Management of extensive peri-implant defects with titanium meshes

Kadkhodazadeh, Mahdi; Amid, Reza; Moscowchi, Anahita

doi:10.1007/s10006-021-00955-x

Cited by 7 publications

(10 citation statements)

References 34 publications

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“…This is remarkable as the material is well described in primary augmentations and used frequently in clinic. One cohort study uses allogenic graft material with titanium mesh 31 . It should be noted that allogeneic bone differs regarding the donor, processing procedure and manufacturer.…”

Section: Resultsmentioning

confidence: 99%

Bone regeneration as treatment of peri‐implant disease: A narrative review

Noelken

2023

Clin Implant Dent Rel Res

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Introduction Analysis of the 3‐dimensional implant position, the bone defect morphology, and the soft tissue situation guides the decision to preserve or to remove an implant with a severe peri‐implantitis lesion. The aim of this narrative review was to analyze and to comprehensively illustrate the treatment options focusing on peri‐implant bone regeneration in presence of severe peri‐implant bone loss. Methods A database search was performed independently by the two reviewers to identify case reports, case series, cohort, retrospective, and prospective studies about peri‐implant bone regeneration with a follow‐up of at least 6 months. Of the 344 studies issued during the database analysis, 96 publications were selected by the authors for this review. Results Deproteinized bovine bone mineral remains the best documented material for defect regeneration in peri‐implantitis in combination with or without a barrier membrane. While studies using autogenous bone in peri‐implantitis therapy are rarely found, they do report favorable potential of vertical bone regeneration. Moreover, while membranes are an inherent part of the guided bone regeneration, a 5‐year follow‐up study demonstrated clinical and radiographic improvements with and without a membrane. The administration of systemic antibiotics is frequently performed in clinical studies observing regenerative surgical peri‐implantitis therapy, but the analysis of the literature does not support a positive effect of this medication. Most studies for regenerative peri‐implantitis surgery recommend the removal of the prosthetic rehabilitation and the use a marginal incision with a full‐thickness access flap elevation. This allows for a good overview for regenerative procedures with a certain risk of wound dehiscences and incomplete regeneration. An alternative approach referring to the poncho technique may reduce the risk of dehiscence. The effectiveness of implant surface decontamination might have an impact on peri‐implant bone regeneration without any clinical superiority of a certain technique. Conclusion The available literature reveals that the success of peri‐implantitis therapy is limited to the reduction of bleeding on probing, the improvement of the peri‐implant probing depth and a small amount of vertical defect fill. On this basis, no specific recommendations for bone regeneration in surgical peri‐implantitis therapy can be made. Innovative approaches for flap design, surface decontamination, bone defect grafting material, and soft tissue augmentation should be followed closely to find advanced techniques for favorable peri‐implant bone augmentation.

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Section: Resultsmentioning

confidence: 99%

Bone regeneration as treatment of peri‐implant disease: A narrative review

Noelken

2023

Clin Implant Dent Rel Res

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“…The studies were from four categories: controlled intervention studies [ 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 ], observational cohort and cross-sectional studies [ 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 ], and case series/case reports studies [ 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 ].…”

Section: Resultsmentioning

confidence: 99%

“…ABG can also be used in combination with an allogenic graft material, titanium mesh, and acellular dermal matrix, leading to significant improvement regarding mean marginal bone loss and bone gain in peri-implant defects [ 35 ]. It was shown that the regenerative approach consisting of the application of deproteinized bovine bone mineral and a collagen membrane after mechanical and chemical decontamination with tetracycline solution in the peri-implant defects showed long-term stability of physiologic PPD, with no clinical signs of peri-implant inflammation and BoP and no radiographic bone loss [ 46 ].…”

Section: Discussionmentioning

confidence: 99%

Latest Findings of the Regenerative Materials Application in Periodontal and Peri-Implant Surgery: A Scoping Review

et al. 2022

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Regenerative dentistry represents a therapeutic modern approach involving biomaterials and biologics such as mesenchymal stem cells. The role of regenerative dentistry is promising in all branches of dentistry, especially in periodontology and implantology for the treatment of bony defects around teeth and implants, respectively. Due to the number of different materials that can be used for this purpose, the aim of the present review is to evidence the regenerative properties of different materials both in periodontitis and peri-implantitis as well as to compare their efficacy. Clinical trials, case-control studies, cross-sectional studies, and cohort studies have been considered in this review. The outcome assessed is represented by the regenerative properties of bone grafts, barrier membranes, and biological materials in the treatment of intrabony and furcation defects, peri-implantitis sites, alveolar ridge preservation, and implant site development. Based on the studies included, it can be stated that in the last years regenerative materials in periodontal and peri-implant defects treatments have shown excellent results, thus providing valuable support to surgical therapy. To achieve optimal and predictable results, clinicians should always consider factors like occlusal load control, prevention of microbial contamination, and wound dehiscence. Further evidence is required about the use of enamel matrix derivative in alveolar ridge preservation, as well as of stem cells and bone morphogenetic proteins-2 in furcation defects and peri-implantitis sites. Considering the high amount of research being conducted in this field, further evidence is expected to be obtained soon.

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“…Additionally, meshes such as titanium barriers must be shaped and adapted to the bone defect profile during surgery [ 17 , 18 , 19 ]. This sensitive, time-consuming, and laborious step increases the duration of the surgery, and the outcome of the procedure is deeply influenced by the operator’s ability.…”

Section: Introductionmentioning

confidence: 99%

Tackling Inequalities in Oral Health: Bone Augmentation in Dental Surgery through the 3D Printing of Poly(ε-caprolactone) Combined with 20% Tricalcium Phosphate

Angelis

Amaroli

Sabbieti

et al. 2023

Biology

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The concept of personalized medicine and overcoming healthcare inequalities have become extremely popular in recent decades. Polymers can support cost reductions, the simplicity of customized printing processes, and possible future wide-scale expansion. Polymers with β-tricalcium phosphate (TCP) are well known for their synergy with oral tissues and their ability to induce osteoconductivity. However, poor information exists concerning their properties after the printing process and whether they can maintain an unaffected biological role. Poly(ε-caprolactone) (PCL) polymer and PCL compounded with TCP 20% composite were printed with a Prusa Mini-LCD-®3D printer. Samples were sterilised by immersion in a 2% peracetic acid solution. Sample analyses were performed using infrared-spectroscopy and statical mechanical tests. Biocompatibility tests, such as cell adhesion on the substrate, evaluations of the metabolic activity of viable cells on substrates, and F-actin labelling, followed by FilaQuant-Software were performed using a MC3T3-E1 pre-osteoblasts line. PCL+β-TCP-20% composite is satisfactory for commercial 3D printing and appears suitable to sustain an ISO14937:200937 sterilization procedure. In addition, the proper actin cytoskeleton rearrangement clearly shows their biocompatibility as well as their ability to favour osteoblast adhesion, which is a pivotal condition for cell proliferation and differentiation.

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Management of extensive peri-implant defects with titanium meshes

Cited by 7 publications

References 34 publications

Bone regeneration as treatment of peri‐implant disease: A narrative review

Bone regeneration as treatment of peri‐implant disease: A narrative review

Latest Findings of the Regenerative Materials Application in Periodontal and Peri-Implant Surgery: A Scoping Review

Tackling Inequalities in Oral Health: Bone Augmentation in Dental Surgery through the 3D Printing of Poly(ε-caprolactone) Combined with 20% Tricalcium Phosphate

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