Thirty Years of Translational Research in Zirconia Dental Implants: A Systematic Review of the Literature

2017 ◽  
Vol 43 (4) ◽  
pp. 314-325 ◽  
Author(s):  
Allauddin Siddiqi ◽  
Abdul Samad Khan ◽  
Sobia Zafar
Keyword(s):  
Animal Models ◽  
Dental Implants ◽  
Zirconia Ceramic ◽  
Computer Search ◽  
Review Of The Literature ◽  
Bone Implant ◽  
Animal Trials ◽  
Bone Implant Contact ◽  
Preclinical Animal Models

Thirty years of transitional research in zirconia (Zr) ceramics has led to significant improvements in the biomedical field, especially in dental implantology. Oral implants made of yttria-tetragonal zirconia polycrystals (Y-TZP) because of their excellent mechanical properties, good biocompatibility, and esthetically acceptable color have emerged as an attractive metal-free alternative to titanium (Ti) implants. The aim of the review was to highlight the translation research in Zr dental implants that has been conducted over the past 3 decades using preclinical animal models. A computer search of electronic databases, primarily PubMed, was performed with the following key words: “zirconia ceramics AND animal trials,” “ceramic implants AND animal trials,” “zirconia AND animal trials,” “zirconia AND in vivo animal trials,” without any language restriction. However, the search was limited to animal trials discussing percentage bone-implant contact (%BIC) around zirconia implants/discs. This search resulted in 132 articles (reviews, in vivo studies, and animal studies) of potential interest. We restricted our search terms to “zirconia/ceramic,” “bone-implant-contact,” and “animal trials” and found 29 relevant publications, which were then selected for full-text reading. Reasons for exclusion included the article's not being an animal study, being a review article, and not discussing %BIC around Zr implants/discs. Most of the studies investigated BIC around Zr in rabbits (30%), pigs (approximately 20%), dogs, sheep, and rats. This review of the literature shows that preclinical animal models can be successfully used to investigate osseointegration around Zr ceramics. Results of the reviewed studies demonstrated excellent %BIC around Zr implants. It should be noted that most of the studies investigated %BIC/removal torque under nonloading conditions, and results would have been somewhat different in functional loading situations because of inherent limitations of Zr ceramics. Further trials are needed to evaluate the performance of Zr ceramics in clinical conditions using implants designed and manufactured via novel techniques that enhance their biomechanical properties.

scholarly journals A Narrative Review of the Histological and Histomorphometrical Evaluation of the Peri-Implant Bone in Loaded and Unloaded Dental Implants. A 30-Year Experience (1988–2018)

2020 ◽  
Vol 17 (6) ◽  
pp. 2088 ◽  
Author(s):  
Margherita Tumedei ◽  
Adriano Piattelli ◽  
Marco Degidi ◽  
Carlo Mangano ◽  
Giovanna Iezzi
Keyword(s):  
Dental Implants ◽  
Narrative Review ◽  
Loading Conditions ◽  
Bone Implant ◽  
Bone Implant Contact ◽  
Hard Tissues ◽  
Implant Loading ◽  
The University ◽  
System Selection

Background: The aim of the present review was to assess the histological and histomorphometrical data from the paper published by our Laboratory on peri-implant bone in dental implants in different loading conditions. Methods: The papers published in different implant loading conditions, in dental implants retrieved from humans, and in the Hard Tissues Research Center of the University of Chieti-Pescara, Italy, were screened on MEDLINE/PubMed, Embase, Scopus, and other electronic databases until 31 December 2018. Only articles that reported the histological and histomorphometrical values of the Bone-Implant Contact (BIC) were selected. Results: The system selection provided a total of 155 papers. The manuscripts included for the narrative review were 57. These papers provided histological and histomorphometrical data. Conclusions: The bone remodeling around dental implants was found to be a dynamic process; loading changed the microstructure of the peri-implant bone; and implants were found to provide a successful function, over several decades, with different range of degrees of BIC in vivo (varying from a little more than 30% to a little more than 90%). Loaded implants presented a 10%–12% higher BIC values when compared to submerged, unloaded implants, and rougher surfaces had, on average, about a 10% higher BIC than machined surfaces.

scholarly journals Bone Response to Two Dental Implants with Different Sandblasted/Acid-Etched Implant Surfaces: A Histological and Histomorphometrical Study in Rabbits

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Antonio Scarano ◽  
Adriano Piattelli ◽  
Alesandro Quaranta ◽  
Felice Lorusso
Keyword(s):  
Dental Implants ◽  
Model Experiment ◽  
Scientific Evidence ◽  
Bone Implant ◽  
The Past ◽  
Hydrophilic Surfaces ◽  
Bone Response ◽  
Bone Implant Contact ◽  
Implant Dentistry

Background. Scientific evidence in the field of implant dentistry of the past 20 years established that titanium rough surfaces have shown improved osseointegration rates. In a majority of dental implants, the surface microroughness was obtained by grit blasting and/or acid etching. The aim of the study was to evaluate in vivo two different highly hydrophilic surfaces at different experimental times. Methods. Calcium-modified (CA) and SLActive surfaces were evaluated and a total of 18 implants for each type of surface were positioned into the rabbit articular femoral knee-joint in a split model experiment, and they were evaluated histologically and histomorphometrically at 15, 30, and 60 days of healing. Results. Bone-implant contact (BIC) at the two-implant surfaces was significantly different in favor of the CA surface at 15 days (p=0.027), while SLActive displayed not significantly higher values at 30 (p=0.51) and 60 days (p=0.061). Conclusion. Both implant surfaces show an intimate interaction with newly formed bone.

Strontium-Loaded Nanotubes of Ti–24Nb–4Zr–8Sn Alloys for Biomedical Implantation

2021 ◽  
Vol 17 (9) ◽  
pp. 1812-1823
Author(s):  
Fei Liu ◽  
Xinyu Wang ◽  
Shujun Li ◽  
Yiheng Liao ◽  
Xinxin Zhan ◽  
...  
Keyword(s):  
Early Stage ◽  
Contact Rate ◽  
Hard Tissue ◽  
Tissue Slices ◽  
Bone Implant ◽  
P Elements ◽  
Low Elastic Modulus ◽  
Bone Implant Contact

Ti–24Nb–4Zr–8Sn (Ti2448) alloys, with a relatively low elastic modulus and unique mechanical properties, are desirable materials for oral implantation. In the current study, a multifaceted strontium-incorporating nanotube coating was fabricated on a Ti2448 alloy (Ti2-NTSr) through anodization and hydrothermal procedures. In vitro, the Ti2-NTSr specimens demonstrated better osteogenic properties and more favorable osteoimmunomodulatory abilities. Moreover, macrophages on Ti2-NTSr specimens could improve the recruitment and osteogenic differentiation of osteoblasts. In vivo, dense clots with highly branched, thin fibrins and small pores existed on the Ti2-NTSr implant in the early stage after surgery. Analysis of the deposition of Ca and P elements, hard tissue slices and the bone-implant contact rate (BIC%) of the Ti2-NTSr implants also showed superior osseointegration. Taken together, these results demonstrate that the Ti2-NTSr coating may maximize the clinical outcomes of Ti2448 alloys for implantation applications.

scholarly journals In VivoMicroCT Monitoring of Osteomyelitis in a Rat Model

2015 ◽  
Vol 2015 ◽  
pp. 1-12 ◽  
Author(s):  
Vincent A. Stadelmann ◽  
Inga Potapova ◽  
Karin Camenisch ◽  
Dirk Nehrbass ◽  
R. Geoff Richards ◽  
...  
Keyword(s):  
Morphological Changes ◽  
Orthopedic Implants ◽  
Surgical Removal ◽  
Element Analysis ◽  
Bone Implant ◽  
Bone Implant Contact ◽  
Bone Changes ◽  
Bone Fraction ◽  
Microct Imaging

Infection associated with orthopedic implants often results in bone loss and requires surgical removal of the implant. The aim of this study was to evaluate morphological changes of bone adjacent to a bacteria-colonized implant, with the aim of identifying temporal patterns that are characteristic of infection. In anin vivostudy with rats, bone changes were assessed usingin vivomicroCT at 7 time points during a one-month postoperative period. The rats received either a sterile orStaphylococcus aureus-colonized polyetheretherketone screw in the tibia. Bone-implant contact, bone fraction, and bone changes (quiescent, resorbed, and new bone) were calculated from consecutive scans and validated against histomorphometry. The screw pullout strength was estimated from FE models and the results were validated against mechanical testing. In the sterile group, bone-implant contact, bone fraction, and mechanical fixation increased steadily until day 14 and then plateaued. In the infected group, they decreased rapidly. Bone formation was reduced while resorption was increased, with maximum effects observed within 6 days. In summary, the model presented is capable of evaluating the patterns of bone changes due to implant-related infections. The combined use of longitudinalin vivomicroCT imaging and image-based finite element analysis provides characteristic signs of infection within 6 days.

scholarly journals Bone-Implant Contact around Crestal and Subcrestal Dental Implants Submitted to Immediate and Conventional Loading

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Ana Emília Farias Pontes ◽  
Fernando Salimon Ribeiro ◽  
Giovanna Iezzi ◽  
Juliana Rico Pires ◽  
Elizangela Partata Zuza ◽  
...  
Keyword(s):  
Dental Implants ◽  
Bone Implant ◽  
Anova Test ◽  
Edentulous Mandible ◽  
Bone Implant Contact ◽  
Bone Level

The present study aims to evaluate the influence of apicocoronal position and immediate and conventional loading in the percentage of bone-implant contact (BIC). Thus, 36 implants were inserted in the edentulous mandible from six dogs. Three implants were installed in each hemimandible, in different positions in relation to the ridge: Bone Level (at crestal bone level), Minus 1 (one millimeter apical to crestal bone), and Minus 2 (two millimeters apical to crestal bone). In addition, each hemimandible was submitted to a loading protocol: immediate (prosthesis installed 24 hours after implantation) or conventional (prosthesis installed 120 days after implantation). Ninety days after, animals were killed, and implant and adjacent tissues were prepared for histometric analysis. BIC values from immediate loaded implants were 58.7%, 57.7%, and 51.1%, respectively, while conventional loaded implants were 61.8%, 53.8%, and 68.4%. Differences statistically significant were not observed among groups (P=0.10, ANOVA test). These findings suggest that different apicocoronal positioning and loading protocols evaluated did not interfere in the percentage of bone-implant contact, suggesting that these procedures did not jeopardize osseointegration.

scholarly journals Rabbits as Animal Models in Contemporary Implant Biomaterial Research

2011 ◽  
Vol 2 (2) ◽  
pp. 129-134 ◽  
Author(s):  
Himanshu Arora ◽  
Anil Nafria ◽  
Anup Kanase
Keyword(s):  
Animal Models ◽  
Dental Implants ◽  
Dental Implant ◽  
Mechanical Stability ◽  
In Vitro Studies ◽  
Clinical Use ◽  
Essential Step ◽  
Rigorous Testing

ABSTRACT Development of an optimal interface between bone and orthopedic or dental implants has taken place for many years. In order to determine whether a newly developed implant material conforms to the requirements of biocompatibility, mechanical stability and safety, it must undergo rigorous testing both in vitro and in vivo. Results from in vitro studies can be difficult to extrapolate to the in vivo situation. For this reason the use of animal models is often an essential step in the testing of orthopedic and dental implants prior to clinical use in humans. This review discusses the reasons, the importance, and the research carried out in rabbits in our quest to develop a dental implant ideally suited for human bone.

scholarly journals New laser-treated implant surfaces: A histologic and histomorphometric pilot study in rabbits

2011 ◽  
Vol 34 (4) ◽  
pp. 202 ◽  
Author(s):  
Davide Berardi ◽  
Simona De Benedittis ◽  
Andrea Scoccia ◽  
Giorgio Perfetti ◽  
Pio Conti
Keyword(s):  
Bone Implant ◽  
Bone Implant Contact ◽  
Surface Irregularities ◽  
Generate Surface ◽  
Diode Pumped ◽  
Morphologic Analysis ◽  
Pattern Group ◽  
Average Bone ◽  
Body Bone

Purpose: The purpose of this study was to confirm the validity of laser treated implant surfaces, with regard to high superficial purity preservation and to extremely regular and uniform roughness surfaces. Methods: In this in vivo study, seven different laser treated implant surfaces were analyzed. A diode-pumped solid state source laser, in a Q-Switch output mode, was used at various wavelengths, which were chosen to generate surface irregularities of varying diameter, depth and pitch. Twenty one implants were placed in 11 New Zealand rabbits. Eight weeks after surgery, implants were harvested for histometric analysis: total, threads and body bone-to-implant, and bone-to-implant contacts were measured. The morphologic analysis of the surface was carried out using a Scanning Electron Microscope. Results: Average bone-implant contact values were approximately 50% for all tested surfaces. Both total and threads values, within the same processing pattern group, had a high variance. Bone-implant contact thread and body variances were different, so that is possible that laser beam angle is able to modify the superficial roughness and thus the histological response. Conclusions: Implants provided with pores of 20 and 25 µm achieved more than satisfactory bone-implant contact partial peaks. Further statistically significant experiments are needed in order to study, in depth, these surfaces.

PEEK Dental Implants: A Review of the Literature

2013 ◽  
Vol 39 (6) ◽  
pp. 743-749 ◽  
Author(s):  
Andreas Schwitalla ◽  
Wolf-Dieter Müller
Keyword(s):  
Stress Distribution ◽  
Dental Implants ◽  
Literature Search ◽  
Experimental Studies ◽  
Review Of The Literature ◽  
Bone Implant ◽  
3 Dimensional ◽  
Alternative Material ◽  
Dimensional Finite Element ◽  
Chemical Modulation

The insertion of dental implants containing titanium can be associated with various complications (eg, hypersensitivity to titanium). The aim of this article is to evaluate whether there are existing studies reporting on PEEK (polyetheretherketone) as an alternative material for dental implants. A systematic literature search of PubMed until December 2010 yielded 3 articles reporting on dental implants made from PEEK. One article analyzed stress distribution in carbon fiber-reinforced PEEK (CFR-PEEK) dental implants by the 3-dimensional finite element method, demonstrating higher stress peaks due to a reduced stiffness compared to titanium. Two articles reported on investigations in mongrel dogs. The first article compared CFR-PEEK to titanium-coated CFR-PEEK implants, which were inserted into the femurs and evaluated after 4 and 8 weeks. The titanium-coated implants showed significantly higher bone-implant contact (BIC) rates. In a second study, implants of pure PEEK were inserted into the mandibles beside implants made from titanium and zirconia and evaluated after 4 months, where PEEK presented the lowest BIC. The existing articles reporting on PEEK dental implants indicate that PEEK could represent a viable alternative material for dental implants. However, further experimental studies on the chemical modulation of PEEK seem to be necessary, mainly to increase the BIC ratio and to minimize the stress distribution to the peri-implant bone.

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