Abstract
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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 139-151 |
| Number of pages | 13 |
| Journal | Periodontology 2000 |
| Volume | 81 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 1 2019 |
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Keywords
- bone
- dental implants
- osseointegration
- prostheses
ASJC Scopus subject areas
- Periodontics
Cite this
Biomaterial and biomechanical considerations to prevent risks in implant therapy. / Bonfante, Estevam A.; Jimbo, Ryo; Witek, Lukasz; Tovar, Nick; Neiva, Rodrigo; Torroni, Andrea; Coelho, Paulo.
In: Periodontology 2000, Vol. 81, No. 1, 01.01.2019, p. 139-151.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Biomaterial and biomechanical considerations to prevent risks in implant therapy
AU - Bonfante, Estevam A.
AU - Jimbo, Ryo
AU - Witek, Lukasz
AU - Tovar, Nick
AU - Neiva, Rodrigo
AU - Torroni, Andrea
AU - Coelho, Paulo
PY - 2019/1/1
Y1 - 2019/1/1
N2 - 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.
AB - 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.
KW - bone
KW - dental implants
KW - osseointegration
KW - prostheses
UR - http://www.scopus.com/inward/record.url?scp=85070858101&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85070858101&partnerID=8YFLogxK
U2 - 10.1111/prd.12288
DO - 10.1111/prd.12288
M3 - Review article
C2 - 31407440
AN - SCOPUS:85070858101
VL - 81
SP - 139
EP - 151
JO - Periodontology 2000
JF - Periodontology 2000
SN - 0906-6713
IS - 1
ER -