Histological Evidence of the Osseointegration of Fractured Direct Metal Laser Sintering Implants Retrieved after 5 Years of Function
Identifieur interne : 000227 ( Main/Exploration ); précédent : 000226; suivant : 000228Histological Evidence of the Osseointegration of Fractured Direct Metal Laser Sintering Implants Retrieved after 5 Years of Function
Auteurs : Francesco Mangano [Italie] ; Carlo Mangano [Italie] ; Adriano Piattelli [Italie] ; Giovanna Iezzi [Italie]Source :
- BioMed Research International [ 2314-6133 ] ; 2017.
Abstract
Direct metal laser sintering (DMLS) is an additive manufacturing technique that allows the fabrication of dental implants layer by layer through the laser fusion of titanium microparticles. The surface of DMLS implants is characterized by a high open porosity with interconnected pores of different sizes; therefore, it has the potential to enhance and accelerate bone healing. To date, however, there are no histologic/histomorphometric studies in the literature evaluating the interface between bone and DMLS implants in the long-term.
To evaluate the interface between bone and DMLS implants retrieved after 5 years of functional loading.
Two fractured DMLS implants were retrieved from the human jaws, using a 5 mm trephine bur. Both the implants were clinically stable and functioned regularly before fracture. The specimens were processed for histologic/histomorphometric evaluation; the bone-to-implant contact (BIC%) was calculated.
Compact, mature lamellar bone was found over most of the DMLS implants in close contact with the implant surface; the histomorphometric evaluation showed a mean BIC% of 66.1% (±4.5%).
The present histologic/histomorphometric study showed that DMLS implants were well integrated in bone, after 5 years of loading, with the peri-implant bone undergoing continuous remodeling at the interface.
Url:
DOI: 10.1155/2017/9732136
PubMed: 28929117
PubMed Central: 5592009
Affiliations:
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Raffaele, 20132 Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Dental Sciences, Vita and Salute University S. Raffaele, 20132 Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Piattelli, Adriano" sort="Piattelli, Adriano" uniqKey="Piattelli A" first="Adriano" last="Piattelli">Adriano Piattelli</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Oral and Biotechnological Science, University G. D'Annunzio, 66013 Chieti, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Oral and Biotechnological Science, University G. D'Annunzio, 66013 Chieti</wicri:regionArea><wicri:noRegion>66013 Chieti</wicri:noRegion></affiliation></author><author><name sortKey="Iezzi, Giovanna" sort="Iezzi, Giovanna" uniqKey="Iezzi G" first="Giovanna" last="Iezzi">Giovanna Iezzi</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Oral and Biotechnological Science, University G. D'Annunzio, 66013 Chieti, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Oral and Biotechnological Science, University G. D'Annunzio, 66013 Chieti</wicri:regionArea><wicri:noRegion>66013 Chieti</wicri:noRegion></affiliation></author></analytic><series><title level="j">BioMed Research International</title><idno type="ISSN">2314-6133</idno><idno type="eISSN">2314-6141</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p> Direct metal laser sintering (DMLS) is an additive manufacturing technique that allows the fabrication of dental implants layer by layer through the laser fusion of titanium microparticles. The surface of DMLS implants is characterized by a high open porosity with interconnected pores of different sizes; therefore, it has the potential to enhance and accelerate bone healing. To date, however, there are no histologic/histomorphometric studies in the literature evaluating the interface between bone and DMLS implants in the long-term.</p></sec><sec><title> Purpose</title><p> To evaluate the interface between bone and DMLS implants retrieved after 5 years of functional loading.</p></sec><sec><title> Methods</title><p> Two fractured DMLS implants were retrieved from the human jaws, using a 5 mm trephine bur. Both the implants were clinically stable and functioned regularly before fracture. The specimens were processed for histologic/histomorphometric evaluation; the bone-to-implant contact (BIC%) was calculated.</p></sec><sec><title> Results</title><p> Compact, mature lamellar bone was found over most of the DMLS implants in close contact with the implant surface; the histomorphometric evaluation showed a mean BIC% of 66.1% (±4.5%).</p></sec><sec><title> Conclusions</title><p> The present histologic/histomorphometric study showed that DMLS implants were well integrated in bone, after 5 years of loading, with the peri-implant bone undergoing continuous remodeling at the interface.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Buser, D" uniqKey="Buser D">D. Buser</name></author><author><name sortKey="Chappuis, V" uniqKey="Chappuis V">V. Chappuis</name></author><author><name sortKey="Belser, U C" uniqKey="Belser U">U. C. Belser</name></author><author><name sortKey="Chen, S" uniqKey="Chen S">S. 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