Osseointegration of Dental Implants and Osteoporosis

2021 ◽  
Author(s):  
Sara Gibreel ◽  
Hasaan Gassim Mohamed ◽  
Amartya Raj Suraj ◽  
Sukumaran Anil
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Bone Quality ◽  
Bone Fragility ◽  
Bisphosphonate Therapy ◽  
Mineral Density ◽  
Implant Placement ◽  
Antiresorptive Agents ◽  
Implant Therapy ◽  
Maxilla And Mandible

Osteoporosis is a disease characterized by low bone mass and microarchitectural deterioration of bone tissue, leading to enhanced bone fragility and susceptibility to fractures. Osteoporosis also results in loss of bone mineral density throughout the body, including the maxilla and mandible. Successful osseointegration of dental implants is attributed to their ability to integrate well with bone. The influence of bone quality on dental implant osseointegration has been discussed in several studies, and higher rates of dental implant failure have been reported in patients with low bone quality and an inadequate bone volume. Osteoporosis represents a risk factor for osseointegration, and this relationship may be derived from the association of the disease with a deficiency in bone formation. This condition would compromise the healing capacity and the apposition of bone at the implant interface. Currently, there is no clear consensus regarding dental implant treatment in osteoporotic individuals. Studies have revealed contradictory reports regarding the success and failure of dental implants in patients with osteoporosis. Antiresorptive agents have been widely used to treat osteoporosis. Dental implant placement in patients on bisphosphonate therapy may trigger osteonecrosis of the bone. Hence, it is important to analyze factors that have to be taken into consideration prior to implant therapy in patients with osteoporosis and those undergoing treatment. This chapter outlines dental implant osseointegration under osteoporotic conditions. The possible effect of bisphosphonate therapy on dental implant survival will also be discussed based on the current literature.

scholarly journals Effectiveness of PRP (Platelet Rich Plasma) To Increased BMD (Bone Mineral Density) At Maxilla Dental Implant Placement with 3-Dimensional Radiographic Examination (CBCT)

DENTA ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 50
Author(s):  
Dianty Saptaswari ◽  
Widyatuti Widyatuti ◽  
Yoifah Rizka Wedarti ◽  
Hansen Kurniawan
Keyword(s):  
Bone Mineral Density ◽  
Dental Implants ◽  
Dental Implant ◽  
Bone Mineral ◽  
3D Visualization ◽  
Platelet Rich Plasma ◽  
Autologous Blood ◽  
Radiographic Examination ◽  
Mineral Density ◽  
Implant Placement

<p><strong><em>Background:</em></strong><em> Dental implant is a device that is surgically implanted into the soft tissue or into the jaw bone. dental implants have become the treatment of choice for replacing missing teeth. Platelet rich plasma and platelet concentration derived from autologous blood containing autologous growth factors in which the platelet rich plasma can improve wound healing and increase the regeneration of bone. today cone beam computed tomography (CBCT) has been available for 3D visualization of craniofacial section. CBCT 3 D is able to provide information on the general bone mineral density. </em><strong><em>Purpose:</em></strong><em> </em><em>       T</em><em>he purpose</em><em> </em><em>of</em><em> </em><em>this studywas to determine thebone mineral density</em><em> </em><em>by</em><em> </em><em>three</em><em>-dimensional radiographic</em><em> </em><em>picture</em><em> </em><em>after</em><em> </em><em>dental</em><em> </em><em>implant placementbyan additional</em><em> </em><em>plateletrich plasma.</em><em> </em><strong><em>Material and Method:</em></strong><strong><em> </em></strong><em>This study was divided into 2 groups. The first placement of a dental implant with platelet rich plasma and the second placement of a dental implant without platelet rich plasma. <strong>Results:</strong> there are significant differences in dental implant placement with platelet rich plasma and placement of dental implants without platelet rich plasma. In the test results obtained Independent T test (p = 0.02). <strong>Conclusion:</strong> There was an increase bone mineral density in dental implant placement with platelet rich plasma were performed using three-dimensional radiographic examination (CBCT).</em></p><p><strong><em>Keyword:</em></strong><strong><em> </em></strong><em>Dental implant, platelet rich plasma, CBCT, bone density</em></p><p><strong><em>Correspondence:</em></strong><strong><em> </em></strong><em>Dianty Saptaswari, Widyatuti, Yoifah Rizka Wedarti, Hansen Kurniawan</em><em> </em><em>Periodonsia Fakultas Kedokteran Gigi Universitas Hang Tuah Surabaya</em><em>, </em><em>Email : <a href="mailto:[email protected]">[email protected]</a></em></p>

scholarly journals Comparative radiographic and resonance frequency analyses of the peri-implant tissue after dental implants placement using flap and flapless techniques: An experimental study on domestic pigs

2013 ◽  
Vol 70 (6) ◽  
pp. 586-594 ◽  
Author(s):  
Zoran Vlahovic ◽  
Branko Mihailovic ◽  
Zoran Lazic ◽  
Mileta Golubovic
Keyword(s):  
Bone Resorption ◽  
Resonance Frequency ◽  
Dental Implants ◽  
Dental Implant ◽  
Surgical Techniques ◽  
Primary Stability ◽  
Implant Stability ◽  
Domestic Pigs ◽  
Flap Technique ◽  
Implant Placement

Background/Aim. Flapless implant surgery has become very important issue during recent years, mostly thanks to computerization of dentistry and software planning of dental implants placements. The aim of this study was to compare flap and flapless surgical techniques for implant placement through radiographic and radiofrequency analyses. Methods. The experiment was made in five domestic pigs. Nine weeks following domestic pigs teeth extraction, implants were placed, on the right side using surgical technique flap, and flapless on the left side. Digital dental Xrays were applied to determine primary dental implant stability quality (ISQ). At certain intervals, not later than three months, the experimental animals were sacrificed, and just before it, control X-rays were applied to measure dental implants stability. Results. Radiographic analysis showed that peri-implant bone resorption in the first 4 weeks following placement implants with flap and flapless surgical techniques was negligible. After the 3 months, mean value of peri-implant bone resorption of the implants placed using flap technique was 1.86 mm, and of those placed using flapless technique was 1.13 mm. In relation to the primary dental implant stability in the first and second week there was an expected decrease in ISQ values, but it was less expressed in the dental implants placed using the flapless technique. In the third week the ISQ values were increased in the dental implants placed by using both techniques, but the increase in flapless implant placement was higher (7.4 ISQ) than in flap implant placement (1.5 ISQ). The upward trend continued in a 4- week period, and after 3 months the dental implant stability values in the implants placed using flap technique were higher than the primary stability for 7.1 ISQ, and in the implants placed using flapless technique were higher comparing to the primary stability for 10.1 ISQ units. Conclusion. Based on the results of radiographic and resonance frequency analyses it can be concluded that the flapless technique in surgical implants placemat, leads to better results.

Evaluation of the accuracy of a novel surgical guide for flapless dental implant placement for immediate loading in edentulous jaws

2021 ◽  
Author(s):  
Giovanni de Almeida Prado Di Giacomo ◽  
Patrícia Cury ◽  
Airton Moreira da Silva ◽  
Jorge Vicente Lopes da Silva ◽  
Carlos Eduardo Pompeo Souto ◽  
...  
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Selective Laser Sintering ◽  
Apical Region ◽  
Virtual Planning ◽  
Surgical Guide ◽  
Implant Placement ◽  
Surgical Guides ◽  
Edentulous Jaws ◽  
Edentulous Jaw

This study was designed to evaluate the accuracy of a novel computer-designed and selectively laser sintered surgical guide for flapless dental implant placement in the edentulous jaw. Fifty dental implants were placed in 11 patients with at least one totally edentulous jaw. Initially, cone-beam computed tomography (CBCT) was performed in each patient to define the virtual position of the dental implants based on the assessment of bone availability and the proposed dental prosthesis. After virtual planning, 3D surgical guides were printed using selective laser sintering. CBCT was repeated after the surgery, and the pre-and postoperative images were overlapped in the CAD software to compare the planned and actual positions of the dental implants using a one-sample t-test. The mean ± angular standard deviation between the long axes of the planned and final dental implant positions was 4.58 ±2.85 degrees; The linear deviation in the coronal position was  0.87 ± 0.49 mm and  in the apical region of the dental implants was 1.37 ± 0.69 mm. These differences were statistically significant (p &lt;0.001). The proposed modifications reduced the deviations, resulting in an improvement in the technique. We were able to place implants and temporary prostheses using the present protocol, taking into account the differences between the planned and final positions of the dental implants.

scholarly journals Bone Remineralization around Dental Implants following Conservative Treatment after Peri-Implantitis

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Algirdas Puisys ◽  
Viktorija Auzbikaviciute ◽  
Renata Simkunaite-Rizgeliene ◽  
Dainius Razukevicius ◽  
Rokas Linkevicius ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Conservative Treatment ◽  
Dental Implants ◽  
Dental Implant ◽  
Posterior Part ◽  
Treatment Method ◽  
Color Changes ◽  
Implant Placement ◽  
History Of

The aim of this case report is to show that bone remineralization around dental implants with a history of peri-implantitis is possible after irritant factors are removed and only conservative treatment is performed. Patient came to the clinic after three years of dental implant placement complaining about swelling, sensitivity and gingiva color changes at the posterior part of the maxilla. During radiographic and intraoral examinations peri-implantitis of the #24 implant site was diagnosed. The surgical treatment method was rejected and performed conservative treatment instead. The outcome is promising; periapical radiographs three months later showed bone remineralization as well as stable bone after 10 years. A key clinical message: Bone remineralization around dental implants with a history of peri-implantitis is possible after irritant factors are removed and conservative treatment performed.

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 Unexpected rapid increase in bone mineral density by bisphosphonate therapy after multiple spinal fractures: a case report

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Hidefumi Koiwai ◽  
Mikio Kamimura ◽  
Jun Takahashi ◽  
Yukio Nakamura ◽  
Hiroyuki Kato
Keyword(s):  
Bone Mineral Density ◽  
Bone Mineral ◽  
Fragility Fractures ◽  
Spinal Fractures ◽  
Lumbar Bone Mineral Density ◽  
Bone Fragility ◽  
Bisphosphonate Therapy ◽  
Japanese Woman ◽  
Mineral Density ◽  
Multiple Fractures

Abstract Background Osteoporosis is a serious disease that causes bone fragility fractures and increases mortality. Bisphosphonates are the first-line drugs for osteoporosis. However, the gains in bone mineral density by use of bisphosphonates alone are limited. Case presentation We describe the clinical outcome of a Japanese woman with osteoporosis treated with bisphosphonates after multiple spinal fractures. After 3 years of treatment with the bisphosphonate alendronate, her lumbar bone mineral density and bilateral hip bone mineral density markedly increased by 61.9% and 32.5%, respectively. Conclusion We considered that our patient’s multiple fractures had caused a decrease in bone mineral density, which naturally improved with fracture healing to enhance the increase in bone mineral density with bisphosphonate treatment.

scholarly journals DIAGNOSIS OF ENDOCRINE DISEASE: Evaluation of bone fragility in endocrine disorders

2019 ◽  
Vol 180 (6) ◽  
pp. R213-R232 ◽  
Author(s):  
Cristina Eller-Vainicher ◽  
Alberto Falchetti ◽  
Luigi Gennari ◽  
Elisa Cairoli ◽  
Francesco Bertoldo ◽  
...  
Keyword(s):  
Bone Density ◽  
Fracture Risk ◽  
Bone Quality ◽  
Risk Estimation ◽  
Underlying Disease ◽  
Bone Fragility ◽  
Endocrine Disorders ◽  
Mineral Density ◽  
Endocrine Diseases ◽  
Density Evaluation

An underlying disease affecting bone health is present in up to 40 and 60% of osteoporotic postmenopausal women and men respectively. Among the disorders leading to a secondary form of osteoporosis, the endocrine diseases are highly represented. A frequent finding in patients affected with an endocrine-related forms of bone disease is that the skeletal fragility is partially independent of the bone density, since the fracture risk in these patients is related more to a reduction of bone quality than to a decrease of bone mass. As a consequence, bone mineral density evaluation by dual-X-ray absorptiometry may be inadequate for establishing the risk of fracture in the setting of the endocrine-related forms of osteoporosis. In the recent years, several attempts to non-invasively estimating bone quality have been done. Nowadays, some new tools are available in the clinical practice for optimising the fracture risk estimation in patients with endocrine disorders. The aim of this review is to summarise the evidence regarding the role of the different imaging tools for evaluating bone density and bone quality in the most frequent forms of endocrine-related osteoporosis, such as obesity, diabetes, acromegaly, thyrotoxicosis, primary hyperparathyroidism, hypercortisolism and hypogonadism. For each of these disorders, data regarding both the current available tools and the future possible new techniques for assessing bone fragility in patients with endocrine diseases are reported.

scholarly journals Preservation or reconstruction of the Peri-implant bone- A Review

2021 ◽  
Vol 5 (3) ◽  
pp. 144-146
Author(s):  
Shamila Shetty K ◽  
◽  
R.K Nishith ◽  
R.K Nishith ◽  
Misha Rose Mathew ◽  
...  
Keyword(s):  
Bone Regeneration ◽  
Dental Implant ◽  
Alveolar Bone ◽  
Alveolar Ridge ◽  
Missing Teeth ◽  
Implant Placement ◽  
Biophysical Process ◽  
Implant Therapy ◽  
Teeth Extraction

The main biological and biophysical process that has made dental implant therapy predictably successful for replacing missing teeth is Osseointegration. Teeth extraction is done for several purposes, often without any consideration for the preservation of the alveolar ridge. Alveolar bone post-extraction changes have been estimated to cause a 50% decrease in alveolar bone buccolingual width, and a further loss in height. This review will go through various techniques of ARP and bone regeneration techniques and explore the best way to obtain the best outcomes after implant placement.

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