Implant DentistryPub Date : 2019-02-01DOI: 10.1097/ID.0000000000000858
Yun-Ho Park, Ui-Won Jung, Chang-Sung Kim, Seong-Ho Choi, Kyoo-Sung Cho, Jung-Seok Lee
{"title":"Resonance Frequency Analysis of Tapered Implants Placed at Maxillary Posterior Sites After Lateral Sinus Augmentation: A 1.5-year Follow-Up Prospective Study.","authors":"Yun-Ho Park, Ui-Won Jung, Chang-Sung Kim, Seong-Ho Choi, Kyoo-Sung Cho, Jung-Seok Lee","doi":"10.1097/ID.0000000000000858","DOIUrl":"https://doi.org/10.1097/ID.0000000000000858","url":null,"abstract":"<p><strong>Objectives: </strong>To use resonance frequency analysis to evaluate tapered implants placed at maxillary posterior sites after lateral sinus augmentation.</p><p><strong>Materials and methods: </strong>Patients who had missing teeth in the maxillary posterior area and required lateral sinus augmentation before implant placement were enrolled in this study. After a 6-month healing period, a tapered implant (Osstem TSIV) was placed. Implant success rate, survival rate, and marginal bone loss of the implants were measured. For resonance frequency analysis, implant stability quotient (ISQ) values were measured at each visit during a 1.5-year follow-up period.</p><p><strong>Results: </strong>Twenty-four patients completed the study procedure. The residual bone height was 2.57 ± 1.10 mm (mean ± SD). Healing of the grafted area was uneventful in all cases, and 55 tapered implants were installed. The implant success rate was 95.56%, and the survival rate was 100% throughout the observation period. The marginal bone loss was limited to 0.22 ± 0.44 mm. ISQ increased gradually from 68.40 ± 11.14 to 82.24 ± 4.75 during the 1.5-year follow-up period.</p><p><strong>Conclusion: </strong>The tapered implants showed good initial and final stability after placement in the soft bone of the maxillary posterior area after lateral sinus augmentation.</p>","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":"28 1","pages":"62-67"},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000858","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36851039","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 : 2019-02-01DOI: 10.1097/ID.0000000000000856
Luca Lepidi, Carmela Suriano, Muhammad H A Saleh, Andrea Ravidà, Filiberto Mastrangelo, Hom-Lay Wang
{"title":"Prosthetic Rehabilitation of Edentulous Patients With Implants Based on Facial Profile Assessment: A Case Report.","authors":"Luca Lepidi, Carmela Suriano, Muhammad H A Saleh, Andrea Ravidà, Filiberto Mastrangelo, Hom-Lay Wang","doi":"10.1097/ID.0000000000000856","DOIUrl":"https://doi.org/10.1097/ID.0000000000000856","url":null,"abstract":"<p><strong>Purpose: </strong>To introduce a user-friendly protocol for implant-retained prosthetic rehabilitation of fully edentulous patients based on facial profile and the cephalometric intermaxillary relationship.</p><p><strong>Materials and methods: </strong>The prosthetic rehabilitation of edentulous patients with implants based on facial profile assessment protocol commences with a clinical and cephalometric analysis, followed by a preliminary projection to obtain a harmonious interarch relationship, eventually stabilized by the preplanned prosthesis. The protocol is divided into the following 5 phases: esthetic evaluation; cephalometric-occlusal assessment; surgery; provisionalization; and definitive prosthesis. Evaluation of patient's satisfaction from the treatment provided was performed through a preoperative and postoperative visual analogue scale scores.</p><p><strong>Results: </strong>The patient was granted immediate function and superior esthetics at day 1 of the treatment. These results were re-evaluated on an interval of 18 months and continued to be stable. The overall treatment time was significantly reduced.</p><p><strong>Conclusion: </strong>Our recommended protocol gives the clinician a chance to grasp results beyond the offered by traditional protocols by using a wider perspective of rehabilitation, involving the patient's facial profile, thus fulfilling the integration of both occlusal and cephalometric parameters in a unified surgical-prosthetic approach.</p>","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":"28 1","pages":"91-98"},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000856","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36851038","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 : 2019-02-01DOI: 10.1097/ID.0000000000000842
Jimmy Vellis, Ahmad Kutkut, Mohanad Al-Sabbagh
{"title":"Comparison of Xenogeneic Collagen Matrix vs. Free Gingival Grafts to Increase the Zone of Keratinized Mucosa Around Functioning Implants.","authors":"Jimmy Vellis, Ahmad Kutkut, Mohanad Al-Sabbagh","doi":"10.1097/ID.0000000000000842","DOIUrl":"https://doi.org/10.1097/ID.0000000000000842","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effectiveness of collagen matrix (CM) grafts as an alternative to free gingival grafts (FGGs) in increasing the zone of keratinized tissue (KT) around dental implants.</p><p><strong>Methods: </strong>Thirty subjects with 2 contralateral implants were recruited. The test group (n = 30) received CM grafts. The control group (n = 30) received FGGs. Clinical variables were plaque index, gingival index, probing depths, bleeding on probing (BOP), and mucosal recession (MR). Subjects were followed at 1 and 2 weeks and 1, 3, and 6 months.</p><p><strong>Results: </strong>FGGs resulted in mean gains (3.73 ± 1.93 mm) in KT for 28 of 30 implants (93% success rate). CM grafts resulted in mean gains (3.23 ± 1.52 mm) in KT for 29 of the 30 implants (97% success rate). Mean change in pocket depth around implants grafted with FGG was -0.24 ± 1.02 mm and with CM was -0.25 ± 0.80 mm. Mean change in BOP around implants grafted with FGG was 0.03 ± 0.49 and with CM was 0.13 ± 0.57.</p><p><strong>Conclusion: </strong>CM grafts achieved results comparable to those of FGGs in augmented tissue. They do not negatively affect probing depths, MR, or bleeding on probing.</p>","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":"28 1","pages":"20-27"},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000842","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36692867","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 : 2019-02-01DOI: 10.1097/ID.0000000000000854
Rachel Mei Ling Chye, Vittoria Perrotti, Adriano Piattelli, Flavia Iaculli, Alessandro Quaranta
{"title":"Effectiveness of Different Commercial Chlorhexidine-Based Mouthwashes After Periodontal and Implant Surgery: A Systematic Review.","authors":"Rachel Mei Ling Chye, Vittoria Perrotti, Adriano Piattelli, Flavia Iaculli, Alessandro Quaranta","doi":"10.1097/ID.0000000000000854","DOIUrl":"https://doi.org/10.1097/ID.0000000000000854","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the present study was to review the effectiveness, side effects, and patient acceptance of different concentrations and formulation of chlorhexidine-based mouthwashes used after periodontal and implant surgery.</p><p><strong>Materials and methods: </strong>The PRISMA guideline was adopted in the search strategy using electronic databases PubMed and MEDLINE to identify randomized and case-control prospective studies on humans written in English language and published up to September 2017.</p><p><strong>Results: </strong>A total of 10 articles were selected for a total of 344 patients. Because of the significant heterogeneity of the outcome measures, meta-analysis was not performed, and the data were summarized in a table. A positive relationship between the use of chlorhexidine and reduction of plaque was found, demonstrating the effectiveness of the substance in terms of antisepsis and decrease of inflammation after periodontal and implant surgery.</p><p><strong>Conclusion: </strong>Chlorhexidine is recognized as the primary agent for plaque control and the gold standard in preventing infection, although the presence of largely known side effects would affect patient compliance. Future research should be directed at finding chlorhexidine formulation with negligible adverse effects, without compromising or even increasing its effectiveness as the antiseptics and antiplaque agent.</p>","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":"28 1","pages":"74-85"},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000854","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36869563","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 : 2019-02-01DOI: 10.1097/ID.0000000000000832
Roberto Crespi, Simone Marconcini, Giovanni Crespi, Enrica Giammarinaro, Giovanni Battista Menchini Fabris, Antonio Barone, Ugo Covani
{"title":"Nonsurgical Treatment of Peri-implantitis Without Eliminating Granulation Tissue: A 3-Year Study.","authors":"Roberto Crespi, Simone Marconcini, Giovanni Crespi, Enrica Giammarinaro, Giovanni Battista Menchini Fabris, Antonio Barone, Ugo Covani","doi":"10.1097/ID.0000000000000832","DOIUrl":"https://doi.org/10.1097/ID.0000000000000832","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to evaluate a nonsurgical approach toward peri-implantitis by means of mechanical debridement and local detoxification leaving granulation tissue into the peri-implant pockets.</p><p><strong>Materials and methods: </strong>An analysis was performed on the outcomes of 2 nonsurgical protocols: mechanical debridement plus chemical detoxification with 0.2% chlorhexidine and chlortetracycline hydrochloride (test), and mechanical debridement alone (control). Measures were collected at baseline, 3, 24, and 36 months after treatment.</p><p><strong>Results: </strong>Seventy-five implants with peri-implantitis were included. At a 36-month evaluation, mean pocket probing depth was 3.15 ± 0.32 mm for the test group and 5.97 ± 0.90 mm for the control group, the difference being significant. An improvement of marginal bone level was recorded for the test group, whether the control group showed a further marginal bone loss. Treatment success was 100% in the test group and 31.4% in the control group.</p><p><strong>Conclusion: </strong>Nonsurgical implant debridement alone seemed not efficient in the treatment of peri-implantitis. Further longitudinal studies are required to evaluate the efficacy of mechanical debridement with chemical detoxification and removal of granulation tissues against mechanical debridement with chemical detoxification alone.</p>","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":"28 1","pages":"4-10"},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000832","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36663080","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 : 2019-02-01DOI: 10.1097/ID.0000000000000836
Wenjuan Zhou, Stefan Tangl, Karoline Maria Reich, Franziska Kirchweger, Zhonghao Liu, Werner Zechner, Christian Ulm, Xiaohui Rausch-Fan
{"title":"The Influence of Type 2 Diabetes Mellitus on the Osseointegration of Titanium Implants With Different Surface Modifications-A Histomorphometric Study in High-Fat Diet/Low-Dose Streptozotocin-Treated Rats.","authors":"Wenjuan Zhou, Stefan Tangl, Karoline Maria Reich, Franziska Kirchweger, Zhonghao Liu, Werner Zechner, Christian Ulm, Xiaohui Rausch-Fan","doi":"10.1097/ID.0000000000000836","DOIUrl":"https://doi.org/10.1097/ID.0000000000000836","url":null,"abstract":"<p><strong>Objectives: </strong>Type 2 diabetes mellitus (T2DM) is a systemic disease that also compromises the bone healing capacity. In healthy individuals, surface modifications of dental implants are proven to increase bone response and implant success. The aim of this study was to clarify if the surface modifications also improve osseointegration in a setting with diabetes mellitus.</p><p><strong>Methods: </strong>T2DM was induced in 7 rats by a high-fat diet/low-dose streptozotocin injection. All animals received a hydroxyapatite (HA) implant, a sandblasted and acid-etched (SLA) implant, and a standard machined titanium implant for control in the tibia. After 4 weeks, thin-ground sections were produced, and the volume of new bone formation (nBV/TV) and bone-to-implant contact (nB.I/Im.I) were histomorphometrically analyzed.</p><p><strong>Results: </strong>Both surface modifications led to an increase of osseointegration compared with the machined surface implant in rats with T2DM. nBV/TV was highest in the SLA implants, whereas nB.I/Im.I was highest in the HA group. Regardless of the surface modification, a superordinate regional pattern of new bone formation over the length of the implant was observed.</p><p><strong>Conclusions: </strong>Implants with HA coating and SLA surface modifications seem to have the potential to increase osseointegration also in T2DM rats when compared with a conventional machined surface.</p>","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":"28 1","pages":"11-19"},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000836","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36692866","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":"Evaluation of Space-Maintaining Sinus Membrane Using the Absorbable Screws in Sinus Lifting Bone Augmentation.","authors":"Akihiro Takayama, Akinori Moroi, Yuki Saito, Kunio Yoshizawa, Taro Nishida, Koichiro Ueki","doi":"10.1097/ID.0000000000000843","DOIUrl":"https://doi.org/10.1097/ID.0000000000000843","url":null,"abstract":"<p><strong>Purpose: </strong>We investigated whether it was possible to perform a sinus lift maintaining absorbable screw material with biological activity.</p><p><strong>Materials and methods: </strong>Thirty rabbits were used. The screws used in this study were unsintered hydroxyapatite/poly-L-lactic acid (uHA/PLLA) (uHA/PLLA group) and titanium alloy (Ti group). Some uHA/PLLA screws were treated with ultraviolet light (UV-uHA/PLLA group). Each group consisted of 10 rabbits, and 2 screws were implanted for 1 rabbit. The screws were implanted into the frontal bone. Rabbits were euthanized at 3 days, 1, 2, 3, and 4 weeks postoperatively and prepared for histological examination, BMP-2 cell staining, and micro-computed tomography (micro-CT) assessment.</p><p><strong>Results: </strong>At 1, 2, and 3 weeks, the UV uHA/PLLA group had significantly more bone contact and new bone ratio on histological assessment than the other 2 groups. At 1, 2, 3, and 4 weeks, micro-CT assessment revealed significant differences between the UV uHA/PLLA group and the other 2 groups.</p><p><strong>Conclusions: </strong>Sinus lift surgery using absorbable screw allowed bone formation. The UV-treated hydroxyapatite/poly-L-lactic acid (uHA/PLLA) was superior for sinus lift bone augmentation using a screw.</p>","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":"28 1","pages":"28-38"},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000843","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36745282","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 : 2019-02-01DOI: 10.1097/ID.0000000000000848
Ning Song, Da-Qing Liao, Fei Liu, Yan-Yan Zhang, Jiu Lin, Hang Wang, Jie-Fei Shen
{"title":"Effect of Titanium Particles on the Voltage-Gated Potassium Channel Currents in Trigeminal Root Ganglion Neurons.","authors":"Ning Song, Da-Qing Liao, Fei Liu, Yan-Yan Zhang, Jiu Lin, Hang Wang, Jie-Fei Shen","doi":"10.1097/ID.0000000000000848","DOIUrl":"https://doi.org/10.1097/ID.0000000000000848","url":null,"abstract":"<p><strong>Purpose: </strong>Titanium (Ti) is the key material used in dental implants because of its excellent biocompatibility. But wear and corrosion Ti particles had been widely reported to induce inflammation and promote bone absorption. However, little information is known about the damage of Ti particles on neurons.</p><p><strong>Materials and methods: </strong>Trigeminal root ganglion (TRG) neurons were exposed to Ti particles (<5 μm). The electrophysiological properties of 2 main subtypes of voltage-gated potassium channels (VGPCs) (KA and KV) were examined by whole-cell patch-clamp techniques.</p><p><strong>Result: </strong>With the presence of 0.25 mg/mL Ti particles, amplitudes of IK, A and IK, V were both obviously inhibited. For IK, A, the activation V1/2 shifted to the depolarizing direction with an increased k value, whereas the inactivation V1/2 showed obvious hyperdepolarizing shifts. For IK, V, 0.5 mg/mL Ti particles produced a depolarizing shift of activation V1/2 with a slower activation rate. No significant changes of its inactivation kinetics were found.</p><p><strong>Conclusion: </strong>Titanium (Ti) particles might alter the electrophysiological properties of VGPCs on TRG neurons, which are likely to further influence the excitability of neurons.</p>","PeriodicalId":13309,"journal":{"name":"Implant Dentistry","volume":"28 1","pages":"54-61"},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ID.0000000000000848","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36745283","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}