Considerations regarding dental implant surfaces, bone reaction and “Peri-implantitis”

Ihde, Stefan; Ihde, Antonina

doi:10.4103/ams.ams_224_18

Cited by 4 publications

(5 citation statements)

References 4 publications

(4 reference statements)

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“…61 Bone strength is directly related to bone density 62 as bone material density (BMD) 63 is used to determine the risk of fracture of bone and, indirectly, the stress shielding effect 33 in the bone. Considering the geometrical conditions of the basal dental implants 18,19 compressive load of 200 N 33 applied on the top surface of the implant, and maximum von Mises stress are observed at the implant neck, 64 followed by the shaft of the implant which is similar to the previous study done on the dental implant. 19 Von Mises strain analysis (Figure 7) is performed for the bone-implant assembly for normal, hard, and soft bone conditions.…”

Section: Resultssupporting

confidence: 83%

“…13 Finite element analyses 14 are used for determining the stress and load-bearing capacity on the dental bone, and it is observed that penurious transfer of load, misplacement of the dental implant, 15 improper geometry of implant, 16 primary and secondary stability of implant 17 are some of the factors that affect implant failure. As a result, patient-specific bone-friendly 18 dental implants are designed which include multiple design variables 19 like diameter, length of the implant, 20 supply of blood to tissues, 21 the primary stability, 22 mobility, 23 and quality of bone 24 that are checked at the time of placement of the implant. It is well-known that lot of care should be taken while placing the dental implant in the basal bone.…”

Section: Introductionmentioning

confidence: 99%

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Design of patient specific basal dental implant using Finite Element method and Artificial Neural Network technique

Choudhury

Rana

Chakraborty

et al. 2022

Proc Inst Mech Eng H

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The bone conditions of mandibular bone vary from patient to patient, and as a result, a patient-specific dental implant needs to be designed. The basal dental implant is implanted in the cortical region of the bone since the top surface of the bone narrows down because of aging. Taguchi designs of experiments technique are used in which 25 optimum solid models of basal dental implants are modeled with variable geometrical parameters, viz. thread length, diameter, and pitch. In the solid models the implants are placed in the cortical part of the 3D models of cadaveric mandibles, that are prepared from CT data using image processing software. Patient-specific bone conditions are varied according to the strong, weak, and normal basal bone. A compressive force of 200 N is applied on the top surface of these implants and using finite element analysis software, the microstrain on the peri-implant bone ranges from 1000 to 4000 depending on the various bone conditions. According to the finite element data, it can be concluded that weak bone microstrain is comparatively high compared with normal and strong bone conditions. A surrogate artificial neural network model is prepared from the finite element analysis data. Surrogate model assisted genetic algorithm is used to find the optimum patient-specific basal dental implant for a better osseointegration-friendly mechanical environment.

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Section: Resultssupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Design of patient specific basal dental implant using Finite Element method and Artificial Neural Network technique

Choudhury

Rana

Chakraborty

et al. 2022

Proc Inst Mech Eng H

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“…If lateral basal implants with sandblasted shaft are used, crater-like bone loss is observed after a number of years. [ 8 ]…”

Section: Discussionmentioning

confidence: 99%

Basal implants: An asset for rehabilitation of atrophied resorbed maxillary and mandibular jaw – A prospective study

Patel¹,

Madan²,

Mehta³

et al. 2021

Ann Maxillofac Surg

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Introduction: Conventional implants have great limitations in case of atrophic maxillary and mandibular ridges. Ultimately, patients who have severely atrophied jawbones paradoxically receive little or no treatment, as long as conventional implants are considered the device of first choice. Basal implants were developed with the goal to overcome the limitations of conventional implantology, primarily for atrophied ridges or inadequate bone with the protocol of immediate loading. However, studies regarding the rehabilitation followed by placement of screwable basal implants in atrophied ridges are limited. The purpose of the study was to conduct a prospective evaluation for the feasibility of placing strategic basal implants in clinical practice along with its merits and demerits. Materials and Methods: A prospective study was designed to evaluate the protocol of immediate functional loading using the technology of strategic basal implants ® for fixed complete arch prostheses and segmental teeth prostheses. A minimal of 10 patients selected in the age group of 20–80 years were restored with strategic basal implants irrespective of the quality and quantity of cancellous/alveolar bone following immediate functional loading protocols. Results: About 157 various designs of basal implants were placed in 10 patients, out of which four failed with the survival rate of 97.5% of basal implants. Discussion: The new concepts laid by basal implantology eliminate all drawbacks of conventional implantology and should be used as an adjunct to improve the quality of life of our patients. The concept of strategic implantology is innovative but reliable technique for patients in need of permanent rehabilitation.

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“…Compared to all these interventions, our treatment seems almost minimally invasive, almost painless; the patients recover fast, and the result is highly predictable. [ 20 21 22 ]…”

Section: Discussionmentioning

confidence: 99%

Esthetic indication for dental implant treatment and immediate loading (3). Case report and considerations regarding the aspect of the patient's right to self-determination in medical decision-making

Ihde

Sipic

2020

Ann Maxillofac Surg

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The technology of the Strategic Implant ® has expanded the indications for tooth and bone removal. This case report shows what kind of results are possible and how much the appearance of a patient can be changed within a few days if both teeth and bone are removed. The treatment option explained here could be considered by patients with a gummy smile. This treatment conflicts with the traditional thinking of dentists, who are educated to keep and maintain teeth. This can be compared to other fields of esthetic surgery where the patient's right to self-determination in medical decision-making has been established for a considerable period of time and is more frequent than in dentistry.

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Considerations regarding dental implant surfaces, bone reaction and “Peri-implantitis”

Cited by 4 publications

References 4 publications

Design of patient specific basal dental implant using Finite Element method and Artificial Neural Network technique

Design of patient specific basal dental implant using Finite Element method and Artificial Neural Network technique

Basal implants: An asset for rehabilitation of atrophied resorbed maxillary and mandibular jaw – A prospective study

Esthetic indication for dental implant treatment and immediate loading (3). Case report and considerations regarding the aspect of the patient's right to self-determination in medical decision-making

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