Degidi Marco, Perrotti Vittoria, Shibli Jamil A, Mortellaro Carmen, Piattelli Adriano, Iezzi Giovanna
From the *Bologna, Italy (private practice); †Department of Medical, Oral, and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy; ‡Department of Periodontology, Dental Research Division, Guarulhos University, Guarulhos, São Paulo, Brazil; and §Department of Medical Science, Faculty of Medicine, University of Eastern Piedmont, Novara, Italy.
J Craniofac Surg. 2014 May;25(3):840-2. doi: 10.1097/SCS.0000000000000740.
The long-term high percentages of survival and success of dental implants reported in the literature are related mainly to new, innovative implant and thread designs, and new implant surfaces that allow to obtain very good primary and secondary stability in most anatomical and clinical situations, even in low quality and quantity of bone, promoting a more rapid osseointegration. The aim of this retrospective study was a histological and histomorphometrical evaluation of the bone response around implants with a parallel-wall configuration, condensing thread macrodesign, and self-tapping apex, retrieved from man for different causes. A total of 10 implants were reported in the present study, and these implants had been retrieved after a loading period comprised between a few weeks to about 8 years. Mineralized newly formed bone was found at the interface of all the implants, in direct contact with the implant surface, with no gaps or connective fibrous tissue. This bone adapted very well to the microirregularities of the implant surface. Areas of bone remodeling were present in some regions of the interface, with many reversal lines. High bone-implant contact percentages were found. In conclusion, both the macrostructure and the microstructure of this specific type of implant could be very helpful in the long-term high survival and success implant percentages.
文献中报道的牙科种植体长期的高存活率和成功率主要与新型、创新的种植体和螺纹设计以及新的种植体表面有关,这些设计和表面能够在大多数解剖和临床情况下获得非常好的初期和二期稳定性,即使在骨质质量和数量较差的情况下也是如此,从而促进更快的骨结合。本回顾性研究的目的是对因不同原因从人体取出的具有平行壁结构、凝聚螺纹宏观设计和自攻尖端的种植体周围的骨反应进行组织学和组织形态计量学评估。本研究共报告了10颗种植体,这些种植体是在经过数周至约8年的加载期后取出的。在所有种植体的界面处均发现了矿化的新形成骨,与种植体表面直接接触,没有间隙或结缔纤维组织。这种骨很好地适应了种植体表面的微观不规则性。在界面的一些区域存在骨重塑区域,有许多反转线。发现骨-种植体接触百分比很高。总之,这种特定类型种植体的宏观结构和微观结构对长期的高种植体存活率和成功率可能非常有帮助。