Biomaterial and biomechanical considerations to prevent risks in implant therapy

© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd..

This paper is aimed to present a biomaterials perspective in implant therapy that fosters improved bone response and long-term biomechanical competence from surgical instrumentation to final prosthetic rehabilitation. Strategies to develop implant surface texturing will be presented and their role as an ad hoc treatment discussed in light of the interplay between surgical instrumentation and implant macrogeometric configuration. Evidence from human retrieved implants in service for several years and from in vivo studies will be used to show how the interplay between surgical instrumentation and implant macrogeometry design affect osseointegration healing pathways, and bone morphologic and long-term mechanical properties. Also, the planning of implant-supported prosthetic rehabilitations targeted at long-term performance will be appraised from a standpoint where personal preferences (eg, cementing or screwing a prosthesis) can very often fail to deliver the best patient care. Lastly, the acknowledgement that every rehabilitation will have its strength degraded over time once in function will be highlighted, since the potential occurrence of even minor failures is rarely presented to patients prior to treatment.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:81

Enthalten in:

Periodontology 2000 - 81(2019), 1 vom: 16. Okt., Seite 139-151

Sprache:

Englisch

Beteiligte Personen:

Bonfante, Estevam A [VerfasserIn]
Jimbo, Ryo [VerfasserIn]
Witek, Lukasz [VerfasserIn]
Tovar, Nick [VerfasserIn]
Neiva, Rodrigo [VerfasserIn]
Torroni, Andrea [VerfasserIn]
Coelho, Paulo G [VerfasserIn]

Links:

Volltext

Themen:

Biocompatible Materials
Bone
Dental Implants
Dental implants
Journal Article
Osseointegration
Prostheses
Research Support, Non-U.S. Gov't
Review

Anmerkungen:

Date Completed 26.11.2019

Date Revised 26.11.2019

published: Print

Citation Status MEDLINE

doi:

10.1111/prd.12288

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM300179367