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Influence of controlled immediate loading and implant design on peri‐implant bone formation

Identifieur interne : 000A20 ( Istex/Corpus ); précédent : 000A19; suivant : 000A21

Influence of controlled immediate loading and implant design on peri‐implant bone formation

Auteurs : Katleen Vandamme ; Ignace Naert ; Liesbet Geris ; Jozef Vander Sloten ; Robert Puers ; Joke Duyck

Source :

RBID : ISTEX:1488BDBEF0DCA79360EF1967A96714FC90512589

English descriptors

Abstract

Aim: Tissue formation at the implant interface is known to be sensitive to mechanical stimuli. The aim of the study was to compare the bone formation around immediately loaded versus unloaded implants in two different implant macro‐designs.

Url:
DOI: 10.1111/j.1600-051X.2006.01014.x

Links to Exploration step

ISTEX:1488BDBEF0DCA79360EF1967A96714FC90512589

Le document en format XML

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<term>Trabecular</term>
<term>Trabecular bone</term>
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<div type="abstract">Aim: Tissue formation at the implant interface is known to be sensitive to mechanical stimuli. The aim of the study was to compare the bone formation around immediately loaded versus unloaded implants in two different implant macro‐designs.</div>
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Tissue formation at the implant interface is known to be sensitive to mechanical stimuli. The aim of the study was to compare the bone formation around immediately loaded
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Well‐controlled immediate implant loading accelerates tissue mineralization at the interface. Adequate bone stimulation via mechanical coupling may account for the larger bone response around the screw‐type implant compared with the cylindrical implant.</p>
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E‐mail:
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<abstract type="main" xml:lang="en"><!--

Vandamme K, Naert I, Geris L, Vander Sloten J, Puers R, Duyck J. Influence of controlled immediate loading and implant design on peri-implant bone formation.

J Clin Periodontol 2007; 34: 172–181. doi: 10.1111/j.1600-051X.2006.01014.x.

-->
<title type="main">Abstract</title>
<p>
<b>Aim: </b>
Tissue formation at the implant interface is known to be sensitive to mechanical stimuli. The aim of the study was to compare the bone formation around immediately loaded
<i>versus</i>
unloaded implants in two different implant macro‐designs.</p>
<p>
<b>Material and Methods: </b>
A repeated sampling bone chamber with a central implant was installed in the tibia of 10 rabbits. Highly controlled loading experiments were designed for a cylindrical (CL) and screw‐shaped (SL) implant, while the unloaded screw‐shaped (SU) implant served as a control. An
<i>F</i>
‐statistic model with α=5% determined statistical significance.</p>
<p>
<b>Results: </b>
A significantly higher bone area fraction was observed for SL compared with SU (
<i>p</i>
<0.0001). The mineralized bone fraction was the highest for SL and significantly different from SU (
<i>p</i>
<0.0001). The chance that osteoid‐ and bone‐to‐implant contact occurred was the highest for SL and significantly different from SU (
<i>p</i>
<0.0001), but not from CL. When bone‐to‐implant contact was observed, a loading (SL
<i>versus</i>
SU
<i>: p</i>
=0.0049) as well as an implant geometry effect (SL
<i>versus</i>
CL:
<i>p</i>
=0.01) was found, in favour of the SL condition.</p>
<p>
<b>Conclusions: </b>
Well‐controlled immediate implant loading accelerates tissue mineralization at the interface. Adequate bone stimulation via mechanical coupling may account for the larger bone response around the screw‐type implant compared with the cylindrical implant.</p>
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<b>Conflict of interest and source of funding statement</b>
The authors declare that they have no conflict of interest. Lies Geris is a research assistant and Joke Duyck is a postdoctoral research fellow of the Fund for Scientific Research Flanders.</p>
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<p>This study was supported by the Research Council of the Katholieke Universiteit Leuven (Belgium) (OT/02/50) and the Fund for Scientific Research Flanders (Belgium) (O6260).</p>
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<title>Influence of controlled immediate loading and implant design on peri‐implant bone formation</title>
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<title>Influence of controlled immediate implant loading</title>
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<title>Influence of controlled immediate loading and implant design on peri‐implant bone formation</title>
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<name type="personal">
<namePart type="given">Katleen</namePart>
<namePart type="family">Vandamme</namePart>
<affiliation>Department of Prosthetic Dentistry/BIOMAT Research Group, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, K.U.Leuven, Leuven, Belgium</affiliation>
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<name type="personal">
<namePart type="given">Ignace</namePart>
<namePart type="family">Naert</namePart>
<affiliation>Department of Prosthetic Dentistry/BIOMAT Research Group, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, K.U.Leuven, Leuven, Belgium</affiliation>
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<roleTerm type="text">author</roleTerm>
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<name type="personal">
<namePart type="given">Liesbet</namePart>
<namePart type="family">Geris</namePart>
<affiliation>Division of Biomechanics and Engineering Design, K.U.Leuven, Leuven, Belgium</affiliation>
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<roleTerm type="text">author</roleTerm>
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</name>
<name type="personal">
<namePart type="given">Jozef Vander</namePart>
<namePart type="family">Sloten</namePart>
<affiliation>Division of Biomechanics and Engineering Design, K.U.Leuven, Leuven, Belgium</affiliation>
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<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Robert</namePart>
<namePart type="family">Puers</namePart>
<affiliation>Department of Electrical Engineering–ESAT‐MICAS, K.U.Leuven, Kasteelpark Arenberg, Leuven, Belgium</affiliation>
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<name type="personal">
<namePart type="given">Joke</namePart>
<namePart type="family">Duyck</namePart>
<affiliation>Department of Prosthetic Dentistry/BIOMAT Research Group, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, K.U.Leuven, Leuven, Belgium</affiliation>
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<dateIssued encoding="w3cdtf">2007-02</dateIssued>
<edition>Accepted for publication 24 September 2006</edition>
<copyrightDate encoding="w3cdtf">2007</copyrightDate>
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<abstract>Aim: Tissue formation at the implant interface is known to be sensitive to mechanical stimuli. The aim of the study was to compare the bone formation around immediately loaded versus unloaded implants in two different implant macro‐designs.</abstract>
<abstract>Material and Methods: A repeated sampling bone chamber with a central implant was installed in the tibia of 10 rabbits. Highly controlled loading experiments were designed for a cylindrical (CL) and screw‐shaped (SL) implant, while the unloaded screw‐shaped (SU) implant served as a control. An F‐statistic model with α=5% determined statistical significance.</abstract>
<abstract>Results: A significantly higher bone area fraction was observed for SL compared with SU (p<0.0001). The mineralized bone fraction was the highest for SL and significantly different from SU (p<0.0001). The chance that osteoid‐ and bone‐to‐implant contact occurred was the highest for SL and significantly different from SU (p<0.0001), but not from CL. When bone‐to‐implant contact was observed, a loading (SL versus SU: p=0.0049) as well as an implant geometry effect (SL versus CL: p=0.01) was found, in favour of the SL condition.</abstract>
<abstract>Conclusions: Well‐controlled immediate implant loading accelerates tissue mineralization at the interface. Adequate bone stimulation via mechanical coupling may account for the larger bone response around the screw‐type implant compared with the cylindrical implant.</abstract>
<subject lang="en">
<genre>keywords</genre>
<topic>animal</topic>
<topic>bone chamber</topic>
<topic>immediate loading</topic>
<topic>implant macro‐design</topic>
<topic>peri‐implant healing</topic>
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<identifier type="eISSN">1600-051X</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-051X</identifier>
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<part>
<date>2007</date>
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<caption>vol.</caption>
<number>34</number>
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<number>2</number>
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<start>172</start>
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