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Medicina
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Dental Implant Stability: Impact of Surgical Approaches
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Dental Implant Stability: Impact of Surgical Approaches

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Dentistry".

Deadline for manuscript submissions: closed (31 January 2023) | Viewed by 9878

Special Issue Editor

Dr. Simone Marconcini

E-Mail Website
Guest Editor
Research Fellow Tuscan Dental Institute, Foundation for Clinic, Research and Continuing Education in Dentistry, Lido di Camaiore, Italy
Interests: dental implants; tissue regeneration; bone regeneration
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Modern implantology has deeply changed since the early 1980s, when Branemark codified osseointegration. Today, improvement in terms of knowledge of biological processes that lead to healing of the socket, as well as improvement in terms of surgical techniques and implant technologies, allow clinicians to treat most edentulous patients more quickly. The scientific literature in the field of implantology is full of studies that have evaluated and discussed the impact of different surgical approaches in terms of esthetic results and long-running success of implant therapies. It is useful to hear from different perspectives, as implantology differs significantly from group to group when it comes to esthetic guidelines. Different technologies, different implant design, and different operative protocols are available, and it is, in our opinion, important to understand the scientific background of each approach as scientific journals should be the only arena where those issues are discussed.

Dr. Simone Marconcini
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • dental implant
  • implant stability
  • insertion torque
  • immediate loading
  • esthetic outcome
  • soft tissues

Published Papers (4 papers)

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10 pages, 790 KiB  
Article
Longitudinal Study of Bone Height Change between Two Approaches for Sinus Floor Elevation
by Jun-Hyeong Park, Yong-Gun Kim, Jo-Young Suh, Du-Hyeong Lee, Jin-Wook Kim and Jae-Mok Lee
Medicina 2023, 59(6), 1132; https://doi.org/10.3390/medicina59061132 - 12 Jun 2023
Cited by 1 | Viewed by 1205
Abstract
Background and Objectives: The purpose of this study is to assess the long-term maintenance of each approach of sinus elevation, the crestal approach and lateral approach, by comparing the radiographic results of each technique. Materials and Methods: In total, 103 patients [...] Read more.
Background and Objectives: The purpose of this study is to assess the long-term maintenance of each approach of sinus elevation, the crestal approach and lateral approach, by comparing the radiographic results of each technique. Materials and Methods: In total, 103 patients who had undergone an implant procedure with either the crestal approach or lateral approach method applied to their maxillary molar edentulous area were included. Using orthopantomographs, the radiographic changes were consistently evaluated over 3 years after the procedure (immediately after procedure and 1 year, 2 years and 3 years after implant placement) Results: The radiographic evaluation after 3 years of implantation with sinus elevation showed a significant amount of bone formation (8.07 mm for crestal approach and 12.00 mm for lateral approach method). The largest amount of grafted height loss occurred during the 1 year, but the resorption was minimal (0.98 mm for crestal approach and 0.95 mm for lateral approach method) over the entire 3 years. Conclusions: Although the lateral approach showed more bone growth, the amount of bone resorption was similar to that of the crestal approach. Both methods showed the highest amount of bone resorption in the first year, and the amount of change thereafter was insignificant. It is judged that both methods can be used according to the situation to help implant placement. Full article
(This article belongs to the Special Issue Dental Implant Stability: Impact of Surgical Approaches)
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12 pages, 2185 KiB  
Article
Accuracy of Computer-Guided Implantology with Pilot Drill Surgical Guide: Retrospective 3D Radiologic Investigation in Partially Edentulous Patients
by Federico Gelpi, Nicolò Modena, Alessandro Poscolere, Fabio Bernardello, Lorena Torroni and Daniele De Santis
Medicina 2023, 59(4), 738; https://doi.org/10.3390/medicina59040738 - 10 Apr 2023
Cited by 1 | Viewed by 1733
Abstract
Background and Objectives: Implant placement with static navigation enables the reaching of a correct position of implants from an anatomical and prosthetic point of view. Different approaches of static navigation are described in the scientific literature, and the pilot-guided approach is one [...] Read more.
Background and Objectives: Implant placement with static navigation enables the reaching of a correct position of implants from an anatomical and prosthetic point of view. Different approaches of static navigation are described in the scientific literature, and the pilot-guided approach is one of the least investigated. The aim of the present study is the evaluation of the accuracy of implant insertion using a pilot drill template. Materials and Methods: Fifteen partially edentulous patients, requiring an implant rehabilitation of at least one implant, were enrolled. Pre- and post-operative low-dose CTs were acquired to measure the differences between final positions of implants and virtually planned ones. Three linear discrepancies (coronal, apical, and depth), two angular ones (bucco-lingual and mesio-distal), and the imprecision area were evaluated. Correlations between accuracy and rehabilitated jaws, sectors, and implant length and diameters were also analyzed. Results: Forty implants were inserted in fifteen patients using pilot drill templates. Mean coronal deviation was 1.08 mm, mean apical deviation was 1.77 mm, mean depth deviation was −0.48 mm, mean bucco-lingual angular deviation was 4.75°, and mean mesio-distal one was 5.22°. The accuracy was statistically influenced only by the rehabilitated jaw for coronal discrepancy and sectors and implant diameter for bucco-lingual angular deviations. Conclusions: The pilot drill template could represent a predictable solution to obtain a correct implant placement. Nonetheless, a safety margin of at least 2 mm should be respected during implant planning to prevent damages to anatomical structures. Therefore, the tool is helpful in order to prosthetically drive the implants; still, great attention must be paid in fully relying on this procedure when approaching dangerous structures such as nerves and vessels. Full article
(This article belongs to the Special Issue Dental Implant Stability: Impact of Surgical Approaches)
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11 pages, 460 KiB  
Systematic Review
Clinical Outcomes of Enamel Matrix Derivate Used in Surgical and Non-Surgical Treatment of Peri-Implantitis: A Systematic Review of Clinical Studies
by Raluca Moldovan, Alexandru Mester, Andra Piciu, Simion Bran and Florin Onisor
Medicina 2022, 58(12), 1819; https://doi.org/10.3390/medicina58121819 - 10 Dec 2022
Cited by 2 | Viewed by 1301
Abstract
Background and objectives: The aim of this systematic review was to assess the available evidence of using enamel matrix derivate in the treatment of peri-implantitis. Materials and methods: Three electronic databases (PubMed, Scopus, and Web of Science) [...] Read more.
Background and objectives: The aim of this systematic review was to assess the available evidence of using enamel matrix derivate in the treatment of peri-implantitis. Materials and methods: Three electronic databases (PubMed, Scopus, and Web of Science) were searched until August 2022 to identify relevant articles. The inclusion criteria consisted in human clinical studies that reported the use of enamel matrix derivate (EMD) in surgical and non-surgical treatment of peri-implantitis. The risk of bias was assessed using Cochrane risk of bias tool for randomized clinical trials (RCTs) and for non-RCTs ROBINS-I tool. Results: Clinical studies included were published between 2012 and 2022 and consisted of two randomized clinical trials (RCTs) for non-surgical therapy and two RCTs, three prospective cohort studies, and one retrospective case series in surgical therapy. Due to the heterogeneity of patients’ characteristics and assessment of peri-implant therapy, statistical analysis could not be achieved. Conclusions: The use of EMD indicated a positive effect on both surgical and non-surgical therapy. However, the available literature is scarce, with low evidence in non-surgical approach and modest evidence in surgical approach using EMD. More RCTs with standardize protocols are necessary to evaluate the efficacy of using EMD in both therapies. Full article
(This article belongs to the Special Issue Dental Implant Stability: Impact of Surgical Approaches)
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11 pages, 3628 KiB  
Case Report
Flap Extension Technique Using Intrasocket Granulation Tissue in Peri-Implant Osseous Defect: Case Series
by Won-Bae Park, Jung-Min Ko, Ji-Young Han and Philip Kang
Medicina 2022, 58(11), 1555; https://doi.org/10.3390/medicina58111555 - 29 Oct 2022
Cited by 2 | Viewed by 5091
Abstract
A compromised extraction socket is characterized by severe bone resorption around neighboring teeth and is often occupied with thick intrasocket granulation tissue (IGT). Guided bone regeneration (GBR) is a procedure that can preserve the bone volume around extraction sockets, and it can also [...] Read more.
A compromised extraction socket is characterized by severe bone resorption around neighboring teeth and is often occupied with thick intrasocket granulation tissue (IGT). Guided bone regeneration (GBR) is a procedure that can preserve the bone volume around extraction sockets, and it can also be combined with immediate implant placement. However, an early exposure of GBR sites is a possible complication because it increases the risk of infection and can inhibit successful bone regeneration. The purpose of these case series is to introduce a novel, surgical procedure that can prevent the exposure of GBR sites by using IGT for flap extension during immediate implant placement in compromised extraction sockets. The technique was successfully performed in six patients. For successful flap closure, the inner portion of the IGT was dissected so that the flap was properly extended with the base of IGT attached to the flap for blood supply. Periosteal releasing incisions were not performed. The IGT was first sutured to the palatal flap with resorbable sutures, and then the overlying flap was closed with additional sutures. There was no post-operative exposure of the surgical GBR site in any of the patients, and the location of the mucogingival junction remained unchanged. All grafted sites also achieved sufficient bone regeneration. Within the limitations, this case series demonstrates the potential use of IGT, a concept which was previously obsolete. Full article
(This article belongs to the Special Issue Dental Implant Stability: Impact of Surgical Approaches)
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