison of CBL medians revealed lack of significant differences between the experimental group and the control group (P = 0.089).</p><p><strong>Conclusion: </strong>Patients with organ transplants can safely and effectively undergo dental implant treatment.</p>","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":"28 5","pages":"447-454"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000916","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37160051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Implant DentistryPub Date : 2019-10-01DOI: 10.1097/ID.0000000000000917
Khalid E El-Kholey, Aamna Elkomy
{"title":"Does the Drilling Technique for Implant Site Preparation Enhance Implant Success in Low-Density Bone? A Systematic Review.","authors":"Khalid E El-Kholey, Aamna Elkomy","doi":"10.1097/ID.0000000000000917","DOIUrl":"https://doi.org/10.1097/ID.0000000000000917","url":null,"abstract":"<p><strong>Purpose: </strong>The objective of this systematic review was to investigate the possible association between the drilling technique and proper implant integration and survival in areas with low bone density.</p><p><strong>Materials and methods: </strong>An electronic search using the MEDLINE/PubMed database was performed including studies published up to April 2018. Animal and clinical studies that evaluated the association between the drilling technique and proper implant integration and survival in low-density bone were included.</p><p><strong>Results: </strong>Fifteen studies met the inclusion criteria, including 7 experimental and 8 clinical. Undersized, osteotome, Piezosurgery, and osseodensification drilling were the 4 techniques found in the literature to enhance osseointegration of implants in low-density bone. Owing to the methodological variation, meta-analysis was not performed. The 4 drilling protocols were effective in increasing primary stability, but the long-term outcome is comparable with that of the conventional surgical drilling protocol.</p><p><strong>Conclusion: </strong>There is weak evidence suggesting that any of the previously mentioned surgical techniques could enhance successful osseointegration and survival of the implants placed in low-density bone.</p>","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":"28 5","pages":"500-509"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000917","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37340318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Maxillary Sinus Augmentation Using Hydraulic Pressure by Lateral Approach and Simultaneous Implant Placement: Clinicoradiographic Study.","authors":"Shilpy Bhandari, Raison Thomas, Tarun Kumar, Rucha Shah, Dhoom Singh Mehta","doi":"10.1097/ID.0000000000000911","DOIUrl":"https://doi.org/10.1097/ID.0000000000000911","url":null,"abstract":"<p><p>The purpose of this study was to assess clinically and radiographically efficacy of maxillary sinus augmentation using hydraulic pressure in a lateral approach with immediate implant placement. In a total of 10 patients having less than 4 to 6 mm of subantral bone height, lateral approach sinus membrane elevation procedure was performed using hydraulic pressure with the help of a specialized water lift kit followed by grafting and simultaneous implant placement. Cone beam computed tomography analysis was used to assess the change in subantral bone height from baseline to the 6 months postoperatively. Radiographically, subantral bone height increased from 3.86 ± 1.423 mm at baseline to 15.49 ± 2.73 mm at 6 months postoperatively with a gain of 11.63 + 2.63 mm (P < 0.001). Thus, it is concluded that hydraulic pressure may be efficiently used in lateral sinus augmentation procedures along with simultaneous implant placement.</p>","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":"28 5","pages":"514-519"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000911","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37340320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Implant DentistryPub Date : 2019-10-01DOI: 10.1097/ID.0000000000000904
Dong-Jun Kim, Seul-Ki Kim, Jae-Kook Cha, Jung-Seok Lee, Chang-Sung Kim
{"title":"Clinical Factors and Cellular Responses of In Situ Human Alveolar Bone-Derived Mesenchymal Stromal Cells Associated With Early Periimplant Marginal Bone Loss: A Prospective Cohort Pilot Study.","authors":"Dong-Jun Kim, Seul-Ki Kim, Jae-Kook Cha, Jung-Seok Lee, Chang-Sung Kim","doi":"10.1097/ID.0000000000000904","DOIUrl":"https://doi.org/10.1097/ID.0000000000000904","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate clinical factors and cellular responses of in situ human alveolar bone-derived mesenchymal stromal cells involved in early periimplant marginal bone loss.</p><p><strong>Materials and methods: </strong>Thirty-seven completely or partially edentulous patients were enrolled in this study. Periapical radiographs were taken at the time of implant surgery, at 3-month follow-up, and at 1-year follow-up. Univariate analysis and multiple logistic regression were performed to investigate the associations between marginal bone loss and study variables. The mRNA expression levels of 21 bone-remodeling- and tissue-healing-associated genes were analyzed by subgroup.</p><p><strong>Results: </strong>Thirty-one patients with 98 implants were followed. The incidence and mean amount of bone loss were higher for overdentures than for other prosthesis and higher for the maxilla than for the mandible. The bone loss group showed lower mRNA expression levels of runt-related transcription factor-2, bone morphogenetic protein-2, and peroxisome proliferator-activated receptor gamma-2 and higher receptor activator of NKκB ligand/osteoprotegerin (RANKL/OPG) ratio.</p><p><strong>Conclusion: </strong>Within the limitations of the study, certain genes involved in bone remodeling (runt-related transcription factor-2 [Runx-2], bone morphogenetic protein-2 [BMP-2], and peroxisome proliferator-activated receptor gamma-2 [PPARγ-2]) and RANKL/OPG are correlated with early periimplant bone loss, with the type of suprastructure and the involved jaw being significant clinical factors.</p>","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":"28 5","pages":"421-429"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000904","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37160052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Implant DentistryPub Date : 2019-09-19DOI: 10.1097/ID.0000000000000941
H. A. Trinh, V. V. Dam, B. Le, P. Pittayapat, P. Thunyakitpisal
{"title":"Indirect Sinus Augmentation With and Without the Addition of a Biomaterial: A Randomized Controlled Clinical Trial.","authors":"H. A. Trinh, V. V. Dam, B. Le, P. Pittayapat, P. Thunyakitpisal","doi":"10.1097/ID.0000000000000941","DOIUrl":"https://doi.org/10.1097/ID.0000000000000941","url":null,"abstract":"PURPOSE\u0000The aim of this study was to compare the results of indirect sinus augmentation with and without the addition of a biomaterial.\u0000\u0000\u0000MATERIALS AND METHODS\u0000Thirty patients aged 40 to 60 years participated in this randomized controlled clinical trial. After closed sinus lift operation, patients were randomly and equally divided into blood clot control and acemannan sponge graft groups. Simultaneous implant placement was then performed. Cone beam computed tomography was performed immediately and at 3 and 6 months postoperation. Bone formation was evaluated by the radiographic endo-sinus bone gain percentage around the implant.\u0000\u0000\u0000RESULTS\u0000Compared with the control group, the acemannan-treated group had a significantly greater radiographic endo-sinus bone gain percentage of approximately 2.4- and 2-fold at 3 and 6 months postsurgery, respectively (P < 0.05).\u0000\u0000\u0000CONCLUSION\u0000The addition of a biomaterial (Acemannan) with indirect sinus augmentation and simultaneous implant placement significantly enhances bone formation at 3 and 6 months postsurgery.","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000941","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45022753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Implant DentistryPub Date : 2019-09-12DOI: 10.1097/id.0000000000000940
G. Romanos
{"title":"Implant Therapy","authors":"G. Romanos","doi":"10.1097/id.0000000000000940","DOIUrl":"https://doi.org/10.1097/id.0000000000000940","url":null,"abstract":"High survival rates for implants and implant – supported restorations have been reported in the literature. Clinical research has been focusing on the long term results of implant therapy conducted in university or hospital settings, which often involves predefined patient selection. However, little data exist on implant survival, prevalence of biological and technical complications and patient-reported outcomes for implants placed and restored in private practice settings. The aim of the present retrospective study was to assess the survival, complications and patient satisfaction of dental implants placed and restored in a private practice setting after an observation period of at least 5 years . 203 parallel wall implants","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/id.0000000000000940","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42157819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Implant DentistryPub Date : 2019-09-10DOI: 10.1097/ID.0000000000000936
Tobias Schelbert, T. Gander, M. Blumer, R. Jung, M. Rücker, C. Rostetter
{"title":"Accuracy of Computer-Guided Template-Based Implant Surgery: A Computed Tomography-Based Clinical Follow-Up Study.","authors":"Tobias Schelbert, T. Gander, M. Blumer, R. Jung, M. Rücker, C. Rostetter","doi":"10.1097/ID.0000000000000936","DOIUrl":"https://doi.org/10.1097/ID.0000000000000936","url":null,"abstract":"OBJECTIVE\u0000The aim of this clinical study was to analyze the accuracy of computer-guided implant surgery.\u0000\u0000\u0000MATERIALS AND METHODS\u0000Assisted by computed tomography (CT)-based planning software and navigational templates, 16 patients successfully received 26 dental implants. Each implant parameter (a-d) was calculated based on superimposed preoperative and postoperative cone beam CT scans: (a) deviation at entry point; (b) deviation at apex; (c) angular deviation; and (d) depth deviation.\u0000\u0000\u0000RESULTS\u0000Mean central deviation at implant entry point and apex was 0.91 mm (standard error [SE] = 0.11 mm; 95% confidence interval [CI]: 0.69-1.13) and 1.22 mm (SE = 0.11 mm; 95% CI: 0.99-1.45), respectively. Mean angulation deviation was 4.11 degrees (SE = 0.52 degrees; 95% CI: 3.04-5.17) and the average depth deviation was 0.65 mm (SE = 0.11 mm; 95% CI: 0.42-0.87). For the total number of implants placed, the maximum error was 2.34 mm at entry point, 2.71 mm at apex, 9.44 degrees in angular deviation, and 2.00 mm in depth deviation.\u0000\u0000\u0000CONCLUSION\u0000Great accuracy was reached even in advanced cases with prior bone augmentation and complex traumas. This leads to the conclusion that particularly in advanced cases, computer-guided implantation can be beneficial.","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000936","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44613343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Implant DentistryPub Date : 2019-08-14DOI: 10.1097/ID.0000000000000932
Kazushige Tanaka, G. Iezzi, A. Piattelli, Mauro Ferri, N. F. Mesa, K. A. Apaza Alccayhuaman, D. Botticelli
{"title":"Sinus Floor Elevation and Antrostomy Healing: A Histomorphometric Clinical Study in Humans.","authors":"Kazushige Tanaka, G. Iezzi, A. Piattelli, Mauro Ferri, N. F. Mesa, K. A. Apaza Alccayhuaman, D. Botticelli","doi":"10.1097/ID.0000000000000932","DOIUrl":"https://doi.org/10.1097/ID.0000000000000932","url":null,"abstract":"OBJECTIVES\u0000To compare the histomorphometric outcomes of biopsies collected from the antrostomy and from the alveolar crest of the maxillary sinus after a sinus-lift procedure.\u0000\u0000\u0000MATERIAL AND METHODS\u0000In 12 volunteers, sinus floor elevation was performed using collagenated corticocancellous porcine bone. Nine months after the surgery, 2 biopsies, 1 from the alveolar crest and 1 from the antrostomy, were collected for histological analysis.\u0000\u0000\u0000RESULTS\u0000Biopsies from 11 patients were available for histological analyses (n = 11). At the alveolar crest sites, the percentage of mineralized bone was 40.1 ± 14.1%, of bone marrow was 40.1 ± 18.0%, and of the xenograft was 14.7 ± 15.2%. Small amounts of soft tissue were found. At the antrostomy sites, the percentages of mineralized bone, bone marrow, and xenograft were 26.0 ± 10.8%, 23.4 ± 17.0%, and 28.2 ± 15.7%, respectively. Soft tissue was represented by 19.7 ± 19.4%.\u0000\u0000\u0000CONCLUSION\u0000Higher amounts of mineralized bone and bone marrow were found in the alveolar crest compared with the antrostomy.","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000932","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41435108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}