scholarly journals Effect of Zirconia Dental Implant Surfaces on Bone Integration: A Systematic Review and Meta-Analysis

2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
Ali Hafezeqoran ◽  
Roodabeh Koodaryan
Keyword(s):  
Systematic Review ◽  
Dental Implants ◽  
Meta Analysis ◽  
Titanium Implants ◽  
Removal Torque ◽  
Significant Difference ◽  
Modified Surface ◽  
Bone To Implant Contact ◽  
Titanium Dental Implants ◽  
Zirconia Implants

Background. The information available about osseointegration and the bone to implant interaction of zirconia implants with various surface modifications is still far from sufficient.Objective. The purpose of this systematic review and meta-analysis was to evaluate and compare zirconia dental implants with different surface topographies, with a focus on bone to implant contact and removal torque.Methods. The systematic review of the extracted publications was performed to compare the bone to implant contact (BIC) with removal torque (RT) values of titanium dental implants and machined and surfaced modified zirconia implants.Results. A total of fifteen articles on BIC and RT values were included in the quantitative analysis. No significant difference in the BIC values was observed between titanium and machined zirconia implants (p=0.373; 95% CI:-0.166 to 0.443). However, a significantly better BIC values were observed for acid etched zirconia implants compared with those of titanium implants (p=0.032; 95% CI: 0.068 to 1.461). Unmodified zirconia implants showed favorable BIC values compared to modified-surface zirconia implants (p=0.021; 95% CI:-0.973 to-0.080).Conclusion. Acid etched zirconia implants may serve as a possible substitute for successful osseointegration.

scholarly journals Marginal Bone Loss and Aesthetics Around Zirconia and Titanium Dental Implants-A Metanalysis

2020 ◽  
Author(s):  
Pulijala Sathwika ◽  
Rampalli Viswa Chandra
Keyword(s):  
Bone Loss ◽  
Randomized Controlled Trials ◽  
Meta Analysis ◽  
Titanium Implants ◽  
Controlled Trials ◽  
Marginal Bone Loss ◽  
Randomized Controlled ◽  
Cie Lab ◽  
Titanium Dental Implants ◽  
Zirconia Implants

AIM: To evaluate and compare the marginal bone loss and aesthetic outcomes of zirconia implants with titanium implants in randomized controlled trials (RCTs). MATERIAL AND METHODS: Electronic [PubMed] and hand searches were performed to identify randomized controlled trials that were published between January 2008 to April 2020 which investigated and compared various outcomes between zirconia and titanium dental implants. Outcomes included assessment of marginal bone loss and aesthetics using spectrophotometric measurements. Meta-analysis was performed to estimate the above parameters among various studies. RESULTS: A total of 58 articles were screened for titles and abstracts. Subsequently 8 articles were selected for data extraction and evaluation. Zirconia implants were investigated and compared to titanium implants for marginal bone loss [MBL]. Customized zirconia and titanium abutments seated over implants were analyzed for aesthetic outcomes using spectrophotometric method using CIE-Lab measurements. Meta-analysis estimated that zirconia implants exhibited marginal bone loss reduction of 0.179mm (95% CI, 0.02 to 0.33) and -0.242mm (95% CI, -4.026 to 3.542) in aesthetic measurements than titanium implants. CONCLUSIONS: No heterogeneity was observed among studies analyzed for marginal bone loss and significant differences were noticed between two groups. Noticeable heterogeneity was observed among studies assessing aesthetics using spectrophotometry and CIE-Lab measurements and results revealed no many significant differences between the two groups.

scholarly journals Peri-Implant Bone Behavior after Single Drill versus Multiple Sequence for Osteotomy Drill

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Sergio Alexandre Gehrke ◽  
Raphaél Bettach ◽  
Jaime Sardá Aramburú Júnior ◽  
Juan Carlos Prados-Frutos ◽  
Massimo Del Fabbro ◽  
...  
Keyword(s):  
Dental Implants ◽  
Preclinical Study ◽  
Multiple Sequence ◽  
Significant Difference ◽  
Rabbit Tibia ◽  
Bone To Implant Contact ◽  
Group 3 ◽  
Group 2 ◽  
Titanium Dental Implants ◽  
Group 1

Objectives. The present study aims to compare the drilling protocol effect on osseointegration event in three commercially available titanium dental implants with different drill protocol using a rabbit tibia model. Materials and Methods. Three different drilling sequences were compared as follows: drilling sequence using a single unique drill of 4.2 mm conical implant (Group 1), drilling sequence using 3 consecutive cylindrical drills for a 4.1 mm cylindrical implant (Group 2), and drilling sequence using 3 consecutive conical drills for a 4.3 mm conical implant (Group 3). For each group, 18 drilling procedures and implant placements were performed, totalizing 54 commercially available titanium dental implants. The samples were removed 6 weeks after implantation. Resonance frequency analyses (RFA) were performed immediately after the implantation, and at 6 weeks removal torque test (RTt) and histological analysis were performed. Results. The RFA measured showed statistical difference between the groups in time 1 and no significant statistical differences in time 2 (p>0.05). In the RTt no significant difference was found between the 3 groups tested. Histomorphometric analysis showed no significant difference between groups in the bone-to-implant contact% (p>0.05). Conclusion. In the present preclinical study, osteotomy using a single bur did not show differences regarding the proposed and evaluated tests parameters for assessing the peri-implant behavior.

scholarly journals Direct Metal Laser Sintering Titanium Dental Implants: A Review of the Current Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
F. Mangano ◽  
L. Chambrone ◽  
R. van Noort ◽  
C. Miller ◽  
P. Hatton ◽  
...  
Keyword(s):  
Dental Implants ◽  
Methodological Quality ◽  
Meta Analysis ◽  
Three Dimensional ◽  
Laser Sintering ◽  
Titanium Implants ◽  
Human Studies ◽  
Direct Metal Laser Sintering ◽  
Titanium Dental Implants

Statement of Problem. Direct metal laser sintering (DMLS) is a technology that allows fabrication of complex-shaped objects from powder-based materials, according to a three-dimensional (3D) computer model. With DMLS, it is possible to fabricate titanium dental implants with an inherently porous surface, a key property required of implantation devices.Objective. The aim of this review was to evaluate the evidence for the reliability of DMLS titanium dental implants and their clinical and histologic/histomorphometric outcomes, as well as their mechanical properties.Materials and Methods. Electronic database searches were performed. Inclusion criteria were clinical and radiographic studies, histologic/histomorphometric studies in humans and animals, mechanical evaluations, andin vitrocell culture studies on DMLS titanium implants. Meta-analysis could be performed only for randomized controlled trials (RCTs); to evaluate the methodological quality of observational human studies, the Newcastle-Ottawa scale (NOS) was used.Results. Twenty-seven studies were included in this review. No RCTs were found, and meta-analysis could not be performed. The outcomes of observational human studies were assessed using the NOS: these studies showed medium methodological quality.Conclusions. Several studies have demonstrated the potential for the use of DMLS titanium implants. However, further studies that demonstrate the benefits of DMLS implants over conventional implants are needed.

Histomorphometric Evaluation of Bone Response to Different Titanium Implant Surfaces

2007 ◽  
Vol 361-363 ◽  
pp. 613-616
Author(s):  
Laurent Le Guenhennec ◽  
Eric Goyenvalle ◽  
Marco A. Lopez-Heredia ◽  
Pierre Weiss ◽  
Yves Amouriq ◽  
...  
Keyword(s):  
Dental Implants ◽  
Calcium Phosphates ◽  
Titanium Implant ◽  
Titanium Implants ◽  
Bone Response ◽  
Bone To Implant Contact ◽  
Coated Surfaces ◽  
Titanium Dental Implants

Titanium dental implants presenting different blasted surfaces and an OCP coated surfaces have been implanted in the femoral epiphysis of rabbits. A comparable osseointegration has been observed for the titanium implants blasted either with alumina or biphasic calcium phosphates particles whatever the delay of implantation (2 or 8 weeks). A higher bone to implant contact has been observed for the SLA and OCP coated implants as compared to the grit-blasted groups.

Zirconia compared to titanium dental implants in preclinical studies—A systematic review and meta‐analysis

2019 ◽  
Vol 30 (5) ◽  
pp. 365-395 ◽  
Author(s):  
Stefan Roehling ◽  
Karl A. Schlegel ◽  
Henriette Woelfler ◽  
Michael Gahlert
Keyword(s):  
Systematic Review ◽  
Dental Implants ◽  
Meta Analysis ◽  
Preclinical Studies ◽  
Titanium Dental Implants

The Effect of Age of Titanium Dental Implants on Implant Survival and Marginal Bone Resorption: A 5-Year Retrospective Follow-Up Study

2020 ◽  
Vol 46 (5) ◽  
pp. 475-479
Author(s):  
Levent Cigerim ◽  
Volkan Kaplan
Keyword(s):  
Bone Resorption ◽  
Dental Implants ◽  
Titanium Implants ◽  
Biological Aging ◽  
Implant Survival ◽  
Convenience Sample ◽  
Radiographic Measurements ◽  
Significant Difference ◽  
The Mean ◽  
Titanium Dental Implants

It has been demonstrated that the osteoconductivity, hydrophilicity, and biological capacity of titanium decreases over time, and this phenomenon was described as the biological aging of titanium. The aim of this study was to evaluate whether the age of sand-blasted and acid-etched (SLA) titanium dental implants (duration from the production date until the date of dental implant surgery) affects marginal bone resorption and implant survival. This nonrandom convenience-sample retrospective pilot study was carried out in 200 implants of 64 patients. Radiographic measurements were performed on intraoral periapical radiographs. Implants were divided into 2 age groups; group 1 = 0–3 months and group 2 = 36–41 months. A P value < .05 was considered statistically significant. Of the implants, 41% (n = 82) were between 0 and 3 months old, and 59% (n = 118) were between 36 and 41 months old. All (n = 200) of the implants survived and maintained their function. The mean mesial marginal resorption measurement was 0.60 ± 0.65 mm, and the mean distal marginal resorption was 0.77 ± 1.07 mm. There was no statistically significant difference between the amount of mesial and distal marginal bone resorption according to implant age (P > .05). In SLA surface titanium implants with adequate initial primary stability and a 3-month osseointegration period before loading, biological aging of titanium did not affect implant survival and marginal bone resorption.

scholarly journals Comparing success of immediate versus delay loading of implants in fresh sockets: A systematic review and meta-analysis

2021 ◽  
Author(s):  
Ebrahim Eyni ◽  
Hojatollah Yousefimanesh ◽  
Alireza Hashemi Ashtiani ◽  
Amal Saki-Malehi ◽  
Amin Olapour ◽  
...  
Keyword(s):  
Systematic Review ◽  
Dental Implants ◽  
Full Text ◽  
Treatment Time ◽  
Clinical Success ◽  
Meta Analysis ◽  
Immediate Loading ◽  
Time Interval ◽  
Level Of Evidence ◽  
Significant Difference

Abstract Background and aims: The replacement of teeth with osseointegrated implants is one of the significant advances in the field of restorative dentistry. The time interval between tooth extraction and the implant can be very short or long. This systematic review and meta-analysis aimed to collect and evaluate articles related to determining the effect of immediate loading of dental implants are placed in the fresh socket initial stability on the clinical success of the implant compared to delay loading procedure. Materials and Methods: In this study, all the available articles indexed in leading databases, including PubMed, ISI Web of Science, Embase, PsycINFO, PROSPERO, and Scopus were searched. The full text of the articles meeting the primary criteria to be included in this research was obtained and appraised. Data of studies were extracted if they were scored as a high or moderate level of evidence. Results: A total of 2,258 published articles were found through electronic database searching. After screening the titles and abstracts, and full-text of articles 16 studies met the inclusion criteria and were included in the analysis. The results of this study revealed that regarding the success rate, although there was no significant difference between immediate and delay loading of dental implants, immediate procedure showed a lower incidence of bone loss in single implants. Conclusion: Based on the results of this study, immediate loading of dental implant, under certain conditions, is a successful treatment process and is effective in reducing treatment time. Thus, immediate loading represents a valid alternative to the traditional delayed loading rehabilitation.

scholarly journals Zirconia vs. Titanium Dental Implants: Primary Stability In-Vitro Analysis

Materials ◽  
2021 ◽  
Vol 14 (24) ◽  
pp. 7886
Author(s):  
Nerea Arlucea ◽  
Aritza Brizuela-Velasco ◽  
Markel Dieguez-Pereira ◽  
Miquel Punset ◽  
Meritxell Molmeneu ◽  
...  
Keyword(s):  
Dental Implants ◽  
Primary Stability ◽  
Titanium Implants ◽  
Insertion Torque ◽  
Static Compression ◽  
Compression Load ◽  
Vitro Analysis ◽  
Titanium Dental Implants ◽  
Zirconia Implants

The present experimental trial uses two types of dental implants, one made of titanium (Ti6Al4V) and the other one of zirconia (ZrO2), but both of identical design, to compare their stability and micro-movements values under load. One of each type of implant (n = 42) was placed into 21 cow ribs, recording the insertion torque and the resonance frequency using a specific transducer. Subsequently, a prosthetic crown made of PMMA was screwed onto each of the implants in the sample. They were then subjected to a static compression load on the vestibular cusp of the crown. The resulting micromovements were measured. The zirconia implants obtained a higher mean of both IT and RFA when compared with those of titanium, with statistically significant differences in both cases (p = 0.0483 and p = 0.0296). However, the micromovement values when load was applied were very similar for both types, with the differences between them (p = 0.3867) not found to be statistically significant. The results show that zirconia implants have higher implant stability values than titanium implants. However, the fact that there are no differences in micromobility values implies that caution should be exercised when applying clinical protocols for zirconia based on RFA, which only has evidence for titanium.

Zirconia Dental Implants: A Literature Review

2011 ◽  
Vol 37 (3) ◽  
pp. 367-376 ◽  
Author(s):  
Zeynep Özkurt ◽  
Ender Kazazoğlu
Keyword(s):  
Mechanical Properties ◽  
Literature Review ◽  
Dental Implants ◽  
Titanium Implants ◽  
Research Articles ◽  
Clinical Use ◽  
Success Rates ◽  
Novel Technologies ◽  
Titanium Dental Implants ◽  
Zirconia Implants

Abstract Titanium and titanium alloys are widely used for fabrication of dental implants. Because of potential immunologic and possible esthetic compromises with titanium implants, novel implant technologies are being developed. However, these novel technologies must maintain the characteristics that provide titanium implants with their high success rates. Zirconia implants were introduced into dental implantology as an alternative to titanium implants. Zirconia seems to be a suitable implant material because of its toothlike color, mechanical properties, biocompatibility, and low plaque affinity. The aim of this study is to review clinical and research articles conducted on zirconia dental implants, compare them with titanium dental implants, and provide information on zirconia dental implant osseointegration and mechanical strength. Zirconia dental implants have the potential to become alternative dental implants to titanium dental implants, but they are not yet in routine clinical use.

scholarly journals Role of Melatonin in Bone Remodeling Around Titanium Dental Implants: Meta-Analysis

Coatings ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 271
Author(s):  
Nansi López-Valverde ◽  
Beatriz Pardal-Peláez ◽  
Antonio López-Valverde ◽  
Juan Manuel Ramírez
Keyword(s):  
Nervous System ◽  
Bone Loss ◽  
Bone Remodeling ◽  
Random Effects ◽  
Meta Analysis ◽  
Titanium Implants ◽  
Crestal Bone Loss ◽  
Bone To Implant Contact ◽  
Titanium Dental Implants

The theory, known as the “brain-bone axis” theory, involves the central nervous system in bone remodeling. The alteration of the nervous system could lead to abnormal bone remodeling. Melatonin produced by the pineal gland is a hormone that is characterized by its antioxidant properties. The aim of this meta-analysis was to examine the role of melatonin in the growth of new bone around titanium dental implants in vivo. A manual search of the PubMed and Web of Science databases was conducted to identify scientific studies published until November 2020. We included randomized clinical trials (RCTs) and animal studies where melatonin was used with titanium implants. Fourteen studies met the inclusion criteria. Quality was assessed using the Jadad scale and SYRCLE's risk of bias tool. Our meta-analysis revealed that the use of melatonin during implant placement improves bone-to-implant contact percentages in animals (difference of means, random effects: 9.59 [95% CI: 5.53−13.65]), reducing crestal bone loss in humans (difference in means, random effects: -0.55 [95% CI: 1.10–0.00]). In animals, titanium implants using melatonin increase bone-to-implant contact surface 2−6 weeks after their placement and reduce crestal bone loss in humans following six months. The results of this meta-analysis should be taken with caution, due to the small samples and the large heterogeneity among studies.

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