Efficiency and Thermal Changes during Implantoplasty in Relation to Bur Type

Sharon, Eran; Shapira, Lior; Wilensky, Asaf; Abu-hatoum, Rami; Smidt, Ami

doi:10.1111/j.1708-8208.2011.00366.x

Cited by 33 publications

(47 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is unknown if the treated titanium surface will form titanium oxides that will allow re-osseointegration. An in vitro study has shown, that under proper cooling conditions, implantoplasty does not generate excess temperature increases that can damage soft tissue or bone surrounding the treated implant [21]. One of the major disadvantages of this technique is the increased postoperative recession of the marginal tissues and exposure of the abutment and implant surface which negatively affects the esthetics and increases food impaction.…”

Section: Resultsmentioning

confidence: 99%

Detoxification of Implant Surfaces Affected by Peri-Implant Disease: An Overview of Surgical Methods

Valderrama

Wilson²

2013

International Journal of Dentistry

View full text Add to dashboard Cite

Purpose. Peri-implantitis is one of the major causes of implant failure. The detoxification of the implant surface is necessary to obtain reosseointegration. The aim of this review was to summarize in vitro and in vivo studies as well as clinical trials that have evaluated surgical approaches for detoxification of the implant body surfaces. Materials and Methods. A literature search was conducted using MEDLINE (PubMed) from 1966 to 2013. The outcome variables were the ability of the therapeutic method to eliminate the biofilm and endotoxins from the implant surface, the changes in clinical parameters, radiographic bone fill, and histological reosseointegration. Results. From 574 articles found, 76 were analyzed. The findings, advantages, and disadvantages of using mechanical, chemical methods and lasers are discussed. Conclusions. Complete elimination of the biofilms is difficult to achieve. All therapies induce changes of the chemical and physical properties of the implant surface. Partial reosseointegration after detoxification has been reported in animals. Combination protocols for surgical treatment of peri-implantitis in humans have shown some positive clinical and radiographic results, but long-term evaluation to evaluate the validity and reliability of the techniques is needed.

show abstract

Section: Resultsmentioning

confidence: 99%

Detoxification of Implant Surfaces Affected by Peri-Implant Disease: An Overview of Surgical Methods

Valderrama

Wilson²

2013

International Journal of Dentistry

View full text Add to dashboard Cite

show abstract

“…The use of different types of burs were employed with the aim of reducing the surface roughness of titanium disks below a Ra threshold of 0.2 µm to deter any biofilm formation. 6,26,27 Other studies have included rough and smooth diamond burs as well as carbide and silicon burs with various sequences. 6,17,18,19 de Souza et al 19 , demonstrated that three different rotational instruments: diamond, tungsten carbide and multilaminar burs resulted in similar surface roughness after performing implantoplasty procedures.…”

Section: A B C Dmentioning

confidence: 99%

“…6,26,27 Other studies have included rough and smooth diamond burs as well as carbide and silicon burs with various sequences. 6,17,18,19 de Souza et al 19 , demonstrated that three different rotational instruments: diamond, tungsten carbide and multilaminar burs resulted in similar surface roughness after performing implantoplasty procedures. However, the results from this study did not objectively standardised the time of instrumentation as it was determined by visual analysis of the operator only.…”

Section: A B C Dmentioning

confidence: 99%

“…Links have been shown to the red complex microorganisms and gram-negative anaerobes who themselves are linked to the progression of periodontal disease as they have been found at the site of the affected areas. 5 It has also been shown that patients who have a history of periodontal disease prior to implant treatment can experience higher rates of peri-implant diseases 6,7 including those with other risk factors such as smoking or diabetes. 8 The aim of treating peri-implantitis is to disrupt the biofilm, detoxify the implant surface and therefore improve surface biocompatibility.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The effect of standardised implantoplasty protocol on titanium surface roughness: an in-vitro study

et al. 2016

View full text Add to dashboard Cite

The effect of standardised implantoplasty protocol on titanium surface roughness: an in-vitro study Abstract: To analyse the changes of surface characteristics of machined and moderately roughened titanium disks following a standardised implantoplasty protocol. Forty titanium discs (machined: n = 20; moderately roughened: n = 20) were instrumented with one half of each disc maintained as the control (non-instrumented). The standardised implantoplasty protocol was carried out using a custom jig with the sequential change of burs: 1) Regular grit diamond [10s], 2) Super-fine grit diamond [10s], 3) Brownie™ silicone polisher [15s], 4) Greenie™ silicone polisher [15s]. Surface topography was analysed using confocal laser scanning microscopy (CLSM) and scanning electron microscopy (SEM). Energy dispersive x-ray spectroscopy (EDS) was used to measure the elemental profiles of each disc. Quantitative analysis showed similar changes in level of roughness between the machined and moderately roughened titanium discs. CLSM demonstrated an increased roughness (Ra and Sa values) after polishing with a regular grit diamond bur when compared to the uninstrumented surfaces. Although the roughness decreased after the further polishing with the super-fine grit diamond bur, subsequent instrumentation using silicon burs tended to increase the roughness, albeit being statistically insignificant. There was a residue of silicon particles despite the irrigation after each polishing stage. The proposed implantoplasty protocol did not achieve a sufficient level of smoothness on the machined or moderately roughened titanium surfaces when compared to the Ra threshold. Further research is recommended to test the efficacy of each bur on titanium surfaces with longer duration using actual oral implants to allow better comparison.

show abstract

“…80 The second concern will be the modification of implant strength due to narrowing of implant diameter. 80 The second concern will be the modification of implant strength due to narrowing of implant diameter.…”

Section: Implantoplasty Rationalementioning

confidence: 99%