Direct Metal Laser Sintering Titanium Dental Implants: A Review of the Current Literature
Identifieur interne : 005726 ( Ncbi/Merge ); précédent : 005725; suivant : 005727Direct Metal Laser Sintering Titanium Dental Implants: A Review of the Current Literature
Auteurs : F. Mangano [Italie] ; L. Chambrone [Brésil] ; R. Van Noort [Royaume-Uni] ; C. Miller [Royaume-Uni] ; P. Hatton [Royaume-Uni] ; C. Mangano [Italie]Source :
- International Journal of Biomaterials [ 1687-8787 ] ; 2014.
Abstract
Url:
DOI: 10.1155/2014/461534
PubMed: 25525434
PubMed Central: 4267165
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PMC:4267165Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Direct Metal Laser Sintering Titanium Dental Implants: A Review of the Current Literature</title>
<author><name sortKey="Mangano, F" sort="Mangano, F" uniqKey="Mangano F" first="F." last="Mangano">F. Mangano</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical and Morphological Science, Dental School, University of Varese, Via Giuseppe Piatti 10, 21100 Varese, Italy</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Surgical and Morphological Science, Dental School, University of Varese, Via Giuseppe Piatti 10, 21100 Varese</wicri:regionArea>
<wicri:noRegion>21100 Varese</wicri:noRegion>
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<affiliation wicri:level="1"><nlm:aff id="I2">ITEB Research Center, Dental School, University of Varese, Via Giuseppe Piatti 10, 21100 Varese, Italy</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>ITEB Research Center, Dental School, University of Varese, Via Giuseppe Piatti 10, 21100 Varese</wicri:regionArea>
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<author><name sortKey="Chambrone, L" sort="Chambrone, L" uniqKey="Chambrone L" first="L." last="Chambrone">L. Chambrone</name>
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<wicri:regionArea>Dental Research Division, Department of Periodontology, Guarulhos University, Praca Teresa Cristina 229, 07023070 Guarulhos, SP</wicri:regionArea>
<placeName><region type="state">État de São Paulo</region>
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<author><name sortKey="Van Noort, R" sort="Van Noort, R" uniqKey="Van Noort R" first="R." last="Van Noort">R. Van Noort</name>
<affiliation wicri:level="1"><nlm:aff id="I4">Academic Unit of Restorative Dentistry, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield S10 2TA, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Academic Unit of Restorative Dentistry, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield S10 2TA</wicri:regionArea>
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</affiliation>
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<author><name sortKey="Miller, C" sort="Miller, C" uniqKey="Miller C" first="C." last="Miller">C. Miller</name>
<affiliation wicri:level="1"><nlm:aff id="I5">Academic Unit of Oral and Maxillofacial Medicine and Surgery, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield S10 2TA, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Academic Unit of Oral and Maxillofacial Medicine and Surgery, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield S10 2TA</wicri:regionArea>
<wicri:noRegion>Sheffield S10 2TA</wicri:noRegion>
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<author><name sortKey="Hatton, P" sort="Hatton, P" uniqKey="Hatton P" first="P." last="Hatton">P. Hatton</name>
<affiliation wicri:level="1"><nlm:aff id="I4">Academic Unit of Restorative Dentistry, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield S10 2TA, UK</nlm:aff>
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<wicri:regionArea>Academic Unit of Restorative Dentistry, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield S10 2TA</wicri:regionArea>
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<author><name sortKey="Mangano, C" sort="Mangano, C" uniqKey="Mangano C" first="C." last="Mangano">C. Mangano</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical and Morphological Science, Dental School, University of Varese, Via Giuseppe Piatti 10, 21100 Varese, Italy</nlm:aff>
<country xml:lang="fr">Italie</country>
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</affiliation>
<affiliation wicri:level="1"><nlm:aff id="I2">ITEB Research Center, Dental School, University of Varese, Via Giuseppe Piatti 10, 21100 Varese, Italy</nlm:aff>
<country xml:lang="fr">Italie</country>
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<series><title level="j">International Journal of Biomaterials</title>
<idno type="ISSN">1687-8787</idno>
<idno type="eISSN">1687-8795</idno>
<imprint><date when="2014">2014</date>
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<front><div type="abstract" xml:lang="en"><p><italic>Statement of Problem</italic>
. Direct metal laser sintering (DMLS) is a technology that allows fabrication of complex-shaped objects from powder-based materials, according to a three-dimensional (3D) computer model. With DMLS, it is possible to fabricate titanium dental implants with an inherently porous surface, a key property required of implantation devices. <italic>Objective</italic>
. The aim of this review was to evaluate the evidence for the reliability of DMLS titanium dental implants and their clinical and histologic/histomorphometric outcomes, as well as their mechanical properties. <italic>Materials and Methods</italic>
. Electronic database searches were performed. Inclusion criteria were clinical and radiographic studies, histologic/histomorphometric studies in humans and animals, mechanical evaluations, and <italic>in vitro</italic>
cell culture studies on DMLS titanium implants. Meta-analysis could be performed only for randomized controlled trials (RCTs); to evaluate the methodological quality of observational human studies, the Newcastle-Ottawa scale (NOS) was used. <italic>Results</italic>
. Twenty-seven studies were included in this review. No RCTs were found, and meta-analysis could not be performed. The outcomes of observational human studies were assessed using the NOS: these studies showed medium methodological quality. <italic>Conclusions</italic>
. Several studies have demonstrated the potential for the use of DMLS titanium implants. However, further studies that demonstrate the benefits of DMLS implants over conventional implants are needed.</p>
</div>
</front>
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<author><name sortKey="Raspanti, M" uniqKey="Raspanti M">M. Raspanti</name>
</author>
<author><name sortKey="Covani, U" uniqKey="Covani U">U. Covani</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Matena, J" uniqKey="Matena J">J. Matena</name>
</author>
<author><name sortKey="Gieseke, M" uniqKey="Gieseke M">M. Gieseke</name>
</author>
<author><name sortKey="Kampmann, A" uniqKey="Kampmann A">A. Kampmann</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Mangano, C" uniqKey="Mangano C">C. Mangano</name>
</author>
<author><name sortKey="De Rosa, A" uniqKey="De Rosa A">A. de Rosa</name>
</author>
<author><name sortKey="Desiderio, V" uniqKey="Desiderio V">V. Desiderio</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Biomater</journal-id>
<journal-id journal-id-type="iso-abbrev">Int J Biomater</journal-id>
<journal-id journal-id-type="publisher-id">IJBM</journal-id>
<journal-title-group><journal-title>International Journal of Biomaterials</journal-title>
</journal-title-group>
<issn pub-type="ppub">1687-8787</issn>
<issn pub-type="epub">1687-8795</issn>
<publisher><publisher-name>Hindawi Publishing Corporation</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">25525434</article-id>
<article-id pub-id-type="pmc">4267165</article-id>
<article-id pub-id-type="doi">10.1155/2014/461534</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Review Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Direct Metal Laser Sintering Titanium Dental Implants: A Review of the Current Literature</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Mangano</surname>
<given-names>F.</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="I2"><sup>2</sup>
</xref>
<xref ref-type="corresp" rid="cor1"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chambrone</surname>
<given-names>L.</given-names>
</name>
<xref ref-type="aff" rid="I3"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>van Noort</surname>
<given-names>R.</given-names>
</name>
<xref ref-type="aff" rid="I4"><sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Miller</surname>
<given-names>C.</given-names>
</name>
<xref ref-type="aff" rid="I5"><sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hatton</surname>
<given-names>P.</given-names>
</name>
<xref ref-type="aff" rid="I4"><sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mangano</surname>
<given-names>C.</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="I2"><sup>2</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1"><sup>1</sup>
Department of Surgical and Morphological Science, Dental School, University of Varese, Via Giuseppe Piatti 10, 21100 Varese, Italy</aff>
<aff id="I2"><sup>2</sup>
ITEB Research Center, Dental School, University of Varese, Via Giuseppe Piatti 10, 21100 Varese, Italy</aff>
<aff id="I3"><sup>3</sup>
Dental Research Division, Department of Periodontology, Guarulhos University, Praca Teresa Cristina 229, 07023070 Guarulhos, SP, Brazil</aff>
<aff id="I4"><sup>4</sup>
Academic Unit of Restorative Dentistry, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield S10 2TA, UK</aff>
<aff id="I5"><sup>5</sup>
Academic Unit of Oral and Maxillofacial Medicine and Surgery, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield S10 2TA, UK</aff>
<author-notes><corresp id="cor1">*F. Mangano: <email>francescomangano1@mclink.net</email>
</corresp>
<fn fn-type="other"><p>Academic Editor: Colin Scotchford</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>1</day>
<month>12</month>
<year>2014</year>
</pub-date>
<volume>2014</volume>
<elocation-id>461534</elocation-id>
<history><date date-type="received"><day>6</day>
<month>5</month>
<year>2014</year>
</date>
<date date-type="rev-recd"><day>16</day>
<month>10</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>6</day>
<month>11</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2014 F. Mangano et al.</copyright-statement>
<copyright-year>2014</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p><italic>Statement of Problem</italic>
. Direct metal laser sintering (DMLS) is a technology that allows fabrication of complex-shaped objects from powder-based materials, according to a three-dimensional (3D) computer model. With DMLS, it is possible to fabricate titanium dental implants with an inherently porous surface, a key property required of implantation devices. <italic>Objective</italic>
. The aim of this review was to evaluate the evidence for the reliability of DMLS titanium dental implants and their clinical and histologic/histomorphometric outcomes, as well as their mechanical properties. <italic>Materials and Methods</italic>
. Electronic database searches were performed. Inclusion criteria were clinical and radiographic studies, histologic/histomorphometric studies in humans and animals, mechanical evaluations, and <italic>in vitro</italic>
cell culture studies on DMLS titanium implants. Meta-analysis could be performed only for randomized controlled trials (RCTs); to evaluate the methodological quality of observational human studies, the Newcastle-Ottawa scale (NOS) was used. <italic>Results</italic>
. Twenty-seven studies were included in this review. No RCTs were found, and meta-analysis could not be performed. The outcomes of observational human studies were assessed using the NOS: these studies showed medium methodological quality. <italic>Conclusions</italic>
. Several studies have demonstrated the potential for the use of DMLS titanium implants. However, further studies that demonstrate the benefits of DMLS implants over conventional implants are needed.</p>
</abstract>
</article-meta>
</front>
<floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label>
<caption><p>Flow chart of manuscripts screened through the review process.</p>
</caption>
<graphic xlink:href="IJBM2014-461534.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label>
<caption><p>Methodological quality of included observational studies (stars assigned to respective study).</p>
</caption>
<graphic xlink:href="IJBM2014-461534.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label>
<caption><p>Scanning electron microscopy of the DMLS implant surface. The DMLS surface is irregular with ridge-like and globular protrusions, interspersed by intercommunicating pores and irregular crevices. The alternation of rounded features, narrow crevices, and deep indents is particularly evident (120x).</p>
</caption>
<graphic xlink:href="IJBM2014-461534.003"></graphic>
</fig>
</floats-group>
</pmc>
<affiliations><list><country><li>Brésil</li>
<li>Italie</li>
<li>Royaume-Uni</li>
</country>
<region><li>État de São Paulo</li>
</region>
</list>
<tree><country name="Italie"><noRegion><name sortKey="Mangano, F" sort="Mangano, F" uniqKey="Mangano F" first="F." last="Mangano">F. Mangano</name>
</noRegion>
<name sortKey="Mangano, C" sort="Mangano, C" uniqKey="Mangano C" first="C." last="Mangano">C. Mangano</name>
<name sortKey="Mangano, C" sort="Mangano, C" uniqKey="Mangano C" first="C." last="Mangano">C. Mangano</name>
<name sortKey="Mangano, F" sort="Mangano, F" uniqKey="Mangano F" first="F." last="Mangano">F. Mangano</name>
</country>
<country name="Brésil"><region name="État de São Paulo"><name sortKey="Chambrone, L" sort="Chambrone, L" uniqKey="Chambrone L" first="L." last="Chambrone">L. Chambrone</name>
</region>
</country>
<country name="Royaume-Uni"><noRegion><name sortKey="Van Noort, R" sort="Van Noort, R" uniqKey="Van Noort R" first="R." last="Van Noort">R. Van Noort</name>
</noRegion>
<name sortKey="Hatton, P" sort="Hatton, P" uniqKey="Hatton P" first="P." last="Hatton">P. Hatton</name>
<name sortKey="Miller, C" sort="Miller, C" uniqKey="Miller C" first="C." last="Miller">C. Miller</name>
</country>
</tree>
</affiliations>
</record>
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