Evaluation of Highly Porous Dental Implants in Postablative Oral and Maxillofacial Cancer Patients: A Prospective Pilot Clinical Case Series Report.

Implant Dent

*Faculty Member, Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy. †Director, Department of Oral and Maxillofacial Sciences, Maxillofacial Specialization School, "Sapienza" University of Rome, Rome, Italy. ‡Faculty Member, Department of Diagnostic and Intervention Radiology, "Sapienza" University of Rome, Rome, Italy. §Head, Implant-Prosthetic Unit, "Sapienza" University of Rome, Rome, Italy.

Published: October 2015

Purpose: The aim of this study was to evaluate the clinical efficacy of new porous tantalum trabecular metal (PTTM)-enhanced titanium dental implants used for the prosthodontic rehabilitation of postablative cancer patients. First-year interim results of a prospective clinical case series are presented.

Materials And Methods: A total of 25 PTTM-enhanced titanium implants were placed in both maxillas and mandibles of 6 patients, who met specific inclusion criteria. Resonance frequency analysis was conducted, and implant stability was recorded in Implant Stability Quotient (ISQ) values at implant placement and after 2, 4, 6, and 12 months of functional loading. Bone levels were calculated by digitally measuring the distance from the implant shoulder to the first bone-to-implant on periapical radiographs taken at surgery and after 2, 4, 6, and 12 months of functioning.

Results: Cumulative implant survival was 100% (n = 25/25). At implant placement and the 2-, 4-, 6- and 12-month monitoring appointments, mean ISQ values were 72.14 ± 5.61 (range = 50-81), 64.39 ± 8.12 (range = 44-74), 74.26 ± 7.14 (range = 44-74), 76.84 ± 7.65 (range = 60-83), and 78.13 ± 4.14 (range = 64-84), respectively, and mean crestal marginal bone loss was 0.19 ± 0.25, 0.22 ± 0.4, 0.3 ± 0.46, and 0.57 ± 0.62 mm, respectively.

Conclusions: PTTM-enhanced dental implants were clinically effective in the prosthetic rehabilitation of postoncological patients. Larger long-term follow-up studies will help to evaluate clinical efficacy of PTTM dental implants.

Download full-text PDF

Source
http://dx.doi.org/10.1097/ID.0000000000000295DOI Listing

Publication Analysis

Top Keywords

dental implants
16
cancer patients
8
clinical case
8
case series
8
evaluate clinical
8
clinical efficacy
8
pttm-enhanced titanium
8
implant stability
8
isq values
8
implant placement
8

Similar Publications

Background: The stability of soft and hard tissues surrounding the implant is not only a matter of aesthetics, but also affects the long-term stability of the implant. The present study was to explore the influence of buccal mucosa width/height (W/H) ratio, emergence profile and buccal bone width on peri-implant soft and hard tissue changes in the posterior region.

Methods: Fifty-eight posterior implant restoration cases were recruited in this study.

View Article and Find Full Text PDF

Hydroxyapatite nanoparticles (HANPs) are becoming increasingly crucial in dental implant applications as they are highly compatible with biological systems, actively support biological processes, and closely resemble bone minerals. This review covers the latest progress in how HANPs are made, studied, and used in dentistry. It looks at critical methods for creating HANPs, such as sol-gel, microwave hydrothermal synthesis, and biomimetic approaches, and how they affect the particles' size, structure, and activity.

View Article and Find Full Text PDF

Static Zygomatic Guides: Digital ZAGA Concept.

Oral Maxillofac Surg Clin North Am

January 2025

Desert Ridge Oral Surgery Institute, 20950 N Tatum Boulevard #200, Phoenix, AZ 85050, USA; Private Practice of Oral and Maxillofacial Surgery, Phoenix, AZ, USA; Banner University Medical Center, Department of Oral and Maxillofacial Surgery, University of Arizona, Phoenix, AZ, USA.

Guided zygomatic implant placement surgery has emerged as a promising solution for patients with severe maxillary bone loss, offering precise implant placement and predictable outcomes. This article provides a comprehensive review of the current state-of-the-art techniques, advantages, challenges, and future directions in guided zygomatic implant surgery.

View Article and Find Full Text PDF

Evaluation of sticky bone in guided bone regeneration in the aesthetic area of the anterior teeth: a retrospective study.

Int J Oral Maxillofac Surg

January 2025

Stomatological Hospital of Chongqing Medical University, Chongqing, China; Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China; Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China. Electronic address:

The retrospective study aimed to compare the space-maintaining effects of sticky bone (bone graft matrix enriched with injectable platelet-rich fibrin) and titanium mesh for bone augmentation in the aesthetic zone. Patients who underwent single implant placement and had type 2/4 alveolar bone defects (buccal bone wall loss is >50% of the expected implant length) were screened for inclusion in this study. The labial bone plate width was measured at 1, 3, and 5 mm below the apical implant platform on cone beam computed tomography images taken immediately and 6 months after surgery.

View Article and Find Full Text PDF

Feasibility, trueness and precision of intraoral scanners in digitizing maxillectomy defects with exposed zygomatic implants in situ: An in vitro 3D comparative study.

J Dent

January 2025

Department of Reconstructive Dentistry and Gerodontology, University of Bern, Bern, Switzerland; Department of Conservative Dentistry and Orofacial Prosthodontics, Complutense University of Madrid, Madrid, Spain; Complutense University of Madrid, Ramon y Cajal Research Institute (IRYCIS). Madrid, Spain. Electronic address:

Objectives: To in-vitro evaluate the feasibility and accuracy (trueness and precision) of various intraoral scanners (IOS) to digitize maxillectomy defect models with exposed zygomatic implants in situ.

Material And Methods: Six partially edentulous and edentulous maxillectomy defect models with 2 zygomatic implants each were obtained. References scans were obatined by using a laboratory scanner (inEos X5; Dentsply Sirona).

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!