COMPARISON BETWEEN OSSEOINTEGRATION OF TWO TYPES OF DELAYED PLACEMENT SELF DRILLING IMPLANTS IN MAXILLARY ANTERIOR REGION (CLINICAL TRIAL) | ||
| Alexandria Dental Journal | ||
| Article 5, Volume 46, Issue 2, August 2021, Pages 26-32 PDF (1010.19 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/adjalexu.2020.88459 | ||
| Authors | ||
| Mohammad S. Abd Elmaksoud* 1; Magued H. Fahmy2; Marwa G. Noureldin3 | ||
| 1BDS,2008, Faculty of Dentistry, Alexandria University, Egypt. | ||
| 2Professor of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery Faculty of Dentistry, Alexandria University, Egypt. | ||
| 3Lecturer of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery Faculty of Dentistry, Alexandria University, Egypt. | ||
| Abstract | ||
| Introduction: Dental implants have become a treatment option widely used for replacement of lost teeth. Primary stability following implant placement is essential for ossseointegration and it is mainly affected by density and quantity of bone at the implant site. Objectives: The aim of this study was to evaluate and compare the osseointegration between two types of dental implants with modified design features as regard to primary stability and bone density surrounding the self-drilling implants (Zinedent Tec-2 implant system) and the self-drilling compressive type implants (Roott -implant system) after delayed placement of the implants in upper anterior region. Materials and methods: A randomized prospective clinical and radiographic trial conducted on ten patients were included in the study. The patients were indicated for dental implant placement in the upper anterior region. The patients were randomly allocated into two groups equally by simple random technique. The Presurgical phasewas done by assessment of the patients clinically and radiographically. The surgical phase for both groups included implant placement then measuring the primary stability of the implants using the periotest device. The follow-up phase comprised clinical evaluation of gingival condition, implant mobility. Radiographical evaluation was performed by measuring the bone density using digital periapical x-ray, densitometer block and Image J software. In the prosthetic phase, a porcelain fused to metal restoration was delivered. Results: After comparing the results of primary stability and the bone density surrounding the implants of both groups, it was shown that the average of mean, median and standard deviation for group B (Roott -implant system) were greater than group A (Zinedent Tec-2 implant system) but the differences were statistically insignificant. Conclusion: The self-drilling implants is a new modality for easier manipulation of implant insertion and less postoperative complications with good outcomes. | ||
| Keywords | ||
| Osseointegration. Self-drilling; Compressive implants; Delayed placement | ||
| References | ||
|
1- Zhang YX, Wu YH, Yao DS, Yang JY, Gao L. An experimental study of the effect of extraction and retention of canine primary intruded teeth to the permanent successors. Zhonghua Kou Qiang Yi Xue Za Zhi. 2018;53:344-50.
2- Chappuis V, Araújo MG, Buser D. Clinical relevance of dimensional bone and soft tissue alterations post-extraction in esthetic sites. Periodontol. 2017;73:73-83.
3- Sadek MM, Sabet NE, Hassan IT. Alveolar bone mapping in subjects with different vertical facial dimensions. Eur J Orthod. 2015;37:194-201.
4- Tallgren A. The continuing reduction of the residual alveolar ridges in complete denture wearers: A mixed longitudinal study covering 25 years. J Prosthet Dent. 2003;27:120-32.
5- Griggs JA. Dental Implants. Dent Clin North Am. 2017;61:857-71.
6- Chidagam PRLV, Gande VC, Yadlapalli S, Venkata RY, Kondaka S, Chedalawada S. Immediate versus delayed loading of implant for replacement of missing mandibular first molar: A randomized prospective six years clinical study. J Clin Diagn Res. 2017;11:ZC35-ZC9.
7- Al-Johany SS, Al Amri MD, Alsaeed S, Alalola B. Dental implant length and diameter: A proposed classification scheme. J Prosthodont. 2017;26:252-60.
8- Hammerle CH, Araújo MG, Simion M. Evidence-based knowledge on the biology and treatment of extraction sockets. Clin Oral Implants Res. 2012;23:80-2.
9- Karl M, Irastorza-Landa A. Does implant design affect primary stability in extraction sites? Quintessence Int. 2017;48:219-24.
10- Doi K, Kubo T, Kajihara S, Makihara Y, Oue H, Oki Y, et al. A stability evaluation of a novel titanium dental implant/interconnected porous hydroxyapatite complex under functional loading conditions. Dent Mater J. 2017;36:647-53.
11- Mangano FG, Mastrangelo P, Luongo F, Blay A, Tunchel S. Aesthetic outcome of immediately restored single implants placed in extraction sockets and healed sites of the anterior maxilla: a retrospective study on 103 patients with 3 years of follow-up. Clin Oral Implants Res. 2017;28:272-82.
12- Bonnet F, Karouni M, Antoun H. Esthetic evaluation of periimplant soft tissue of immediate single-implant placement and provisionalization in the anterior maxilla. Int J Esthet Dent. 2018;13:378-92.
13- Schropp L, Kostopoulos L, Wenzel A. Bone healing following immediate versus delayed placement of titanium implants into extraction sockets: a prospective clinical study. Int J Oral Maxillofac Implants. 2003;18:189-99.
14- Adell R, Eriksson B, Lekholm U, Branemark PI, Jemt T. Long-term follow-up study of osseointegrated implants. Int J Oral Maxillofac Implants. 2005;5:347-60.
15- Toyoshima T, Wagner W, Klein MO, Stender E, Wieland M, Al-Nawas B. Primary stability of a hybrid self-tapping implant compared to a cylindrical non-self-tapping implant with respect to drilling protocols in an ex vivo model. Clin Implant Dent Relat Res. 2011;13:71-8.
16- Zadeh PT. Self osteotomizing bone implant and related methods of application. 2014 Available at: http://www.google.com.pg/patents/US20140329202.
17- Reynders RM, Cacciatore G. No confidence that success rates of self-drilling and self-tapping insertion techniques of orthodontic mini-implants are similar. Evid Based Dent. 2016;17:111-3.
18- Todorovic VS, Vasovic M, Beetge MM, van Zyl AW, Kokovic V. Stability development of immediately loaded hybrid self-tapping implants inserted in the posterior maxilla: 1-year results of a randomized controlled trial. J Oral Implantol. 2017;43:33-8.
19- Kim J, Shin W. How to do random allocation (randomization). Clin Orthop Surg. 2014;6:103-9.
20- Lioubavina-Hack N, Lang NP, Karring T. Significance of primary stability for osseointegration of dental implants. Clin Oral Implants Res. 2006;17:244-50. 21- O'Leary J, Drake B, Naylor E. The plaque control record. J Periodontol. 1972;43:39.
22- Olsson A, Oturai AB, Søndergaard HB, Sellebjerg F, Oturai PS. Bone microarchitecture and bone mineral density in multiple sclerosis. Acta Neurol Scand. 2018;137:363-9.
23- Yang J, Chiou R, Ruprecht A, Vicario J, MacPhail LA, Rams TE. A new device for measuring density of jaw bones. Dentomaxillofac Radiol. 2002;31:313-6.
24- Persson C, Guandalini L, Baruffaldi F, Pierotti L, Baleani M. Radiopacity of tantalum-loaded acrylic bone cement. Proc Inst Mech Eng H. 2006;220:787-91.
25- Andreotti AM, Goiato MC, Nobrega AS, Freitas da Silva EV, Filho HG, Pellizzer EP, et al. Relationship between implant stability measurements obtained by two different devices: A systematic review. J Periodontol. 2017;88:281-8.
26- Bijur PE, Silver W, Gallagher EJ. Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med. 2001;8:1153-7.
27- Brodovicz KG, McNaughton K, Uemura N, Meininger G, Girman CJ, Yale SH. Reliability and feasibility of methods to quantitatively assess peripheral edema. Clin Med Res. 2009;7:21-31.
28- Newbrun E. Indices to measure gingival bleeding. J Periodontol. 1996;67:555-61.
29- Malo P, de Araujo Nobre M, Lopes A. The use of computer-guided flapless implant surgery and four implants placed in immediate function to support a fixed denture: preliminary results after a mean follow-up period of thirteen months. J Prosthet Dent. 2007;97:S26-34.
30- Steflik DE, Koth DL, Robinson FG, McKinney RV, Davis BC, Morris CF, et al. Prospective investigation of the single-crystal sapphire endosteal dental implant in humans: ten-year results. J Oral Implantol. 1995;21:8-18.
31- Brignardello-Petersen R. Single anterior maxillary dental implants have good esthetic and patient satisfaction outcomes 3 years after placement. J Am Dent Assoc. 2017;148:e27.
32- Park C, Raigrodski AJ, Rosen J, Spiekerman C, London RM. Accuracy of implant placement using precision surgical guides with varying occlusogingival heights: an in vitro study. J Prosthet Dent. 2009;101:372–81.
33- Schneider U, Moser L, Fornasetti M, Piattella M, Siciliani G. Esthetic evaluation of implants vs canine substitution in patients with congenitally missing maxillary lateral incisors: Are there any new insights? Am J Orthod Dentofacial Orthop. 2016;150:416-24.
34- Clark WA, Garber DA, Salama MA, Goldstein RE. The Implant Practice. Dent Today. 2016;35:84,86,88.
35- Pour NN, Ghaedi B, Sohrabi M. Soft-tissue esthetic outcome of single implants: Immediate placement in fresh extraction sockets versus conventional placement in healed sockets. J Indian Soc Periodontol. 2018;22:249–53.
36- Esposito M, Maghaireh H, Pistilli R, Grusovin MG, Lee ST, Gualini F, et al. Dental implants with internal versus external connections: 1-year post-loading results from a pragmatic multicenter randomised controlled trial. Eur J Oral Implantol. 2015;8:331- 44.
37- Chrcanovic BR, Kisch J, Albrektsson T, Wennerberg A. Impact of Different Surgeons on Dental Implant Failure. Int J Prosthodont. 2017;30:445-54.
38- Jeong MA, Jung MK, Kim SG, Oh JS. Implant stability measurements in the longterm follow-up of dentis implants: A retrospective study with periotest. Implant Dent. 2015;24:263-6.
39- Hong DGK, Oh JH. Recent advances in dental implants. Maxillofac Plast Reconstr Surg. 2017;39:33.
40- Bosshardt DD, Chappuis V, Buser D. Osseointegration of titanium, titanium alloy and zirconia dental implants: current knowledge and open questions. Periodontol 2000. 2017;73:22-40. | ||
|
Statistics Article View: 416 PDF Download: 1,163 |
||
