Advances in Dental Implants

A special issue of Applied Sciences (ISSN 2076-3417). This special issue belongs to the section "Applied Dentistry and Oral Sciences".

Deadline for manuscript submissions: 20 March 2025 | Viewed by 5594

Special Issue Editor


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Guest Editor
ARDEC Academy, Ariminum Odontologica, Rimini, Italy
Interests: dental implant; osseointegration; periodontal parameters

Special Issue Information

Dear Colleagues,

Modern implantology was born at the beginning of the last century, when E.J. Greenfield (1913) and Alvin Edward Strock (1939) were the first to describe the techniques and materials to be used to surgically replace the elements lost in edentulism.

Since then, and especially over the last 40/50 years, research has made it possible to achieve critical goals in implant therapy, and this has helped enormously to broaden the techniques used to treat our patients in an ever more effective and predictable way, even in more complex cases.

Today, we are able to safely work in extremely delicate areas of the mouth, such as the maxillary sinus or the mandible near the inferior alveolar nerve, thanks to the use of computer-guided surgery techniques.

In the same way, innovations in the fields of nanotechnologies and biomaterials have allowed us to work more effectively while respecting the biology of the oral cavity.

This Special Issue aims to expand our knowledge and produce further advances in the field of implantology.

Thanks to everyone for their contributions in advance.

Dr. Alessandro Scala
Guest Editor

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Keywords

  • osseointegration
  • biomaterials
  • implant dentistry
  • guided surgery
  • tissue engineering
  • anatomy
  • digital dentistry
  • oral biology

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Published Papers (5 papers)

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Research

19 pages, 2226 KiB  
Article
Primary and Secondary Stability Assessments of Dental Implants According to Their Macro-Design, Length, Width, Location, and Bone Quality
by Norberto Quispe-López, Soraya Martín-Martín, Cristina Gómez-Polo, Oscar Figueras-Alvarez, María Isabel Sánchez-Jorge and Javier Montero
Appl. Sci. 2024, 14(11), 4841; https://doi.org/10.3390/app14114841 - 3 Jun 2024
Viewed by 407
Abstract
Some evidence supports the influence of implant macro-design on primary stability. Additionally, tactile perception can be used to assess implant stability when placing the implant. This research aimed to quantify the primary and secondary stability of three implant systems with two different macro [...] Read more.
Some evidence supports the influence of implant macro-design on primary stability. Additionally, tactile perception can be used to assess implant stability when placing the implant. This research aimed to quantify the primary and secondary stability of three implant systems with two different macro geometries (cylindrical and conical) determined based on the insertion torque and the implant stability quotient (ISQ) at the moment of implant placement as a function of implant-related factors (length, width, dental arch, and implant location in the arch), intraoperative factors (bone density determined subjectively by the clinician’s tactile perception), and patient-related factors (age, gender, and bone density determined objectively based on cone beam computed tomography (CBCT). Methods: 102 implants from three implant systems with two different macro geometries (conical and cylindrical) were placed in 53 patients. The insertion torque, the ISQ at the implant placement (ISQ0), and the bone quality according to the clinician’s tactile sensation were recorded on the day of the surgery. After a three-month healing period, the ISQ was re-evaluated (ISQ3). Results: The cylindrical implants exhibited significantly higher insertion torque and ISQ values at the moment of the surgery and after three months compared to the conical implants. The cylindrical implants also showed significantly lower indices of tactile evaluation of bone quality during the implant placement surgery. However, no differences were demonstrated in the bone density measured objectively using CBCT. (4) Conclusions: The cylindrical implants achieved the highest values for primary stability (Newtons × centimeter (Ncm) and ISQ) and secondary stability (ISQ after three months). The insertion torque was the variable that most influenced the ISQ on the day of the surgery. The implant location (incisors–canines, bicuspids–molars) and the implant macro geometry were the variables that most influenced the secondary stability (ISQ at three months). Full article
(This article belongs to the Special Issue Advances in Dental Implants)
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10 pages, 2543 KiB  
Article
A Long-Term Split-Mouth Randomized Controlled Trial to Assess Implant Treatment Outcome Using Implants with a Different Surface Roughness
by Maarten Glibert, Carine Matthys, Aurélie Van Lancker, Amber Segers and Hugo De Bruyn
Appl. Sci. 2024, 14(4), 1658; https://doi.org/10.3390/app14041658 - 19 Feb 2024
Viewed by 805
Abstract
The influence of implant surface roughness on implant treatment outcome is still under debate. A rougher implant surface improves osseointegration but yields greater plaque accumulation and biofilm formation. Hybrid implants have a minimally rough component coronally and a moderately rough implant body. The [...] Read more.
The influence of implant surface roughness on implant treatment outcome is still under debate. A rougher implant surface improves osseointegration but yields greater plaque accumulation and biofilm formation. Hybrid implants have a minimally rough component coronally and a moderately rough implant body. The aim of this split-mouth study is to evaluate the long-term outcome of treatment with hybrid and moderately rough implants after 6 years. As a secondary aim, Oral Health Quality of Life (OHQoL) was assessed after one and six years. Fully edentulous patients received an overdenture supported by two implants. One implant had a hybrid surface (MSC) and one implant had a moderately rough surface (DCC). Radiographic crestal bone loss (CBL), plaque score, bleeding on probing (BoP) and periodontal probing depth (PPD) were determined at one and six years. OHQoL was evaluated using the Oral Health Impact Profile-14 (OHIP-14) questionnaire and a Visual Analogue Scale (VAS). Twenty-one patients with 42 implants were evaluated after 6 years. No implants failed and a mean CBL of 0.26 mm (SD: 0.42) for the MSC group and 0.17 mm (SD: 0.29) for the DCC group was observed, which was not statistically significant. Periodontal parameters were comparable after 6 years and a significant improvement in OHQoL was observed. This randomized controlled trial concludes that hybrid implants are a predictable treatment alternative for moderately rough implants in patients with an overdenture supported by two implants. Full article
(This article belongs to the Special Issue Advances in Dental Implants)
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18 pages, 4103 KiB  
Article
The Preliminary Development of a Friction-Based Lateral Screw-Retained Dental Crown—A Comparison between the Prototype Surface Treatment and the Retention Strength
by Sugeng Supriadi, Yudan Whulanza, Tri Ardi Mahendra, Ratna Sari Dewi, Lindawati S. Kusdhany, Pelangi Raihan Mathar and Rizki Aldila Umas
Appl. Sci. 2024, 14(2), 660; https://doi.org/10.3390/app14020660 - 12 Jan 2024
Viewed by 1075
Abstract
This study aims to develop a novel retention method combining the retrievability of the screw retention method with the ideal occlusal table and the aesthetic capability of cement retention. Coping was developed to have lateral screw access, allowing the screw to lock the [...] Read more.
This study aims to develop a novel retention method combining the retrievability of the screw retention method with the ideal occlusal table and the aesthetic capability of cement retention. Coping was developed to have lateral screw access, allowing the screw to lock the coping using lateral forces from screw tightening and friction between the tip of the screw and the sandblasted surface of an abutment. Sandblasting parameters varied based on particle size. The results show a positive correlation to surface roughness and indicate a positive correlation to retention force. The highest surface roughness and retention force result was shown by groups that were sandblasted using 686 μm of aluminum oxide. Experiments on the tightening strength of 48 subjects measured in simulated conditions similar to the assembly conditions of lateral screw retention implants resulted in a mean of 69.75 Nmm with the highest and lowest values of 120.67 Nmm and 34.67 Nmm. This result became the basis of tightening torque variation. Each group’s retention capability is measured and compared to cement-retained dental implants. The results show that the tightening torque correlates positively with retention force, with the highest average retention score showed by lateral screws retained under a tightening torque of 200 Nmm—317.87 N higher than cement-retained screws. Full article
(This article belongs to the Special Issue Advances in Dental Implants)
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11 pages, 611 KiB  
Article
Immediate Versus Conventional Loading of Two-Implant Overdenture with Magnetic Attachments: A 5-Year Follow-Up on Patient-Reported Outcomes
by Trang Ngoc Huyen Bui, Yuriko Komagamine, Sahaprom Namano, Anna Miyayasu, Daisuke Sato, Shunsuke Minakuchi and Manabu Kanazawa
Appl. Sci. 2023, 13(21), 11687; https://doi.org/10.3390/app132111687 - 25 Oct 2023
Viewed by 866
Abstract
Comprehensive, long-term studies on patient-reported outcomes for two-implant overdentures with magnetic attachments using immediate or conventional loading methods are lacking. This study aimed to provide 5-year follow-up data comparing patient-reported outcomes for mandibular overdentures supported by two implants with magnetic attachments under immediate [...] Read more.
Comprehensive, long-term studies on patient-reported outcomes for two-implant overdentures with magnetic attachments using immediate or conventional loading methods are lacking. This study aimed to provide 5-year follow-up data comparing patient-reported outcomes for mandibular overdentures supported by two implants with magnetic attachments under immediate or conventional loading. Nineteen edentulous mandible patients were randomly assigned to immediate (IG) or conventional loading groups (CG). Two implants were placed with prostheses, loaded on the same day (immediate) or three months later (conventional). Participants completed questionnaires (oral health-related quality of life (OHRQoL), patient general satisfaction, and patient’s denture assessment (PDA)) at baseline and yearly intervals for 5 years. Results showed no significant differences between IG and CG throughout the study. However, the within-group analysis revealed significant improvements in OHRQoL, patient satisfaction, and all PDA domains from the baseline to years 1–5. Regarding patient satisfaction, significant differences were observed between T1, T2, and T3 when compared with T0 of IG and T1-T0 of CG. Regarding PDA results of T4-T5, IG exhibited several significant differences compared to CG. In conclusion, this study suggests that two-implant overdentures with magnetic attachments, whether immediately or conventionally loaded, improve patient-reported outcomes. Immediate loading may have prolonged effects on the improvement of patient-reported outcomes. Full article
(This article belongs to the Special Issue Advances in Dental Implants)
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16 pages, 5259 KiB  
Article
Biomechanical Investigation of Patient-Specific Porous Dental Implants: A Finite Element Study
by Hassan Mehboob, Abdelhak Ouldyerou and Muhammad Farzik Ijaz
Appl. Sci. 2023, 13(12), 7097; https://doi.org/10.3390/app13127097 - 13 Jun 2023
Cited by 8 | Viewed by 1770
Abstract
The design of the implant and osseointegration play an important role in the long-term stability of implants. This study aims to investigate the impact of porous implants on full and partial osseointegration in varying bone qualities. Finite element models of porous implants were [...] Read more.
The design of the implant and osseointegration play an important role in the long-term stability of implants. This study aims to investigate the impact of porous implants on full and partial osseointegration in varying bone qualities. Finite element models of porous implants were modeled and assembled with normal and weak bones considering full and partial osseointegration. These assemblies were simulated under an occlusal load of 200 N when the outer surfaces of bones were fixed in all directions. The results showed that in the case of full osseointegration, the stresses in surrounding bones were increased with decreasing implant stiffness, while decreased in partial osseointegration. Moreover, the maximum octahedral shear strain in the weak bone exceeded 3000 µε in all the cases but decreased (from 7256 to 3632 µε) with decreasing implant stiffness. According to the mechanostat hypothesis, using porous implants in normal bone may enhance bone density in full osseointegration, while susceptivity of bone damage may reduce in weak bones using porous implants. Thus, careful selection of implant material and design based on the patient’s specific bone quality is crucial for successful outcomes. Full article
(This article belongs to the Special Issue Advances in Dental Implants)
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