Abstract
Purpose
To evaluate the survival rates of dental implants with a hybrid macrostructure and the surface biomimetically coated with nanohydroxyapatite, placed in horizontally atrophic maxillae previously submitted to the guided bone regeneration (GBR) procedure, associated with the use of a deproteinized bovine bone graft (DBB).
Methods
Twenty-five patients who received 196 implants were involved in this study. First, these patients were submitted to GBR procedures and maxillary sinus lift, where DBB was used as the grafting material. The dental implants were placed after a minimum period of 6 months of the grafting procedures. The patients were followed up every six months and clinical/radiographic examinations were performed to assess the implants, using the following indicators as a reference: (1) Absence of mobility; (2) Absence of pain. Data about the age, surgery time, smoking status, implant size, and time between the grafting procedure and implant placement were correlated with implant failures.
Results
Twelve implants failed, generating a survival rate of 94.23%. None of the variables analysed correlated with the implant failures.
Conclusion
Implants with a hybrid macrostructure and surface biomimetically coated with nanohydroxyapatite present good survival rates in horizontally atrophic maxillae grafted with DBB.
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Data availability
Data from this study will be available upon request to the authors.
References
Tartaglia GM, Poli PP, Connelly ST, Maiorana C, Farronato D, Taschieri S (2021) Clinical outcome of Dental implants after Maxillary Sinus Augmentation with and without bone grafting: a retrospective evaluation. Mater (Basel) 14:2479. https://doi.org/10.3390/ma14102479
Kinaia BM, Kazerani S, Korkis S, Masabni OM, Shah M, Neely AL (2021) Effect of guided bone regeneration on immediately placed implants: Meta-analyses with at least 12 months follow-up after functional loading. J Periodontol 92:1749–1760. https://doi.org/10.1002/JPER.18-0543
Covani U, Giammarinaro E, Panetta D, Salvadori PA, Cosola S, Marconcini S (2022) Alveolar bone remodeling with or without collagen filling of the extraction socket: a high-resolution X-ray Tomography Animal Study. J Clin Med 11:2493. https://doi.org/10.3390/jcm11092493
Menchini-Fabris GB, Toti P, Crespi R, Crespi G, Cosola S, Covani U (2022) A Retrospective Digital Analysis of Contour Changing after tooth extraction with or without using Less Traumatic Surgical procedures. J Clin Med 11:922. https://doi.org/10.3390/jcm11040922
Mendoza-Azpur G, de la Fuente A, Chavez E, Valdivia E, Khouly I (2019) Horizontal ridge augmentation with guided bone regeneration using particulate xenogenic bone substitutes with or without autogenous block grafts: a randomized controlled trial. Clin Implant Dent Relat Res 21:521–530. https://doi.org/10.1111/cid.12740
Starch-Jensen T, Nielsen HB (2020) Sandwich osteotomy of the atrophic posterior mandible with interpositional autogenous bone block graft compared with bone substitute material: a systematic review and meta-analysis. Br J Oral Maxillofac Surg 58:e237–e247. https://doi.org/10.1016/j.bjoms.2020.07.040
Nkenke E, Neukam FW (2014) Autogenous bone harvesting and grafting in advanced jaw resorption: morbidity, resorption and implant survival. Eur J Oral Implantol 2:S203–S217
Ghassemi A, Ghassemi M, Riediger D, Hilgers RD, Gerressen M (2009) Comparison of donor-site engraftment after harvesting vascularized and nonvascularized iliac bone grafts. J Oral Maxillofac Surg 67:1589–1594. https://doi.org/10.1016/j.joms.2009.04.013
Lorenzetti M, Vono M, Lorenzetti V (2019) A retrospective Tomographic and Histologic Analysis of Horizontal Bone Augmentation in Maxillary Atrophic ridges using Resorbable membrane with anorganic bovine bone-derived Mineral and plasma Rich in Growth factors. Int J Periodontics Restor Dent 39:399–406. https://doi.org/10.11607/prd.3082
De Santis D, Menchini Fabris GB, Lotti J, Palumbo C, Ferretti M, Castellani R, Lotti T, Zanotti G, Gelpi F, Covani C, Nocini PF (2017) Bi-layered collagen nano-structured membrane prototype collagen matrix 10826® for soft tissue regeneration in rabbits: an in vivo ultra-structural study of the early healing phase. J Biol Regul Homeost Agents 31:91–97
Quiroz VF, Lima JR, Pinotti FE, Marcantonio RA, Marcantonio E, Oliveira GJ (2022) Comparison of osseointegration in areas grafted with deproteinized bovine bone and native bone. A preclinical study. Acta Odontol Latinoam 35:3–9. https://doi.org/10.54589/aol.35/1/3
Lima JR, Soares PBF, Pinotti FE, Marcantonio RAC, Marcantonio-Junior E, de Oliveira GJPL (2022) Comparison of the osseointegration of implants placed in areas grafted with HA/TCP and native bone. Microsc Res Tech 85:2776–2783. https://doi.org/10.1002/jemt.24126
Hernandez M, Pette GA, Grenier A, Villanueva C, Lask E, Parker W (2012) A clinical and histological comparison of two different bone augmentation materials in the atrophic pre-maxilla. Compend Contin Educ Dent 33:e26–e32
Romanos GE, Lau J, Delgado-Ruiz R, Javed F (2020) Primary stability of narrow-diameter dental implants with a multiple condensing thread design placed in bone with and without osteotomes: an in vitro study. Clin Implant Dent Relat Res 22:409–414. https://doi.org/10.1111/cid.12908
Pinotti FE, de Oliveira GJPL, Aroni MAT, Marcantonio RAC, Marcantonio E Jr (2018) Analysis of osseointegration of implants with hydrophilic surfaces in grafted areas: a preclinical study. Clin Oral Implants Res 29:963–972. https://doi.org/10.1111/clr.13361
Benic GI, Hämmerle CH (2014) Horizontal bone augmentation by means of guided bone regeneration. Periodontol 2000 66: 13–40. https://doi.org/10.1111/prd.12039
Cosola S, Toti P, Peñarrocha-Diago M, Covani U, Brevi BC, Peñarrocha-Oltra D (2021) Standardization of three-dimensional pose of cylindrical implants from intraoral radiographs: a preliminary study. BMC Oral Health 21(1):100. https://doi.org/10.1186/s12903-021-01448-9
Malchiodi L, Moro T, Cattina DP, Cucchi A, Ghensi P, Nocini PF (2018) Implant rehabilitation of the edentulous jaws: does tilting of posterior implants at an angle greater than 45° affect bone resorption and implant success? A retrospective study. Clin Implant Dent Relat Res 20:867–874. https://doi.org/10.1111/cid.12655
Borgonovo A, Grandi T, Vassallo S, Signorini L (2021) Extrasinus Zygomatic implants for the Immediate Rehabilitation of the Atrophic Maxilla: 1-Year postloading results from a Multicenter prospective cohort study. J Oral Maxillofac Surg 79:356–365. https://doi.org/10.1016/j.joms.2020.10.003
Martins SHL, Cadore UB, Novaes AB Jr, Messora MR, Ghiraldini B, Bezerra FJB, Botticelli D, de Souza SLS (2022) Evaluation of bone response to a Nano HA Implant Surface on Sinus Lifting procedures: study in rabbits. J Funct Biomater 13:122. https://doi.org/10.3390/jfb13030122
Pessoa RS, Coelho PG, Muraru L, Marcantonio E Jr, Vaz LG, Vander Sloten J, Jaecques SV (2011) Influence of implant design on the biomechanical environment of immediately placed implants: computed tomography-based nonlinear three-dimensional finite element analysis. Int J Oral Maxillofac Implants 26:1279–1287
Jimbo R, Coelho PG, Bryington M, Baldassarri M, Tovar N, Currie F, Hayashi M, Janal MN, Andersson M, Ono D, Vandeweghe S, Wennerberg A (2012) Nano hydroxyapatite-coated implants improve bone nanomechanical properties. J Dent Res 91:1172–1177. https://doi.org/10.1177/0022034512463240
Urban IA, Nagursky H, Lozada JL (2011) Horizontal ridge augmentation with a resorbable membrane and particulated autogenous bone with or without anorganic bovine bone-derived mineral: a prospective case series in 22 patients. Int J Oral Maxillofac Implants 26:404–414
Urban IA, Barootchi S, Urban IA, Kan JYK, Tavelli L (2023) Hard- and soft-tissue Reconstruction in the Anterior Maxilla for Esthetic Implant Therapy. Compend Contin Educ Dent 44:385–389
Song YW, Jung HJ, An YZ, Jung UW, Lee JS (2021) Addition of autogenous bone chips to deproteinized bovine bone mineral does not have additional benefit in lateral ridge augmentation-A preclinical in vivo experimental study. Clin Oral Implants Res 32:1105–1114. https://doi.org/10.1111/clr.13805
Calciolari E, Corbella S, Gkranias N, Viganó M, Sculean A, Donos N (2023) Efficacy of biomaterials for lateral bone augmentation performed with guided bone regeneration. A network meta-analysis. Periodontol 2000 93:77–106. https://doi.org/10.1111/prd.12531
Park JY, Chung HM, Strauss FJ, Lee JS (2023) Dimensional changes after horizontal and vertical guided bone regeneration without membrane fixation using the retentive flap technique: a 1-year retrospective study. Clin Implant Dent Relat Res 25:871–880. https://doi.org/
Oliveira PGFP, Coelho PG, Bergamo ETP, Witek L, Borges CA, Bezerra FB, Novaes AB Jr, Souza SLS (2020) Histological and Nanomechanical Properties of a New Nanometric Hydroxiapatite Implant Surface. An in vivo study in Diabetic rats. Mater (Basel) 13:5693. https://doi.org/10.3390/ma13245693
de Oliveira PGFP, de Melo Soares MS, Silveira E, Souza AMM, Taba M Jr, Palioto DB, Messora MR, Ghiraldini B, Nunes FAS, de Souza SLS (2021) Influence of nano-hydroxyapatite coating implants on gene expression of osteogenic markers and micro-CT parameters. An in vivo study in diabetic rats. J Biomed Mater Res A 109:682–694. https://doi.org/10.1002/jbm.a.37052
Acknowledgements
The authors like do thanks the SIN implants system due to the donation of the dental implants used in this study.
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The SIN implants system donates the dental implants used in this study.
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Study design (EA, FJB ,JNS); Methodology and Data Obtention (EA, MCFA); Data curation (GJPLO, JNS); Interpretation of the data (EA, FJB ,JNS, GJPLO), Writing of the paper EA, GJPLO, JNS); Review of the paper (All the authors).
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This study was submitted to and approved by the Ethical Research Committee of the Faculty of Public Health and Medicine of Bahia, Brazil (EBMSP), under number CAAE 44960721.2.0000.5544. Approbation date: 14/12/2021; https://plataformabrasil.saude.gov.br/login.jsf;jsessionid=4BBE064305408EEE79F13EFC7E369985.server-plataformabrasil-srvjpdf132.
Competing interests
Dr. Fábio Bezerra is the Director of the research and development department of the SIN implants system. The other authors declares to have no conflict of interesting regarding this research.
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Azoubel, E., Azoubel, M.C.F., de Oliveira, G.J.P.L. et al. Survival analysis of dental implants placed in horizontally severely resorbed maxillae after reconstruction with xenogeneic graft: a case series. Oral Maxillofac Surg (2024). https://doi.org/10.1007/s10006-024-01239-w
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DOI: https://doi.org/10.1007/s10006-024-01239-w