Clinical study on the gingival and osseointegration of some medical devices from dental implant category at the level of the oral cavity – preliminary analysis (part I)

Teodora Marcu,Ileana Ionescu,Radu Costea,Liliana Moraru,Ioana-Cristina Neagoe,Augustin Mihai,Iuliana Babiuc,Corina Marilena Cristache,Gabriela Tănase ,M Niţescu ,Liliana Burlibaşa ,Mihai Burlibaşa ,Constantin Florin Drăgan ,Viorel Ştefan Perieanu ,Mădălina Adriana Malița ,Mădălina Violeta Perieanu

doi:10.37897/rjs.2021.1.6

Abstract

Introduction. In order to achieve the goals of oral implantology, it is of great importance to obtain tissue integration (bone and epithelial) of dental implants. Bone integration has the role of rigidly fixing the dental implant at the level of the supporting bone, while ensuring the transfer of masticatory forces to the neighboring bone, while the soft tissues integration has the role of creating a barrier around these medical devices, with the role of protecting the underlying bone and preventing the access of microorganisms. Purpose. In this material we wanted to perform a statistical analysis on the gingival integration and osseointegration of dental implants in the oral cavity. Material and method. The analysis was performed on a number of 21 patients with a total of 97 dental implants, approximately one year after the prosthetic loading of the implants. The analysis was based on bleeding index, gingival index but also on the depth of the peri-implant canal and bone resorption around the implant. Results and discussions. Most of the implants analyzed showed no signs of inflammation. A small number (less than 30%) showed incipient signs of inflammation, falling within the data in the literature. Conclusions. Early detection of tissue changes around the implant and proper treatment will reduce the risk of more serious injuries and implant failure.

Highlights

IntroductionIn order to achieve the goals of oral implantology, it is of great importance to obtain tissue integration (bone and epithelial) of dental implants
In order to achieve the goals of oral implantology, it is of great importance to obtain tissue integration of dental implants
In order to achieve the objectives of implant-prosthetic rehabilitation, it is of great importance to obtain an acceptable gingival integration and osseointegration of dental implants, at the level of the oral cavity

Summary

Introduction

In order to achieve the goals of oral implantology, it is of great importance to obtain tissue integration (bone and epithelial) of dental implants. In order to achieve the objectives of implant-prosthetic rehabilitation, it is of great importance to obtain an acceptable gingival integration and osseointegration of dental implants, at the level of the oral cavity. These terms can be defined more as tissue integration (gingival and bone) [1,2,3,4,5]. Because the insertion of dental implants is performed in two types of tissues, osseous and gingival, a successful implant-prosthetic rehabilitation treatment involves obtaining a proper osseointegration and gingival integration. This is achieved by using an appropriate surgical technique, by ensuring the primary stability of the dental implant, and by a complex and correct postimplant prosthetic rehabilitation, which limits the movements at the bone-implant interface, allowing healing around this medical device (dental implant) [1,2,3,4,5]

Methods

Results

Conclusion