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Purpose: This study aimed to evaluate the effects of i) the extent of peri-implant bone defects and ii) the application of bone cement on implant stability with respect to the measurement direction.
Methods: In 10 bovine rib bones, 4 implant osteotomies with peri-implant bone defects of various widths were prepared: i) no defect (D0), ii) a 2-mm-wide defect (D2), iii) a 4-mm-wide defect (D4), and iv) a 8-mm-wide defect (D8). The height of all defects was 10 mm. Implant stability quotient (ISQ) values and Periotest values (PTVs) were measured after implant placement and bone cement application.
Results: With increasing defect width, decreased ISQs and increased PTVs were observed. Statistically significant differences were found between groups D0 and D8, D0 and D4, and D2 and D8. Prior to bone cement application, inconsistent PTVs were found in group D8 depending on the measurement direction. Bone cement increased the implant stability.
Conclusion: Peri-implant bone deficits measuring around 50% of the implant surface compromised implant stability. Clinically, PTVs should be cautiously interpreted in implants with large peri-implant defects due to inconsistent recordings with respect to the measurement direction.
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http://dx.doi.org/10.5051/jpis.2019.49.1.39 | DOI Listing |
Cureus
August 2025
Laser Laboratory, Oral Surgery Department, Wroclaw Medical University, Wroclaw, POL.
Peri-implantitis (PI) is a progressive inflammatory condition characterized by the destruction of peri-implant tissues and alveolar bone loss around dental implants. Despite its rising prevalence, there are still no effective treatment protocols for the condition. This case report presents a relatively novel non-surgical approach for managing PI.
View Article and Find Full Text PDFJ Prosthet Dent
September 2025
Chief, The Affiliated Stomatological Hospital of Chongqing Medical University, Chongqing Key Laboratory of Oral Diseases, Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing Municipal Health Commission Key Laboratory of Oral Biomedical Engineering, Chongq
Statement Of Problem: Immediate implant and interim restoration placement in the maxillary anterior esthetic zone presents challenges in achieving optimal implant positioning, esthetics, and peri-implant tissue stability. A more accurate and efficient clinical workflow is needed to address these demands.
Purpose: This study aimed to establish a fully digital workflow that combines autonomous robotic-assisted immediate implant placement and prefabricated interim restorations in the maxillary anterior esthetic region and to evaluate its accuracy and short-term clinical outcomes.
J Dent
September 2025
Lake Erie College of Osteopathic Medicine School of Dental Medicine, Bradenton, FL.
Introduction/objectives: The treatment of peri-implantitis remains one of the most challenging areas in implant dentistry, with no universally accepted gold standards for long-term disease resolution. As the prevalence of peri-implantitis continues to rise with increased implant placement, the need for predictable and effective therapies becomes increasingly critical. Laser-assisted treatment has emerged as a promising modality in surgical and non-surgical management of peri-implant diseases due to its ability to decontaminate the implant surface, reduce the bacterial load, and debride bone defects.
View Article and Find Full Text PDFFront Bioeng Biotechnol
August 2025
Faculty of Mechanical Engineering, Delft University of Technology, Delft, Netherlands.
This study presents a predictive biomechanical modeling approach for optimizing distal implant placement in the All-on-4 treatment concept, with a focus on implant angulation and occlusal load direction. Finite Element Analysis (FEA) was integrated with Response Surface Methodology (RSM) to develop 15 simulation models based on a Central Composite Design, incorporating distal implant angulations of 15°, 30°, and 45°, and occlusal load directions in both sagittal and frontal planes (45°, 67.5°, and 90°).
View Article and Find Full Text PDFInt J Prosthodont
September 2025
Purpose: To evaluate current surgical and prosthetic concepts in adult patients requiring complete tooth extraction for immediate implant placement and restoration in full-arch situations.
Materials And Methods: A narrative review was conducted using a comprehensive search strategy on MEDLINE via PubMed based on the PIO question to identify studies published up to October 2024. Data on treatment strategies, survival and success rates, marginal bone loss (MBL), peri-implant health, patient satisfaction, and quality of life (QoL) were extracted and synthesized.