Vladivostok, Vladivostok, Russian Federation
Vladivostok, Vladivostok, Russian Federation
Vladivostok, Vladivostok, Russian Federation
Introduction. The tissues surrounding the implant, which have common features with periodontal tissues, but still possessing a certain specificity are the actual topic of the study. A considerable amount of textbooks has been written on this topic, but so far it has remained little studied. Purpose ― to summarize all knowledge of the structural features of the tissues surrounding the implant, etiology, pathogenesis, clinical picture, differential diagnosis of the pathologies of these tissues. Results. This review is devoted to the analysis of the modern understanding of the influence of the structural features of the soft tissues surrounding the implant and the nonspecific protection factors of the oral mucosa on the potentiation of inflammatory processes and their relationship with the biodegradation of the material. The work of scientists on the criteria for choosing an implantable material depending on the resistance to aggressive environments of the oral cavity, as well as biocompatibility with the tissues of the oral cavity. The risks of complications are considered depending on the implantable material. The etiopathogenesis of such diseases as implantation mucositis and dental periimplantitis is also considered. The clinical picture of these diseases is described, a correlation is made with the materials used for the manufacture of suprastructures. The prevention of complications arising from prosthetics on dental implants is considered.
dental implant, gingival epithelium, inflammation, osseointegration, peri-implantitis
1. .Hafizova,F. A. (2009). Sravnitel'noe izuchenie razlichnyh sposobov formirovaniya desny v prisheechnoj chasti dental'nyh implantatov [Compassionate study of various methods of gingival formation in the cervical part of dental implants : dis. ... cand. med. science]. Kazan', 70. (In Russ.)
2. Alimskij, A. V., Vusatyj, V. S., Prikuls, V. F. (2004). Osobennosti rasprostraneniya zabolevanij parodonta sredi lic pozhilogo i preklonnogo vozrasta Moskvy i Podmoskov'ya [Peculiarities of the spread of periodontal diseases among the elderly and elderly in Moscow and Moscow Region]. Stomatologiya [Dentistry], 1, 55-57. (In Russ.)
3. Bykov, V. L. (1998). Gistologiya i embriologiya organov polosti rta cheloveka [Histology and embryology of human oral cavity organs]. St. Petersburg : Spec. Lit, 248. (In Russ.)
4. Zernickij, A. Yu., Medvedeva, Yu. A. (2012). Rol' ob"ema myagkih taknej vokrug dental'nyh implantatov v razvitii periimplantaita [The role of the volume of soft takney around dental implants in the development of periimplantitis]. Institut Stomatologii [Institute of Dentistry], 1, 80-81.(In Russ.)
5. Robustova, T .G. (2003). Implantaciya zubov (hirurgicheskie aspekty) [Implant of teeth (surgical aspects)]. Moscow : Medicina, 560. (In Russ.)
6. Afanas’ev, V. V. (2010). Uchebnik hirurgicheskoj stomatologii dlya studentov stomatologicheskih fakul'tetov [A textbook of surgical dentistry for students of dental faculties]. Moscow, 600. (In Russ.)
7. Gel’miyarova, F. N. (2005). Mezhdisciplinarnye aspekty stomatologii [Interdisciplinary aspects of dentistry]. Samara : GOU VPO SMGU, 262. (In Russ.)
8. Michurin, E. E. (2006). Sravnitel'naya ocenka vospalitel'nodestruktivnyh izmenenij v periimplantatnyh tkanyah pri dental'nyh periimplantitah : dis. ... kand. med. nauk : 14.00.21 [Comparative assessment of inflammatory destructive changes in the peri-implant tissues with dental peri-implant tissues: dis. ... cand. med. sciences: 14.00.21]. Samara, 167. (In Russ.)
9. Bykov, V. L. (1998). Gistologiya i embriologiya organov polosti rta cheloveka [Histology and embryology of human oral cavity organs]. St. Petersburg : Spec. Lit, 248. (In Russ.)
10. Pakalns, G. Yu. (1961). Morfologiya desnevogo karmana i izmeneniya ego pod vozdejstviem kraya iskusstvennyh zubnyh koronok [Morphology of the gingival pocket and its changes under the influence of the edge of artificial dental boxes: author. dis. ... cand. med. sciences]. Riga, 220. (In Russ.)
11. Trubin, V. V., Lishtvan, S. P., Mansurov, R. R., Matveev, R. S., Karyshev, P. B., Sapozhnikov, S. P. (2009). Reakciya myagkih tkanej na vvedenie implantatov iz razlichnyh metallov [Soft tissue reaction to the introduction of implants of various metals]. Vestnik RUDN. Seriya : Medicina [Herald RUDN Series: Medicine], 4, 112-114. (In Russ.)
12. Maslennikov, E. Yu., Rostorguev, D. E. (2013). K voprosu o reakcii biololgicheskih taknej na implantaty dlya nakostnogo osteosinteza [On the question of the response of biololical takney to implants for plate osteosynthesis]. Kubanskij nauchnyj medicinskij vestnik [Kuban Scientific Medical Herald], 1, 121-127. (In Russ.)
13. Maslennikov, E. Yu., Taranov, I. I., Mycykov, R. Yu., Gerasimenko, E. A. (2013). Vliyanie biologicheskih sred na implantaty dlya osteosinteza [Effect of biological media on implants for osteosynthesis]. Kubanskij nauchnyj medicinskij vestnik [Kuban Scientific Medical Journal], 1, 147-150. (In Russ.)
14. Mejsner, V. V., Nikonova, I. V. (2008). Vliyanie ionno- i elektronno- luchevoj modifikacii poverhnosti na korrozijnye svojstva i biosovmestimost' nikelid titana v eksperimentah in vivo [The influence of ion and electron beam surface modification on the corrosive properties and biocompatibility of nickel titanium in in vivo experiments]. Perspektivnye materialy [Perspective Materials], 3, 15-27. (In Russ.)
15. Semenyuk, V. M., Zherebcov, V. V., Zherebcova, O. E. (2008). Sostoyanie organov, tkanej i sred polosti rta u lic, pol'zuyushchihsya dlitel'no nes"emnymi zubnymi protezami [The state of organs, tissues and environments of the oral cavity in persons using long-lasting dental prostheses]. Institut stomatologii [Institute stomatology], 2 (39), 48-50. (In Russ.)
16. Bauman, G., Rapley, J., Hallmon, W., Mills, M. (1993). The peri-implant sulcus. Int. J. Oral Maxillofac. Impl, 8 (3), 264-272.
17. Berglundh, R., Lindhe, J., Ericsson, I. Et al. (1991). The soft tissue barrier at implants and teeth. Clin. Oral. Impl. Res, 2, 81-90.
18. Kawaguchi, H., Harachi, A., Hasegawa, N. (2004). Enhancement of periodontal tissue regeneration by transplantation of bone marrow mesenchymal stem cells. J.Periodontol, 75, 1281-1287.
19. Mullodzhanov, G. E., Ashurov, G. G. (2016). Analiz sovremennyh vzglyadov na processy integracii dental'nyh implantatov v kostnuyu tkan' [Analysis of modern views on the processes of integration of dental implants into bone tissue]. Vestnik poslediplomnogo obrazovaniya v sfere zdravoohraneniya [Herald of Postgraduate Education in Healthcare], 1, 71-75. (In Russ.)
20. Gvetadze, R. Sh., Matveeva, A. I., Borisov, A. G. et al. (2010). Vliyanie parametrov implantata na napryazhennodeformirovannoe sostoyanie kostnoj tkani zony implantacii [Influence of implant parameters on the stress-strain state of the bone tissue of the implantation zone]. Stomatologiya [Dentistry], 1, 54-55. (In Russ.)
21. Karlov, A. V., Hlusov, I. A. (2003). Zavisimost' processov reparativnogo osteogeneza ot poverhnostnyh svojstv implantatov dlya osteosinteza [Dependence of reparative osteogenesis processes on the surface properties of implants for osteosynthesis]. Genij ortopedii [Genius of Orthopedics], 3, 46-51. (In Russ.)
22. Karlov, A. V., Hlusov, I. (2001). Biomekhanicheskoe povedenie v kosti titanovyh implantatov s modificirovannoj poverhnost'yu [Biomechanical behavior of titanium implants with a modified surface in the bone]. Genij ortopedii [Genius of Orthopedics], 3, 57-63. (In Russ.)
23. Karlov, A. V., Hlusov, I. (2002). Vliyanie produktov degradacii titanovyh implantatov s modificirovannoj poverhnost'yu na aktivnost' shchelochnoj i kisloj fosfataz v kul'ture kletok kostnogo mozga [Influence of products of degradation of titanium implants with a modified surface on the activity of alkaline and acid phosphatases in the culture of bone marrow cells]. Genij ortopedii [Genius of Orthopedics], 4, 89-92.(In Russ.)
24. Karlov, A. V. (1999). Osteoinduktivnye, osteokonduktivnye i elektrohimicheskie svojstva kal'cijfosfatnyh pokrytij na titanovyh implantatah i vliyanie ih na mineral'nyj obmen pri perelomah trubchatyh kostej v eksperimente [Osteoinductive, osteoconductive and electrochemical properties of calcium phosphate coatings on titanium implants and their influence on mineral metabolism in fractures of tubular bones in the experiment]. Genij ortopedii [Orthopedics genius], 4, 28-33. (In Russ.)
25. Figurskaya, M. A., Sveshkovskij, V. B. (2005). Vliyanie chastic iznosa na povedenie i biomekhanicheskie svojstva poverhnost' kost'-implantat [ Influence of wear particles on the behavior and biomechanical properties of the surface of the bone-implant]. Rossijskij zhurnal biomekhaniki [Russian Journal of Biomechanics], 9 (2), 19-33. (In Russ.)
26. Tlustenko, V. P. (2004). Dental'nye periimplantity (diagnostika, klinika, lechenie, reabilitaciya) : avtoref. dis. ... dok. med. nauk : 14.00.21 [Dental periimplantitis (diagnosis, clinic, treatment, reabilitation): author. dis. ... doc med. science: 14.00.21]. Samara, 38. (In Russ.)
27. El Chaar, E. S., Jalbout, Z. N. (2002). Regeneration of an osseous peri-implantitis lesion. Periodontal - Clin - Investig, 2 (1), 10.
28. Solov’eva, A. M. (2013). Individual'naya gigiena polosti rta u pacientov s implantatami [Individual oral hygiene in patients with implants]. Novoe v stomatologii [New in dentistry], 7, 102-104. (In Russ.)
29. Utyuzh, A. S. (2017). Koncepciya vybora ortopedicheskoj konstrukcii s oproj na dental'nye implantaty kak metod profilaktiki periimplantita u pacientov s polnoj i chastichnoj vtorichnoj adentiej [The concept of the choice of an orthopedic construction with an opto-dental implant as a method for the prevention of periimplantitis in patients with complete and partial secondary edentulous: author. dis. … the doctors. med. sciences]. Moscow, 231. (In Russ.)
30. Glushanova, N. A. (2015). Bakteril'nye bioplenki v infekcionnoj patologii cheloveka [Bacterilic biofilms in human infectious pathology]. Medicina v Kuzbasse [Medicine in Kuzbass], 2, 30-35. (In Russ.)
31. Gromova, Yu. I. (2012). Faktory negativnogo vliyaniya na gigienu polosti rta u lic s dental'nymi implantatami [Factors of the negative impact on the hygiene of the oral cavity in persons with dental implants: author. dis. ... cand. med. sciences]. Moscow, 109. (In Russ.)
32. Mayansky, A. N., Chebotar, I. V. (2012). Strategy of control for bacterial biofilm processes [The strategy of managing the bacterial biofilm process]. Journal Infectology [Journal of Infectology], 4 (3), 5-15. (In Russ.)
33. Ochirov, E. A. (2000). Profilaktika vospalitel'nyh oslozhnenij dental'noj implantacii s primeneniem hlorgeksidinsoderzhashchih preparatov : dis. … kand. med. nauk : 14.00.21 [Prevention of inflammatory complications of dental implantation using chlorhexidine-containing preparations : dis. ... cand. med. sciences: 14.00.21]. Moscow, 114. (In Russ.)
34. Tlustenko, V. P., Tlustenko, V. S. (2017). Vliyanie hronicheskogo lokalizovannogo parodontita i dental'nogo periimplantita na gomeostaz polosti rta [Influence of chronic localized periodontitis and dental periimplantitis on oral cavity homeostasis]. Zhurnal nauchnyh statej zdorov'e i obrazovanie v XXI veke [Journal of scientific articles health and education in the XXI century], 19 (11), 102-106. (In Russ.)
35. Berezhnoj, V. P., Gil'miyarov, E. M., Gil'miyarova, I. E. et al. (2001). Vozmozhnost' neinvazivnoj ocenki sostoyaniya organov polosti rta po dannym biohimicheskih issledovanij [The possibility of a non-invasive assessment of the state of the oral organs according to biochemical studies]. Materialy Pervogo Gubernskogo s"ezda vrachej [Materials of the First Gubernian Congress of Doctors], Samara, 137-138. (In Russ.)
36. Tlustenko, E. S. (2004). Kliniko-metabolicheskie kriterii dental'nogo periimplantita : dis. ... kand. med. nauk : 14.00.21 [Clinical and metabolic criteria of dental periimplantitis : dis. ... cand. med. sciences: 14.00.21]. Samara, 132. (In Russ.)
37. Jiahe, A. I., Chen, Y. I., Urquidi-Macdonald, M., Macdonald, D. D. (2008). Electrochemical impedance spectroscopic study of passive zirconium. J Nuclear Mater, 379, 162-168.
38. Paraskevich, V. L. (2006). Dental'naya implantologiya: osnovy teorii i praktiki [Dental implantology: the foundations of the theory and practice]. 2, Moscow : MIA, 400. (In Russ.)
39. Yoshiaki, I., Kazuhiro, T. (2005). Improved Biocompatibility of Titanium-Zirconium (Ti-Zr) Alloy:Tissue Reaction and Sensitization to Ti-Zr Alloy Compared with Pure Ti and Zr. Rat Implantation Study, 46 (10), 2260-2267.
40. Zagorskij, V. A., Robustova, T. G. (2011). Protezirovanie zubov na implantatah : rukovodstvo [Dental prosthetics on implants: a guide]. Moscow, 352. (In Russ.)
41. Ivanov, S. Yu., Vasil'ev, A. Yu., Bulanova, T. V. et al. (2003). Metodika predimplantacionnogo obsledovaniya pacientov [Methods of pre-implantational examination of patients]. Rossijskij vestnik dental'noj implantologii [Russian Journal of Dental Implantology], 2, 42-43. (In Russ.)
42. Kinane, D., Bouchard, P., Francesco, D. et al. (2008). Periodontal diseases and health: Consensus Report of the Sixth European Workshop on Periodontology. J ClinPeriodontol, 35 (8), 333-337.
43. Gil'miyarov, E. M. (2002). Stomatologicheskij i somaticheskij status organizma v pokazatelyah metabolizma rotovoj zhidkosti : avtoref. dis. ... d-ra med. nauk : 14.00.21 [Stomatologic and somatic status of the body in indicators of the metabolism of the oral fluid: Abstract. dis. ... d-ra med. sciences : 14.00.21]. Samara, 44. (In Russ.)
44. Morozov, A. E. (2005). Rol' biomekhanicheskih faktorov v razvitii dental'nyh periimplantitov : dis. ... kand. med. nauk : 14.00.21 [The Role of Biomechanical Factors in the Development of Dental Periimplantitis : dis. ... cand. med. sciences : 14.00.21]. Samara, 170. (In Russ.)
45. Sejgmund, M. (2015). Estetika i CAD/CAM-tekhnologii v hirurgicheskoj stomatologii. Novye vozmozhnosti izgotovleniya ortopedicheskih konstrukcij, opirayushchihsya na implantaty [Aesthetics and CAD / CAM technology in surgical dentistry. New opportunities for manufacturing orthopedic structures based on implants]. Novoe v stomatologii [New in Dentistry], 3, 66-77. (In Russ.)
46. Karlov, A. V., Shahov, V. P. (2001). Sistemy vneshnej fiksacii i regulyatornye mekhanizmy optimal'noj biomekhaniki [External fixation systems and regulatory mechanisms of optimal biomechanics]. 478. (In Russ.)
47. Rozhnov, S. M., Lomakin, M. V. (2015). Sostoyatel'nost' zubov i implantatov: morfametricheskie harakteristiki v sravnenii s konstrukcionnymi osobennostyami [Dental and implant mathematics: morphometric characteristics in comparison with structural features]. Rossijskaya stomatologiya [Russian stomatology], 2 (80), 49-57. (In Russ.)
48. Kochkonyan, T. S. (2009). Osobennosti izmeneniya faktorov antiradikal'noj zashchity rotovoj zhidkosti pri razlichnyh vidah zubnogo protezirovaniya : avtoref. dis. ... kand. med. nauk : 14.01.14 [Features of changes in the factors of anti-radical protection of oral fluid in various types of dental prosthetics : author. dis. ... cand. med. sciences : 14.01.14]. Krasnodar, 21. (In Russ.)
49. Kulakov, A. A., Grigoryan, A. S., Arhipov, A. V. (2012). Vliyanie razlichnyh sposobov modifikacii poverhnosti dental'nyh implantov na ih integracionnyj potencial [Influence of various methods of modifying the surface of dental implants on their integration potential]. Stomatologiya [Dentistry], 6, 75-77. (In Russ.)
50. Putincev, S. B. (2009). Obosnovanie vybora konstrukcionnogo materiala i tekhnologii nes"emnyh zubnyh protezov u bol'nyh s hronicheskim generalizovannym parodontitom (kliniko-laboratornoe issledovanie) : avtoref. ... dis. kand. med. nauk : 14.01.14 [The rationale for the choice of construction material and technology of non-removable dental prostheses in patients with chronic generalized periodontitis (clinical and laboratory research): author. ... dis. kand. med. sciences : 14.01.14]. Omsk, 22. (In Russ.)
51. Egorov, A. A., Drovosekov, M. N. (2014). Sravnitel'naya harakteristika materialov, primenyaemyh v stomatologicheskoj implantacii [Comparative characteristics of materials used in dental implantation]. Byulleten' sibirskoj mediciny [Siberian Medicine Bulletin], 13, 6, 41-47. (In Russ.)
52. Kopejkin, V. N., Mirgazizov, M. Z. (2001). Ortopedicheskaya stomatologiya: uchebnik [Orthopedic dentistry: a textbook]. 2, Moscow : Medicina, 624. (In Russ.)
53. Legostaeva, E.V., Egorkin, V. S., Sinebryuhov, S. L., Eroshenko, A. Yu., Lyamina, G. V., Komarova, E. G., Gnedenkov, S. V., Sharkeev, Yu. P. (2013). Nanostrukturirovannyj titan: struktura, mekhanicheskie i elektrohimicheskie svojstva [Nanostructured titanium: structure, mechanical and electrochemical properties]. Materialovedenie [Materials Science], 5, 118-124. (In Russ.)
54. Luk'yanchenko, V. V., Malyasova, M. G. (2010). Metally v implantologii [Metals in implantology]. Ortopediya , travmatologiya i protezirovanie [Orthopedics, traumatology and prosthetics], 3, 130-132. (In Russ.)
55. Legostaeva, E. V. (2014). Zakonomernosti formirovaniya struktury i svojstv kal'cijfosfatnyh pokrytij na poverhnosti bioinertnyh splavov titana i cirkoniya [Regularities in the formation of the structure and properties of calcium phosphate coatings on the surface of titanium and zirconium bioinert alloys: diss. ... dr. those. sciences]. Tomsk, 378. (In Russ.)
56. Nyashin, Yu. I., Rogozhnikov, G. I., Nikitin, V. N., Astashina, N. B. (2012). Biomekhanicheskij analiz zubnyh implantatov iz splava titana i dioksida cirkoniya [Biomechanical analysis of dental implants made of titanium alloy and zirconium dioxide]. Rossijskij zhurnal biomekhaniki [Russian Journal of Biomechanics], 16 (1), 102-109.(In Russ.)
57. Xue, W., Zhu, Q., Jin, Q. (2010). Characterization of ceramic coatings fabricated on zirconium alloy by plasma electrolytic oxidation in silicate electrolyte. Mater Chem Phys, 120, 656-660.
58. Cherevko, N. M. (2007). Ocenka titanovyh implantatov s shejkoj iz ZrO2 in vivo [Evaluation of titanium implants with a neck of ZrO2 in vivo]. Problemy stomatologii [Problems of Dentistry], 27, 27. (In Russ.)
59. Grassy, S., Piatelly, A., de Figuerido, L. S. et al. (2006). Histologic evaluetion of tarty human bone response to different implant surfaces. J periodontal, 77, 1736-1743.
60. Johnson, H. J. (1985). Biocompatibiliti test procedures for materials evalution in vitro. Ojective methods of toxicity assessment. J Biomed Mater Res, 19 (5), 489-508.
61. Perova, M., Kolesnev, Yu., Vedernikova, A. (1996). Oslozhneniya pri ispol'zovanii metoda zubnoj implantacii, ih analiz i profilaktika [Complications when using the method of dental implantation, their analysis and profiling]. Kubanskij nauchnyj medicinskij vestnik [Kuban Scientific Medical Journal], 5-6, 59-61. (In Russ.)
62. Dietrich, T., Garcia, R. I. (2005). Associations between periodontal diseases and systemic disease: evaluating the strength of the evidence. J. Periodontol, 76, 3175-3184.
63. Renvert, S., Polyzois, I., Claffey, N. (2012). Surgical therapy for the control of peri-implantitis. Clinical Oral Implants Research, 23 (6), 84-94.
64. Ivanov, S. Yu., Vasil'ev, A. Yu., Bulanova, T. V. et al. (2003). Metodika predimplantacionnogo obsledovaniya pacientov [Methods of pre-implantational examination of patients]. Rossijskij vestnik dental'noj implantologii [Russian Journal of Dental Implantology], 2, 42-43. (In Russ.)
