Biomaterial and biomechanical considerations to prevent risks in implant therapy

Estevam A. Bonfante, Ryo Jimbo, Lukasz Witek, Nick Tovar, Rodrigo Neiva, Andrea Torroni, Paulo Coelho

Research output: Contribution to journalReview article

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 languageEnglish (US)
Pages (from-to)139-151
Number of pages13
JournalPeriodontology 2000
Volume81
Issue number1
DOIs
StatePublished - Jan 1 2019

Fingerprint

Biocompatible Materials
Rehabilitation
Osseointegration
Bone and Bones
Mental Competency
Prostheses and Implants
Patient Care
Therapeutics

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 journalReview article

Bonfante, Estevam A. ; Jimbo, Ryo ; Witek, Lukasz ; Tovar, Nick ; Neiva, Rodrigo ; Torroni, Andrea ; Coelho, Paulo. / Biomaterial and biomechanical considerations to prevent risks in implant therapy. In: Periodontology 2000. 2019 ; Vol. 81, No. 1. pp. 139-151.
@article{db5d044fc34d4a6a841d404986790af1,
title = "Biomaterial and biomechanical considerations to prevent risks in implant therapy",
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.",
keywords = "bone, dental implants, osseointegration, prostheses",
author = "Bonfante, {Estevam A.} and Ryo Jimbo and Lukasz Witek and Nick Tovar and Rodrigo Neiva and Andrea Torroni and Paulo Coelho",
year = "2019",
month = "1",
day = "1",
doi = "10.1111/prd.12288",
language = "English (US)",
volume = "81",
pages = "139--151",
journal = "Periodontology 2000",
issn = "0906-6713",
publisher = "Blackwell Munksgaard",
number = "1",

}

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 -