Timing of loading and effect of micromotion on bone–dental implant interface: Review of experimental literature
Identifieur interne : 000385 ( France/Analysis ); précédent : 000384; suivant : 000386Timing of loading and effect of micromotion on bone–dental implant interface: Review of experimental literature
Auteurs : S. Szmukler-Moncler [Suisse, France] ; H. Salama [États-Unis] ; Y. Reingewirtz [France] ; J. H. Dubruille [France]Source :
- Journal of Biomedical Materials Research [ 0021-9304 ] ; 1998-06.
Descripteurs français
- Wicri :
- topic : Titane.
English descriptors
- KwdEn :
- Adjacent teeth, Akagawa, Alumina, Anchorage, Animal studies, Apical part, Apposition, Biomechanical factors, Biomed, Bone apposition, Bone fracture healing, Bone ingrowth, Bone level, Bone reactions, Bone response, Bony ingrowth, Branemark, Brous, Brous encapsulation, Brous interposition, Brous tissue, Brous tissue interposition, Brunski, Clin, Conical, Critical threshold, Deleterious, Deleterious micromotion, Dent, Dental implantology, Dental implants, Deporter, Direct bone apposition, Distinct magnitude, Early loading, Element bridge, Encapsulation, Endodontic, Endodontic implants, Excessive micromotion, Experimental literature, Fracture, Fracture healing, Freestanding, Gingival level, Hard diet, Hard diet food, Hard food, Hashimoto, Healing, Healing period, Healing periods, Healing phase, Histologic, Histological, Histological evaluation, Immediate loading, Implant, Implant design, Implant healing, Implant interface, Ingrowth, Interface, Interposition, Jbma, Jbma loading time, Koth, Loading, Loading mode, Loading period, Loading protocol, Loading protocols, Loading time, Mandible, Mckinney, Mechanical environment, Mechanical stimulation, Micromotion, Micromotion effect, Micromotion threshold, Micromovements, Mineralized, Nonloaded, Nonsubmerged, Nonsubmerged implants, Occlusal, Oral cavity, Oral implant, Orthop, Osseointegrated, Osseointegration, Partial loading mode, Pilliar, Pilot study, Porous implants, Porous surface, Primary stability, Prosthesis, Prosthetic, Prosthetic reconstruction, Sagara, Screw implants, Soft diet, Splinting, Surface state, Surg, Tissue differentiation, Tissue ingrowth, Tissue repair, Titanium, Titanium implants, Vivo studies.
- Teeft :
- Adjacent teeth, Akagawa, Alumina, Anchorage, Animal studies, Apical part, Apposition, Biomechanical factors, Biomed, Bone apposition, Bone fracture healing, Bone ingrowth, Bone level, Bone reactions, Bone response, Bony ingrowth, Branemark, Brous, Brous encapsulation, Brous interposition, Brous tissue, Brous tissue interposition, Brunski, Clin, Conical, Critical threshold, Deleterious, Deleterious micromotion, Dent, Dental implantology, Dental implants, Deporter, Direct bone apposition, Distinct magnitude, Early loading, Element bridge, Encapsulation, Endodontic, Endodontic implants, Excessive micromotion, Experimental literature, Fracture, Fracture healing, Freestanding, Gingival level, Hard diet, Hard diet food, Hard food, Hashimoto, Healing, Healing period, Healing periods, Healing phase, Histologic, Histological, Histological evaluation, Immediate loading, Implant, Implant design, Implant healing, Implant interface, Ingrowth, Interface, Interposition, Jbma, Jbma loading time, Koth, Loading, Loading mode, Loading period, Loading protocol, Loading protocols, Loading time, Mandible, Mckinney, Mechanical environment, Mechanical stimulation, Micromotion, Micromotion effect, Micromotion threshold, Micromovements, Mineralized, Nonloaded, Nonsubmerged, Nonsubmerged implants, Occlusal, Oral cavity, Oral implant, Orthop, Osseointegrated, Osseointegration, Partial loading mode, Pilliar, Pilot study, Porous implants, Porous surface, Primary stability, Prosthesis, Prosthetic, Prosthetic reconstruction, Sagara, Screw implants, Soft diet, Splinting, Surface state, Surg, Tissue differentiation, Tissue ingrowth, Tissue repair, Titanium, Titanium implants, Vivo studies.
Abstract
A significant no‐load healing period is the generally accepted prerequisite for osseointegration in dental implantology. The aim of this article was to examine whether this no‐load healing period is validated by the experimental literature. In vivo histological data was scrutinized to identify the effect of early loading protocols on the bone‐implant interface. Several loading modes were identified. They were categorized into groups according to implant design and the type of prosthetic reconstruction, and by their ability to introduce a distinct magnitude of motion at the interface. Specific histologic responses of early loaded implants (i.e., fibrous repair or osseointegration) were suggested to be directly related to the specific combinations of the above parameters. Early loading per se was not found to be detrimental to osseointegration. Specifically, only excessive micromotion was directly implicated in the formation of fibrous encapsulation. The literature suggests that there is a critical threshold of micromotion above which fibrous encapsulation prevails over osseointegration. This critical level, however, was not zero micromotion as generally interpreted. Instead, the tolerated micromotion threshold was found to lie somewhere between 50 and 150 μm. Suggestions are made for the earliest loading time that achieves osseointegration. © 1998 John Wiley & Sons, Inc. J Biomed Mater Res (Appl Biomater) 43: 192–203, 1998
Url:
DOI: 10.1002/(SICI)1097-4636(199822)43:2<192::AID-JBM14>3.0.CO;2-K
Affiliations:
- France, Suisse, États-Unis
- Alsace (région administrative), Grand Est, Pennsylvanie, Île-de-France
- Paris, Strasbourg
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ISTEX:A1EE968B495E76377E3F6E43CFC9B966CEC6F157Le document en format XML
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Dubruille</name><affiliation wicri:level="3"><country xml:lang="fr">France</country><wicri:regionArea>Institute of Stomatology, Plastic Surgery and Maxillo‐facial Surgery, University of Paris VI, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Biomedical Materials Research</title><title level="j" type="alt">JOURNAL OF BIOMEDICAL MATERIALS RESEARCH</title><idno type="ISSN">0021-9304</idno><idno type="eISSN">1097-4636</idno><imprint><biblScope unit="vol">43</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="192">192</biblScope><biblScope unit="page" to="203">203</biblScope><biblScope unit="page-count">12</biblScope><publisher>John Wiley & Sons, Inc.</publisher><pubPlace>New York</pubPlace><date type="published" when="1998-06">1998-06</date></imprint><idno type="ISSN">0021-9304</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0021-9304</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adjacent teeth</term><term>Akagawa</term><term>Alumina</term><term>Anchorage</term><term>Animal studies</term><term>Apical part</term><term>Apposition</term><term>Biomechanical factors</term><term>Biomed</term><term>Bone apposition</term><term>Bone fracture healing</term><term>Bone ingrowth</term><term>Bone level</term><term>Bone reactions</term><term>Bone response</term><term>Bony ingrowth</term><term>Branemark</term><term>Brous</term><term>Brous encapsulation</term><term>Brous interposition</term><term>Brous tissue</term><term>Brous tissue interposition</term><term>Brunski</term><term>Clin</term><term>Conical</term><term>Critical threshold</term><term>Deleterious</term><term>Deleterious micromotion</term><term>Dent</term><term>Dental implantology</term><term>Dental implants</term><term>Deporter</term><term>Direct bone apposition</term><term>Distinct magnitude</term><term>Early loading</term><term>Element bridge</term><term>Encapsulation</term><term>Endodontic</term><term>Endodontic implants</term><term>Excessive micromotion</term><term>Experimental literature</term><term>Fracture</term><term>Fracture healing</term><term>Freestanding</term><term>Gingival level</term><term>Hard diet</term><term>Hard diet food</term><term>Hard food</term><term>Hashimoto</term><term>Healing</term><term>Healing period</term><term>Healing periods</term><term>Healing phase</term><term>Histologic</term><term>Histological</term><term>Histological evaluation</term><term>Immediate loading</term><term>Implant</term><term>Implant design</term><term>Implant healing</term><term>Implant interface</term><term>Ingrowth</term><term>Interface</term><term>Interposition</term><term>Jbma</term><term>Jbma loading time</term><term>Koth</term><term>Loading</term><term>Loading mode</term><term>Loading period</term><term>Loading protocol</term><term>Loading protocols</term><term>Loading time</term><term>Mandible</term><term>Mckinney</term><term>Mechanical environment</term><term>Mechanical stimulation</term><term>Micromotion</term><term>Micromotion effect</term><term>Micromotion threshold</term><term>Micromovements</term><term>Mineralized</term><term>Nonloaded</term><term>Nonsubmerged</term><term>Nonsubmerged implants</term><term>Occlusal</term><term>Oral cavity</term><term>Oral implant</term><term>Orthop</term><term>Osseointegrated</term><term>Osseointegration</term><term>Partial loading mode</term><term>Pilliar</term><term>Pilot study</term><term>Porous implants</term><term>Porous surface</term><term>Primary stability</term><term>Prosthesis</term><term>Prosthetic</term><term>Prosthetic reconstruction</term><term>Sagara</term><term>Screw implants</term><term>Soft diet</term><term>Splinting</term><term>Surface state</term><term>Surg</term><term>Tissue differentiation</term><term>Tissue ingrowth</term><term>Tissue repair</term><term>Titanium</term><term>Titanium implants</term><term>Vivo studies</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Adjacent teeth</term><term>Akagawa</term><term>Alumina</term><term>Anchorage</term><term>Animal studies</term><term>Apical part</term><term>Apposition</term><term>Biomechanical factors</term><term>Biomed</term><term>Bone apposition</term><term>Bone fracture healing</term><term>Bone ingrowth</term><term>Bone level</term><term>Bone reactions</term><term>Bone response</term><term>Bony ingrowth</term><term>Branemark</term><term>Brous</term><term>Brous encapsulation</term><term>Brous interposition</term><term>Brous tissue</term><term>Brous tissue interposition</term><term>Brunski</term><term>Clin</term><term>Conical</term><term>Critical threshold</term><term>Deleterious</term><term>Deleterious micromotion</term><term>Dent</term><term>Dental implantology</term><term>Dental implants</term><term>Deporter</term><term>Direct bone apposition</term><term>Distinct magnitude</term><term>Early loading</term><term>Element bridge</term><term>Encapsulation</term><term>Endodontic</term><term>Endodontic implants</term><term>Excessive micromotion</term><term>Experimental literature</term><term>Fracture</term><term>Fracture healing</term><term>Freestanding</term><term>Gingival level</term><term>Hard diet</term><term>Hard diet food</term><term>Hard food</term><term>Hashimoto</term><term>Healing</term><term>Healing period</term><term>Healing periods</term><term>Healing phase</term><term>Histologic</term><term>Histological</term><term>Histological evaluation</term><term>Immediate loading</term><term>Implant</term><term>Implant design</term><term>Implant healing</term><term>Implant interface</term><term>Ingrowth</term><term>Interface</term><term>Interposition</term><term>Jbma</term><term>Jbma loading time</term><term>Koth</term><term>Loading</term><term>Loading mode</term><term>Loading period</term><term>Loading protocol</term><term>Loading protocols</term><term>Loading time</term><term>Mandible</term><term>Mckinney</term><term>Mechanical environment</term><term>Mechanical stimulation</term><term>Micromotion</term><term>Micromotion effect</term><term>Micromotion threshold</term><term>Micromovements</term><term>Mineralized</term><term>Nonloaded</term><term>Nonsubmerged</term><term>Nonsubmerged implants</term><term>Occlusal</term><term>Oral cavity</term><term>Oral implant</term><term>Orthop</term><term>Osseointegrated</term><term>Osseointegration</term><term>Partial loading mode</term><term>Pilliar</term><term>Pilot study</term><term>Porous implants</term><term>Porous surface</term><term>Primary stability</term><term>Prosthesis</term><term>Prosthetic</term><term>Prosthetic reconstruction</term><term>Sagara</term><term>Screw implants</term><term>Soft diet</term><term>Splinting</term><term>Surface state</term><term>Surg</term><term>Tissue differentiation</term><term>Tissue ingrowth</term><term>Tissue repair</term><term>Titanium</term><term>Titanium implants</term><term>Vivo studies</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Titane</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A significant no‐load healing period is the generally accepted prerequisite for osseointegration in dental implantology. The aim of this article was to examine whether this no‐load healing period is validated by the experimental literature. In vivo histological data was scrutinized to identify the effect of early loading protocols on the bone‐implant interface. Several loading modes were identified. They were categorized into groups according to implant design and the type of prosthetic reconstruction, and by their ability to introduce a distinct magnitude of motion at the interface. Specific histologic responses of early loaded implants (i.e., fibrous repair or osseointegration) were suggested to be directly related to the specific combinations of the above parameters. Early loading per se was not found to be detrimental to osseointegration. Specifically, only excessive micromotion was directly implicated in the formation of fibrous encapsulation. The literature suggests that there is a critical threshold of micromotion above which fibrous encapsulation prevails over osseointegration. This critical level, however, was not zero micromotion as generally interpreted. Instead, the tolerated micromotion threshold was found to lie somewhere between 50 and 150 μm. Suggestions are made for the earliest loading time that achieves osseointegration. © 1998 John Wiley & Sons, Inc. J Biomed Mater Res (Appl Biomater) 43: 192–203, 1998</div></front></TEI><affiliations><list><country><li>France</li><li>Suisse</li><li>États-Unis</li></country><region><li>Alsace (région administrative)</li><li>Grand Est</li><li>Pennsylvanie</li><li>Île-de-France</li></region><settlement><li>Paris</li><li>Strasbourg</li></settlement></list><tree><country name="Suisse"><noRegion><name sortKey="Szmukler Oncler, S" sort="Szmukler Oncler, S" uniqKey="Szmukler Oncler S" first="S." last="Szmukler-Moncler">S. Szmukler-Moncler</name></noRegion><name sortKey="Szmukler Oncler, S" sort="Szmukler Oncler, S" uniqKey="Szmukler Oncler S" first="S." last="Szmukler-Moncler">S. Szmukler-Moncler</name></country><country name="France"><region name="Île-de-France"><name sortKey="Szmukler Oncler, S" sort="Szmukler Oncler, S" uniqKey="Szmukler Oncler S" first="S." last="Szmukler-Moncler">S. Szmukler-Moncler</name></region><name sortKey="Dubruille, J H" sort="Dubruille, J H" uniqKey="Dubruille J" first="J. H." last="Dubruille">J. H. Dubruille</name><name sortKey="Reingewirtz, Y" sort="Reingewirtz, Y" uniqKey="Reingewirtz Y" first="Y." last="Reingewirtz">Y. Reingewirtz</name></country><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Salama, H" sort="Salama, H" uniqKey="Salama H" first="H." last="Salama">H. Salama</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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