New Challenges in Dental Implants

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Dentistry, Oral Surgery and Oral Medicine".

Deadline for manuscript submissions: closed (20 October 2023) | Viewed by 16758

Special Issue Editors


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Guest Editor
Department of Oral and Maxillofacial Surgery, Universitätsklinikum Münster, 48149 Münster, Germany
Interests: oral medicine; oral diseases; dental medicine; oral pathology; dental implantology; oral implantology; rare diseases
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Department of Cranio-Maxillofacial Surgery, University Hospital Muenster, 48149 Muenster, Germany
Interests: oral medicine; dental medicine; dental implantology; oral implantology; digital planning; prosthodontics; oral rehabilitation; dental materials; rare diseases
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Dental implants are a reliable option to replace missing teeth. Due to the recent development in biomaterials and dental implant surfaces, a variety of treatment options can be offered to patients. In addition, advances in prosthodontic and surgical techniques, such as immediate loading, have expanded the treatment possibilities and broadened the range of patients that may benefit from dental implant treatments. Advances in materials science, including in graft materials, and dental implant surfaces, such as digital implant planning, facilitate daily practice and improve treatment outcomes. However, all of these new possibilities caused dental implant treatments to be challenging. New research and developments are required to ensure an evidence-based treatment. For this Special Issue, we would like to invite clinicians and researchers to submit original research in terms of innovations in dental implant science.

Dr. Marcel Hanisch
Dr. Lauren Bohner
Guest Editors

Manuscript Submission Information

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Keywords

  • dental implants
  • biomaterials
  • digital planning
  • soft tissue
  • bone graft
  • clinical protocol
  • immediate loading

Published Papers (4 papers)

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Editorial

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1 pages, 147 KiB  
Editorial
New Treatment Concepts in Implantology—The Role of Digital Innovations for an Individualized Dental Implant Rehabilitation
by Lauren Bohner and Marcel Hanisch
J. Clin. Med. 2022, 11(19), 5667; https://doi.org/10.3390/jcm11195667 - 26 Sep 2022
Viewed by 999
Abstract
In the last few years, technological innovations have been changing the field of implantology [...] Full article
(This article belongs to the Special Issue New Challenges in Dental Implants)

Review

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25 pages, 748 KiB  
Review
Biomaterials and Clinical Application of Dental Implants in Relation to Bone Density—A Narrative Review
by Angkoon Khaohoen, Tanapon Sornsuwan, Pisaisit Chaijareenont, Pongsakorn Poovarodom, Chaiy Rungsiyakull and Pimduen Rungsiyakull
J. Clin. Med. 2023, 12(21), 6924; https://doi.org/10.3390/jcm12216924 - 3 Nov 2023
Cited by 5 | Viewed by 2187
Abstract
Titanium has been the material of choice for dental implant fixtures due to its exceptional qualities, such as its excellent balance of rigidity and stiffness. Since zirconia is a soft-tissue-friendly material and caters to esthetic demands, it is an alternative to titanium for [...] Read more.
Titanium has been the material of choice for dental implant fixtures due to its exceptional qualities, such as its excellent balance of rigidity and stiffness. Since zirconia is a soft-tissue-friendly material and caters to esthetic demands, it is an alternative to titanium for use in implants. Nevertheless, bone density plays a vital role in determining the material and design of implants. Compromised bone density leads to both early and late implant failures due to a lack of implant stability. Therefore, this narrative review aims to investigate the influence of implant material/design and surgical technique on bone density from both biomechanical and biological standpoints. Relevant articles were included for analysis. Dental implant materials can be fabricated from titanium, zirconia, and PEEK. In terms of mechanical and biological aspects, titanium is still the gold standard for dental implant materials. Additionally, the macro- and microgeometry of dental implants play a role in determining and planning the appropriate treatment because it can enhance the mechanical stress transmitted to the bone tissue. Under low-density conditions, a conical titanium implant design, longer length, large diameter, reverse buttress with self-tapping, small thread pitch, and deep thread depth are recommended. Implant material, implant design, surgical techniques, and bone density are pivotal factors affecting the success rates of dental implant placement in low-density bone. Further study is required to find the optimal implant material for a clinical setting’s bone state. Full article
(This article belongs to the Special Issue New Challenges in Dental Implants)
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Other

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22 pages, 484 KiB  
Systematic Review
Osseodensification: An Alternative to Conventional Osteotomy in Implant Site Preparation: A Systematic Review
by João Fontes Pereira, Rosana Costa, Miguel Nunes Vasques, Filomena Salazar, José Manuel Mendes and Marco Infante da Câmara
J. Clin. Med. 2023, 12(22), 7046; https://doi.org/10.3390/jcm12227046 - 11 Nov 2023
Cited by 2 | Viewed by 1493
Abstract
Osseodensification is an innovative method of preparing the implant osteotomy using drills that promote bone self-compaction. The main objective of this technique is to promote peri-implant bone densification and compaction of autologous bone and to increase the primary stability of the implant due [...] Read more.
Osseodensification is an innovative method of preparing the implant osteotomy using drills that promote bone self-compaction. The main objective of this technique is to promote peri-implant bone densification and compaction of autologous bone and to increase the primary stability of the implant due to the viscoelastic characteristics of the alveolar bone using Densah® burs in a counterclockwise direction at a speed of 800 to 1500 rpm. The objective of this review is the analysis of the scientific literature regarding the applicability of the osseodensification technique in oral implantology. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines were used and registered at PROSPERO. The search strategy included electronic databases from 2016 to 2023 and was performed by two independent reviewers. The results demonstrate the advantage of the osseodensification technique in relation to conventional drilling, allowing an increase in the bone density and primary stability of the implant, bone density, and bone–implant contact. The osseodensification technique can be applied in different clinical situations: sub-antral bone grafts, narrow alveolar bone crests, low-density bone areas, and immediate implant placement in post-extraction sockets. Full article
(This article belongs to the Special Issue New Challenges in Dental Implants)
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18 pages, 1618 KiB  
Systematic Review
The Sympathetic Nervous System in Dental Implantology
by Johannes Raphael Kupka, Keyvan Sagheb, Bilal Al-Nawas and Eik Schiegnitz
J. Clin. Med. 2023, 12(8), 2907; https://doi.org/10.3390/jcm12082907 - 17 Apr 2023
Cited by 2 | Viewed by 11133
Abstract
The sympathetic nervous system plays a vital role in various regulatory mechanisms. These include the well-known fight-or-flight response but also, for example, the processing of external stressors. In addition to many other tissues, the sympathetic nervous system influences bone metabolism. This effect could [...] Read more.
The sympathetic nervous system plays a vital role in various regulatory mechanisms. These include the well-known fight-or-flight response but also, for example, the processing of external stressors. In addition to many other tissues, the sympathetic nervous system influences bone metabolism. This effect could be highly relevant concerning osseointegration, which is responsible for the long-term success of dental implants. Accordingly, this review aims to summarize the current literature on this topic and to reveal future research perspectives. One in vitro study showed differences in mRNA expression of adrenoceptors cultured on implant surfaces. In vivo, sympathectomy impaired osseointegration in mice, while electrical stimulation of the sympathetic nerves promoted it. As expected, the beta-blocker propranolol improves histological implant parameters and micro-CT measurements. Overall, the present data are considered heterogeneous. However, the available publications reveal the potential for future research and development in dental implantology, which helps to introduce new therapeutic strategies and identify risk factors for dental implant failure. Full article
(This article belongs to the Special Issue New Challenges in Dental Implants)
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