Reprint

Osseointegrated Oral implants

Mechanisms of Implant Anchorage, Threats and Long-Term Survival Rates

Edited by
October 2020
368 pages
  • ISBN978-3-03936-640-8 (Hardback)
  • ISBN978-3-03936-641-5 (PDF)

This book is a reprint of the Special Issue Osseointegrated Oral implants: Mechanisms of Implant Anchorage, Threats and Long-Term Survival Rates that was published in

Medicine & Pharmacology
Public Health & Healthcare
Summary
In the past, osseointegration was regarded to be a mode of implant anchorage that simulated a simple wound healing phenomenon. Today, we have evidence that osseointegration is, in fact, a foreign body reaction that involves an immunologically derived bony demarcation of an implant to shield it off from the tissues. Marginal bone resorption around an oral implant cannot be properly understood without realizing the foreign body nature of the implant itself. Whereas the immunological response as such is positive for implant longevity, adverse immunological reactions may cause marginal bone loss in combination with combined factors. Combined factors include the hardware, clinical handling as well as patient characteristics that, even if each one of these factors only produce subliminal trauma, when acting together they may result in loss of marginal bone. The role of bacteria in the process of marginal bone loss is smaller than previously believed due to combined defense mechanisms of inflammation and immunological reactions, but if the defense is failing we may see bacterially induced marginal bone loss as well. However, problems with loss of marginal bone threatening implant survival remains relatively uncommon; we have today 10 years of clinical documentation of five different types of implant displaying a failure rate in the range of only 1 to 4 %.
Format
  • Hardback
License
© 2020 by the authors; CC BY-NC-ND license
Keywords
osseointegration; dental implant; peri-implantitis; ligature-induced peri-implantitis; aseptic loosening; systematic review; osseointegration; immune system; biomaterials; foreign body reaction; in vivo study; oral implants; osseointegration; marginal bone loss; immunomodulation; mechanotransduction; Crestal bone loss; osseosufficiency; osseoseparation; peri-implantitis; photoacoustic ultrasound; brain–bone axis; foreign body reaction; overloading; radiography; CBCT (cone beam computerized tomography); osteogenesis; osteotomy; bone healing; bone chips; drilling tool design; fused deposition modeling; polyether ether ketone; biocomposite; orthopedic implant; oral implant; mechanical properties; wettability; topography; biocompatibility; cell adhesion; peri-implantitis; peri-implant endosseous healing; dental implantation; dental implant; alveolar bone loss; dental implant; osseointegration; alveolar bone remodeling/regeneration; bone biology; finite element analysis (FEA); biomechanics; osteogenesis; cell plasticity; dental implants; electron microscopy; scanning transmission electron microscopy; bone-implant interface; bone loss; dental implant; overdenture; implant survival; peri-implantitis; implant surface; soft tissue; split-mouth design; oral health-related quality of life; patient-reported outcome measures; biomaterial; bone; osseointegration; immune; implant; healing; titanium; PEEK; Cu; dental implants; micro-RNA; microarray; predictive biomarker; epigenomics; dental implants; mucositis; peri-implantitis; diagnosis; over-treatment; iatrogenic damage; abutment height; subcrestal implants; marginal bone loss; implant insertion depth; vertical mucosal thickness; biological width; oral implants; osseointegration; implant installation; anchorage technique; histology; osteotomy; intraosseous temperature; in vivo study; finite element model; ligature induced peri-implantitis; dental implant; marginal bone loss; osseointegration; aseptic loosening; arthroplasty; replacement; hip; hypersensitivity; contact; allergy and immunology; cytokines; Interleukin-8; dental implants; surface properties; titanium; materials testing; implant contamination; implant surface; scanning electron microscopy; energy-dispersive X-ray spectrometry; bone loss; convergence; clinical study; dental implant; biofilm; infection; perio-prosthetic joint infection; periimplantitis; electrolytic cleaning; n/a; zirconia; dental implant; insertion; bone–implant interface; heat; bone damage; early loss; periimplantitis; electrolytic cleaning; augmentation; air flow; re-osseointegration; classification of bone defects; periimplantitis; electrolytic cleaning; augmentation; air flow; re-osseointegration; dog study