International Journal of Implant Dentistry最新文献

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Biomechanical analysis of the human derived soft tissue graft Epiflex for use in oral soft tissue augmentation. 对用于口腔软组织增生的人体软组织移植物 Epiflex 进行生物力学分析。
IF 2.7 3区 医学
International Journal of Implant Dentistry Pub Date : 2024-03-22 DOI: 10.1186/s40729-024-00534-1
Keyvan Sagheb, Robert Noelken, Saskia-Vanessa Schröger, Christian Walter, Julian Jakob Graef, Sven Schumann
{"title":"Biomechanical analysis of the human derived soft tissue graft Epiflex for use in oral soft tissue augmentation.","authors":"Keyvan Sagheb, Robert Noelken, Saskia-Vanessa Schröger, Christian Walter, Julian Jakob Graef, Sven Schumann","doi":"10.1186/s40729-024-00534-1","DOIUrl":"10.1186/s40729-024-00534-1","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the biomechanical properties, cell migration, and revascularization of the acellular dermal matrix Epiflex. As a decellularized, freeze-dried human skin graft, Epiflex has broad applications in medical fields, particularly in implantology and dentistry. Understanding its biomechanical characteristics is crucial for its clinical adoption as a novel soft tissue graft option.</p><p><strong>Methods: </strong>Epiflex (n = 3) was evaluated in comparison to palatal tissue from body donors (n = 3). Key metrics, such as elongation and tear resistance, were quantified. Both graft types underwent histological analysis and scanning electron microscopy. Additionally, the healing properties of Epiflex were assessed using a Chorioallantoic Membrane (CAM) Assay.</p><p><strong>Results: </strong>Biomechanically, Epiflex (mean = 116.01 N) demonstrated the ability to withstand greater forces (p = 0.013) than human palatal tissue (mean = 12.58 N). When comparing the elongation, no significant difference was measured (ASG mean = 9.93 mm, EF mean = 9.7 mm). Histologically, Epiflex exhibited a loosely connected network of collagen fibers with a dense upper layer. The CAM Assay indicated efficient revascularization.</p><p><strong>Conclusion: </strong>Epiflex appears to be a viable option for soft tissue augmentation, particularly appealing to patient groups who avoid all or specific animal-derived products due to ethical or religious reasons.</p>","PeriodicalId":14076,"journal":{"name":"International Journal of Implant Dentistry","volume":"10 1","pages":"16"},"PeriodicalIF":2.7,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10959861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140189680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of the application of low-temperature atmospheric plasma on titanium implants on wound healing in peri-implant connective tissue in rats. 在钛种植体上应用低温大气等离子体对大鼠种植体周围结缔组织伤口愈合的影响。
IF 3.1 3区 医学
International Journal of Implant Dentistry Pub Date : 2024-03-21 DOI: 10.1186/s40729-024-00524-3
Atsuro Harada, Hodaka Sasaki, Yosuke Asami, Kiyotoshi Hanazawa, Sota Miyazaki, Hideshi Sekine, Yasutomo Yajima
{"title":"Effects of the application of low-temperature atmospheric plasma on titanium implants on wound healing in peri-implant connective tissue in rats.","authors":"Atsuro Harada, Hodaka Sasaki, Yosuke Asami, Kiyotoshi Hanazawa, Sota Miyazaki, Hideshi Sekine, Yasutomo Yajima","doi":"10.1186/s40729-024-00524-3","DOIUrl":"10.1186/s40729-024-00524-3","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to clarify the effects of surface modification of titanium (Ti) implants by low-temperature atmospheric pressure plasma treatment on wound healing and cell attachment for biological sealing in peri-implant soft tissue.</p><p><strong>Methods: </strong>Hydrophilization to a Ti disk using a handheld low-temperature atmospheric pressure plasma device was evaluated by a contact angle test and compared with an untreated group. In in vivo experiments, plasma-treated pure Ti implants using a handheld plasma device (experimental group: PL) and untreated implants (control group: Cont) were placed into the rat upper molar socket, and samples were harvested at 3, 7 and 14 days after surgery. Histological evaluation was performed to assess biological sealing, collagen- and cell adhesion-related gene expression by reverse transcription quantitative polymerase chain reaction, collagen fiber detection by Picrosirius Red staining, and immunohistochemistry for integrins.</p><p><strong>Results: </strong>In in vivo experiments, increased width of the peri-implant connective tissue (PICT) and suppression of epithelial down growth was observed in PL compared with Cont. In addition, high gene expression of types I and XII collagen at 7 days and acceleration of collagen maturation was recognized in PL. Strong immunoreaction of integrin α2, α5, and β1 was observed at the implant contact area of PICT in PL.</p><p><strong>Conclusions: </strong>The handheld low-temperature atmospheric pressure plasma device provided hydrophilicity on the Ti surface and maintained the width of the contact area of PICT to the implant surface as a result of accelerated collagen maturation and fibroblast adhesion, compared to no plasma application.</p>","PeriodicalId":14076,"journal":{"name":"International Journal of Implant Dentistry","volume":"10 1","pages":"15"},"PeriodicalIF":3.1,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10954594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140174603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Magnetic resonance imaging in dental implant surgery: a systematic review. 种植牙手术中的磁共振成像:系统性综述。
IF 3.1 3区 医学
International Journal of Implant Dentistry Pub Date : 2024-03-20 DOI: 10.1186/s40729-024-00532-3
Adib Al-Haj Husain, Marina Zollinger, Bernd Stadlinger, Mutlu Özcan, Sebastian Winklhofer, Nadin Al-Haj Husain, Daphne Schönegg, Marco Piccirelli, Silvio Valdec
{"title":"Magnetic resonance imaging in dental implant surgery: a systematic review.","authors":"Adib Al-Haj Husain, Marina Zollinger, Bernd Stadlinger, Mutlu Özcan, Sebastian Winklhofer, Nadin Al-Haj Husain, Daphne Schönegg, Marco Piccirelli, Silvio Valdec","doi":"10.1186/s40729-024-00532-3","DOIUrl":"10.1186/s40729-024-00532-3","url":null,"abstract":"<p><strong>Purpose: </strong>To comprehensively assess the existing literature regarding the rapidly evolving in vivo application of magnetic resonance imaging (MRI) for potential applications, benefits, and challenges in dental implant surgery.</p><p><strong>Methods: </strong>Electronic and manual searches were conducted in PubMed MEDLINE, EMBASE, Biosis, and Cochrane databases by two reviewers following the PICOS search strategy. This involved using medical subject headings (MeSH) terms, keywords, and their combinations.</p><p><strong>Results: </strong>Sixteen studies were included in this systematic review. Of the 16, nine studies focused on preoperative planning and follow-up phases, four evaluated image-guided implant surgery, while three examined artifact reduction techniques. The current literature highlights several MRI protocols that have recently investigated and evaluated the in vivo feasibility and accuracy, focusing on its potential to provide surgically relevant quantitative and qualitative parameters in the assessment of osseointegration, peri-implant soft tissues, surrounding anatomical structures, reduction of artifacts caused by dental implants, and geometric accuracy relevant to implant placement. Black Bone and MSVAT-SPACE MRI, acquired within a short time, demonstrate improved hard and soft tissue resolution and offer high sensitivity in detecting pathological changes, making them a valuable alternative in targeted cases where CBCT is insufficient. Given the data heterogeneity, a meta-analysis was not possible.</p><p><strong>Conclusions: </strong>The results of this systematic review highlight the potential of dental MRI, within its indications and limitations, to provide perioperative surgically relevant parameters for accurate placement of dental implants.</p>","PeriodicalId":14076,"journal":{"name":"International Journal of Implant Dentistry","volume":"10 1","pages":"14"},"PeriodicalIF":3.1,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10954599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140174604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cross-sectional analysis comparing prefabricated titanium to individualized hybrid zirconia abutments for cemented zirconia based fixed dental prostheses: a critical concept assessment 比较预制钛基台和个性化混合氧化锆基台用于粘结氧化锆固定义齿的横截面分析:关键概念评估
IF 2.7 3区 医学
International Journal of Implant Dentistry Pub Date : 2024-03-18 DOI: 10.1186/s40729-024-00529-y
Norbert Neckel, Josephine Pohl, Saskia Preissner, Oliver Wagendorf, Claudia Sachse, Kirstin Vach, Max Heiland, Susanne Nahles
{"title":"Cross-sectional analysis comparing prefabricated titanium to individualized hybrid zirconia abutments for cemented zirconia based fixed dental prostheses: a critical concept assessment","authors":"Norbert Neckel, Josephine Pohl, Saskia Preissner, Oliver Wagendorf, Claudia Sachse, Kirstin Vach, Max Heiland, Susanne Nahles","doi":"10.1186/s40729-024-00529-y","DOIUrl":"https://doi.org/10.1186/s40729-024-00529-y","url":null,"abstract":"Despite the differences in material properties and shapes among the different types of prefabricated titanium (pTiA) and individualized hybrid zirconia abutments (ihZiA), the biological and clinical relevance of materials and construction features remains vague. Yet, individualized ihZiA are increasingly implemented into daily routine aiming to satisfy rising expectations. The objective was to compare these two types of abutments in fixed dental prostheses (FDP). This cross-sectional study examined 462 implants in 102 patients comparing pTiA (52 patients) to ihZiA (50 patients) for FDP. These different treatment regimens were evaluated in terms of peri-implant health, radiographic bone loss, and oral-health related quality of life (OH-QoL) with special consideration of abutment type and superstructure design. ihZiA showed significantly different design features than prefabricated pTiA, but the annual bone loss in both groups did not. Visible titanium in the esthetic zone negatively impacted OHIP 14 scores. The combination of an emergence angle (EA) of < 30° and a concave emergence profile (EP) as well as gingiva thickness (p = 0.002) at the time of the prosthetic restoration significantly improved the annual peri-implant bone loss, independently of the abutment type. ihZiA showed comparable results to pTiA. To optimize the long-term outcome, not just material alone but generating adequate soft tissue thickness, minimizing the EA, and applying a concave EP seem to be the most relevant factors. To improve OH-QoL, particular attention must be paid to the esthetic zone. ","PeriodicalId":14076,"journal":{"name":"International Journal of Implant Dentistry","volume":"28 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140151524","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}
引用次数: 0
Evaluation of masticatory efficiency and OHRQoL in implant-retained overdenture with different numbers of implant in the edentulous mandible: a one-year follow-up prospective study. 评估在无牙下颌植入不同数量种植体的种植覆盖义齿的咀嚼效率和 OHRQoL:一项为期一年的前瞻性随访研究。
IF 2.7 3区 医学
International Journal of Implant Dentistry Pub Date : 2024-03-14 DOI: 10.1186/s40729-024-00519-0
Kawe Sagheb, Stefan Wentaschek, Monika Bjelopavlovic, Manfred Berres, Leonardo Díaz, Shengchi Fan, Eik Schiegnitz, Bilal Al-Nawas, Keyvan Sagheb
{"title":"Evaluation of masticatory efficiency and OHRQoL in implant-retained overdenture with different numbers of implant in the edentulous mandible: a one-year follow-up prospective study.","authors":"Kawe Sagheb, Stefan Wentaschek, Monika Bjelopavlovic, Manfred Berres, Leonardo Díaz, Shengchi Fan, Eik Schiegnitz, Bilal Al-Nawas, Keyvan Sagheb","doi":"10.1186/s40729-024-00519-0","DOIUrl":"10.1186/s40729-024-00519-0","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this article is to evaluate to the masticatory function performance and Oral Health-related Quality of Life (OHRQoL) in implant-retained overdenture compared with different implant number placements in the edentulous mandible.</p><p><strong>Methods: </strong>From 2013 to 2015, each patients received 3 implants (iSy-Implant, Camlog, Wimsheim, Germany) in intraforaminal mandible (34, 41/31, 44). After operation, inserted implants were gradually loaded and incorporated into an overdenture with a self-aligning attachment system (Locator abutments) in 3 + 3 + 3 months. Five checked points were performed chewing cycle test with multicolored chewing gum and OHIP-G14 questionnaire and a sum score questionnaire as following: pre-operation, one implant load (41/31), two implants loaded (33,43), three implants loaded and 1-year follow up.</p><p><strong>Result: </strong>A total of 10 patients with 30 implants were placed, the survival rate of the implants was 100% within 1-year follow-up. Regarding the masticatory function analysis, for the higher number of chewing cycles, the higher mixing rate was observed. After 1 year, the inter-mixing rate without significant changes was found compared to the time after three implants were loaded with attachment system. The mean value of OHIP-G14 was 30.4 preoperatively, 21.1 after loading the first locator, 10.7 after loading two locator abutments, and 3.2 after loading all three locator abutments. After 1 year, OHIP-G14 was 2.6 without significantly changed. The mean of the sum score was 15.5 preoperatively, 27.8 after activation of the first locator, 39.4 after activation of two locators, 46.2 after activation of all three locators, and 47.3 after 1 year. An increase of 0.7 sum score units per time point was observed. No significance was detectable, analogous to OHIP-G14, compared to the time of activation of all three locator setups (p-value = 0.22).</p><p><strong>Conclusions: </strong>A significant improvement in masticatory function performance and OHRQoL was evaluated with the increasing number of implants with locator attachment in edentulous mandible. With the investigation of the OHIP-G14 and sum score, the results of patient report outcome might be associated with the increase in the number of implants.</p>","PeriodicalId":14076,"journal":{"name":"International Journal of Implant Dentistry","volume":"10 1","pages":"12"},"PeriodicalIF":2.7,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10937875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140119430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interdisciplinary all-on-four® concept for mandibular jaw in dental education - do students benefit from individual 3d printed models from real patient cases? 牙科教育中下颌骨的跨学科all-on-four®概念--学生是否能从真实病例的个人3d打印模型中获益?
IF 2.7 3区 医学
International Journal of Implant Dentistry Pub Date : 2024-03-12 DOI: 10.1186/s40729-024-00528-z
Monika Bjelopavlovic, Elisabeth Goetze, Peer W Kämmerer, Herbert Scheller
{"title":"Interdisciplinary all-on-four® concept for mandibular jaw in dental education - do students benefit from individual 3d printed models from real patient cases?","authors":"Monika Bjelopavlovic, Elisabeth Goetze, Peer W Kämmerer, Herbert Scheller","doi":"10.1186/s40729-024-00528-z","DOIUrl":"10.1186/s40729-024-00528-z","url":null,"abstract":"<p><strong>Purpose: </strong>Digitalization is assuming increasing significance in dental education, as dental students are increasingly exposed to digital implant planning and contemporary technologies such as 3D printing. In this study, we present a cohort analysis aimed at assessing the potential benefits derived from the utilization of 3D prints to seamlessly translate planned procedures into real-life applications.</p><p><strong>Methods: </strong>21 dental students participated in a virtual planning and hands-on course across two cohorts (C1: n = 10, C2: n = 11). The virtual implant planning phase involved the placement of four implants on an atrophic lower jaw model. Subsequently, Cohort 1 (C1) executed the implantation procedure on a prefabricated hands-on model, while Cohort 2 (C2) engaged with 3D prints representing their individual implant planning during the hands-on session. Subjective assessments of knowledge, skills, and the perceived utility of 3D prints were conducted through pre- and post-course questionnaires, utilizing a 5-point scale.</p><p><strong>Results: </strong>In the subjective evaluation, 17 out of 21 participants expressed a positive appraisal of the use of personalized models. Notably, there was no statistically significant improvement in overall knowledge scores; however, there was a discernible increase of 0.5 points in the ratings related to perceived expertise and procedural abilities.</p><p><strong>Conclusion: </strong>While there was a notable increase in the subjective ratings of knowledge and abilities, no statistically significant difference was observed between the two groups. The consensus among dental students is that individually planned and printed implant models serve as a valuable and effective tool in hands-on courses.</p>","PeriodicalId":14076,"journal":{"name":"International Journal of Implant Dentistry","volume":"10 1","pages":"10"},"PeriodicalIF":2.7,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10933220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140109992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Biomechanical analysis of the maxillary sinus floor membrane during internal sinus floor elevation with implants at different angles of the maxillary sinus angles. 在上颌窦角的不同角度植入种植体时,上颌窦底膜在内侧窦底抬高过程中的生物力学分析。
IF 2.7 3区 医学
International Journal of Implant Dentistry Pub Date : 2024-03-12 DOI: 10.1186/s40729-024-00530-5
Yinxin Deng, Ruihong Ma, Yilin He, Shujia Yu, Shiyu Cao, Kang Gao, Yiping Dou, Pan Ma
{"title":"Biomechanical analysis of the maxillary sinus floor membrane during internal sinus floor elevation with implants at different angles of the maxillary sinus angles.","authors":"Yinxin Deng, Ruihong Ma, Yilin He, Shujia Yu, Shiyu Cao, Kang Gao, Yiping Dou, Pan Ma","doi":"10.1186/s40729-024-00530-5","DOIUrl":"10.1186/s40729-024-00530-5","url":null,"abstract":"<p><strong>Objective: </strong>This study analyzed and compared the biomechanical properties of maxillary sinus floor mucosa with implants at three different maxillary sinus angles during a modified internal sinus floor elevation procedure.</p><p><strong>Methods: </strong>3D reconstruction of the implant, maxillary sinus bone, and membrane were performed. The maxillary sinus model was set at three different angles. Two internal maxillary sinus elevation models were established, and finite element analysis was used to simulate the modified maxillary sinus elevation process. The implant was elevated to 10 mm at three maxillary sinus angles when the maxillary sinus floor membrane was separated by 0 and 4 mm. The stress of the maxillary sinus floor membrane was analyzed and compared.</p><p><strong>Results: </strong>When the maxillary sinus floor membrane was separated by 0 mm and elevated to 10 mm, the peak stress values of the implant on the maxillary sinus floor membrane at three different angles were as follows: maxillary sinus I: 5.14-78.32 MPa; maxillary sinus II: 2.81-73.89 MPa; and maxillary sinus III: 2.82-51.87 MPa. When the maxillary sinus floor membrane was separated by 4 mm and elevated to 10 mm, the corresponding values were as follows: maxillary sinus I: 0.50-7.25 MPa; maxillary sinus II: 0.81-16.55 MPa; and maxillary sinus III: 0.49-22.74 MPa.</p><p><strong>Conclusion: </strong>The risk of sinus floor membrane rupture is greatly reduced after adequate dissection of the maxillary sinus floor membrane when performing modified internal sinus elevation in a narrow maxillary sinus. In a wide maxillary sinus, the risk of rupture or perforation of the wider maxillary sinus floor is reduced, regardless of whether traditional or modified internal sinus elevation is performed at the same height.</p>","PeriodicalId":14076,"journal":{"name":"International Journal of Implant Dentistry","volume":"10 1","pages":"11"},"PeriodicalIF":2.7,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10933249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140109991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quantitative analysis of change in bone volume 5 years after sinus floor elevation using plate-shaped bone substitutes: a prospective observational study. 使用板状骨替代物抬高上颌窦底 5 年后骨量变化的定量分析:一项前瞻性观察研究。
IF 2.7 3区 医学
International Journal of Implant Dentistry Pub Date : 2024-02-19 DOI: 10.1186/s40729-023-00501-2
Kyoko Takafuji, Yutaro Oyamada, Wataru Hatakeyama, Hidemichi Kihara, Nobuko Shimazaki, Akihiro Fukutoku, Hiroaki Satoh, Hisatomo Kondo
{"title":"Quantitative analysis of change in bone volume 5 years after sinus floor elevation using plate-shaped bone substitutes: a prospective observational study.","authors":"Kyoko Takafuji, Yutaro Oyamada, Wataru Hatakeyama, Hidemichi Kihara, Nobuko Shimazaki, Akihiro Fukutoku, Hiroaki Satoh, Hisatomo Kondo","doi":"10.1186/s40729-023-00501-2","DOIUrl":"10.1186/s40729-023-00501-2","url":null,"abstract":"<p><strong>Purpose: </strong>Tricalcium phosphate (TCP) has osteoconductive ability and reportedly offers similar clinical results as autogenous bone grafts in dental implant treatment. However, few reports quantify temporal changes in augmented bone volume after sinus augmentation. We aimed to establish a three-dimensional (3D) quantification method to assess bone volume after sinus augmentation and to evaluate biocompatibility of the TCP plate.</p><p><strong>Methods: </strong>Maxillary sinus floor augmentation was performed employing the lateral window technique, and plate-shaped β-TCP (TCP plate) was used instead of granular bone grafting materials. After lifting the sinus membrane, the TCP plate was inserted and supported by dental implants or micro-screws. The changes in bone volumes in the maxillary sinus before and after surgery were recorded using cone-beam computed tomography, saved as Digital Imaging and Communications in Medicine-formatted files, and transformed to Standard Triangle Language (STL)-formatted files. Pre- and post-operative STL data of bone volume were superimposed, and the augmented bone volume was calculated. Moreover, changes in bone volumes, TCP plate resorption rates, and bone heights surrounding the implants were three dimensionally quantified.</p><p><strong>Results: </strong>Fifteen implants in nine subjects were included in this study. TCP plates secured long-term space making, with results similar to those of granular bone substitutes. Newly formed bone was identified around the implant without bone graft material. TCP plate was absorbed and gradually disappeared.</p><p><strong>Conclusions: </strong>A novel 3D quantification method was established to evaluate changes in bone volume. Clinical application of TCP plate in sinus augmentation could be a better procedure in terms of prognosis and safety.</p>","PeriodicalId":14076,"journal":{"name":"International Journal of Implant Dentistry","volume":"10 1","pages":"9"},"PeriodicalIF":2.7,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10876503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139899824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Outcomes and influencing factors of dental implants in fibula, iliac crest, and scapula free flaps: a retrospective case-control study. 腓骨、髂嵴和肩胛游离瓣种植牙的结果和影响因素:一项回顾性病例对照研究。
IF 2.7 3区 医学
International Journal of Implant Dentistry Pub Date : 2024-02-09 DOI: 10.1186/s40729-024-00522-5
Marina Kaiser, Simon Burg, Ulrike Speth, Marie-Luise Cotter, Ralf Smeets, Martin Gosau, Daniela König
{"title":"Outcomes and influencing factors of dental implants in fibula, iliac crest, and scapula free flaps: a retrospective case-control study.","authors":"Marina Kaiser, Simon Burg, Ulrike Speth, Marie-Luise Cotter, Ralf Smeets, Martin Gosau, Daniela König","doi":"10.1186/s40729-024-00522-5","DOIUrl":"10.1186/s40729-024-00522-5","url":null,"abstract":"<p><strong>Purpose: </strong>Reconstruction with vascularized bone grafts after ablative surgery and subsequent dental rehabilitation with implants is often challenging; however, it helps improve the patient's quality of life. This retrospective case-control study aimed to determine the implant survival/success rates in different vascularized bone grafts and potential risk factors.</p><p><strong>Methods: </strong>Only patients who received implants in free vascularized bone grafts between 2012 and 2020 were included. The free flap donor sites were the fibula, iliac crest, and scapula. The prosthetic restoration had to be completed, and the observation period had to be over one year after implantation. Implant success was defined according to the Health Scale for Dental Implants criteria.</p><p><strong>Results: </strong>Sixty-two patients with 227 implants were included. The implant survival rate was 86.3% after an average of 48.7 months. The causes of implant loss were peri-implantitis (n = 24), insufficient osseointegration (n = 1), removal due to tumor recurrence (n = 1), and osteoradionecrosis (n = 5). Of all implants, 52.4% were classified as successful, 19.8% as compromised, and 27.8% as failed. Removal of osteosynthesis material prior to or concurrent with implant placement resulted in significantly better implant success than material not removed (p = 0.035). Localization of the graft in the mandibular region was associated with a significantly better implant survival (p = 0.034) and success (p = 0.002), also a higher Karnofsky Performance Status Scale score with better implant survival (p = 0.014).</p><p><strong>Conclusion: </strong>Implants placed in vascularized grafts showed acceptable survival rates despite the potential risk factors often present in these patient groups. However, peri-implantitis remains a challenge.</p>","PeriodicalId":14076,"journal":{"name":"International Journal of Implant Dentistry","volume":"10 1","pages":"8"},"PeriodicalIF":2.7,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10858007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139706709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Volume change after maxillary sinus floor elevation with apatite carbonate and octacalcium phosphate. 用碳酸磷灰石和磷酸八钙抬高上颌窦底后的体积变化。
IF 2.7 3区 医学
International Journal of Implant Dentistry Pub Date : 2024-02-08 DOI: 10.1186/s40729-023-00518-7
Koudai Nagata, Masanobu Kamata, Yurie Okuhama, Kana Wakamori, Manabu Okubo, Hayoto Tsuruoka, Mihoko Atsumi, Hiromasa Kawana
{"title":"Volume change after maxillary sinus floor elevation with apatite carbonate and octacalcium phosphate.","authors":"Koudai Nagata, Masanobu Kamata, Yurie Okuhama, Kana Wakamori, Manabu Okubo, Hayoto Tsuruoka, Mihoko Atsumi, Hiromasa Kawana","doi":"10.1186/s40729-023-00518-7","DOIUrl":"10.1186/s40729-023-00518-7","url":null,"abstract":"<p><strong>Purpose: </strong>Maxillary molars have low alveolar bone height diameter due to the presence of the maxillary sinus; thus, a sinus lift may be required in some cases. Changes in the volume of bone substitutes can affect the success of implant therapy. Therefore, this study aimed to compare the changes in the volume of two different bone substitutes-one based on carbonate apatite and the other on octacalcium phosphate-used in maxillary sinus floor elevation.</p><p><strong>Methods: </strong>Nineteen patients and 20 sites requiring maxillary sinus floor elevation were included in the study. Digital Imaging and Communications in Medicine data for each patient obtained preoperatively and immediately and 6 months postoperatively were used to measure the volume of the bone grafting material using a three-dimensional image analysis software. The immediate postoperative volume of octacalcium phosphate was 95.3775 mm<sup>3</sup> per piece of grafting material used. It was multiplied by the number of pieces used and converted to mL to determine the immediate postoperative volume.</p><p><strong>Results: </strong>The mean resorption values of carbonate apatite and octacalcium phosphate were 12.7 ± 3.6% and 17.3 ± 3.9%, respectively. A significant difference in the amount of resorption of the two bone replacement materials was observed (P = 0.04).</p><p><strong>Conclusions: </strong>The results of this study indicate that both bone substitute materials tend to resorb. The two bone grafting materials that are currently medically approved in Japan have not been in the market for a long time, and their long-term prognosis has not yet been reported. Further clinical data are warranted.</p>","PeriodicalId":14076,"journal":{"name":"International Journal of Implant Dentistry","volume":"10 1","pages":"7"},"PeriodicalIF":2.7,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10853090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139702491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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