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Oral and Maxillofacial Surgery

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29.09.2022 | Review

Relationship between dental implant macro-design and osseointegration: a systematic review

verfasst von: Simone Kreve, Izabela Ferreira, Mariana Lima da Costa Valente, Andréa Cândido dos Reis

Erschienen in: Oral and Maxillofacial Surgery | Ausgabe 1/2024

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Abstract

Purpose

This systematic review aimed to determine whether differences in the macro-geometry of titanium implants promote changes in osseointegration.

Material and method

SCOPUS, PubMed/Medline, Web of Science, and EMBASE databases were searched in June 2021. In addition, it was performed a manual search of the reference lists of the included articles. Eligibility criteria were in vivo studies that addressed the effect of titanium implant macro-geometry on osseointegration, studies that evaluated periodontally healthy models, and papers indexed in Journal Citation Reports.

Results

The database search resulted in 1037 articles. Of the 19 articles selected for full reading, 16 remained in this systematic review. These had a high heterogeneity making it hard to perform statistical analysis of the data, so a descriptive analysis was performed.

Conclusions

Based on the studies included in this systematic review, implant macro-geometry provides influences on osseointegration. In this sense, the various isolated characteristics (thread type, thread pitch, thread depth, face angle) should be studied so that the implant geometry can balance the compressive stress and tensile stress and produce a minimum shear force.

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Valente ML, de Castro DT, Shimano AC, Lepri CP, dos Reis AC (2016) Analyzing the influence of a new dental implant design on primary stability. Clin Implant Dent Relat Res 18:168–173. https://doi.org/10.1111/cid.12324CrossRefPubMed

Valente ML, Castro DT, Shimano AC, Reis AC (2019) Influence of an alternative implant design and surgical protocol on primary stability. Braz Dent J 30:47–51. https://doi.org/10.1590/0103-6440201902324CrossRefPubMed

Silva GA, Faot F, da Rosa Possebon AP, da Silva WJ, Cury AA (2021) Effect of macrogeometry and bone type on insertion torque, primary stability, surface topography damage and titanium release of dental implants during surgical insertion into artificial bone. J Mech Behav Biomed Mater 119:104515. https://doi.org/10.1016/j.jmbbm.2021.104515CrossRefPubMed

Eskan MA, Uzel G, Yilmaz S (2020) A fixed reconstruction of fully edentulous patients with immediate function using an apically tapered implant design: a retrospective clinical study. Int J Implant Dent 6:1. https://doi.org/10.1186/s40729-020-00271-1CrossRef

Herrero-Climent M, Lemos BF, Herrero-Climent F, Falcao C, Oliveira H, Herrera M, Gil FJ, Ríos-Carrasco B, Ríos-Santos JV (2020) Influence of implant design and under-preparation of the implant site on implant primary stability. An in vitro study. International J Environ Public Health 17:4436. https://doi.org/10.3390/ijerph17124436CrossRef

Lozano-Carrascal N, Salomó-Coll O, Gilabert-Cerdà M, Farré-Pagés N, Gargallo-Albiol J, Hernández-Alfaro F (2016) Effect of implant macro-design on primary stability: a prospective clinical study. Med Oral Patol Oral Cir Bucal 21:e214. https://doi.org/10.4317/medoral.21024CrossRefPubMedPubMedCentral

Fanali S, Tumedei M, Pignatelli P, Petrini M, Piattelli A, Iezzi G (2021) The effect of threads geometry on insertion torque (IT) and periotest implant primary stability: a high-density polyurethane simulation for the anterior mandible. Curr Comput-Aided Drug Des 11:308. https://doi.org/10.3390/cryst11030308CrossRef

Tardelli JD, da Costa Valente ML, Macedo AP, dos Reis AC (2022) Evaluation of biomechanical and stress distribution of different dental implant designs: primary stability and photoelastic analysis. IRBM 43:100–106. https://doi.org/10.1016/j.irbm.2021.01.003CrossRef

Cochran D, Stavropoulos A, Obrecht M, Pippenger B, Dard M (2016) A comparison of tapered and nontapered implants in the minipig. Int J Oral Maxillofac Implants 31:1341–1347. https://doi.org/10.11607/jomi.4712CrossRefPubMed

10.

Tumedei M, Petrini M, Pietropaoli D, Cipollina A, La Torre C, Di Carmine MS, Piattelli A, Iezzi G (2021) The influence of the implant macrogeometry on insertion torque, removal torque, and periotest implant primary stability: A mechanical simulation on high-density artificial bone. Symmetry 13:776. https://doi.org/10.3390/sym13050776ADSCrossRef

11.

Soto-Peñaloza D, Caneva M, Viña-Almunia J, Martin-de-Llano JJ, García-Mira B, Peñarrocha-Oltra D, Botticelli D, Peñarrocha-Diago M (2019) Effect on osseointegration of two implant macro-designs: a histomorphometric analysis of bicortically installed implants in different topographic sites of rabbit’s tibiae. Med Oral Patol Oral Cir Bucal 24:e502. https://doi.org/10.4317/medoral.22825CrossRefPubMedPubMedCentral

12.

Chien SK, Hsue SS, Lin CS, Kuo TF, Wang DJ, Yang JC, Lee SY (2017) Influence of thread design on dental implant osseointegration assayed using the Lan-Yu mini-pig model. J Med Biol Eng 37:627–638. https://doi.org/10.1007/s40846-017-0240-6CrossRef

13.

Vandamme K, Naert I, Geris L, Sloten JV, Puers R, Duyck J (2007) Influence of controlled immediate loading and implant design on peri-implant bone formation. J Clin Periodontol 34:172–181. https://doi.org/10.1111/j.1600-051X.2006.01014.xCrossRefPubMed

14.

Dayan C, Geckili O, Bural C (2019) The influence of implant shape on primary stability of implants with a thread cutting and forming design: an ex vivo study. J Oral Implantol 45:181–185. https://doi.org/10.1563/aaid-joi-D-18-00158CrossRefPubMed

15.

Orsini E, Giavaresi G, Trirè A, Ottani V, Salgarello S (2012) Dental implant thread pitch and its influence on the osseointegration process: an in vivo comparison study. Int J Oral Maxillofac Implants 27:383–392PubMed

16.

Cardoso MV, Vandamme K, Chaudhari A, De Rycker J, Van Meerbeek B, Naert I, Duyck J (2015) Dental implant macro-design features can impact the dynamics of osseointegration. Clin Implant Dent Relat Res 17:639–645. https://doi.org/10.1111/cid.12178CrossRef

17.

Almas K, Smith S, Kutkut A (2019) What is the best micro and macro dental implant topography? Dental Clinics 63:447–460. https://doi.org/10.1016/j.cden.2019.02.010CrossRefPubMed

18.

Manikyamba YJ, Sajjan S, AV RR, Rao B, Nair CK (2018) Implant thread designs: an overview. Trends Prosthodont Dent Implantol 8:11–20

19.

Muktadar AK, Gangaiah M, Chrcanovic BR, Chowdhary R (2018) Evaluation of the effect of self-cutting and nonself-cutting thread designed implant with different thread depth on variable insertion torques: an histomorphometric analysis in rabbits. Clin Implant Dent Relat Res 20:507–514. https://doi.org/10.1111/cid.12611CrossRefPubMed

20.

Moher D, Liberati A, Tetzlaff J, Altamann DG (2009) PRISMA Group: methods of systematic reviews and meta-analysis: preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol 62:1006–1012. https://doi.org/10.1371/journal.pmed.1000097CrossRefPubMed

21.

Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA, Clark M, Devereaux PJ, Kleijnen J, Moher D (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Ann Intern Med 151:W-65. https://doi.org/10.1016/j.jclinepi.2009.06.006CrossRef

22.

-Tufanaru C, Munn Z, Aromataris E, Campbell J, Hopp L (2020) Chapter 3: Systematic reviews of effectiveness. In: JBI Manual for Evidence Synthesis.

23.

Zonfrillo G, Matteoli S, Ciabattini A, Dolfi M, Lorenzini L, Corvi A (2014) Analysis and comparison of clutch techniques of two dental implants. J Mech Behav Biomed Mater 34:1–7. https://doi.org/10.1016/j.jmbbm.2014.01.017CrossRefPubMed

24.

Hong JY, Ko SY, Lee W, Chang YY, Kim SH, Yun JH (2020) Enhancement of bone ingrowth into a porous titanium structure to improve osseointegration of dental implants: a pilot study in the canine model. Materials 13:3061ADSCrossRefPubMedPubMedCentral

25.

Steigenga J, Al-Shammari K, Misch C, Nociti FH Jr, Wang HL (2004) Effects of implant thread geometry on percentage of osseointegration and resistance to reverse torque in the tibia of rabbits. J Periodontol 75:1233–1241. https://doi.org/10.1902/jop.2004.75.9.1233CrossRefPubMed

26.

Gehrke SA, Marin GW (2015) Biomechanical evaluation of dental implants with three different designs: removal torque and resonance frequency analysis in rabbits. Annals of Anatomy-Anatomischer Anzeiger 199:30–35. https://doi.org/10.1016/j.aanat.2014.07.009CrossRef

27.

Jimbo R, Tovar N, Anchieta RB, Machado LS, Marin C, Teixeira HS, Coelho PG (2014) The combined effects of undersized drilling and implant macrogeometry on bone healing around dental implants: an experimental study. Int J Oral Maxillofac Surg 43:1269–1275. https://doi.org/10.1016/j.ijom.2014.03.017CrossRefPubMed

28.

Calvo-Guirado JL, Gomez Moreno G, Aguilar-Salvatierra A, Sanchez M, de Val JE, Abboud M, Nemcovsky CE (2015) Bone remodeling at implants with different configurations and placed immediately at different depth into extraction sockets. Experimental study in dogs. Clin Oral Implants Res 26:507–515. https://doi.org/10.1111/clr.12433CrossRefPubMed

29.

Trisi P, Berardini M, Falco A, Vulpiani MP (2015) Effect of implant thread geometry on secondary stability, bone density, and bone-to-implant contact: a biomechanical and histological analysis. Implant Dent 24:384–391. https://doi.org/10.1097/ID.0000000000000269CrossRefPubMed

30.

Abrahamsson I, Berglundh T (2006) Tissue characteristics at microthreaded implants: an experimental study in dogs. Clin Implant Dent Relat Res 8:107–113. https://doi.org/10.1111/j.1708-8208.2006.00016.xCrossRefPubMed

31.

Chowdhary R, Jimbo R, Thomsen C, Carlsson L, Wennerberg A (2013) Biomechanical evaluation of macro and micro designed screw-type implants: an insertion torque and removal torque study in rabbits. Clin Oral Implants Res 24:342–346. https://doi.org/10.1111/j.1600-0501.2011.02336.xCrossRefPubMed

32.

Chowdhary R, Jimbo R, Thomsen CS, Carlsson L, Wennerberg A (2013) The osseointegration stimulatory effect of macrogeometry-modified implants: a study in the rabbit. Clin Oral Implants Res 25:1051–1055. https://doi.org/10.1111/clr.12212CrossRefPubMed

33.

Patel A, Gil LF, Castellano A, Freitas G, Navarro D, Peredo AP, Tovar N, Coelho P (2016) Effect of simplified one-step drilling protocol on osseointegration. Int J Periodontics Restorative Dent 36:e82–e87. https://doi.org/10.11607/prd.2755CrossRefPubMed

34.

Jimbo R, Tovar N, Marin C, Teixeira HS, Anchieta RB, Silveira LM, Janal MN, Shibli JA, Coelho PG (2014) The impact of a modified cutting flute implant design on osseointegration. Int J Oral Maxillofac Surg 43:883–888. https://doi.org/10.1016/j.ijom.2014.01.016CrossRefPubMed

35.

Gehrke SA, Júnior JA, Treichel TL, do Prado TD, Dedavid BA, de Aza PN (2022) Effects of insertion torque values on the marginal bone loss of dental implants installed in sheep mandibles. Sci Rep 12:1–3. https://doi.org/10.1038/s41598-021-04313-5CrossRef

36.

Rocci A, Calcaterra R, Di Girolamo M, Rocci M, Rocci C, Baggi L (2015) The influence of micro and macro-geometry in term of bone-implant interface in two implant systems an histomorphometrical study. Oral Implantol 8:87. https://doi.org/10.11138/orl/2015.8.4.087CrossRef

37.

Al-Sabbagh M, Eldomiaty W, Khabbaz Y (2019) Can osseointegration be achieved without primary stability? Dental Clinics 63:461–473. https://doi.org/10.1016/j.cden.2019.02.001CrossRefPubMed

38.

Comuzzi L, Tumedei M, De Angelis F, Lorusso F, Piattelli A, Iezzi G (2021) Influence of the dental implant macrogeometry and threads design on primary stability: an in vitro simulation on artificial bone blocks. Comput Methods Biomech Biomed Engin 24:1242–1250. https://doi.org/10.1080/10255842.2021.1875219CrossRefPubMed

39.

Niroomand MR, Arabbeiki M (2019) Statistical analysis of implant and thread parameters effects on dental implant stability and bone resorption using central composite design method. Proc Inst Mech Eng H 233:1299–1309. https://doi.org/10.1177/0954411919881250CrossRefPubMed

40.

Lemos CA, Verri FR, de Oliveira Neto OB, Cruz RS, Gomes JM, da Silva Casado BG, Pellizzer EP (2021) Clinical effect of the high insertion torque on dental implants: a systematic review and meta-analysis. J Prosthet Dent 126:490–496. https://doi.org/10.1016/j.prosdent.2020.06.012CrossRefPubMed

41.

Norton MR (2017) The influence of low insertion torque on primary stability, implant survival, and maintenance of marginal bone levels a closed-cohort prospective study. Int J Oral Maxillofac Implants 32:848–57. https://doi.org/10.11607/jomi.5889CrossRef

42.

Marconcini S, Giammarinaro E, Toti P, Alfonsi F, Covani U, Barone A (2018) Longitudinal analysis on the effect of insertion torque on delayed single implants: a 3-year randomized clinical study. Clin Implant Dent Relat Res 20:322–332. https://doi.org/10.1111/cid.12586CrossRefPubMed

43.

Cohen O, Ormianer Z, Tal H, Rothamel D, Weinreb M, Moses O (2016) Differences in crestal bone-to-implant contact following an under-drilling compared to an over-drilling protocol. A study in the rabbit tibia. Clin Oral Investig 20:2475–2480. https://doi.org/10.1007/s00784-016-1765-8CrossRefPubMed

44.

Campos FE, Gomes JB, Marin C, Teixeira HS, Suzuki M, Witek L, Zanetta-Barbosa D, Coelho PG (2012) Effect of drilling dimension on implant placement torque and early osseointegration stages: an experimental study in dogs. Int J Oral Maxillofac Surg 70:e43-50. https://doi.org/10.1016/j.joms.2011.08.006CrossRef

45.

Devi S, Duraisamy R (2021) Evaluation of bone density, implant site, and crestal position of implants and their influence on implant primary stability− a retrospective study. J Long Term Eff Med Implants 31:77–82. https://doi.org/10.1615/JLongTermEffMedImplants.2021035937CrossRefPubMed

46.

Anitua E, Alkhraisat MH (2019) Fifteen-year follow-up of short dental implants in the completely edentulous jaw: submerged versus nonsubmerged healing. Implant Dent 28:551–555. https://doi.org/10.1097/ID.0000000000000935CrossRefPubMed

47.

Chrcanovic BR, Albrektsson T, Wennerberg A (2015) Immediately loaded non-submerged versus delayed loaded submerged dental implants: a meta-analysis. Int J Oral Maxillofac Surg 44:493–506. https://doi.org/10.1016/j.ijom.2014.11.011CrossRefPubMed

48.

Sánchez-Siles M, Muñoz-Cámara D, Salazar-Sánchez N, Camacho-Alonso F, Calvo-Guirado JL (2018) Crestal bone loss around submerged and non-submerged implants during the osseointegration phase with different healing abutment designs: a randomized prospective clinical study. Clin Oral Implants Res 29:808–812. https://doi.org/10.1111/clr.12981CrossRefPubMed

Titel: Relationship between dental implant macro-design and osseointegration: a systematic review
verfasst von: Simone Kreve
Izabela Ferreira
Mariana Lima da Costa Valente
Andréa Cândido dos Reis
Publikationsdatum: 29.09.2022
Verlag: Springer Berlin Heidelberg
Erschienen in: Oral and Maxillofacial Surgery / Ausgabe 1/2024
Print ISSN: 1865-1550
Elektronische ISSN: 1865-1569
DOI: https://doi.org/10.1007/s10006-022-01116-4

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Relationship between dental implant macro-design and osseointegration: a systematic review

Abstract

Purpose

Material and method

Results

Conclusions

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