Osseous Remodeling Around Dental Implants

2019 ◽  
Vol 45 (3) ◽  
pp. 239-246
Author(s):  
Dennis Flanagan
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Mechanical Load ◽  
Science Research ◽  
Load Resistance ◽  
Minimum Thickness ◽  
Primary Parameter ◽  
And Function ◽  
Implant Treatment

Adequate bone remodeling may be a primary parameter for long-term successful complication-free dental implant treatment. A 1.8-mm osseous thickness around dental implants is thought to be the minimum thickness for adequate vasculature for osteocyte nutrition and function. A dental implant does not provide progenitor cells or angiogenic or osteogenic factors. Thus, the surrounding bone may need to have a 1.8-mm thickness to accommodate the vasculature necessary for nutrients for appropriate remodeling. Additionally, the 1.8-mm dimension may provide for mechanical load resistance. There is no evidence to illustrate the physiologic need for the 1.8-mm dimension. This dimension requirement is based on clinical outcome observations. Basic science research for bone survival around dental implants is needed.

Dental Implants for Patients with Periodontitis

2019 ◽  
Vol 8 (4) ◽  
pp. 54-61
Author(s):  
Rajiv M. Patel
Keyword(s):  
Treatment Planning ◽  
Dental Implants ◽  
Dental Implant ◽  
Narrative Review ◽  
Professional Support ◽  
Implant Therapy ◽  
Plaque Control ◽  
Partially Dentate ◽  
Implant Treatment

This article provides a narrative review of the use of dental implants in patients with periodontitis. Using clinical examples where possible, consideration is given to the survival and success of implants, peri-implantitis, comparison of periodontally compromised teeth to implants and to treatment planning to help achieve favourable outcomes. The challenges associated with restoring an edentulous arch or partially dentate dentition with implants where significant alveolar atrophy has occurred can be considerable. Compromised outcomes may be commonplace. Dental implant treatment is more likely to be successful for those patients who attain and maintain excellent plaque control. Professional support should focus on managing underlying periodontitis prior to commencing implant therapy and providing long term, regular supportive periodontal care upon completion of treatment.

scholarly journals Statistic study regarding mandibular canal in dentate human specimens

2015 ◽  
Vol 61 (4) ◽  
pp. 300-303
Author(s):  
Victor Nimigean ◽  
◽  
Valentin Daniel Sîrbu ◽  
Vanda Roxana Nimigean ◽  
Lavinia Buţincu ◽  
...  
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Mandibular Canal ◽  
Precise Location ◽  
Oral Rehabilitation ◽  
Statistic Study ◽  
Long Term Performance ◽  
Term Performance ◽  
Implant Treatment

The major risk of dental implant treatment in the mandible is represented by the mandibular canal. Precise location of the mandibular canal is essential for oral rehabilitation with dental implants. The aim of this study was to analyze the topography of the mandibular canal in order to increase the long-term performance of oral rehabilitation with dental implants in „poor areas“. The topography of the mandibular canal was statistically studied on 11 human mandibles. The results obtained show similarities but also differences with data reported in other specialized references.

scholarly journals The Dental Implant Maintenance

2021 ◽  
Author(s):  
Gayathri Krishnamoorthy ◽  
Aparna I. Narayana ◽  
Dhanasekar Balakrishnan
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Oral Hygiene ◽  
Paradigm Shift ◽  
Maintenance Phase ◽  
Primary Stability ◽  
Implant Treatment ◽  
Office Procedures

As dental implant treatment has become a part of mainstream dental therapy, it is imperative to implement dental implant maintenance guidelines to achieve the long-term success of implant prostheses. Earlier, the success of a dental implant was mainly focused on the surgical phase to achieve good primary stability, with time, this belief has taken a major paradigm shift towards implementing and ensuring a periodic recall and following a maintenance phase for dental implants to achieve long-term success. As the dental team strives to attain and maintain the long-term success of implant prostheses, the patient should also recognize that their contribution towards the success of implant prostheses is also equally indispensable. This chapter highlights the importance of maintaining oral hygiene in implant rehabilitated patients and enumerates the implant maintenance protocol to be followed along with the different in-home and in-office procedures which can be implemented to achieve long-term success of the implant and peri-implant structures.

Development of Antiresorptive Agent-Related Osteonecrosis of the Jaw After Dental Implant Removal: A Case Report

2018 ◽  
Vol 44 (5) ◽  
pp. 359-364
Author(s):  
Shinsuke Yamamoto ◽  
Keigo Maeda ◽  
Izumi Kouchi ◽  
Yuzo Hirai ◽  
Naoki Taniike ◽  
...  
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Osteonecrosis Of The Jaw ◽  
Japanese Woman ◽  
Implant Removal ◽  
Antiresorptive Agent ◽  
Oral Bisphosphonate ◽  
Antiresorptive Agents ◽  
The Right ◽  
Implant Treatment

Dental implant treatment is a highly predictable therapy, but when potentially lethal symptoms or complications occur, dentists must remove the implant fixture. Recently, reports on antiresorptive agent-related osteonecrosis of the jaw have increased in the field of dental implants, although the relationship between dental implant treatment and antiresorptive agents remains unclear. Here, we report a case of antiresorptive agent-related osteonecrosis of the jaw that developed after dental implant removal. A 67-year-old Japanese woman with a medical history of osteoporosis and 7 years of oral bisphosphonate treatment was referred to our hospital with a chief complaint of painful right mandibular bone exposure. A family dentist removed the dental implants from the right mandible using a trephine drill without flap elevation in August 2016. However, the healing was impaired; she was referred to our hospital 3 months after the procedure. We performed a sequestrectomy of the mandible under general anesthesia. In conclusion, this patient's course has two important implications: First, the removal of dental implants from patients who are prescribed oral bisphosphonates for long durations can cause antiresorptive agent-related osteonecrosis of the jaw. Second, meticulous procedures are required to prevent and treat the development of antiresorptive agent-related osteonecrosis of the jaw after dental implant removal.

scholarly journals Effects of Bisphosphonates on Osseointegration of Dental Implants in Rabbit Model

2021 ◽  
Vol 2021 ◽  
pp. 1-13
Author(s):  
Ru Qing Yu ◽  
Jing Yi Wang ◽  
Nian Jing Rao ◽  
Lei Huo ◽  
Li Wu Zheng
Keyword(s):  
Zoledronic Acid ◽  
Dental Implants ◽  
Dental Implant ◽  
Growth Rates ◽  
Acid Treatment ◽  
Bone Growth ◽  
Rabbit Model ◽  
Short Term ◽  
Calvarial Bone

This study is to investigate the effect of bisphosphonates on the osseointegration of dental implants in a rabbit model. Twenty female New Zealand White rabbits were equally assigned into control and experiment groups which received saline or zoledronic acid treatment 4 weeks prior to surgery. Titanium dental implant was placed on the calvarial bone. Zoledronic acid or saline treatment continued after surgery for 4 weeks (short-term subgroup) or 8 weeks (long-term subgroup) until sacrifice. Three different fluorochrome labeling solutions were administrated for assessing bone growth rates. Samples of the calvarial bone and mandible were subjected to microcomputed tomography (micro-CT), confocal microscope, and histology analysis. Zoledronic acid treatment significantly reduced bone growth rates in the calvarial bone, but had no significant influence in bone mineral density and trabecular microarchitecture. Significantly lower bone-to-implant contact ratios were found in zoledronic acid-treated animals compared to controls at week 4 but not at week 8. Oncologic dose zoledronic acid suppresses the bone growth rates of the calvarial bone; ZA may have an adverse effect on osseointegration of dental implant in short term, but this effect tends to diminish in long term.

scholarly journals Graphene–Chitosan Hybrid Dental Implants with Enhanced Antibacterial and Cell-Proliferation Properties

2020 ◽  
Vol 10 (14) ◽  
pp. 4888 ◽  
Author(s):  
Sunho Park ◽  
Hyeran Kim ◽  
Kyoung Soon Choi ◽  
Min-Kyung Ji ◽  
Sujin Kim ◽  
...  
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Cell Activity ◽  
Functional Abilities ◽  
Tooth Replacement ◽  
Oral Rehabilitation ◽  
Natural Teeth ◽  
New Type ◽  
Implant Treatment ◽  
Effective Design

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.

Rationale for Definitive Mini Dental Implant Treatment

2020 ◽  
Author(s):  
Dennis Flanagan
Keyword(s):  
Dental Implants ◽  
Past Research ◽  
Load Resistance ◽  
Complete Dentures ◽  
Mandibular Incisor ◽  
Mini Implants ◽  
Bone Width ◽  
Maxillary Lateral Incisor ◽  
Mini Dental Implant ◽  
Implant Treatment

Mini dental implants can be used to support crowns and partial and complete dentures in compromised edentulous sites. Lack of bone width or site length may be treated with mini implants. Mini implants have less percutaneous exposure and displacement that may reduce complications. Nonetheless, mini implants transmit about twice the load to the supporting bone and thus control of occlusal loading is important. In fixed prosthetics, rounded flat cusps, splinting, implant protective occlusal schemes and only placement in dense bone sites are features of successful mini implant treatment. With removable prosthetics, multiple mini implants may be needed for appropriate retention and load resistance. Maxillary lateral incisor and mandibular incisor sites may be best suited for mini implant treatment.Caveat: Past research of dental implants has been directed at standard sized implants. While mini implants are dental implants, indeed, they behave somewhat differently under functional load and the clinician should be circumspect and very judicious in their use.

The Maxillary Sinus: What the General Dental Team Need to Know Part 4: Dental Implant Treatment and the Effect on Maxillary Sinus Function

Dental Update ◽  
2020 ◽  
Vol 47 (7) ◽  
pp. 584-593
Author(s):  
Colin Campbell ◽  
Garmon W Bell ◽  
Iain MacLeod ◽  
James C Darcey
Keyword(s):  
Maxillary Sinus ◽  
Dental Implant ◽  
Clinical Relevance ◽  
Normal Function ◽  
Surgery Complications ◽  
Post Surgery ◽  
And Function ◽  
The Impact ◽  
Implant Treatment

This paper, the last of a 4-part series, will discuss the impact of dental implant treatment on the health of the maxillary sinus. The need for assessment of maxillary sinus health and function, both clinically and radiographically, will be discussed. Strategies for implant planning that can reduce and mitigate complications will also be discussed, along with common surgical/post-surgery complications and the impact of these on patients. CPD/Clinical Relevance: The Dental Team should be aware of the factors taken into consideration when implants involving the atrophic maxillary alveolus are planned, or provided, in relation to normal function of the maxillary sinus.

scholarly journals Incidence of Prosthetic Complications associated with Implant-borne Prosthesis in a Sleep Disorder Center

2017 ◽  
Vol 18 (9) ◽  
pp. 821-825
Author(s):  
Shekhar Grover ◽  
Venkatesh B Suneel ◽  
Santhosh Kotian ◽  
Ravikanth H Jujare ◽  
Adarsh K Shetty ◽  
...  
Keyword(s):  
Sleep Disorder ◽  
Dental Implants ◽  
Dental Implant ◽  
Number Of Factors ◽  
Obstructive Sleep ◽  
History Of ◽  
The Common ◽  
Masticatory System ◽  
Prosthetic Complications ◽  
Implant Treatment

ABSTRACT Background Obstructive sleep apnea (OSA) is one of the common prevalent conditions present worldwide. The process of abnormal habits related to clenching and grinding of teeth is referred to as bruxism and is characterized under the heading of parafunctional activity of the masticatory system. Osseointegrated dental implants represent advancements in the field of odontology. Despite its high success rate, failure and complications are often associated with dental implant treatment due to a number of factors. Hence, we aimed for the present study to assess the incidence of prosthetic complications in patients rehabilitated with implant-borne prosthesis in a sleep disorder unit. Materials and methods The present study included the assessment of all the patients who underwent prosthetic rehabilitation by dental implants. An experienced registered prosthodontist was given duty for examination of all the cases from the record file data. Prosthetic complications in the patients were identified using photographs, radiographs, and all other relevant data of the patients obtained from the record files. All types of complications and other factors were recorded separately and analyzed. Results While correlating the prosthetic complications in OSA patients grouped based on number of dental implants, nonsignificant results were obtained. Significant correlation was observed while comparing the prosthetic complications divided based on type of prosthesis. Fracture of the porcelain was observed in four and eight cases respectively, of screwed and cemented dental implant cases. Conclusion Some amount of significant correlation existed between the incidences of prosthetic complications and OSA. Clinical significance Proper history of the patients undergoing dental implant procedures should be taken to avoid failure. How to cite this article Suneel VB, Kotian S, Jujare RH, Shetty AK, Nidhi S, Grover S. Incidence of Prosthetic Complications associated with Implant-borne Prosthesis in a Sleep Disorder Center. J Contemp Dent Pract 2017;18(9):821-825.

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