Implant Fracture: A Narrative Literature Review

Tallarico, Marco; Meloni, Silvio Mario; Park, Chang‐Joo; Zadrożny, Łukasz; Scrascia, Roberto; Cicciù, Marco

doi:10.3390/prosthesis3040026

Cited by 19 publications

(20 citation statements)

References 21 publications

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“…In order to obtain an ideal roughness that facilitates osseointegration, different techniques of micro treatment of the external surface have been proposed over the years [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Endosseous Dental Implant Materials and Clinical Outcomes of Different Alloys: A Systematic Review

et al. 2022

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In recent years, implantology has made significant progress, as it has now become a safe and predictable practice. The development of new geometries, primary and secondary, of new surfaces and alloys, has made this possible. The purpose of this review is to analyze the different alloys present on the market, such as that in zirconia, and evaluate their clinical differences with those most commonly used, such as those in grade IV titanium. The review, conducted on major scientific databases such as Scopus, PubMed, Web of Science and MDPI yielded a startling number of 305 results. After the application of the filters and the evaluation of the results in the review, only 10 Randomized Clinical Trials (RCTs) were included. Multiple outcomes were considered, such as Marginal Bone Level (MBL), Bleeding on Probing (BoP), Survival Rate, Success Rate and parameters related to aesthetic and prosthetic factors. There are currently no statistically significant differences between the use of zirconia implants and titanium implants, neither for fixed prosthetic restorations nor for overdenture restorations. Only the cases reported complain about the rigidity and, therefore, the possibility of fracture of the zirconium. Certainly the continuous improvement in these materials will ensure that they could be used safely while maintaining their high aesthetic performance.

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“…In order to obtain an ideal roughness that facilitates osseointegration, different techniques of micro treatment of the external surface have been proposed over the years [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Endosseous Dental Implant Materials and Clinical Outcomes of Different Alloys: A Systematic Review

et al. 2022

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“…All of the patients were fully satisfied, and the overall functional and esthetic results met the criteria of the good practice in dentistry. Moreover, the proposed fully digital workflow could lead to a potential reduction in the time and costs and related problems for the overall treatment of edentulous patients [29,30]. Based on this preliminary report, further studies must be designed to test the proposed hybrid analog/digital work-flow, including the newly developed digital innovations.…”

Section: Discussionmentioning

confidence: 99%

Digital Workflow for Prosthetically Driven Implants Placement and Digital Cross Mounting: A Retrospective Case Series

Tallarico

Galiffi

Scrascia³

et al. 2022

Prosthesis

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Fully digital workflow in implant dentistry is ever increasing. Treatment of partial edentulous cases is well-documented; nevertheless, complete edentulous cases are still a challenge. To present several innovations in the treatment of complete edentulous patients using digital solutions, both for implant placement and restoration delivery, was the objective of this study. It was designed as a retrospective case series study, aimed to tune further research with larger sample size, and a longer follow-up. Patients requiring complete, implant-supported restoration were asked to participate in this study. Enrolled patients were treated with four implants, immediate loading and a definitive complete arch restoration. Patients were treated using computer-assisted, template-based surgery. Multi-piece surgical templates were used to accurately place the implants, to manage the bone if needed and to make immediate loading procedure quicker and easier. After osseointegration period, definitive, extra-oral, digital impressions were taken using newly developed scan analogs, connected in the patient mouth using temporary cylinders and stabilized by means of the low-shrinkage, flowable, resin composite. Outcomes were implant and prosthesis survival rate, complications, accuracy, and patient satisfaction. Radiographic evaluation performed with a preliminary, radiopaque aluminum try-in, was used to test the accuracy of the digital impressions. Overall, 20 implants were placed in five patients. All the implants osseointegrated without complications. One impression was taken a second time due to inaccuracy of the aluminum tray-in. Finally, all of the patients were completely satisfied with both surgical and prosthetic procedures. Within the limitations of this case series, multi-piece surgical templates showed promising results improving the clinician’s confidence in the case of bone reduction, post-extractive implants and immediate loading. The prosthetic template increased the trueness of the digital impression for complete edentulous patients. Finally, even if an impression was performed again, the scan-analog used for extra-oral chair-side digital impressions seemed to be a promising tool. Continuous improvements and further study are needed to confirm these preliminary results.

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“…Dental implants, despite their many advantages, may sometimes fail for a variety of reasons [ 3 ]. The implant has been shown to have consistently higher levels of inflammation than the natural tooth, which is why approving solutions capable of limiting this effect and keeping the health of peri-implant tissues for a long time is essential [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Peri-implantitis is an infectious disease that occurs around the implant and inside the gums. It is generally the outcome of poor dental hygiene following a dental implant procedure leading to more bone loss and implant failure [ 3 , 5 ]. In patients with low mandibular bone density or dental damage after implant surgery, implant failure may occur due to the lack of integration of the implant and jawbone [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…In patients with low mandibular bone density or dental damage after implant surgery, implant failure may occur due to the lack of integration of the implant and jawbone [ 4 ]. The mechanical properties of the implant may also play a major role in implant failure [ 3 , 5 ]. Poor implant planning including implant design and diameter and occlusal overloading are the common variables related to implant fracture [ 5 , 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Antibacterial Effects of Curcumin Nanocrystals against Porphyromonas gingivalis Isolated from Patients with Implant Failure

Dizaj

Shokrgozar

Yazdani

et al. 2022

Clinics and Practice

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Background. Despite their benefits, dental implants may sometimes fail for a diversity of causes; the most common reasons of failure are infection and bone loss. Porphyromonas gingivalis (P. gingivalis) bacteria show a major role in peri-implantitis infection and dental implant failure. Methods. In this study, the prevalence of P. gingivalis isolated from the gingival crevicular fluid (GCF) of fifteen Iranian patients with implant failure (more than 1/3 of the implant length), who had average oral and dental hygiene and no antibiotic use for at least one month, was determined. Moreover, the antimicrobial effects of curcumin nanocrystals against isolated P. gingivalis were investigated. The collected samples from patients were transferred to a microbiology laboratory to culture. The presence of P. gingivalis in the culture media was confirmed using a trypsin reagent test. An isolate from a patient with the highest colony count was selected to evaluate the antibacterial effects of curcumin nanoparticles. The inhibition zone diameter, minimum inhibitory concentration (MIC), and minimum bactericidal concentration (MBC) were determined. Results. Out of fifteen patients, eight (53.33%) were positive for the presence of P. gingivalis. The results of the microbial tests showed that curcumin nanoparticles had an MIC of 6.25 µg/mL and an MBC of 12.5 µg/mL. Conclusions. The use of curcumin nanoparticles may control the bacterial infection around the implant.

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Implant Fracture: A Narrative Literature Review

Cited by 19 publications

References 21 publications

Endosseous Dental Implant Materials and Clinical Outcomes of Different Alloys: A Systematic Review

Endosseous Dental Implant Materials and Clinical Outcomes of Different Alloys: A Systematic Review

Digital Workflow for Prosthetically Driven Implants Placement and Digital Cross Mounting: A Retrospective Case Series

Antibacterial Effects of Curcumin Nanocrystals against Porphyromonas gingivalis Isolated from Patients with Implant Failure

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