employee
Kazan, Kazan, Russian Federation
employee from 01.01.2010 to 01.01.2020
Kazan, Kazan, Russian Federation
employee
Kazan', Kazan, Russian Federation
from 01.01.2019 to 01.01.2020
Kazan, Kazan, Russian Federation
UDK 61 Медицина. Охрана здоровья
GRNTI 76.29 Клиническая медицина
OKSO 31.08.74 Стоматология хирургическая
BBK 566 Стоматология
BISAC MED016050 Dentistry / Oral Surgery
Aim. To study the role and degree of influence of various clinical factors on osseointegration and the success of direct and delayed dental implantation using implant systems with different surface microstructure. Material and methods. Implant systems with different surface microstructures were used for the clinical study: Alfa Bio, Mis, Astra Tech, Dentium, Osstem, Antogher and Humana Dental. The study included 414 patients aged 20 to 70 years. All patients involved in the study were divided into two groups. The first group consisted of 109 patients who, after extraction, underwent direct implantation into the socket of the extracted tooth, followed by immediate loading. The second group, out of 305 patients, underwent delayed implantation. A total of 1302 implants were installed. Before the start of surgery, all patients underwent a thorough clinical and laboratory, X-ray and functional examination, as well as computed tomography. Dynamic observation was carried out on the basis of clinical, radiological and functional methods. In the course of treatment, starting from the moment of implantation at different times, the devices "Periotest" and "Osstel Mentor" were used to determine the stability of the implants and the dynamics of the quality of the osseointegration process. Results. The study found that implants placed in the lower jaw had higher success rates than implants placed in the upper jaw. There was no direct relationship between the length and diameter of implants and their survival rate. However, implants with a longer length and diameter are the best option for increasing primary stability. The analysis of implantation methods showed no statistically significant difference between the percentage of implant survival during immediate and delayed implantation. The highest percentage of implantation failures was noted with simultaneous implantation and sinus lifting, as well as with a horizontal increase in bone tissue volume. Conclusions. The findings of the study demonstrated that the long-term success of dental implantation depends on a combination of many factors, including bone volume and quality, shape, geometry, implant design, and surface microstructure.
stability, osteointegration, success, dental implantation, design, geometry, microstructure, bone regeneration
1. Polsani Laxman Rao, Amreena Gill. Primary stability: The password of integration // Review article. - 2012;2:103-109.
2. Zita Gomes R., de Vanconcelos M.R., Lopes GueraIm., de Almedia A.B., de Campos Felino C. Implant stability in the posterior maxilla: a controlled trial // Biomed Res Int. - 2017;10:165-172.
3. Antonello Falco, Marco Berardini, Paolo Trisi. Correlation between implant geometry, implant surface, insertion torque, and primary stability: in vitro biomechanical analysis // Int J Oral Maxillofac Implants. - 2018;33(4):824-830.
4. Zekiy A.O., Shirokov A.A. Issledovanie struktury vzaimodeystviy v sisteme “implantat - kost'”. Vestnik vedicinskih tehnologiy. 2016;23;4:18-23. [A.O. Zekiy, A.A. Shirokov. Study of the structure of interactions in the “implant - bone” system. Medical technology bulletin. 2016;23;4:18-23. (In Russ.)].
5. Tomas Albrektsson, Ann Wennerberg. On osseointegration in relation to implant surfaces // Clinical implant Dentistry. - 2019;21;51:4-7.
6. Pozzi A., Tallarico M.,Moy P.K. Immediate loading with a novel implant featured by variable-threaded geometry internal conical connection and platform shifting: three-years results from a prospective cohort study // Eur Oral Implantol. - 2015;8(1):51-63.
7. Macary C., Menhali., Zammarie C., Lombardi T. et al. Primary stability optimization by using fixtures with different thread depth loading implants // Material. (Basel). - 2019;27;12:398-411.
8. Fawad Javed, Hameeda Bashir Ahmed, Roberto Crespi, Georgios E. Romanos. Role of primary stability for successful osseointegration of dental implants: Factors of influence and evaluation // Interventional Medicine and Applied Science. - 2013;5;4:162-167.
9. Luiz Carlos do Carmo Filho, Raissa Micaella Marcello-Machado, Eduardo Dickie de Castilhos. Can implant surfaces affect implant stability during osseointegration? A randomized clinical trial // Brazilian Oral Research. - 2018;32;25:175-189.
10. Rittel D., Dorogoy A., Shemtov-Yona K. Modeling the effect of osseointegration on dental implants pullout torque removal tests // Clinical Implants Dentistry and Relate Research. - 2018;86(2051):713-720.
11. Rupp F., Liang., Geis-Gerstorfer J., Schideir I., Huttin F. Surface characteristics of dental implants: A review // Dental Mater. - 2018;3:40-57.
12. Maruhno B.B., Vahnenko A.I. Izuchenie poverhnosti implantatov razlichnyh sistem. Sovremennaya stomatologiya. 2012;4:106-109. [B.B. Marukhno, A.I. Vakhnenko. Study of the surface of implants of various systems. Modern dentistry. 2012;4:106-109. (In Russ.)].
13. Cheng B., Niu Q., Cui Y., Jiang W. et al. Effects of different hierarchical hybrid micro-nanostructure surface on implant osseointegration // Clin Implant Dent Res. - 2017;19:539-595.
14. Fabbro M.D., Tasscieri S., Canciani F., Addis A. Osseointegration of titanium implants with different rough surface: histologic and histomorphometric study in adult minipig model // Implant Dent. - 2017;28:357-366.
15. Andreotti A.M., Golato M.C., Norbrega A.S., Freitas da Silva et al. Relationship between implant stability measurements obtained by different devices: a systematic review // J Periodontol. - 2017;88(3):281-288.
16. Romanos G.E. Wound healing in immediate loaded implants // Periodontol. - 2015;68(1):153-167.
17. Akca K., Chang T.L., Tecdemir I., Fanuscu M.I. Biomechanical aspects of initial intraosseous stability and implant design: aquantitative micro- morphometric analysis // Clinical Oral Implants Research. - 2006;17(4):465-472.
18. Kim D., Kwon H.J., Jeong Y.H., Kosel F. et al. Mechanical properties of bone tissues surrounding dental implant system with different treatments and healing periods // Clin Oral Investing. - 2016;20:2211-2200.
19. Naves M.M., Menezes H.H., Magalhaes D. Effect of microgeometry on the surface topography of dental implants // International Journal of Oral Maxillofacial Implants. - 2015;30(4):789-799.
20. Trisi P., Berardini M., Falco A. et al. Effect of implant thread geometry on secondary stability, bone density and bone-to-implant contact: biomechanical and histological analysis // Implant Dent. - 2015;24:384-391.
21. Al-Khaldi N., Sleeman D., Allen F. Stability of dental implants in grafted bone in the anterior maxilla: Longitudinal study // Br J Oral Maxillofac Surg. - 2011;49:319-323.
22. Elise G., Zuiderveld A., Herry J.A. et al. immediate placement and provisionalization of an implants after removal of an impacted maxillary canine: two case reports // International Journal of Implants Dentistry. - 2015;1:13-19.
23. Fanuscu M.I., Chang T.L., Akca K. Effect of surgical techniques on primary implant stability and peri-implant bone // J Oral Maxillofac Surg. - 2007;65:2487-2491.
24. Stacchi C., Vercellotti T., Coucke W. et al. Changes in implant stability using different site preparation techniques: Twist drills versus piezosurgery. A single-blinded, randomized, controlled clinical trial // Clin Implant Dent Relat Res. - 2013;15:188-197.
25. Baldi D., Lombardi T., Colombo J., Perinetti G. et al. Correlation between insertion tongue and implant stability Quotient in tapered implants with knife-edge thread design // Biomed Res Int. - 2018;15:720-730.
26. Tobassum A., Meijer G.J., Jansen J.A. Influence of surgical technique and roughness on the primary stability of an implant in artificial bone with different cortical thickness: a laboratory study // Clinical Oral Implants Research. - 2010;21(9):213-220.
27. Marcovic A., Calvo-Guirado J.L., Lazic Z. et al. Evaluation of primary stability of self-tapping and non-self-tapping dental implants. A 12-week clinical study // Clin Implant Dent Relat Res. - 2013;15:341-349.
28. Zhou W., Kuderer S., Liu Z., Uim S. Peri-implant bone remodeling at the interface of three different implant types: a histologic and histomorphometric study in mini-pigs // Clin Oral Implant. - 2017;28:1143-1149.
29. Hodes K.I., Mihal'chenko A.V., Bahareva E.G., Naumova V.N. Rezul'taty dental'noy implantacii s nemedlennoy nagruzkoy. Volgogradskiy nauchno - medicinskiy zhurnal. 2016;3;51:35-37. [K.I. Khodes, A.V. Mikhalchenko, E.G. Bakhareva, V.N. Naumova. Immediate loading dental implant results. Volgograd scientific medical journal. 2016;3;51:35-37. (In Russ.)].
30. Bunev F.A., Muraev A.A., Gazhva Yu.V., Muhametshin R.V. i dr. Rezul'taty neposredstvennoy implantacii s nemedlennoy nagruzkoy i obosnovanie protokola metodom matematicheskogo modelirovaniya. Zdorov'e i obrazovanie v HHI veke. 2018;20;9:62-69. [F.A. Bunev, A.A. Muraev, Yu.V. Gazhva, R.V. Mukhametshin et al. Results of direct implantation with immediate loading and substantiation of the protocol by the method of mathematical modeling. Health and education in the XXI century. 2018;20;9:62-69. (In Russ.)].
31. Cervino G., Romeo U., Lauritano F. Fem and von mises analysis of Osstem dental implant structural components: evaluation of different direction dynamic loads // The open Dentistry Journal. - 2018;12(1):99-239.
32. Panahov N.A.O., Mahmudov T.G.O. Uroven' stabil'nosti zubnyh implantatov v razlichnye sroki funkcionirovaniya. Problemy stomatologii. 2018;14;1:89-93. [N.A.O. Panahov, T.G.O. Makhmudov. The level of stability of dental implants at different periods of operation. Actual problems in dentistry. 2018;14;1:89-93. (In Russ.)]. https://www.elibrary.ru/item.asp?id=32840697
33. Sysolyatin P.G., Gyunter V.E., Zheleznyy P.A., Zheleznyy S.P. Osteointegraciya razlichnyh implantatov pri peresadke kostnogo autotranpplantata v defekt nizhnem chelyusti v eksperimente. Problemy stomatologii. 2006;5-6:34-36. [P.G. Sysolyatin, V.E. Gunther, P.A. Zhelezny, S.P. Zhelezny. Osseointegration of various implants during transplantation of a bone autograft into the defect of the lower jaw in the experiment. Actual problems in dentistry. 2006;5-6:34-36. (In Russ.)]. https://www.elibrary.ru/item.asp?id=32814578
34. Astashina N.B., Plyuhin D.V., Delec A.V. Prognozirovanie ishodov dental'noy implantacii na osnove izucheniya urovnya produktov okislitel'noy modifikacii belkov slyuny. Problemy stomatologii. 2017;13;3:47-52. [N.B. Astashina, D.V. Plyukhin, A.V. Delets. Predicting the outcomes of dental implantation based on studying the level of products of oxidative modification of salivary proteins. Actual problems in dentistry. 2017;13;3:47-52. (In Russ.)]. https://www.elibrary.ru/item.asp?id=30109820
