Primary Stability of Implant Placement and Loading Related to Dental Implant Materials and Designs: A Literature Review

Overview

Journal J Dent Sci

Specialty Dentistry

Date 2023 Oct 6

PMID 37799926

Authors

Yu-Che Huang

Yen-Chang Huang

Shinn-Jyh Ding

Affiliations

Soon will be listed here.

Abstract

A variety of implant placement and loading protocols are identified, ranging from immediate implant placement on the day of extraction to delayed placement for at least 6 months after complete healing. The method of assessment of implant placement and loading plays an important role in the implantation. The expected clinical outcomes depend largely on multiple factors, such as the macroscopic design of the implant, surgical technique, and the quality and quantity of local bone in contact with the implant, which would be described in detail. The purpose of this literature review was to explore the relationship between the factors influencing the implant placement stability and implant design. By understanding the original appearance of implant design and the stability requirements of implant placement, it is hoped that more research in the future can meet the needs of dentists and patients.

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References

Siegele D, Soltesz U . Numerical investigations of the influence of implant shape on stress distribution in the jaw bone. Int J Oral Maxillofac Implants. 1989; 4(4):333-40. View

Padhye N, Padhye A, Bhatavadekar N . Osseodensification -- A systematic review and qualitative analysis of published literature. J Oral Biol Craniofac Res. 2019; 10(1):375-380. PMC: 6849357. DOI: 10.1016/j.jobcr.2019.10.002. View

Di Stefano D, Iezzi G, Scarano A, Perrotti V, Piattelli A . Immediately loaded blade implant retrieved from a after a 20-year loading period: a histologic and histomorphometric case report. J Oral Implantol. 2006; 32(4):171-6. DOI: 10.1563/765.1. View

Adell R, Lekholm U, Rockler B, Branemark P . A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg. 1981; 10(6):387-416. DOI: 10.1016/s0300-9785(81)80077-4. View

Esposito M, Grusovin M, Maghaireh H, Worthington H . Interventions for replacing missing teeth: different times for loading dental implants. Cochrane Database Syst Rev. 2013; (3):CD003878. PMC: 7156879. DOI: 10.1002/14651858.CD003878.pub5. View

Gallucci G, Benic G, Eckert S, Papaspyridakos P, Schimmel M, Schrott A . Consensus statements and clinical recommendations for implant loading protocols. Int J Oral Maxillofac Implants. 2014; 29 Suppl:287-90. DOI: 10.11607/jomi.2013.g4. View

Buser D, Schroeder A, Sutter F, Lang N . The new concept of ITI hollow-cylinder and hollow-screw implants: Part 2. Clinical aspects, indications, and early clinical results. Int J Oral Maxillofac Implants. 1988; 3(3):173-81. View

Cohen D, Cheng A, Kahn A, Aviram M, Whitehead A, Hyzy S . Novel Osteogenic Ti-6Al-4V Device For Restoration Of Dental Function In Patients With Large Bone Deficiencies: Design, Development And Implementation. Sci Rep. 2016; 6:20493. PMC: 4745084. DOI: 10.1038/srep20493. View

Cali M, Zanetti E, Oliveri S, Asero R, Ciaramella S, Martorelli M . Influence of thread shape and inclination on the biomechanical behaviour of plateau implant systems. Dent Mater. 2018; 34(3):460-469. DOI: 10.1016/j.dental.2018.01.012. View

10.

Chong L, Khocht A, Suzuki J, Gaughan J . Effect of implant design on initial stability of tapered implants. J Oral Implantol. 2009; 35(3):130-5. DOI: 10.1563/1548-1336-35.3.130. View

11.

Bornstein M, Lussi A, Schmid B, Belser U, Buser D . Early loading of nonsubmerged titanium implants with a sandblasted and acid-etched (SLA) surface: 3-year results of a prospective study in partially edentulous patients. Int J Oral Maxillofac Implants. 2003; 18(5):659-66. View

12.

Markiewicz M, Nishiyama K, Yago K, Okada M, Asanami S, Yoshinari M . Draining orocutaneous fistula associated with a failing subperiosteal implant: report of a case. J Oral Implantol. 2008; 33(6):347-52. DOI: 10.1563/1548-1336(2007)33[347:DOFAWA]2.0.CO;2. View

13.

LINKOW L, Ghalili R . Critical design errors in maxillary subperiosteal implants. J Oral Implantol. 1999; 24(4):198-205. DOI: 10.1563/1548-1336(1998)024<0198:CDEIMS>2.3.CO;2. View

14.

Duyck J, Corpas L, Vermeiren S, Ogawa T, Quirynen M, Vandamme K . Histological, histomorphometrical, and radiological evaluation of an experimental implant design with a high insertion torque. Clin Oral Implants Res. 2010; 21(8):877-84. DOI: 10.1111/j.1600-0501.2010.01895.x. View

15.

Ramkumar K, Sripriya S, Meenakshi A, Sabarigirinathan C, Thulasingam C . Comparison of primary stability in craniofacial implant with V-shape and buttress thread design in goat skull using resonance frequency analysis. Indian J Dent Res. 2020; 31(3):403-407. DOI: 10.4103/ijdr.IJDR_447_17. View

16.

Joda T, Zarone F, Ferrari M . The complete digital workflow in fixed prosthodontics: a systematic review. BMC Oral Health. 2017; 17(1):124. PMC: 5606018. DOI: 10.1186/s12903-017-0415-0. View

17.

Hanawa T . Titanium-Tissue Interface Reaction and Its Control With Surface Treatment. Front Bioeng Biotechnol. 2019; 7:170. PMC: 6650641. DOI: 10.3389/fbioe.2019.00170. View

18.

Javed F, Ahmed H, Crespi R, Romanos G . Role of primary stability for successful osseointegration of dental implants: Factors of influence and evaluation. Interv Med Appl Sci. 2014; 5(4):162-7. PMC: 3873594. DOI: 10.1556/IMAS.5.2013.4.3. View

19.

Park Y, Yi K, Lee I, Jung Y . Correlation between microtomography and histomorphometry for assessment of implant osseointegration. Clin Oral Implants Res. 2005; 16(2):156-60. DOI: 10.1111/j.1600-0501.2004.01083.x. View

20.

Mangano C, Bianchi A, Mangano F, Dana J, Colombo M, Solop I . Custom-made 3D printed subperiosteal titanium implants for the prosthetic restoration of the atrophic posterior mandible of elderly patients: a case series. 3D Print Med. 2020; 6(1):1. PMC: 6950914. DOI: 10.1186/s41205-019-0055-x. View