dental

The effect of bone particle size on the histomorphometric and clinical outcomes following lateral ridge augmentation procedures. A randomized double blinded controlled trial

AUTHORS

Hussein S. Basma, Muhammad H.A. Saleh, Nico C. Geurs, Peng Li, Andrea Ravidà, Hom-Lay Wang, Ramzi V. Abou-Arraj

ABSTRACT

Background

The aim of this randomized clinical trial was to clinically and histologically compare the amount and quality of bone gained after lateral ridge augmentation (LRA) procedures performed using small (250-1000μm) versus large (1000-2000μm) particle size cortico-cancellous bone allografts at 6 months following surgical intervention.

Materials and Methods

22 patients, each presenting with ridge width less than 5mm were enrolled. Patients were randomly allocated to small (SP) and large particle (LP) size graft. The gain in ridge width at the level of the crest and 4mm apical to the crest was assessed via a standardized procedure before grafting and at time of implant placement, using a surgical caliper and a novel digital technique using cone beam computed tomography (CBCT). Six months following the procedure, trephine bone cores were taken from 19 augmented sites out of 17 patients (14/19 sites were in the posterior mandible) who completed the study for clinical, histologic and histomorphometric analysis.

Results

17 patients (19 sites) completed the study. LP size graft resulted in greater ridge width gain at the level of the crest (LP, 5.1 ± 1.7; SP, 3.7 ± 1.3 mm; p = 0.0642) and 4mm apical to the crest (LP, 5.9 ± 2.2; SP, 5.1 ± 1.8 mm; p = 0.4480) compared with the SP. No statistical significance for the bone density at the time of implant placement (p = 1.00) was found. Vital bone formation was more extensive in the SP compared with the LP 41.0 ± 10.1% vs 31.4 ± 14.8%, respectively (p = 0.05).

Conclusion

The results of the present article show a trend of higher ridge gain using LP during bone augmentation procedure. Future research with bigger sample size should confirm the results of the present article.

Preliminary study on the osseointegration effects of contactless automated implant cavity preparation via femtosecond laser ablation

AUTHORS

Shanshan Liang, Jianqiao Zheng, and Fusong Yuan

ABSTRACT

Microrobots were used to control the femtosecond laser ablation of bone tissues to prepare implant cavities for dental implant surgery. The method was optimized through depth-of-cut experiments of ex vivo rabbit femurs, and the optimized method was used to prepare implant cavities on the left femurs of eight live rabbits. A power of 10 W and a scanning rate of 4000 mm/s were found to be optimal. After seven days of osteoinduction, the expression of collagen type I was significantly higher in the experimental group than in the control group (manually drilled implant cavities). The bone–implant contacts of the experimental group at 4 and 8 weeks were 9.65% and 23.08%, respectively.

Comparison of contact radiographed and stained histological sections for osseointegration analysis of dental implants – an in vivo study

Histology is still regarded as the gold-standard to determine bone implant contact (BIC) as a parameter representing implant stability. As the further processing of cut slices for contact radiography (CR) to stained and polished histological sections is time consuming and error prone, our aim was to assess agreement between CR and Giemsa-Eosin (GE) stained sections with regard to dental implants.

Evaluation of Immediate Dental Implant Augmented with Biphasic Calcium Phosphate Coated by Polylactide - co-Glycolide Versus to Immediate Dental Implant Only

Numerous bone grafts have been studied for augmentation of the healing outcomes of dental implants. The aim of this study was designed to compare the clinical and radiographic evaluation between immediate dental implant augmented with biphasic calcium phosphate (BCP) coated with polylactide -co- glycolide (PLGA) and immediate dental implant alone.

Comparative 3D micro-CT and 2D histomorphometry analysis of dental implant osseointegration in the maxilla of minipigs

The bone implant contact (BIC) has traditionally been evaluated with histological methods. Thereupon, strong correlations of two-dimensional (2D) BIC have been detected between μCT and destructive histology. However, due to the high intra-sample variability in BIC values, one histological slice is not sufficient to represent 3D BIC. Therefore, our aim has been to correlate the averaged values of 3–4 histological sections to 3D μCT.