Comparative osseointegration of hydrophobic tissue-level tapered implants-A preclinical in vivo study.

crestal bone formation implant geometry osseointegration

Journal

Clinical oral implants research
ISSN: 1600-0501
Titre abrégé: Clin Oral Implants Res
Pays: Denmark
ID NLM: 9105713

Informations de publication

Date de publication:
20 Jul 2024
Historique:
revised: 16 05 2024
received: 10 11 2023
accepted: 04 06 2024
medline: 20 7 2024
pubmed: 20 7 2024
entrez: 20 7 2024
Statut: aheadofprint

Résumé

To histometrically compare the osseointegration and crestal bone healing of a novel tapered, self-cutting tissue-level test implant with a standard tissue-level control implant in a submerged healing regimen. In a mandibular minipig model, implants were inserted and evaluated histometrically after a healing period of 3, 6, and 12 weeks. The primary outcome was the evaluation of bone-to-implant contact (BIC) and secondary outcomes were primary stability as per insertion torque and first BIC (fBIC). Outcomes for the test and control implants were compared using Wilcoxon signed-rank tests and mixed linear regression models. Insertion torque values were significantly higher for the test (50.0 ± 26.4 Ncm) compared to the control implants (35.2 ± 19.7 Ncm, p = .0071). BIC values of test implants were non-inferior to those of control implants over the investigated study period. After 12 weeks, the corresponding values measured were 81.62 ± 11.12% and 90.41 ± 4.81% (p = .1763) for test and control implants, respectively. Similarly, no statistical difference was found for fBIC values, except for the 12 weeks outcome that showed statistically lower values for the test (-675.58 ± 590.88 μm) compared to control implants (-182.75 ± 197.40 μm, p = .0068). Novel self-cutting tissue-level implants demonstrated noninferior osseointegration and crestal bone height maintenance to the tissue-level implants. Histometric outcomes between both implants demonstrated test implants were statistically noninferior to control implants, despite substantial differences in the bone engagement mechanism and resulting differences in insertion torque and qualitative bone healing patterns.

Identifiants

pubmed: 39032079
doi: 10.1111/clr.14318
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Institut Straumann AG

Informations de copyright

© 2024 The Author(s). Clinical Oral Implants Research published by John Wiley & Sons Ltd.

Références

Abrahamsson, I., & Berglundh, T. (2006). Tissue characteristics at microthreaded implants: An experimental study in dogs. Clinical Implant Dentistry and Related Research, 8, 107–113.
Barone, A., Alfonsi, F., Derchi, G., Tonelli, P., Toti, P., Marchionni, S., & Covani, U. (2016). The effect of insertion torque on the clinical outcome of single implants: A randomized clinical trial. Clinical Implant Dentistry and Related Research, 18, 588–600.
Bilhan, H., Geckili, O., Mumcu, E., Bozdag, E., Sünbüloǧlu, E., & Kutay, O. (2010). Influence of surgical technique, implant shape and diameter on the primary stability in cancellous bone. Journal of Oral Rehabilitation, 37, 900–907.
Botticelli, D., Berglundh, T., Buser, D., & Lindhe, J. (2003). Appositional bone formation in marginal defects at implants. Clinical Oral Implants Research, 14, 1–9.
Botticelli, D., Berglundh, T., Persson, L. G., & Lindhe, J. (2005). Bone regeneration at implants with turned or rough surfaces in self‐contained defects. An experimental study in the dog. Journal of Clinical Periodontology, 32, 448–455.
Buser, D., Broggini, N., Wieland, M., Schenk, R. K., Denzer, A. J., Cochran, D. L., Hoffmann, B., Lussi, A., & Steinemann, S. G. (2004). Enhanced bone apposition to a chemically modified SLA titanium surface. Journal of Dental Research, 83, 529–533.
Campos, F. E., Gomes, J. B., Marin, C., Teixeira, H. S., Suzuki, M., Witek, L., Zanetta‐Barbosa, D., & Coelho, P. G. (2012). Effect of drilling dimension on implant placement torque and early osseointegration stages: An experimental study in dogs. Journal of Oral and Maxillofacial Surgery, 70, e43–e50.
Chen, S., Wilson, T., & Hämmerle, C. (2004). Immediate or early placement of implants following tooth extraction: Review of biological basis, clinical proceedures, and outcomes. The International Journal of Oral & Maxillofacial Implants, 19(Suppl), 12–25.
Cochran, D. L. (2000). The scientific basis for and clinical experiences with Straumann implants including the ITI dental implant system: A consensus report. Clinical Oral Implants Research, 11(Suppl 1), 33–58.
Coelho, P. G., Suzuki, M., Guimaraes, M. V. M., Marin, C., Granato, R., Gil, J. N., & Miller, R. J. (2010). Early bone healing around different implant bulk designs and surgical techniques: A study in dogs. Clinical Implant Dentistry and Related Research, 12, 202–208.
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. Clinical Oral Investigations, 20, 2475–2480.
Cosola, S., Marconcini, S., Boccuzzi, M., Fabris, G. B. M., Covani, U., Peñarrocha‐Diago, M., & Peñarrocha‐Oltra, D. (2020). Radiological outcomes of bone‐level and tissue‐level dental implants: Systematic review. International Journal of Environmental Research and Public Health, 17, 1–22.
De Santis, D., Cucchi, A., Rigoni, G., Longhi, C., & Nocini, P. (2016). Relationship between primary stability and crestal bone loss of implants placed with high insertion torque: A 3‐year prospective study. The International Journal of Oral & Maxillofacial Implants, 31, 1126–1134.
Duong, H. Y., Roccuzzo, A., Stähli, A., Salvi, G. E., Lang, N. P., & Sculean, A. (2022). Oral health‐related quality of life of patients rehabilitated with fixed and removable implant‐supported dental prostheses. Periodontology 2000, 88, 201–237.
El Chaar, E., Puisys, A., Sabbag, I., Bellón, B., Georgantza, A., Kye, W., & Pippenger, B. E. (2021). A novel fully tapered, self‐cutting tissue‐level implant: Non‐inferiority study in minipigs. Clinical Oral Investigations, 25, 6127–6137.
Emmert, M., Gülses, A., Behrens, E., Karayürek, F., Acil, Y., Wiltfang, J., & Spille, J. H. (2021). An experimental study on the effects of the cortical thickness and bone density on initial mechanical anchorage of different Straumann® implant designs. International Journal of Implant Dentistry, 7, 83.
Francisco, H., Finelle, G., Bornert, F., Sandgren, R., Herber, V., Warfving, N., & Pippenger, B. E. (2021). Peri‐implant bone preservation of a novel, self‐cutting, and fully tapered implant in the healed crestal ridge of minipigs: Submerged vs. transgingival healing. Clinical Oral Investigations, 25, 6821–6832.
Hadaya, D., Pi‐Anfruns, J., Bellon, B., Pippenger, B. E., & Aghaloo, T. L. (2022). Immediate loading of a fully tapered implant with deep apical threads placed in healed alveolar ridges vs. immediate extraction sockets. Clinical Oral Implants Research, 33, 501–510.
Heitz‐Mayfield, L. J. A., Darby, I., Heitz, F., & Chen, S. (2013). Preservation of crestal bone by implant design. A comparative study in minipigs. Clinical Oral Implants Research, 24, 243–249.
Hermann, J. S., Jones, A. A., Bakaeen, L. G., Buser, D., Schoolfield, J. D., & Cochran, D. L. (2011). Influence of a machined collar on crestal bone changes around titanium implants: A histometric study in the canine mandible. Journal of Periodontology, 82, 1329–1338.
Hermann, J. S., Schoolfield, J. D., Schenk, R. K., Buser, D., & Cochran, D. L. (2001). Influence of the size of the microgap on crestal bone changes around titanium implants. A histometric evaluation of unloaded non‐submerged implants in the canine mandible. Journal of Periodontology, 72, 1372–1383.
Ibrahim, A., Heitzer, M., Bock, A., Peters, F., Möhlhenrich, S. C., Hölzle, F., Modabber, A., & Kniha, K. (2020). Relationship between implant geometry and primary stability in different bony defects and variant bone densities: An in vitro study. Materials (Basel, Switzerland), 13, 1–16.
Imai, M., Ogino, Y., Tanaka, H., Koyano, K., Ayukawa, Y., & Toyoshima, T. (2022). Primary stability of different implant macrodesigns in a sinus floor elevation simulated model: An ex vivo study. BMC Oral Health, 22(1), 332.
Insua, A., Galindo‐Moreno, P., Miron, R. J., Wang, H. L., & Monje, A. (2023). Emerging factors affecting peri‐implant bone metabolism. Periodontology 2000, 94(1), 27–78.
Javed, F., Ahmed, H., Crespi, R., & Romanos, G. (2013). Role of primary stability for successful osseointegration of dental implants: Factors of influence and evaluation. Interventional Medicine & Applied Science, 5, 162–167.
Jimbo, R., Tovar, N., Anchieta, R. B., MacHado, L. S., Marin, C., Teixeira, H. S., & Coelho, P. G. (2014). The combined effects of undersized drilling and implant macrogeometry on bone healing around dental implants: An experimental study. International Journal of Oral and Maxillofacial Surgery, 43, 1269–1275.
Kan, J. Y. K., Rungcharassaeng, K., Deflorian, M., Weinstein, T., Wang, H. L., & Testori, T. (2018). Immediate implant placement and provisionalization of maxillary anterior single implants. Periodontology 2000, 77, 197–212.
Khayat, P. G., Arnal, H. M., Tourbah, B. I., & Sennerby, L. (2013). Clinical outcome of dental implants placed with high insertion torques (up to 176 Ncm). Clinical Implant Dentistry and Related Research, 15, 227–233.
Khorsand, A., Rasouli‐Ghahroudi, A. A., Naddafpour, N., Shayesteh, Y. S., & Khojasteh, A. (2016). Effect of microthread design on marginal bone level around dental implants placed in fresh extraction sockets. Implant Dentistry, 25, 90–96.
Kim, S., Jung, U. W., Cho, K. S., & Lee, J. S. (2018). Retrospective radiographic observational study of 1692 Straumann tissue‐level dental implants over 10 years: I. Implant survival and loss pattern. Clinical Implant Dentistry and Related Research, 20, 860–866.
Lee, J. W. Y., & Bance, M. L. (2019). Physiology of osseointegration. Otolaryngologic Clinics of North America, 52, 231–242.
Mardas, N., Dereka, X., Donos, N., & Dard, M. (2014). Experimental model for bone regeneration in oral and cranio‐maxillo‐facial surgery. Journal of Investigative Surgery, 27, 32–49.
Marin, C., Bonfante, E., Granato, R., Neiva, R., Gil, L. F., Marão, H. F., Suzuki, M., & Coelho, P. G. (2016). The effect of osteotomy dimension on implant insertion torque, healing mode, and osseointegration indicators: A study in dogs. Implant Dentistry, 25, 739–743.
Misch, C. E., Dietsh‐Misch, F., Hoar, J., Beck, G., Hazen, R., & Misch, C. M. (1999). A bone quality‐based implant system: First year of prosthetic loading. The Journal of Oral Implantology, 25, 185–197.
Molly, L. (2006). Bone density and primary stability in implant therapy. Clinical Oral Implants Research, 17(Suppl 2), 124–135.
Musskopf, M. L., Stadler, A. F., Wikesjö, U. M. E., & Susin, C. (2022). The minipig intraoral dental implant model: A systematic review and meta‐analysis. PLoS One, 17, e0264475.
Oskouei, A. B., Golkar, M., Badkoobeh, A., Jahri, M., Sadeghi, H. M. M., Mohammadikhah, M., Abbasi, K., Tabrizi, R., & Alam, M. (2023). Investigating the effect of insertion torque on marginal bone loss around dental implants. Journal of Stomatology, Oral and Maxillofacial Surgery, 124(6S), 101523.
Parvini, P., Buser, D., Pippenger, B. E., Imber, J. C., Stavropoulos, A., Bellón, B., Jarry, C., & Schwarz, F. (2023). Influence of loading and grafting on hard‐ and soft‐tissue healing at immediately placed implants: An experimental study in minipigs. Journal of Clinical Periodontology, 50, 232–241.
Roccuzzo, A., Imber, J. C., Marruganti, C., Salvi, G. E., Ramieri, G., & Roccuzzo, M. (2022). Clinical outcomes of dental implants in patients with and without history of periodontitis: A 20‐year prospective study. Journal of Clinical Periodontology, 49(12), 1346–1356.
Romanos, G. E., Ciornei, G., Jucan, A., Malmstrom, H., & Gupta, B. (2014). In vitro assessment of primary stability of Straumann® implant designs. Clinical Implant Dentistry and Related Research, 16, 89–95.
Rossi, F., Botticelli, D., Pantani, F., Pereira, F. P., Salata, L. A., & Lang, N. P. (2012). Bone healing pattern in surgically created circumferential defects around submerged implants: An experimental study in dog. Clinical Oral Implants Research, 23, 41–48.
Saleh, M. H. A., Ravidà, A., Suárez‐López del Amo, F., Lin, G. H., Asa'ad, F., & Wang, H. L. (2018). The effect of implant‐abutment junction position on crestal bone loss: A systematic review and meta‐analysis. Clinical Implant Dentistry and Related Research, 20, 617–633.
Sasada, Y., & Cochran, D. (2017). Implant‐abutment connections: A review of biologic consequences and peri‐implantitis implications. The International Journal of Oral & Maxillofacial Implants, 32, 1296–1307.
Schulte, W., Kleineikenscheidt, H., Linder, K., & Schareyka, R. (1978). The Tübingen immediate implant in clinical studies. Deutsch Zahnärztl Zeitschr, 33, 348–359.
Tettamanti, L., Andrisani, C., Bassi, M. A., Vinci, R., Silvestre‐Rangil, J., & Tagliabue, A. (2017). Immediate loading implants: Review of the critical aspects. Oral & Implantology, 10, 129–139.
van Velzen, F. J. J., Ofec, R., Schulten, E. A. J. M., & ten Bruggenkate, C. M. (2015). 10‐year survival rate and the incidence of peri‐implant disease of 374 titanium dental implants with a SLA surface: A prospective cohort study in 177 fully and partially edentulous patients. Clinical Oral Implants Research, 26, 1121–1128.
Wilson, T. G., Miller, R. J., Trushkowsky, R., & Dard, M. (2016). Tapered implants in dentistry: Revitalizing concepts with technology: A review. Advances in Dental Research, 28, 4–9.
Xu, D., Wang, Z., Sun, L., Lin, Z., Wan, L., Li, Y., Lin, X., Peng, W., Zhang, Z., & Gao, Y. (2016). Classification of the root position of the maxillary central incisors and its clinical significance in immediate implant placement. Implant Dentistry, 25, 520–524.

Auteurs

Jean-Claude Imber (JC)

Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.

Azita Khandanpour (A)

Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.

Andrea Roccuzzo (A)

Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.

Delia R Irani (DR)

Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.

Dieter D Bosshardt (DD)

Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.

Anton Sculean (A)

Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.

Benjamin E Pippenger (BE)

Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.
Department of Preclinical Research, Institut Straumann AG, Basel, Switzerland.

Classifications MeSH