Other data included their main sources of education pertaining to implant dentistry, the most commonly used implant systems, common Received on December 16, Reviewed on March 25, clinical complications, and barriers to implant therapy.
A descriptive statistical analysis of the data was carried out. Accepted on April 19, Results. The largest group of practitioners performing implants were general dentists The 3iTM implant system was the most widely utilized Failed osseointegration The biggest barrier to placing implants was the cost of implants to patients Cite as Conclusions. Fundamental to implant practice is the clinical practitioner and patient selection. Trends in implant dentistry: Implant systems, complications and barriers in tion of implant systems should preferably be based on the chemical properties of implant surfaces which Riyadh, Saudi Arabia.
Dent Med Probl. Comparative studies investigating the reasons for failed osseointegration and doi Further research, together with advanced clinical specialist training, can lead to improvement in the quality of implant therapy for the benefit of patients. DOI Albugami, et al. Dental implant practices in Riyadh, Saudi Arabia Introduction recruitment of a large number of non-Saudi dentists into the private sector due to an increased demand for im- The replacement of lost teeth is achievable by utilizing plant therapy.
The study reported that the largest pro- removable partial dentures, complete dentures, overden- portion of dentists performing implants were oral sur- tures, and fixed partial prostheses. Expanded treatment geons This would allow us to compare the practice of im- A study in Saudi Arabia reported that There is every indication that the currently placing dental implants.
The practitioners were majority of oral surgeons perform implants, followed by working in state hospitals, and in various private centers periodontists and general dental practitioners GDPs. Access and permission Education and training in implant dentistry in different to distribute the questionnaires was obtained from both countries can also vary, including undergraduate and for- the state and private institutions.
Their respec- tween studies and is determined by different factors. Saudi and non-Saudi practitioners were dif- either in the private sector or in state institutions, where ferentiated, as were state and private sectors. A descriptive statisti- in the private sector. IBM Corp. Statistical failure of implants are attributed to inaccurate treatment significance was set at 0.
Results Surgical complications such as hemorrhage and neuro- sensory disturbances have also been reported. The majority study to study. Non-Saudi cies in the precise diagnoses of peri-implantitis and peri- dental practitioners were in the majority A significant majority of Saudi dental cal condition, and patient noncompliance are also reasons practitioners, however, were employed in the state sector that may underlie implant therapy complications.
A recent study in the Eastern Province of Saudi Ara- Formal education regarding implant placement was re- bia indicated that far more non-Saudis than Saudis ported to consist mostly of post-graduate training during practiced implant dentistry. Of a total of respondents placing implants, The highest qualification held by the majority — Implant system selection criteria in terms of the percentage was found that the 3iTM system was the most commonly of practicing dentists used Esthetics 1.
Percentage distribution of qualifications held by the percentage proportions of practitioners GDP — general dental practitioner. Dental implant practices in Riyadh, Saudi Arabia Fig. Percentage distribution of the implant systems used Fig. In this experience The recom- of unexpected complications, The biggest barrier to performing implant surgery was The population of Saudi Arabia was estimated to be the cost of implants to the patient, reported by Table 2.
The total number of dentists mucositis 9. The underlying be Clinical indications, pre-surgical challenges and barriers of 4. The response rate in the present study was Single posterior tooth loss In the present study, failed osseointegration was the Free-end saddle Cost of implants to the patient Dental implant practices in Riyadh, Saudi Arabia ternationally, should be conducted. The Riyadh as compared to the Eastern Province. Riyadh has increased popularity of such courses was described in a far greater population than any of the 5 cities in the East- another study.
The demand for implant thera- a surgically trained periodontist or oral surgeon. A survey conducted fore, it should be reiterated that such courses and semi- in Riyadh indicated the increased popularity of implants nars should concentrate on considering the complexity as a treatment option, with wide acceptance and a high of the various aspects of implant planning and surgical level of satisfaction expressed after placement.
Static and dynamic histomorphometrical and radiographical examinations as well as biomechanical testing are recommended to evaluate peri-implant osteogenesis where different surface modifications are compared.
For instance, peri-implant bone contact and amount are commonly evaluated in vivo, and are examples of static parameters. Differently, fluorescence analysis provides valuable dynamic measurements of the bone healing around implant surfaces. Finally, for an accurate judgment of the obtained results regarding peri-implant osteogenesis, an in vivo experimental setup should be well designed and statistical analysis should be well conducted [ 34 ].
The developments regarding implant surface modifications seem critical for bone healing and improving osseointegration at sites that lack sufficient quantity or quality of bone. Thus, the research efforts at present are attempting to overcome the problems associated with implant complications that might arise in challenged bone conditions through the development of the surface-coated bone implants.
National Center for Biotechnology Information , U. Journal List J Funct Biomater v. J Funct Biomater. Published online Jan Hamdan S. Author information Article notes Copyright and License information Disclaimer.
Received Nov 2; Accepted Jan 9. This article has been cited by other articles in PMC. Abstract Nowadays, dental implants have become more common treatment for replacing missing teeth and aim to improve chewing efficiency, physical health, and esthetics. Keywords: dental implants, osseointegration, bone regeneration, surface modifications.
Introduction Dental implants have become a more common treatment for replacing missing teeth [ 1 ]. Open in a separate window.
Figure 1. Design of Dental Implants and Primary Stability Over the last few decades, several implant-design concepts have been developed and are commercially available. Figure 2. The Importance in Surgical-Implantation Techniques Conventionally, the placement of dental implants sacrifices much bone tissue during the drilling procedure, which is performed with a consecutive series of surgical drills to prepare an implant bed fits the implant exactly.
Physicochemical Surface Modifications for Dental Implants The osseointegration process relates to the all biological interactions between the host bone and implant surface. Figure 3. Drug-Based Implants Modification Additionally, new coating strategies to improve implant osseointegration involve the development of a dedicated drug-loading ability to locally target bone disorders around dental implants more effectively [ 28 ]. Experimental Models for Dental Implants For the investigation of the osseointegration of bone implants with a newly developed surface modification, animal experiments are of fundamental significance.
Conclusions The developments regarding implant surface modifications seem critical for bone healing and improving osseointegration at sites that lack sufficient quantity or quality of bone.
Conflicts of Interest The author declares no conflict of interest. References 1. Branemark R. Osseointegration in skeletal reconstruction and rehabilitation: A review. Kieswetter K. The role of implant surface characteristics in the healing of bone. Oral Biol. Puleo D. Understanding and controlling the bone—implant interface. Davies J. Understanding peri-implant endosseous healing. Lekholm U. Oral Maxillofac. Kate M. Alsaadi G. Impact of local and systemic factors on the incidence of oral implant failures, up to abutment connection.
Montes C. Failing factors associated with osseointegrated dental implant loss. Implant Dent. Jaffin R. The excessive loss of Branemark fixtures in type IV bone: A 5-year analysis. Marco F. Peri-implant osteogenesis in health and osteoporosis. Sykaras N. Implant materials, designs, and surface topographies: Their effect on osseointegration. A literature review. Steigenga J. Dental implant design and its relationship to long-term implant success.
Shalabi M. A mechanical evaluation of implants placed with different surgical techniques into the trabecular bone of goats. Oral Implantol. Tabassum A. Influence of the surgical technique and surface roughness on the primary stability of an implant in artificial bone with a density equivalent to maxillary bone: A laboratory study.
Sato and excellent relevant clinical photos which is the case with most patients UK: Quintessence and radiographs. ISBN steer GDPs in consistently performing This atlas is a very successful guide the safest and most reliable methods in to navigating through frequently daily practice. I The text assumes a basic level of would not only recommend this book understanding of periodontal treatment to those with a special interest in peri- although the terminology is explained odontal treatment but to all dentists in On beginning to read this book by Dr in an easy, comprehensive manner daily practice.
Naoshi Sato, I had reservations with in the form of glossaries, scattered in P. Barry-Murphy regard to its daunting size.
The clinical pho- Dr Sato provides excellent longterm ISBN tographs, radiographs and treatment follow up clinical cases some over 20 outcomes somehow make more of an years that he has treated over his career. The book time chart of treatment provided at the is divided into five easy-to-read chap- side of the page providing a quick visual This fi rst edition publication is based ters encompassing all aspects of peri- reference guide as you read through the upon the Toronto Osseointegra- odontal treatment in conjunction with text.
It other specialities. The book consists of 24 chapters over tioned, and the information provided The book itself reminds the GDP of pages. It begins by discussing the seems to take the form of an informal, the importance of the basic principles different implant types as well as a non-biased, evidence-based discussion.
It also empha- regarding success rates of different of the different treatment modalities sises that the appropriate method and implant retained prostheses compared with relevant clinical information, using objective of periodontal treatment is with other conventional tooth borne res- helpful, uncomplicated diagrams and determined by the specific needs of the torations. This chapter is very informa- tables. The atlas also includes indica- individual patient, ie tooth preservation tive and useful to all clinicians when tions and contra-indications for differ- vs.
All rights reserved. Although at times different treatment modalities. The illustrated to ensure maximum impact presurgical planning chapters give an and, of particular note, at the close of insight into the complexity and impor- each chapter are synopses of selected tance of correctly placing implants, journal articles and textbooks for fur- giving the reader an appreciation of the This text aims to introduce a skill-ori- ther study and evidence based learning.
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