scholarly journals Evaluation of implant osseointegration success: Retrospective study at update course

2015 ◽  
Vol 18 (4) ◽  
pp. 98
Author(s):  
Michelle Bianchi Moraes ◽  
Vivian Graziele Leite de Toledo ◽  
Rodrigo Dias Nascimento ◽  
Fernanda de Cássia Papaiz Gonçalves ◽  
Fernando Vagner Raldi

<p><strong>Objective: </strong>With the scientific and technological advances, the life expectancy of the population has increased over the years. With the advent of dental implants, a new possibility of treatment for oral rehabilitation was created to help or even help overcome the limits of conventional fixed dentures, removable and mainly total. Compared to conventional rehabilitation treatment on natural teeth, rehabilitation on implants has higher rates of success and longevity. <strong>Material and Methods:</strong> For this research we evaluated the medical records of patients who received surgical treatment for implant placement in the update current school of Implantology ECO (Continuing Studies in Dentistry) in São José dos Campos, in the 2008 'period to 2012, in order to obtain, analyze and relate the following criteria: the patient gender; year and number of installed dental implants; the region of implant installation; the trademark of the installed implant and the successful osseointegration, or process in which there is a rigid fixation between the living bone and the surface of the implant installed. <strong>Results:</strong> According to the analyzed data, it was observed, along five years, a total of 434 implants placed in patients, mostly women in the mandibular region. However, the total loss was of 5 implants, most in the maxilla and in men, 3 of these, cone-Morse implants, one internal and one external hexagon. <strong>C</strong><strong>onclusion:</strong> Thus, the success rate in the osseointegration implants seems to be more influenced by patient selection and surgical and prosthetic guidelines, compared the experience of the dentist.</p>

2016 ◽  
Vol 64 (3) ◽  
pp. 333-336
Author(s):  
Adalmir Gonzaga dos Santos QUEIROZ ◽  
Yuri Slusarenko da SILVA ◽  
Pedro Jorge Cavalcante COSTA ◽  
Flávio Wellington da Silva FERRAZ ◽  
Maria da Graça NACLÉRIO-HOMEM

ABSTRACT Correction of severe vertical bone deficiency in the posterior region of mandibular alveolar ridge requires surgical management if implants are scheduled and cannot have primary stability. The aim of the present study is to report two cases; one treated with alveolar osteogenesis distraction and the other with segmental osteotomy with autologous graft interposition, by describing the surgical steps as well as show the results and experiences acquired with these techniques. We opted for these methods to reconstruct the posterior mandibular region after remarkable vertical bone loss based mainly by the height and thickness of the remaining bone. Alveolar osteogenic distraction is highly advisable when vertical deficiency is severe, and if these cases are treated with the segmental osteotomy and autologous graft interposition, complications as graft failure, necrosis and resorption are more prone to occur due to insufficient vascularization. After bone maturation and bone neoformation secondary to alveolar osteogenic osteogenic distraction and segmental osteotomy with autologous graft interposition, respectively, the two presented case reports were able to securely receive dental implants. In cases of vertical bone loss of the posterior mandibular region, both surgeries currently represent the best choice for bone gain prior dental implants placement for oral rehabilitation, without technical challenges, although biological evidence to assure the superiority of one technique over the other must be further investigated.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 358-362
Author(s):  
Rinieshah Nair R Baskran ◽  
Rajendra Prabhu Abhinav ◽  
Murugaiyan Arun ◽  
Balaji Ganesh S

Dental implants provide a strong foundation for fixed or removable prosthetic teeth that are made to match natural dentition. It has become an ideal method of oral rehabilitation after missing natural dentition has been recognised as a reliable tool for dental reconstruction and aesthetics. Marginal bone loss is characterized by a reduction in bone loss is characterized by a reduction in bone level both vertically and horizontally. The levels at which dental implants are placed include sub-crystal, equi-crestal, and supra-crestal. The crestal levels affect bone height significantly. Failure to do so will lead to peri-implant bone loss which will affect the implant function and ultimately implant failure. A retrospective study was conducted based on a university setting. 615 patients with 1141 implant sites were reviewed from June 2019 to March 2020. Excel tabulation and SPSS analysis were done for data analysis. There was a statistically significant difference between the variables that included tooth region, crestal relation and site (jaw)—[p-value<0.05] The most common crestal relation of implant placement is equi-crestal implant placement. The assessment of trends of implant placement in relation to crestal bone level shows that equi-crestal implant is the most preferred crestal relation of implant placement in Saveetha Dental College.


2020 ◽  
Vol 10 (14) ◽  
pp. 4888 ◽  
Author(s):  
Sunho Park ◽  
Hyeran Kim ◽  
Kyoung Soon Choi ◽  
Min-Kyung Ji ◽  
Sujin Kim ◽  
...  

Dental implants are widely used tooth replacement tools owing to their good oral rehabilitation and reconstruction capacities. Since dental implants are designed as a replacement for natural teeth, multi-functional abilities are desired to achieve successful implant treatment with improved osseointegration through promotion of mammalian cell activity and prevention of bacterial cell activity. In this study, we developed a graphene–chitosan hybrid dental implant (GC hybrid implant) using various concentrations of graphene, which demonstrated the different surface properties including increased wettability and roughness. Importantly, the GC hybrid implant under the optimal condition (i.e., 1% GC hybrid implant) could significantly promote osteoblast proliferation while reducing biofilm formation and bacterial activity. Our study demonstrates the potential of using this GC hybrid implant as a new type of dental implant, which can offer an effective design for the fabrication of advanced dental implants.


2019 ◽  
Vol 8 (10) ◽  
pp. 1687 ◽  
Author(s):  
Sameh Attia ◽  
Heidrun Schaaf ◽  
Thaqif El Khassawna ◽  
Deeksha Malhan ◽  
Katharina Mausbach ◽  
...  

Hypodontia often leads to limited bone availability of the alveolar ridges. Oral rehabilitation of severe hypodontia patients is challenging. In this retrospective study, we evaluated the functional and aesthetic results after dental implants in hypodontia patients, corroborated by Albrektsson implant success criteria. Over a period of 15 years (2000–2015), a total of 43 patients were diagnosed with hypodontia and 165 dental implants were inserted. Six patients who received 10 implants were lost in the follow-up. We examined 155 implants in 37 patients between December 2015 and May 2017. Besides family history, patients evaluated the general satisfaction, functionality, and aesthetics of the implants. Study subjects were between 17 and 44 years old (mean ± SD: 21.4 ± 5.6). Hypodontia patients were missing one to five teeth (n = 28), whereas patients diagnosed with oligodontia (≥6 missing teeth, n = 9). In this study, 24 patients (64.9%) with hypodontia had a positive family history; the remaining 13 patients had no family member with hypodontia. The final follow-up time ranged between 5 and 189 months after implant placement. Orthodontic treatment was performed in 32 patients (86%) before implant placement. Rehabilitation resulted in 62% of the cases being treated with 1–2 implants and 38% treated with 3–15 implants. However, out of 155 inserted dental implants, 18 implants failed to meet Albrektsson criteria, under which two implants were removed. Only autografts were used for bone augmentation with 97 implants. More than two-thirds of the patients showed high general satisfaction and masticatory function (69.4%) as well as phonetic ability (80.6%). The aesthetic outcome was rated as excellent by 17 patients (47.2%). The findings emphasize the importance of interdisciplinary treatment of hypodontia, leading to a satisfactory, functional, and long-term fixed prosthodontics using dental implants.


2010 ◽  
Vol 4 (1) ◽  
pp. 165-171 ◽  
Author(s):  
Sompop Bencharit ◽  
Debra Schardt-Sacco ◽  
Michael B Border ◽  
Colin P Barbaro

Oral rehabilitation for a patient with severe loss of alveolar bone and soft tissue resulting from severe periodontitis presents a challenge to clinicians. Replacing loosening natural teeth with fixed prostheses supported by dental implants often requires either gingival surgery or bone grafting. The outcome of the bone grafting is sometimes unpredictable and requires longer healing time and/ or multiple surgeries. The presence of periodontal inflammation and periapical lesions often delay the placement of bone grafts as well as dental implants. Here we present a clinical case of a patient undergone full mouth reconstruction with implant-supported fixed prostheses. We demonstrated that early placement of implants (three weeks after extractions) with minimal bone grafting may be an alternative to conventional bone grafting followed by implant placement. We believe that primary stability during implant placement may contribute to our success. In addition, composite resin gingival material may be indicated in cases of large fixed implant prostheses as an alternative to pink porcelain.


mSphere ◽  
2017 ◽  
Vol 2 (6) ◽  
Author(s):  
Jeffrey B. Payne ◽  
Paul G. Johnson ◽  
Car Reen Kok ◽  
João C. Gomes-Neto ◽  
Amanda E. Ramer-Tait ◽  
...  

ABSTRACT Little is known about longitudinal development of the peri-implant subgingival microbiome and cytokine production as a new sulcus forms after dental implant placement. Therefore, the purpose of this observational study was to evaluate simultaneous longitudinal changes in the oral microbiome and cytokine production in the developing peri-implant sulcus compared to control natural teeth. Four and 12 weeks after implant placement and abutment connection, a dental implant and a natural tooth were sampled in 25 patients for subgingival plaque and gingival crevicular fluid (GCF [around teeth] and peri-implant crevicular fluid [PICF] around implants). DNA from plaque samples was extracted and sequenced using Illumina-based 16S rRNA sequencing. GCF and PICF samples were analyzed using a customized Milliplex human cytokine and chemokine magnetic bead panel. Beta diversity analysis revealed that natural teeth and implants had similar subgingival microbiomes, while teeth had greater alpha diversity than implants. At the genus level, however, few differences were noted between teeth and dental implants over 12 weeks. Specifically, Actinomyces and Selenomonas were significantly elevated around teeth versus dental implants at both 4 weeks and 12 weeks, while Corynebacterium and Campylobacter were significantly elevated only at 4 weeks around teeth. The only difference between PICF and GCF biomarkers was significantly elevated granulocyte-macrophage colony-stimulating factor levels around teeth versus dental implants at the 4-week visit. The subgingival microbiome and cytokine production were similar between teeth and implants during early healing, suggesting that these profiles are driven by the patient following dental implant placement and are not determined by anatomical niche. IMPORTANCE Dental implants are a common treatment option offered to patients for tooth replacement. However, little is known regarding initial colonization of the subgingival microbiome and simultaneous longitudinal cytokine production in humans during the early healing phase following implant placement. We report findings from an in vivo study that assessed initial colonization of the subgingival microbiome and concomitant early cytokine production in a newly formed anatomical space, namely, an implant sulcus. This approach may be useful in future interventional studies to influence dental implant success. Our data showed that the subgingival microbiome and cytokine profile were similar for control natural teeth and dental implants at both 4 and 12 weeks after implant placement. These data suggest that these profiles are driven by the patient and not by anatomical location (i.e., tooth versus dental implant).


2013 ◽  
Vol 3 (3) ◽  
pp. 127-132 ◽  
Author(s):  
Ajay R Bhoosreddy ◽  
Seema Bhoosreddy ◽  
Vinayak Umesh Shirsekar

ABSTRACT Implants improve the quality of life for patients who are unable to keep their natural teeth, fix acute problems, and give patients the benefit of restorative improvements for a modern lifestyle. The greatest key to successful implant placement is accurate preplacement assessment. Imaging plays a pivotal role in preplacement assessment. Success of dental implant restorations is in part, dependent on adequate diagnostic information about the bony structures of the oral region. This article reviews the applications of different imaging technologies and their diagnostic contribution to presurgical evaluation, treatment planning and postoperative assessment of dental implants. How to cite this article Bhoosreddy AR, Bhoosreddy S, Shirsekar VU. Implant Imaging. J Contemp Dent 2013;3(3): 127-132.


2010 ◽  
Vol 36 (2) ◽  
pp. 141-144 ◽  
Author(s):  
Seiichi Yamano ◽  
Mark Nissenbaum ◽  
Thomas B. Dodson ◽  
German O. Gallucci ◽  
Cortino Sukotjo

Abstract This clinical report describes the oral rehabilitation of a 15-year-old male patient who was involved in a snowmobile accident and suffered multiple mid-face and mandibular fractures. Consequences of the accident included avulsion of teeth numbers 5 to 10 and 21 to 26, and a significant amount of maxillary and mandibular anterior alveolar bone loss. The patient underwent open reduction and rigid fixation of the fractured left zygoma, comminuted LeFort I maxillary fracture, and left body of the mandible; closed reduction of the bilateral condylar fractures; autologous corticocancellous bone grafting to the maxilla and mandible; implant placement; and prosthesis fabrication. This multidisciplinary approach successfully restored function and esthetics.


2018 ◽  
Vol 2 (4) ◽  
pp. 78-81
Author(s):  
Ravneet Sandhu ◽  
Gurnoor Kaur Pannu

Implants have given dentistry a face-lift over the past few decades and the success rates of implants are high. Dental implants are the closest analogue to healthy, natural teeth. They give one the privilege to confidently perform the daily activities and enjoy them, relish the food, laugh and smile with the loved ones without worrying about teeth.(1) Implant placement is a very technique sensitive procedure requiring thorough knowledge as well as an adept implantologist. Despite reliably high success rates, failure of implants can occur neccessitating their immediate removal. Failure can be attributed to numerous causes-failure to osseointegrate being the more common one. The aim of this review is to highlight the major etiology for failure of implants.


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