MyMedR

Fulltext Outcomes of placing short implants in the posterior mandible: a preliminary randomized controlled trial

Al-Hashedi AA, Taiyeb-Ali TB, Yunus N

Aust Dent J, 2016 06;61(2):208-18.

BACKGROUND: Short dental implants can be an alternative to bone augmentation procedures at sites of reduced alveolar bone. Most studies on short implants are retrospective or multicentre reports that lack controlled and consistent comparison between different systems. This study aimed to compare clinical and radiographic outcomes of short implants in two different systems in the posterior mandible.

METHODS: Twenty patients with two adjacent missing posterior teeth were recruited. Patients were assigned equally and randomly into two groups; Bicon(®) (6 or 8 mm) and Ankylos(®) (8 mm) implants. A two-stage surgical approach and single crowns were used for implant placement and loading. Outcomes included peri-implant clinical parameters, implant stability (Periotest values; PTVs) and peri-implant bone changes, which were assessed at baseline, 2, 6 and 12 months post-loading.

RESULTS: No implant loss was encountered up to 12 months post-loading. No significant difference in the clinical or radiographic parameters was observed except for PTVs (p < 0.05) that was lower in Ankylos(®) implants.

CONCLUSIONS: The use of short dental implants was associated with excellent 12 months clinical and radiographic outcomes. Ankylos(®) and Bicon(®) implants demonstrated similar peri-implant soft tissue and alveolar bone changes. However, Ankylos(®) implants demonstrated better implant stability at all evaluation intervals.

Matched MeSH terms: Dental Implantation, Endosseous/methods*; Dental Implants*

EPA-coated titanium implants promote osteoconduction in white New Zealand rabbits

Mustafa A, Lung CY, Mustafa NS, Mustafa BA, Kashmoola MA, Zwahlen RA, et al.

Clin Oral Implants Res, 2016 Mar;27(3):303-9.

PMID: 25393376 DOI: 10.1111/clr.12525

OBJECTIVES: To investigate the effect of eicosapentaenoic acid (EPA)-coated Ti implants on osteoconduction in white New Zealand rabbit mandibles.

MATERIAL AND METHODS: Sandblasted and cleansed planar titanium specimens with a size of 5 × 5 × 1 mm were coated on one side with 0.25 vol% eicosapentaenoic acid (EPA). The other side of the specimens was kept highly polished (the control side). These specimens were inserted in rabbit mandibles. Twelve rabbits were randomly assigned into three study groups (n = 4). The rabbits were sacrificed at 4, 8, and 12 weeks. The harvested specimens with the implants were assessed for new bone formation on both sides of the implant using CBCT, conventional radiographs, and the biaxial pullout test. The results were statistically analyzed by a nonparametric Kruskal-Wallis test and Friedman's test as multiple comparisons and by Brunner-Langer nonparametric mixed model approach (R Software).

RESULTS: A significant osteoconductive bone formation was found on the EPA-coated Ti implant surface (P < 0.05) at 8 weeks when compared to the polished surface (control). Biaxial pullout test results showed a significant difference (P < 0.05) after 8 and 12 weeks with a maximum force of 243.8 N, compared to 143.25 N after 4 week.

CONCLUSION: EPA implant coating promoted osteoconduction on the Ti implant surfaces, enhancing the anchorage of the implant to the surrounding bone in white New Zealand rabbits.

Matched MeSH terms: Dental Implantation, Endosseous/methods*; Dental Implants*

Crestal bone loss and periimplant inflammatory parameters around zirconia implants: A systematic review

Vohra F, Al-Kheraif AA, Ab Ghani SM, Abu Hassan MI, Alnassar T, Javed F

J Prosthet Dent, 2015 Sep;114(3):351-7.

PMID: 26047803 DOI: 10.1016/j.prosdent.2015.03.016

STATEMENT OF PROBLEM: Zirconia implants have been used for oral rehabilitation; however, evidence of their ability to maintain crestal bone and periimplant soft tissue health is not clear.

PURPOSE: The purpose of this systematic review was to evaluate crestal bone loss (CBL) around zirconia dental implants and clinical periimplant inflammatory parameters.

MATERIAL AND METHODS: The focus question addressed was, "Do zirconia implants maintain crestal bone levels and periimplant soft tissue health?" Databases were searched for articles from 1977 through September 2014 with different combinations of the following MeSH terms: "dental implants," "zirconium," "alveolar bone loss," "periodontal attachment loss," "periodontal pocket," "periodontal index." Letters to the editor, case reports, commentaries, review articles, and articles published in languages other than English were excluded.

RESULTS: Thirteen clinical studies were included. In 8 of the studies, the CBL around zirconia implants was comparable between baseline and follow-up. In the other 5 studies, the CBL around zirconia implants was significantly higher at follow-up. Among the studies that used titanium implants as controls, 2 studies showed significantly higher CBL around zirconia implants, and in 1 study, the CBL around zirconia and titanium implants was comparable. The reported implant survival rates for zirconia implants ranged between 67.6% and 100%. Eleven studies selectively reported the periimplant inflammatory parameters.

CONCLUSIONS: Because of the variations in study design and methodology, it was difficult to reach a consensus regarding the efficacy of zirconia implants in maintaining crestal bone levels and periimplant soft tissue health.

Matched MeSH terms: Dental Implants*

Fulltext Progressive immediate loading of a perforated maxillary sinus dental implant: a case report

Al-Juboori MJ

Clin Cosmet Investig Dent, 2015;7:25-31.

PMID: 25678816 DOI: 10.2147/CCIDE.S76637

The displacement of a dental implant into the maxillary sinus may lead to implant failure due to exposure of the apical third or the tip of the implant beyond the bone, resulting in soft tissue growth. This case report discusses dental implant placement in the upper first molar area with maxillary sinus involvement of approximately 2 mm. A new technique for progressive implant loading was used, involving immediately loaded implants with maxillary sinus perforation and low primary stability. Follow-up was performed with resonance frequency analysis and compared with an implant placed adjacent in the upper second premolar area using a conventional delayed loading protocol. Implants with maxillary sinus involvement showed increasing stability during the healing period. We found that progressive implant loading may be a safe technique for the placement of immediately loaded implants with maxillary sinus involvement.

Matched MeSH terms: Dental Implants

Fulltext Dental Implants - Perceiving Patients' Satisfaction in Relation to Clinical and Electromyography Study on Implant Patients

Alam MK, Rahman SA, Rahaman SA, Basri R, Sing Yi TT, Si-Jie JW, et al.

PLoS One, 2015;10(10):e0140438.

PMID: 26465146 DOI: 10.1371/journal.pone.0140438

The aim of this study is to evaluate the satisfaction of patients with posterior implants in relation to the clinical success criteria and surface electromyography (sEMG) findings of the masseter and temporalis muscles. Total 42 subjects were investigated. Twenty one subjects with posterior dental implants were interviewed using a questionnaire and the clinical success criteria were determined based on The International Congress of Oral Implantologists. The myofunction of the masticatory muscles were assessed using sEMG (21 subjects) and compared to the control group of subjects without implants (21 subjects). Out of 21 subjects, all were satisfied with the aesthetics of their implant. Twenty of them (95.2%) were satisfied with its function and stability. As for clinical criteria, 100% (50) of the implants were successful with no pain, mobility or exudates. sEMG findings showed that patients have significantly lower (p<0.01) basal or resting median power frequency but with muscle burst. During chewing, control subjects showed faster chewing action. There was no difference in reaction and recovery time of clenching for both groups. In conclusion, the satisfaction of implant patients was high, and which was in relation to the successful clinical success criteria and sEMG findings.

Matched MeSH terms: Dental Implants*

Fulltext Maxillomandibular relationship record for complete arch/mouth implant restorations using putty-elastomeric occlusion rim at healing abutment level

Patil PG, Nimbalkar-Patil S

Contemp Clin Dent, 2015 Jul-Sep;6(3):318-20.

PMID: 26321828 DOI: 10.4103/0976-237X.161869

Recording of the maxillomandibular relationship (MMR) in implant complete arch restorations usually necessitates removal of the healing abutments to attach the record bases, which makes the procedures tedious and time-consuming.

Matched MeSH terms: Dental Implants

Fulltext Zirconia in dental implantology: A review

Apratim A, Eachempati P, Krishnappa Salian KK, Singh V, Chhabra S, Shah S

J Int Soc Prev Community Dent, 2015 May-Jun;5(3):147-56.

PMID: 26236672 DOI: 10.4103/2231-0762.158014

Titanium has been the most popular material of choice for dental implantology over the past few decades. Its properties have been found to be most suitable for the success of implant treatment. But recently, zirconia is slowly emerging as one of the materials which might replace the gold standard of dental implant, i.e., titanium.

Matched MeSH terms: Dental Implants

Fulltext Microstructure analysis, physical and thermal properties of al2o3-al2tio5 functionally graded ceramics for the application of car brake rot

Oo, Z., Sujan, D., Rong Kimberly, F. P

Pertanika Journal of Science & Technology, 2015;23(1):153-161.

MyJurnal

Aluminium titanate (AT) (Al2TiO5) is a promising engineering material because of its low thermal expansion coefficient, excellent thermal shock resistance, good refractoriness and non-wetting with most metals. Functionally graded material (FGM) is generally a particulate composite with continuously varying volume fractions. FGMs are alternative materials for dental implants, building materials and ballistic protection. It has been of great interest to future engines, internal combustion engines, metal cutting and other high temperature engineering application. There has been a demand for an adequate disc brake that requires less maintenance in the automotive manufacturing industry. FGM, the next evolution of layered structure, consists of graded compositions that are dispersed across the ceramic which produces a gradual improvement in the properties across the ceramic at a steady pace.

Matched MeSH terms: Dental Implants

Options to avoid the second surgical site: a review of literature

Ramachandra SS, Rana R, Reetika S, Jithendra KD

Cell Tissue Bank, 2014 Sep;15(3):297-305.

PMID: 24002077 DOI: 10.1007/s10561-013-9395-8

As esthetics gain importance, periodontal plastic surgical procedures involving soft tissue grafts are becoming commoner both around natural teeth as well as around implants. Periodontal soft tissue grafts are primarily used for the purpose of root coverage and in pre-prosthetic surgery to thicken a gingival site or to improve the crestal volume. Soft tissue grafts are usually harvested from the palate. Periodontal plastic surgical procedures involving soft tissue grafts harvested from the palate have two surgical sites; a recipient site and another donor site. Many patients are apprehensive about the soft tissue graft procedures, especially the creation of the second/donor surgical site in the palate. In the past decade, newer techniques and products have emerged which provide an option for the periodontist/patient to avoid the second surgical site. MucoMatrixX, Alloderm(®), Platelet rich fibrin, Puros(®) Dermis and Mucograft(®) are the various options available to the practicing periodontist to avoid the second surgical site. Use of these soft tissue allografts in an apprehensive patient would decrease patient morbidity and increase patient's acceptance towards periodontal plastic surgical procedures.

Matched MeSH terms: Dental Implants*

Dental implants from functionally graded materials

Mehrali M, Shirazi FS, Mehrali M, Metselaar HS, Kadri NA, Osman NA

J Biomed Mater Res A, 2013 Oct;101(10):3046-57.

PMID: 23754641 DOI: 10.1002/jbm.a.34588

Functionally graded material (FGM) is a heterogeneous composite material including a number of constituents that exhibit a compositional gradient from one surface of the material to the other subsequently, resulting in a material with continuously varying properties in the thickness direction. FGMs are gaining attention for biomedical applications, especially for implants, owing to their reported superior composition. Dental implants can be functionally graded to create an optimized mechanical behavior and achieve the intended biocompatibility and osseointegration improvement. This review presents a comprehensive summary of biomaterials and manufacturing techniques researchers employ throughout the world. Generally, FGM and FGM porous biomaterials are more difficult to fabricate than uniform or homogenous biomaterials. Therefore, our discussion is intended to give the readers about successful and obstacles fabrication of FGM and porous FGM in dental implants that will bring state-of-the-art technology to the bedside and develop quality of life and present standards of care.

Matched MeSH terms: Dental Implants*

Contour analysis of an implant--soft tissue interface

Chai WL, Moharamzadeh K, van Noort R, Emanuelsson L, Palmquist A, Brook IM

J Periodontal Res, 2013 Oct;48(5):663-70.

PMID: 23442017 DOI: 10.1111/jre.12062

Studies of peri-implant soft tissue on in vivo models are commonly based on histological sections prepared using undecalcified or 'fracture' techniques. These techniques require the cutting or removal of implant during the specimen preparation process. The aim of this study is to explore a new impression technique that does not require any cutting or removal of implant for contour analysis of soft tissue around four types of titanium (Ti) surface roughness using an in vitro three-dimensional oral mucosal model (3D OMM).

Matched MeSH terms: Dental Implants*

The correlation between crestal bone resorption and implant stability during healing period using resonance frequency analysis

Al-Juboori MJ, AbdulRahaman SB, Hassan A

Implant Dent, 2013 Aug;22(4):351-5.

PMID: 23811720 DOI: 10.1097/ID.0b013e318296583d

To detect the correlation between crestal bone resorption and implant stability during healing period using resonance frequency analysis (RFA).

Matched MeSH terms: Dental Implantation, Endosseous/methods; Dental Implants*

Fulltext Osseointegration: an update

Parithimarkalaignan S, Padmanabhan TV

J Indian Prosthodont Soc, 2013 Mar;13(1):2-6.

PMID: 24431699 DOI: 10.1007/s13191-013-0252-z

Osseointegration, defined as a direct structural and functional connection between ordered, living bone and the surface of a load-carrying implant, is critical for implant stability, and is considered a prerequisite for implant loading and long-term clinical success of end osseous dental implants. The implant-tissue interface is an extremely dynamic region of interaction. This complex interaction involves not only biomaterial and biocompatibility issues but also alteration of mechanical environment. The processes of osseointegration involve an initial interlocking between alveolar bone and the implant body, and later, biological fixation through continuous bone apposition and remodeling toward the implant. The process itself is quite complex and there are many factors that influence the formation and maintenance of bone at the implant surface. The aim of this present review is to analysis the current understanding of clinical assessments and factors that determine the success & failure of osseointegrated dental implants.

Matched MeSH terms: Dental Implants

Fulltext Minimal guided bone regeneration procedure for immediate implant placement in the esthetic zone

Kumar NS, Sowmya N, Mehta DS, Kumar PS

Dent Res J (Isfahan), 2013 Jan;10(1):98-102.

PMID: 23878571 DOI: 10.4103/1735-3327.111808

The anterior maxilla presents a challenging milieu interior for ideal placement of implants because of the compromised bone quality. With the advent of intraoral bone harvesting and augmentation techniques, immediate implant placement into fresh extraction sockets have become more predictable. Immediate implant placement has numerous advantages compared to the delayed procedure including superior esthetic and functional outcomes, maintenance of soft and hard tissue integrity and increased patient compliance. This case report exhibits immediate implant placement in the maxillary esthetic zone by combining a minimal invasive autogenous block bone graft harvest technique for ensuring successful osseointegration of the implant at the extraction site.

Matched MeSH terms: Dental Implants, Single-Tooth

Finite element analysis of zygomatic implants in intrasinus and extramaxillary approaches for prosthetic rehabilitation in severely atrophic maxillae

Ishak MI, Kadir MR, Sulaiman E, Kasim NH

Int J Oral Maxillofac Implants, 2013 May-Jun;28(3):e151-60.

PMID: 23748334 DOI: 10.11607/jomi.2304

To compare the extramaxillary approach with the widely used intrasinus approach via finite element method.

Matched MeSH terms: Dental Implants

Fulltext The biological seal of the implant-soft tissue interface evaluated in a tissue-engineered oral mucosal model

Chai WL, Brook IM, Palmquist A, van Noort R, Moharamzadeh K

J R Soc Interface, 2012 Dec 7;9(77):3528-38.

PMID: 22915635 DOI: 10.1098/rsif.2012.0507

For dental implants, it is vital that an initial soft tissue seal is achieved as this helps to stabilize and preserve the peri-implant tissues during the restorative stages following placement. The study of the implant-soft tissue interface is usually undertaken in animal models. We have developed an in vitro three-dimensional tissue-engineered oral mucosal model (3D OMM), which lends itself to the study of the implant-soft tissue interface as it has been shown that cells from the three-dimensional OMM attach onto titanium (Ti) surfaces forming a biological seal (BS). This study compares the quality of the BS achieved using the three-dimensional OMM for four types of Ti surfaces: polished, machined, sandblasted and anodized (TiUnite). The BS was evaluated quantitatively by permeability and cell attachment tests. Tritiated water (HTO) was used as the tracing agent for the permeability test. At the end of the permeability test, the Ti discs were removed from the three-dimensional OMM and an Alamar Blue assay was used for the measurement of residual cells attached to the Ti discs. The penetration of the HTO through the BS for the four types of Ti surfaces was not significantly different, and there was no significant difference in the viability of residual cells that attached to the Ti surfaces. The BS of the tissue-engineered oral mucosa around the four types of Ti surface topographies was not significantly different.

Matched MeSH terms: Dental Implants*

Zygomatic implant-retained fixed complete denture for an elderly patient

Baig MR, Rajan G, Yunus N

Gerodontology, 2012 Jun;29(2):e1140-5.

PMID: 21615782 DOI: 10.1111/j.1741-2358.2010.00433.x

Dental rehabilitation of a completely edentulous geriatric patient has always been a challenge to the clinician, especially in treating those with higher expectations and demands. Treatment duration and the amount of residual alveolar bone available are often important considerations when planning for dental implant-based fixed treatment for these patients. With the introduction of zygomatic implants, a graftless alternative solution has emerged for deficient maxillary bone with provision for immediate loading. This article describes the treatment of a completely edentulous elderly patient using zygomatic implants in conjunction with conventional implants. The implants were immediately loaded using a definitive acrylic resin fixed denture reinforced with a cast metal framework, to provide function and aesthetics.

Matched MeSH terms: Dental Implants*; Immediate Dental Implant Loading; Dental Implant-Abutment Design

The safety zone for mini-implant maxillary anchorage in Mongoloids

Wey MC, Shim CN, Lee MY, Jamaluddin M, Ngeow WC

Aust Orthod J, 2012 May;28(1):17-21.

PMID: 22866589

This study aimed to establish a safety zone for the placement of mini-implants in the buccal surface between the second maxillary premolar (PM2) and first maxillary molar (M1) of Mongoloids.

Matched MeSH terms: Dental Implants

Dimensional profile of oral mucosa around combined tooth-implant-supported bridgework in macaque mandible

Siar CH, Toh CG, Ali TB, Seiz D, Ong ST

Clin Oral Implants Res, 2012 Apr;23(4):438-46.

PMID: 21435011 DOI: 10.1111/j.1600-0501.2010.02145.x

A stable oral mucosa is crucial for long-term survival and biofunctionality of implants. Most of this evidence is derived from clinical and animal studies based solely on implant-supported prosthesis. Much less is known about the dimensions and relationships of this soft tissue complex investing tooth-implant-supported bridgework (TISB). The aim here was to obtain experimental evidence on the dimensional characteristics of oral mucosa around TISB with two different abutment designs.

Matched MeSH terms: Dental Implants

Metal-ceramic screw-retained implant fixed partial denture with intraoral luted framework to improve passive fit

Baig MR, Gunaseelan R

J Oral Implantol, 2012 Apr;38(2):149-53.

PMID: 20932151 DOI: 10.1563/AAID-JOI-D-09-00089

Passive fit of a long-span screw-retained implant prosthesis is an important criteria for the success of the restoration. This article describes a technique for fabricating a ceramometal implant fixed dental prosthesis (FDP) for a long-span partially edentulous situation by altering the conventional screw-retained design. The possibility of a passive fit is maximized by intraoral luting of the cast frame to milled abutments, and the potential framework distortion during fabrication is compensated to a major extent. Retrievability is ensured by screw retention of the prosthesis to the implants. Compared with conventional porcelain fused to metal screw-retained FDP, this prosthesis is relatively inexpensive to fabricate.

Matched MeSH terms: Dental Implantation, Endosseous; Dental Implants*; Dental Implant-Abutment Design

Displaying publications 41 - 60 of 78 in total