Acceleration and improvement of dental implants’ osseointegration. Current
perspectives
Gregory VENETIS, Dimitris TATSIS, Florentia STYLIANOU, Charalampos SYMEONIDIS
Department of Oral & Maxillofacial Surgery, Dental School, Aristotle University of Thessaloniki, Greece (Head: Professor K. Antoniadis)
Hellenic Archives of Oral & Maxillofacial Surgery (2013) 3, 169-182
SUMMARY: The possibility to accelerate osseointegration and/or to improve bone quality around an implant is the subject of the present literature review. The following key words were searched on Pubmed: accelerate, improvement, osseointegration. The publication date span was set from 2009 to 2013. Combinations of the search terms retrieved the following results: a) accelerate and osseointegration: 78 papers; b) improvement and osseointegration: 206 papers. A supplementary search on the surgical techniques available for alveolar ridge augmentation for the last 10 years, found 457 papers. After a systematic review of the above papers the following are concluded: 1. Guided bone regeneration (GBR) is the most thoroughly examined technique of bone growth around a dental implant placed into a poor alveolar bone. 2. The dental implants’ surface treatment trends aim to less invasive and more sophisticated techniques, with the use of nanotechnology. 3. Implant surface coating with adhesion peptides and/or inorganic calcium compounds in thin layers may amplify the biochemistry of osseointegration. 4. Other, non-biochemical methods, are being tested experimentally to inhibit or decrease the alveolar bone loss around an implant and finally 5. The systemic administration of osteoclastic inhibitors, such as bisphosphonates or strontium seems to accelerate the initial stage of osseointegration. These findings represent an approximate prediction for the future development of osseointegration research and pose research questions for further study.
KEY WORDS: osseointegration, implants, techniques
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