The histological evaluation of osseointegration of surface enhanced microimplants immediately loaded in conjunction with sinuslifting in humans
Identifieur interne : 000A31 ( Istex/Corpus ); précédent : 000A30; suivant : 000A32The histological evaluation of osseointegration of surface enhanced microimplants immediately loaded in conjunction with sinuslifting in humans
Auteurs : Hilde Browaeys ; Stefan Vandeweghe ; Carina B. Johansson ; Ryo Jimbo ; Ellen Deschepper ; Hugo De BruynSource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2013-01.
English descriptors
- KwdEn :
- Apical, Apical portion, Augmentation, Biomaterials, Biopsy, Bone area, Bone contact, Bone formation, Bone healing, Bone volume, Browaeys, Bruyn, Clin, Clinical implant dentistry, Collaert, Coronal, Coronal middle, Current study, Dental implants, Dentistry, Dependent data, Edentulous, Factorial experiments, Functional loading, Ghent, Gradual decrease, Graft, Graft material, Grafted, Grafted bone, Grafted sinus, Healing time, Health sciences, Histological, Histological evaluation, Histomorphometric, Histomorphometry, Immediate loading, Impl, Implant, Implant surfaces, Implant survival, Implants research, Initial stability, International journal, Johansson, John wiley sons browaeys, Loading time, Longitudinal data, Maxilla, Maxillary, Maxillary sinus, Maxillofacial, Microimplant, Microimplants, Middle apical, Nano, Nanotite, Nanotite surface, Nonparametric analysis, Oral impl, Oral maxillofacial implants, Osseo, Osseointegration, Osseotite, Osseotite surface, Periodontology, Posterior maxilla, Primary stability, Prospective study, Restorative dentistry, Sinus, Sinus augmentation, Sinuslifts, Surface roughness, Surface topography, Time points, Titanium, Titanium microimplants, Transmucosal part, Wallace froum, Wennerberg.
- Teeft :
- Apical, Apical portion, Augmentation, Biomaterials, Biopsy, Bone area, Bone contact, Bone formation, Bone healing, Bone volume, Browaeys, Bruyn, Clin, Clinical implant dentistry, Collaert, Coronal, Coronal middle, Current study, Dental implants, Dentistry, Dependent data, Edentulous, Factorial experiments, Functional loading, Ghent, Gradual decrease, Graft, Graft material, Grafted, Grafted bone, Grafted sinus, Healing time, Health sciences, Histological, Histological evaluation, Histomorphometric, Histomorphometry, Immediate loading, Impl, Implant, Implant surfaces, Implant survival, Implants research, Initial stability, International journal, Johansson, John wiley sons browaeys, Loading time, Longitudinal data, Maxilla, Maxillary, Maxillary sinus, Maxillofacial, Microimplant, Microimplants, Middle apical, Nano, Nanotite, Nanotite surface, Nonparametric analysis, Oral impl, Oral maxillofacial implants, Osseo, Osseointegration, Osseotite, Osseotite surface, Periodontology, Posterior maxilla, Primary stability, Prospective study, Restorative dentistry, Sinus, Sinus augmentation, Sinuslifts, Surface roughness, Surface topography, Time points, Titanium, Titanium microimplants, Transmucosal part, Wallace froum, Wennerberg.
Abstract
The aim was to investigate histomorphometrically whether or not implant surface nanotopography improves the bone response under immediate loading simultaneous to sinus grafting.
Url:
DOI: 10.1111/j.1600-0501.2011.02398.x
Links to Exploration step
ISTEX:14C8739BF7599A1F0BCCF53480308C6C70FC3490Le document en format XML
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and Oral Implantology, Dental School, Faculty of Medicine and Health sciences, University of Ghent, Ghent, Belgium</json:string><json:string>Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden</json:string></affiliations></json:item><json:item><name>Carina B. Johansson</name><affiliations><json:string>Department of Prosthodontics/Dental Materials Science, Institute of Odontology, University of Gothenburg, The Sahlgrenska Academy, Göteborg, Sweden</json:string></affiliations></json:item><json:item><name>Ryo Jimbo</name><affiliations><json:string>Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden</json:string></affiliations></json:item><json:item><name>Ellen Deschepper</name><affiliations><json:string>Biostatistics Unit, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium</json:string></affiliations></json:item><json:item><name>Hugo De Bruyn</name><affiliations><json:string>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health sciences, University of Ghent, Ghent, Belgium</json:string><json:string>Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden</json:string><json:string>Department of Periodontology and Oral ImplantologyUniversity Hospital Ghent‐P8De Pintelaan 185B‐9000 GhentBelgiumTel.: +32 9 332 40 18Fax: +32 9 332 35 51e‐mail:</json:string><json:string>E-mail: hugo.debruyn@ugent.be</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>histomorphometry</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>immediate loading</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>sinus floor elevation</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>sinuslifting</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>surface modification</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>titanium implant</value></json:item></subject><articleId><json:string>CLR2398</json:string></articleId><arkIstex>ark:/67375/WNG-43Q12G3V-Z</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>The aim was to investigate histomorphometrically whether or not implant surface nanotopography improves the bone response under immediate loading simultaneous to sinus grafting.</abstract><qualityIndicators><score>7.276</score><pdfWordCount>6813</pdfWordCount><pdfCharCount>44543</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>9</pdfPageCount><pdfPageSize>595.276 x 782.362 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>23</abstractWordCount><abstractCharCount>177</abstractCharCount><keywordCount>6</keywordCount></qualityIndicators><title>The histological evaluation of osseointegration of surface enhanced microimplants immediately loaded in conjunction with sinuslifting in humans</title><pmid><json:string>22220590</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Clinical Oral Implants Research</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1600-0501</json:string></doi><issn><json:string>0905-7161</json:string></issn><eissn><json:string>1600-0501</json:string></eissn><publisherId><json:string>CLR</json:string></publisherId><volume>24</volume><issue>1</issue><pages><first>36</first><last>44</last><total>9</total></pages><genre><json:string>journal</json:string></genre><subject><json:item><value>Original Article</value></json:item></subject></host><namedEntities><unitex><date><json:string>28 and 1/11</json:string><json:string>2011-12-03</json:string></date><geogName></geogName><orgName><json:string>ADE Phase Shift, Inc., Tucson</json:string><json:string>VWR International</json:string><json:string>Ghent University</json:string><json:string>Ghent Belgium Tel</json:string><json:string>Department of Periodontology and Oral</json:string><json:string>University of Ghent</json:string><json:string>University Hospital Ghent, Ghent, Belgium Stefan Vandeweghe, Hugo De Bruyn, Department of Periodontology and Oral</json:string><json:string>Johnson Medical Ltd</json:string><json:string>Department of Prosthodontics/Dental Materials Science, Institute of Odontology, University of Gothenburg, The Sahlgrenska Academy, Goteborg, Sweden</json:string><json:string>Belgium Stefan Vandeweghe, Ryo Jimbo, Hugo De Bruyn, Department of Prosthodontics, Faculty of Odontology, Malmo University, Malmo, Sweden</json:string><json:string>University Hospital Ghent, Ghent, Belgium The</json:string><json:string>Implantology University</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Studies</json:string><json:string>Petra Johansson</json:string><json:string>Nano MsL</json:string><json:string>John Wiley</json:string><json:string>Hugo De</json:string><json:string>Carina B. 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(2011)</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-43Q12G3V-Z</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - engineering, biomedical</json:string><json:string>2 - dentistry, oral surgery & medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - dentistry</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Dentistry</json:string><json:string>3 - Oral Surgery</json:string></scopus></categories><publicationDate>2013</publicationDate><copyrightDate>2013</copyrightDate><doi><json:string>10.1111/j.1600-0501.2011.02398.x</json:string></doi><id>14C8739BF7599A1F0BCCF53480308C6C70FC3490</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/14C8739BF7599A1F0BCCF53480308C6C70FC3490/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/14C8739BF7599A1F0BCCF53480308C6C70FC3490/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/14C8739BF7599A1F0BCCF53480308C6C70FC3490/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">The histological evaluation of osseointegration of surface enhanced microimplants immediately loaded in conjunction with sinuslifting in humans</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Publishing Ltd</publisher><availability><licence>© 2012 John Wiley & Sons A/S</licence></availability><date type="published" when="2013-01"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">The histological evaluation of osseointegration of surface enhanced microimplants immediately loaded in conjunction with sinuslifting in humans</title><author xml:id="author-0000"><persName><forename type="first">Hilde</forename><surname>Browaeys</surname></persName><affiliation><orgName>Department of Oral and Maxillofacial Surgery</orgName><orgName>Dental School</orgName><orgName>Faculty of Medicine and Health Sciences</orgName><orgName>University of Ghent</orgName><orgName>University Hospital Ghent</orgName><address><settlement type="city">Ghent</settlement><country key="BE">Belgium</country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Stefan</forename><surname>Vandeweghe</surname></persName><affiliation><orgName>Department of Periodontology and Oral Implantology</orgName><orgName>Dental School</orgName><orgName>Faculty of Medicine and Health sciences</orgName><orgName>University of Ghent</orgName><address><settlement type="city">Ghent</settlement><country key="BE">Belgium</country></address></affiliation><affiliation><orgName>Department of Prosthodontics</orgName><orgName>Faculty of Odontology</orgName><orgName>Malmö University</orgName><address><settlement type="city">Malmö</settlement><country key="SE">Sweden</country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Carina B.</forename><surname>Johansson</surname></persName><affiliation><orgName>Department of Prosthodontics/Dental Materials Science</orgName><orgName>Institute of Odontology</orgName><orgName>University of Gothenburg</orgName><orgName>The Sahlgrenska Academy</orgName><address><settlement type="city">Göteborg</settlement><country key="SE">Sweden</country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Ryo</forename><surname>Jimbo</surname></persName><affiliation><orgName>Department of Prosthodontics</orgName><orgName>Faculty of Odontology</orgName><orgName>Malmö University</orgName><address><settlement type="city">Malmö</settlement><country key="SE">Sweden</country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Ellen</forename><surname>Deschepper</surname></persName><affiliation><orgName>Biostatistics Unit</orgName><orgName>Faculty of Medicine and Health Sciences</orgName><orgName>University of Ghent</orgName><orgName>University Hospital Ghent</orgName><address><settlement type="city">Ghent</settlement><country key="BE">Belgium</country></address></affiliation></author><author xml:id="author-0005" role="corresp"><persName><forename type="first">Hugo</forename><surname>Bruyn</surname></persName><affiliation><orgName>Department of Periodontology and Oral Implantology</orgName><orgName>Dental School</orgName><orgName>Faculty of Medicine and Health sciences</orgName><orgName>University of Ghent</orgName><address><settlement type="city">Ghent</settlement><country key="BE">Belgium</country></address></affiliation><affiliation><orgName>Department of Prosthodontics</orgName><orgName>Faculty of Odontology</orgName><orgName>Malmö University</orgName><address><settlement type="city">Malmö</settlement><country key="SE">Sweden</country></address></affiliation><affiliation>Corresponding author: Prof. Dr. Hugo De Bruyn Department of Periodontology and Oral Implantology University Hospital Ghent‐P8 De Pintelaan 185 B‐9000 Ghent Belgium Tel.: +32 9 332 40 18 Fax: +32 9 332 35 51 e‐mail: hugo.debruyn@ugent.be</affiliation></author><idno type="istex">14C8739BF7599A1F0BCCF53480308C6C70FC3490</idno><idno type="ark">ark:/67375/WNG-43Q12G3V-Z</idno><idno type="DOI">10.1111/j.1600-0501.2011.02398.x</idno><idno type="unit">CLR2398</idno><idno type="toTypesetVersion">file:CLR.CLR2398.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="pISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><idno type="book-DOI">10.1111/(ISSN)1600-0501</idno><idno type="book-part-DOI">10.1111/clr.2012.24.issue-1</idno><idno type="product">CLR</idno><imprint><biblScope unit="vol">24</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="36">36</biblScope><biblScope unit="page" to="44">44</biblScope><biblScope unit="page-count">9</biblScope><date type="published" when="2013-01"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract style="main" xml:id="clr2398-abs-0001"><head>Abstract</head>
Objective
<p>The aim was to investigate histomorphometrically whether or not implant surface nanotopography improves the bone response under immediate loading simultaneous to sinus grafting.</p>
Materials and methods
<p>Dual acid‐etched titanium microimplants with/without crystalline surface deposition of calcium phosphate particles were placed in bilateral sinuslift areas grafted with a mixture of iliac crest bone and <hi rend="fc">BioOss</hi>. Surface topography of microimplants was characterized using interferometry. Loaded microimplants (<hi rend="fc">MsL</hi>) were immobilized in a provisional bridge supported by four normal size implants. Some patients had unloaded microimplants as controls (<hi rend="fc">MsU</hi>). Biopsies were trephined after 2 or 4 months and histomorphometric analysis of bone area (<hi rend="fc">BA</hi>) and bone‐to‐implant contact (<hi rend="fc">BC</hi>) was performed. Nonparametric methods for dependent data were used to compare effect of surface modification, and healing time (2 vs. 4 months).</p>
Results
<p>A total of 53 biopsies were available from 13 patients. A total of 4/28 and 1/11 <hi rend="fc">MsL</hi> failed after resp. 2 and 4 months vs. 0/6 and 1/5 <hi rend="fc">MsU</hi>. Many loaded biopsies were damaged at the apical portion and showed no bone adhesion. <hi rend="fc">MsL</hi> decreased in <hi rend="fc">BA</hi> from coronal to apical from 2 to 4 months; Coronal > Middle (<hi rend="italic">P</hi> = 0.047), Coronal > Apical (<hi rend="italic">P</hi> < 0.001) and Middle > Apical (<hi rend="italic">P</hi> < 0.001). This gradual decrease was not observed for <hi rend="fc">BC</hi>; Coronal < Middle and Middle > Apical (<hi rend="italic">P</hi> < 0.001). Only the middle part showed significant bone contact after 2 months. For <hi rend="fc">MsL</hi> there was no statistically significant difference between surface or time indicating that improvement of osseointegration over time due to maturation of the graft was poor. The <hi rend="fc">MsU</hi> did not show any difference between <hi rend="fc">O</hi>sseotite and <hi rend="fc">N</hi>anotite for <hi rend="fc">BIC</hi> and <hi rend="fc">BA</hi> (<hi rend="italic">P</hi> > 0.05) but doubled both their <hi rend="fc">BA</hi> and <hi rend="fc">BIC</hi> (<hi rend="italic">P</hi> < 0.05) between 2 and 4 months.</p>
Conclusions
<p>Osseointegration in sinus‐grafted bone mixed with <hi rend="fc">BioOss</hi> was poor irrespective of healing time or nanotopographical surface modification. The apex of <hi rend="fc">MsL</hi> showed minimal bone contact suggesting that the graft does not add to the loading capacity. Surface enhancement was not beneficial despite the enlarged surface area. Overloading, most critical coronally of an implant, increases risks for implant failure and jeopardizes bone healing especially under immediate loading conditions with high load.</p></abstract><textClass><keywords><term xml:id="clr2398-kwd-0001">histomorphometry</term><term xml:id="clr2398-kwd-0002">immediate loading</term><term xml:id="clr2398-kwd-0003">sinus floor elevation</term><term xml:id="clr2398-kwd-0004">sinuslifting</term><term xml:id="clr2398-kwd-0005">surface modification</term><term xml:id="clr2398-kwd-0006">titanium implant</term></keywords><keywords rend="articleCategory"><term>Original Article</term></keywords><keywords rend="tocHeading1"><term>Original Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/14C8739BF7599A1F0BCCF53480308C6C70FC3490/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="clr2398" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-0501</doi><issn type="print">0905-7161</issn><issn type="electronic">1600-0501</issn><idGroup><id type="product" value="CLR"></id></idGroup><titleGroup><title sort="CLINICAL ORAL IMPLANTS RESEARCH" type="main">Clinical Oral Implants Research</title><title type="short">Clin. Oral Impl. Res.</title></titleGroup></publicationMeta><publicationMeta level="part" position="10"><doi origin="wiley">10.1111/clr.2012.24.issue-1</doi><copyright ownership="publisher">Copyright © 2013 John Wiley & Sons A/S</copyright><numberingGroup><numbering type="journalVolume" number="24">24</numbering><numbering type="journalIssue">1</numbering></numberingGroup><coverDate startDate="2013-01">January 2013</coverDate></publicationMeta><publicationMeta level="unit" position="60" status="forIssue" type="article"><doi>10.1111/j.1600-0501.2011.02398.x</doi><idGroup><id type="unit" value="CLR2398"></id></idGroup><countGroup><count number="9" type="pageTotal"></count></countGroup><titleGroup><title type="articleCategory">Original Article</title><title type="tocHeading1">Original Articles</title></titleGroup><copyright ownership="publisher">© 2012 John Wiley & Sons A/S</copyright><eventGroup><event date="2011-11-19" type="manuscriptAccepted"></event><event agent="SPS" date="2011-12-03" type="xmlCreated"></event><event type="publishedOnlineEarlyUnpaginated" date="2012-01-06"></event><event type="firstOnline" date="2012-01-06"></event><event type="publishedOnlineFinalForm" date="2012-12-24"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-12"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-02"></event></eventGroup><numberingGroup><numbering type="pageFirst">36</numbering><numbering type="pageLast">44</numbering></numberingGroup><correspondenceTo><lineatedText><line><b>Corresponding author:</b></line><line><i>Prof. Dr. Hugo De Bruyn</i></line><line>Department of Periodontology and Oral Implantology</line><line>University Hospital Ghent‐P8</line><line>De Pintelaan 185</line><line>B‐9000 Ghent</line><line>Belgium</line><line>Tel.: +32 9 332 40 18</line><line>Fax: +32 9 332 35 51</line><line>e‐mail: <email>hugo.debruyn@ugent.be</email></line></lineatedText></correspondenceTo><selfCitationGroup><citation type="self" xml:id="clr2398-cit-0055">Browaeys H, Vandeweghe S, Johansson CB, Jimbo R, Deschepper E, De Bruyn H. The histological evaluation of osseointegration of surface enhanced microimplants immediately loaded in conjunction with sinuslifting in humans. <i>Clin. Oral Impl. Res.</i> <vol>24</vol>, 2013, 36–44</citation></selfCitationGroup><linkGroup><link type="toTypesetVersion" href="file:CLR.CLR2398.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">The histological evaluation of osseointegration of surface enhanced microimplants immediately loaded in conjunction with sinuslifting in humans</title><title type="shortAuthors">Browaeys et al</title></titleGroup><creators><creator affiliationRef="#clr2398-aff-0001" creatorRole="author" xml:id="clr2398-cr-0001"><personName><givenNames>Hilde</givenNames> <familyName>Browaeys</familyName></personName></creator><creator affiliationRef="#clr2398-aff-0002 #clr2398-aff-0003" creatorRole="author" xml:id="clr2398-cr-0002"><personName><givenNames>Stefan</givenNames> <familyName>Vandeweghe</familyName></personName></creator><creator affiliationRef="#clr2398-aff-0004" creatorRole="author" xml:id="clr2398-cr-0003"><personName><givenNames>Carina B.</givenNames> <familyName>Johansson</familyName></personName></creator><creator affiliationRef="#clr2398-aff-0003" creatorRole="author" xml:id="clr2398-cr-0004"><personName><givenNames>Ryo</givenNames> <familyName>Jimbo</familyName></personName></creator><creator affiliationRef="#clr2398-aff-0005" creatorRole="author" xml:id="clr2398-cr-0005"><personName><givenNames>Ellen</givenNames> <familyName>Deschepper</familyName></personName></creator><creator affiliationRef="#clr2398-aff-0002 #clr2398-aff-0003" corresponding="yes" creatorRole="author" xml:id="clr2398-cr-0006"><personName><givenNames>Hugo</givenNames> <familyNamePrefix>De</familyNamePrefix> <familyName>Bruyn</familyName></personName></creator></creators><affiliationGroup><affiliation countryCode="BE" type="organization" xml:id="clr2398-aff-0001"><orgDiv>Department of Oral and Maxillofacial Surgery</orgDiv> <orgDiv>Dental School</orgDiv> <orgDiv>Faculty of Medicine and Health Sciences</orgDiv> <orgName>University of Ghent</orgName> <orgName>University Hospital Ghent</orgName> <address><city>Ghent</city> <country>Belgium</country></address></affiliation><affiliation countryCode="BE" type="organization" xml:id="clr2398-aff-0002"><orgDiv>Department of Periodontology and Oral Implantology</orgDiv> <orgDiv>Dental School</orgDiv> <orgDiv>Faculty of Medicine and Health sciences</orgDiv> <orgName>University of Ghent</orgName> <address><city>Ghent</city> <country>Belgium</country></address></affiliation><affiliation countryCode="SE" type="organization" xml:id="clr2398-aff-0003"><orgDiv>Department of Prosthodontics</orgDiv> <orgDiv>Faculty of Odontology</orgDiv> <orgName>Malmö University</orgName> <address><city>Malmö</city> <country>Sweden</country></address></affiliation><affiliation countryCode="SE" type="organization" xml:id="clr2398-aff-0004"><orgDiv>Department of Prosthodontics/Dental Materials Science</orgDiv> <orgDiv>Institute of Odontology</orgDiv> <orgName>University of Gothenburg</orgName> <orgName>The Sahlgrenska Academy</orgName> <address><city>Göteborg</city> <country>Sweden</country></address></affiliation><affiliation countryCode="BE" type="organization" xml:id="clr2398-aff-0005"><orgDiv>Biostatistics Unit</orgDiv> <orgDiv>Faculty of Medicine and Health Sciences</orgDiv> <orgName>University of Ghent</orgName> <orgName>University Hospital Ghent</orgName> <address><city>Ghent</city> <country>Belgium</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="clr2398-kwd-0001">histomorphometry</keyword><keyword xml:id="clr2398-kwd-0002">immediate loading</keyword><keyword xml:id="clr2398-kwd-0003">sinus floor elevation</keyword><keyword xml:id="clr2398-kwd-0004">sinuslifting</keyword><keyword xml:id="clr2398-kwd-0005">surface modification</keyword><keyword xml:id="clr2398-kwd-0006">titanium implant</keyword></keywordGroup><abstractGroup><abstract type="main" xml:id="clr2398-abs-0001"><title type="main">Abstract</title><section xml:id="clr2398-sec-0001"><title type="main">Objective</title><p>The aim was to investigate histomorphometrically whether or not implant surface nanotopography improves the bone response under immediate loading simultaneous to sinus grafting.</p></section><section xml:id="clr2398-sec-0002"><title type="main">Materials and methods</title><p>Dual acid‐etched titanium microimplants with/without crystalline surface deposition of calcium phosphate particles were placed in bilateral sinuslift areas grafted with a mixture of iliac crest bone and <fc>BioOss</fc>. Surface topography of microimplants was characterized using interferometry. Loaded microimplants (<fc>MsL</fc>) were immobilized in a provisional bridge supported by four normal size implants. Some patients had unloaded microimplants as controls (<fc>MsU</fc>). Biopsies were trephined after 2 or 4 months and histomorphometric analysis of bone area (<fc>BA</fc>) and bone‐to‐implant contact (<fc>BC</fc>) was performed. Nonparametric methods for dependent data were used to compare effect of surface modification, and healing time (2 vs. 4 months).</p></section><section xml:id="clr2398-sec-0003"><title type="main">Results</title><p>A total of 53 biopsies were available from 13 patients. A total of 4/28 and 1/11 <fc>MsL</fc> failed after resp. 2 and 4 months vs. 0/6 and 1/5 <fc>MsU</fc>. Many loaded biopsies were damaged at the apical portion and showed no bone adhesion. <fc>MsL</fc> decreased in <fc>BA</fc> from coronal to apical from 2 to 4 months; Coronal > Middle (<i>P</i> = 0.047), Coronal > Apical (<i>P</i> < 0.001) and Middle > Apical (<i>P</i> < 0.001). This gradual decrease was not observed for <fc>BC</fc>; Coronal < Middle and Middle > Apical (<i>P</i> < 0.001). Only the middle part showed significant bone contact after 2 months. For <fc>MsL</fc> there was no statistically significant difference between surface or time indicating that improvement of osseointegration over time due to maturation of the graft was poor. The <fc>MsU</fc> did not show any difference between <fc>O</fc>sseotite and <fc>N</fc>anotite for <fc>BIC</fc> and <fc>BA</fc> (<i>P</i> > 0.05) but doubled both their <fc>BA</fc> and <fc>BIC</fc> (<i>P</i> < 0.05) between 2 and 4 months.</p></section><section xml:id="clr2398-sec-0004"><title type="main">Conclusions</title><p>Osseointegration in sinus‐grafted bone mixed with <fc>BioOss</fc> was poor irrespective of healing time or nanotopographical surface modification. The apex of <fc>MsL</fc> showed minimal bone contact suggesting that the graft does not add to the loading capacity. Surface enhancement was not beneficial despite the enlarged surface area. Overloading, most critical coronally of an implant, increases risks for implant failure and jeopardizes bone healing especially under immediate loading conditions with high load.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>The histological evaluation of osseointegration of surface enhanced microimplants immediately loaded in conjunction with sinuslifting in humans</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>The histological evaluation of osseointegration of surface enhanced microimplants immediately loaded in conjunction with sinuslifting in humans</title></titleInfo><name type="personal"><namePart type="given">Hilde</namePart><namePart type="family">Browaeys</namePart><affiliation>Department of Oral and Maxillofacial Surgery, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Stefan</namePart><namePart type="family">Vandeweghe</namePart><affiliation>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health sciences, University of Ghent, Ghent, Belgium</affiliation><affiliation>Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Carina B.</namePart><namePart type="family">Johansson</namePart><affiliation>Department of Prosthodontics/Dental Materials Science, Institute of Odontology, University of Gothenburg, The Sahlgrenska Academy, Göteborg, Sweden</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ryo</namePart><namePart type="family">Jimbo</namePart><affiliation>Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ellen</namePart><namePart type="family">Deschepper</namePart><affiliation>Biostatistics Unit, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Hugo</namePart><namePart type="family">De Bruyn</namePart><affiliation>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health sciences, University of Ghent, Ghent, Belgium</affiliation><affiliation>Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden</affiliation><affiliation>Department of Periodontology and Oral ImplantologyUniversity Hospital Ghent‐P8De Pintelaan 185B‐9000 GhentBelgiumTel.: +32 9 332 40 18Fax: +32 9 332 35 51e‐mail:</affiliation><affiliation>E-mail: hugo.debruyn@ugent.be</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2013-01</dateIssued><dateCreated encoding="w3cdtf">2011-12-03</dateCreated><dateValid encoding="w3cdtf">2011-11-19</dateValid><edition>Browaeys H, Vandeweghe S, Johansson CB, Jimbo R, Deschepper E, De Bruyn H. The histological evaluation of osseointegration of surface enhanced microimplants immediately loaded in conjunction with sinuslifting in humans. Clin. Oral Impl. Res. 24, 2013, 36–44</edition><copyrightDate encoding="w3cdtf">2013</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>The aim was to investigate histomorphometrically whether or not implant surface nanotopography improves the bone response under immediate loading simultaneous to sinus grafting.</abstract><abstract>Dual acid‐etched titanium microimplants with/without crystalline surface deposition of calcium phosphate particles were placed in bilateral sinuslift areas grafted with a mixture of iliac crest bone and BioOss. Surface topography of microimplants was characterized using interferometry. Loaded microimplants (MsL) were immobilized in a provisional bridge supported by four normal size implants. Some patients had unloaded microimplants as controls (MsU). Biopsies were trephined after 2 or 4 months and histomorphometric analysis of bone area (BA) and bone‐to‐implant contact (BC) was performed. Nonparametric methods for dependent data were used to compare effect of surface modification, and healing time (2 vs. 4 months).</abstract><abstract>A total of 53 biopsies were available from 13 patients. A total of 4/28 and 1/11 MsL failed after resp. 2 and 4 months vs. 0/6 and 1/5 MsU. Many loaded biopsies were damaged at the apical portion and showed no bone adhesion. MsL decreased in BA from coronal to apical from 2 to 4 months; Coronal > Middle (P = 0.047), Coronal > Apical (P < 0.001) and Middle > Apical (P < 0.001). This gradual decrease was not observed for BC; Coronal < Middle and Middle > Apical (P < 0.001). Only the middle part showed significant bone contact after 2 months. For MsL there was no statistically significant difference between surface or time indicating that improvement of osseointegration over time due to maturation of the graft was poor. The MsU did not show any difference between Osseotite and Nanotite for BIC and BA (P > 0.05) but doubled both their BA and BIC (P < 0.05) between 2 and 4 months.</abstract><abstract>Osseointegration in sinus‐grafted bone mixed with BioOss was poor irrespective of healing time or nanotopographical surface modification. The apex of MsL showed minimal bone contact suggesting that the graft does not add to the loading capacity. Surface enhancement was not beneficial despite the enlarged surface area. Overloading, most critical coronally of an implant, increases risks for implant failure and jeopardizes bone healing especially under immediate loading conditions with high load.</abstract><subject><genre>keywords</genre><topic>histomorphometry</topic><topic>immediate loading</topic><topic>sinus floor elevation</topic><topic>sinuslifting</topic><topic>surface modification</topic><topic>titanium implant</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Oral Implants Research</title></titleInfo><titleInfo type="abbreviated"><title>Clin. Oral Impl. Res.</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Original Article</topic></subject><identifier type="ISSN">0905-7161</identifier><identifier type="eISSN">1600-0501</identifier><identifier type="DOI">10.1111/(ISSN)1600-0501</identifier><identifier type="PublisherID">CLR</identifier><part><date>2013</date><detail type="volume"><caption>vol.</caption><number>24</number></detail><detail type="issue"><caption>no.</caption><number>1</number></detail><extent unit="pages"><start>36</start><end>44</end><total>9</total></extent></part></relatedItem><identifier type="istex">14C8739BF7599A1F0BCCF53480308C6C70FC3490</identifier><identifier type="ark">ark:/67375/WNG-43Q12G3V-Z</identifier><identifier type="DOI">10.1111/j.1600-0501.2011.02398.x</identifier><identifier type="ArticleID">CLR2398</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2013 John Wiley & Sons A/S© 2012 John Wiley & Sons A/S</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/14C8739BF7599A1F0BCCF53480308C6C70FC3490/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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