Peculiarities of titanium implants in patients with long-term absence of teeth and significant atrophy of hard and soft tissues of the jaws
Sažetak
Background/aim: The placement of artificial teeth in case of significant atrophy of hard and soft tissues of the jaws remains one of the most difficult problems in dentistry. The task was set to eliminate the unsolved problems by modernizing the existing methods of transplantation and implantation and analyzing the results of their application in clinical conditions.
Materials and methods: In the period from 2002 to 2022, standard surgical dentistry operations of transplantation and implantation were performed in several dental clinics in Russia for 5,280 men and women aged 22 to 85 years. Of these, autogenic bone materials were used in 788 patients, and in 4492 patients, surgical operations were performed with transplantation of xenogenic OsteoBiol biomaterials. All patients were implanted with titanium implants Replace Select (Nobel Biocare, Switzerland).
Results: It was shown that transplantation of autogenous bone and xenogenic biomaterials lasted on average about 2.5 and 1.5 hours and resulted in successful engraftment in 83% and 94% of cases (respectively). To exclude accidental perforation of Schneider's membrane during biomaterial transplantation in conditions of significant maxillary crest atrophy, a method of elevating the floor of the maxillary sinus under illumination with blue light from the nasal cavity was proposed. To improve the aesthetic result when placing the crown on the implant in the conditions of soft tissue deficiency around it the method of transplantation of autogenous material in the form of a round disk with a hole in the center for "dressing" on the implant is proposed.
Conclusion: Modern dental technology makes it possible to restore significant defects of soft and bone tissues of the jaws and replace teeth in patients of all age groups.
Reference
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2. Bai L, Zheng L, Ji P, Wan H, Zhou N, Liu R, Wang C. Additively Manufactured Lattice-like Subperiosteal Implants for Rehabilitation of the Severely Atrophic Ridge. ACS Biomaterials Science and Engineering 2022; 8 (2): 912-920.
3. Ong A, Williams F, Tokarz E, Shokri T, Hammer D, Ducic Y. Jaw in a day: immediate dental rehabilitation during fibula reconstruction of the mandible. Facial Plastic Surgery 2021; 37 (6): 722-727.
4. Yi Z, Miao X, Wang L, Zhang G, Wu Y. A customized subepithelial connective tissue graft for interdental papilla reconstruction and soft tissue augmentation. Journal of Esthetic and Restorative Dentistry 2022; 34 (3): 451-460.
5. Oryan A, Alidadi S, Moshiri A, Maffuli N. Bone regenerative medicine: classic options, novel strategies, and future directions. Journal of Orthopaedic Surgery and Research 2014; 9 (18).
6. Zufía J, Abella Sans F. Applications of maxillary tuberosity block autograft. Journal of Esthetic and Restorative Dentistry 2022; 34 (7): 1015-1028.
7. Chacon EL, Bertolo MRV, de Guzzi Plepis AM, da Conceição Amaro Martins V, Santos GRD et al. Collagen-chitosan-hydroxyapatite composite scaffolds for bone repair in ovariectomized rats. Scientific Reports 2023; 13 (1): 28.
8. Gross JS. Bone grafting materials for dental applications: a practical guide. Compendium of continuing education in dentistry 1997; 18(10): 1013-1018.
9. Nkenke E, Neukam FW. Autogenous bone harvesting and grafting in advanced jaw resorption: morbidity, resorption and implant survival. European Journal of Oral Implantology 2014; 7 Suppl 2: S203-S217.
10. Al-Khanati NM, Albassal A, Kara Beit Z. Unusual indications of teeth transplantation: A literature review. Cureus 2022; 14 (9): e29030.
11. Gallo P, Díaz-Báez D, Perdomo S, Aloise AC, Tattan M et al. Comparative analysis of two biomaterials mixed with autogenous bone graft for vertical ridge augmentation: A histomorphometric study in humans. Clinical Implant Dentistry and Related Research 2022; 24 (5): 709-719.
12. AlGhamdi AS, Shibly O, Ciancio SG. Osseous grafting part I: autografts and allografts for periodontal regeneration--a literature review. Journal of the International Academy of Periodontology 2010; 12 (2): 34-38.
13. Naujokat H, Loger K, Gülses A, Flörke C, Acil Y, Wiltfang J. Effect of enriched bone-marrow aspirates on the dimensional stability of cortico-cancellous iliac bone grafts in alveolar ridge augmentation. International Journal of Implant Dentistry 2022; 8 (1): 34.
14. Moussa NT, Dym H. Maxillofacial bone grafting materials. Dental Clinics of North America 2020; 64 (2): 473-490.
15. Gill S, Prakash M, Forghany M, Vaderhobli RM. An ethical perspective to using bone grafts in dentistry. Journal of the American Dental Association 2022; 153 (1): 88-91.
16. Smeets R, Matthies L, Windisch P, Gosau M, Jung R et al. Horizontal augmentation techniques in the mandible: a systematic review. International Journal of Implant Dentistry 2022; 8 (1): 23.
17. Gross JM, Elias CN, de Carvalho JJ, Gross A, Pelegrine AA et al. Comparative study of alloplastic and xenogeneic biomaterials used for in dentistry. Biomedical Materials & Devices 2023; 1: 956-965.
18. Romasco T, Tumedei M, Inchingolo F, Pignatelli P, Montesani L et al. A Narrative Review on the Effectiveness of Bone Regeneration Procedures with OsteoBiol® Collagenated Porcine Grafts: The Translational Research Experience over 20 Years. Journal of Functional Biomaterials 2022; 13 (3): 121.
19. Romasco T, Mandrillo PM, Morsut E, Tumedei M, Mandatori D et al. Morpho-functional effect of a new collagen-based medical device on human gingival fibroblasts: An in vitro study. Biomedicines 2023; 11 (3): 786.
20. Zhao R, Yang R, Cooper PR, Khurshid Z, Shavandi A, Ratnayake J. Bone grafts and substitutes in dentistry: A review of current trends and developments. Molecules 2021; 26 (10): 3007.
21. Silva RCS, Agrelli A, Andrade AN, Mendes-Marques CL, Arruda IRS et al. Titanium dental implants: An overview of applied nanobiotechnology to improve biocompatibility and prevent infections. Materials (Basel) 2022; 15 (9): 3150.
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23. Sidambe AT. Biocompatibility of advanced manufactured titanium implants-A review. Materials (Basel) 2014; 7 (12): 8168-8188.
24. Hanawa T. Biocompatibility of titanium from the viewpoint of its surface. Science and Technology of Advanced Materials 2022; 23 (1): 457-472.
25. Albrektsson T, Brånemark PI, Hansson HA, Lindström J. Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthopaedica Scandinavica 1981; 52 (2): 155-170.
26. Hoque ME, Showva NN, Ahmed M, Rashid AB, Sadique SE et al. Titanium and titanium alloys in dentistry: current trends, recent developments, and future prospects. Heliyon 2022; 8 (11): e11300.
27. Di Carlo S, Ciolfi A, Grasso E, Pranno N, De Angelis F et al. A retrospective analysis of treatment outcomes following guided bone regeneration at sites exhibiting severe alveolar ridge atrophy. The Journal of Craniofacial Surgery 2021; 32 (6): e572-e578.
28. Carvalho AP, Coutinho DCO, Araújo CRG, Pelegrine AA, Cota LOM, Martins-Júnior PA. Bone fenestration repair with leukocyte-platelet-rich fibrin after placement of implants in the anterior maxilla: a case report. General Dentistry 2020; 68 (4): 56-60.
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31. Beck-Broichsitter BE, Gerle M, Wiltfang J, Becker ST. Perforation of the Schneiderian membrane during sinus floor elevation: a risk factor for long-term success of dental implants?. Oral and Maxillofacial Surgery 2020; 24 (2): 151-156.
32. Díaz-Olivares LA, Cortés-Bretón Brinkmann J, Martínez-Rodríguez N, Martínez-González JM, López-Quiles J et al. Management of Schneiderian membrane perforations during maxillary sinus floor augmentation with lateral approach in relation to subsequent implant survival rates: a systematic review and meta-analysis. International Journal of Implant Dentistry 2021; 7 (1): 91.
33. Franceschetti G, Farina R, Minenna L, Stacchi C, Di Raimondo R et al. The impact of graft remodeling on peri-implant bone support at implants placed concomitantly with transcrestal sinus floor elevation: A multicenter, retrospective case series. Clinical Oral Implants Research 2020; 31 (2): 105-120.
34. Naziker Y, Ertugrul AS. Aesthetic evaluation of free gingival graft applied by partial de-epithelialization and free gingival graft applied by conventional method: a randomized controlled clinical study. Clinical Oral Investigations 2023; 27 (7): 4029-4038.
35. Chetana, Sidharthan S, Dharmarajan G, Kale S, Dharmadhikari S, Chordia D. Comparison of the effectiveness of gingival unit transfer and free Gingival graft in the management of localized gingival recession - A systematic review. Journal of Oral Biology and Craniofacial Research 2023; 13 (2): 130-137.
36. Katti N, Mohanty D, Agrawal P, Raj SC, Pradhan SS, Baral D. Successful management of gingival recession with interdental attachment loss using gingival unit grafts. Journal of Indian Society of Periodontology 2022; 26 (4): 373-377.
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2025/03/28
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