scholarly journals Direct Metal Laser Sintering Titanium Dental Implants: A Review of the Current Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
F. Mangano ◽  
L. Chambrone ◽  
R. van Noort ◽  
C. Miller ◽  
P. Hatton ◽  
...  
Keyword(s):  
Dental Implants ◽  
Methodological Quality ◽  
Meta Analysis ◽  
Three Dimensional ◽  
Laser Sintering ◽  
Titanium Implants ◽  
Human Studies ◽  
Direct Metal Laser Sintering ◽  
Titanium Dental Implants

Statement of Problem. 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.Objective. 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.Materials and Methods. Electronic database searches were performed. Inclusion criteria were clinical and radiographic studies, histologic/histomorphometric studies in humans and animals, mechanical evaluations, andin vitrocell 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.Results. 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.Conclusions. 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.

scholarly journals Artifact Properties of Dental Ceramic and Titanium Implants in MRI

2018 ◽  
Vol 191 (05) ◽  
pp. 433-441 ◽  
Author(s):  
Margit-Ann Geibel ◽  
Benjamin Gelißen ◽  
Anna-Katinka Bracher ◽  
Volker Rasche
Keyword(s):  
Dental Implants ◽  
Relative Error ◽  
Spin Echo ◽  
Three Dimensional ◽  
Region Of Interest ◽  
Titanium Implants ◽  
Dental Implantation ◽  
Significant Difference ◽  
Ceramic Implants

Aim Assessment of the visualization of titanium and ceramic dental implants using various isotropic three-dimensional magnetic resonance imaging (MRI) methods. Materials and Methods 21 dental implants (7 ceramic, 14 titanium) were scanned in vitro with a spatially isotropically resolved three-dimensional gradient echo (FFE), a turbo spin echo (SE) and an ultra-short-echo time (UTE) imaging technique. The resulting absolute volumes of the implants were quantified and the relative error to the theoretical volume was calculated. Results Ceramic implants and their periphery could be displayed well in all cases. The observed mean relative error results were 5.4 ± 2.3 % (UTE) to 6.5 ± 4.3 % (FFE). No significant difference was observed between the investigated MRI methods. The transition between implant and surrounding agarose could be shown in all cases without artifacts. Titanium implants resulted in mean relative errors between 1314 ± 350 % (FFE) and 2157 ± 810 % (SE). Here, significant differences were observed between the FFE and the SE and between the UTE and the SE sequence. The periphery of the implants could not be displayed in any case. Conclusion Use of the MRI technique for the diagnosis of peri-implantitis, the assessment of anatomical structures and planning of dental implantation is currently very limited but could be used more frequently, provided there are no disturbing or imaging-disturbing materials in the region of interest. MRI technology is not suitable in case of titanium implants. When using ceramic implants, MRI technology is an option. Key points  Citation Format

scholarly journals Effect of Zirconia Dental Implant Surfaces on Bone Integration: A Systematic Review and Meta-Analysis

2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
Ali Hafezeqoran ◽  
Roodabeh Koodaryan
Keyword(s):  
Systematic Review ◽  
Dental Implants ◽  
Meta Analysis ◽  
Titanium Implants ◽  
Removal Torque ◽  
Significant Difference ◽  
Modified Surface ◽  
Bone To Implant Contact ◽  
Titanium Dental Implants ◽  
Zirconia Implants

Background. The information available about osseointegration and the bone to implant interaction of zirconia implants with various surface modifications is still far from sufficient.Objective. The purpose of this systematic review and meta-analysis was to evaluate and compare zirconia dental implants with different surface topographies, with a focus on bone to implant contact and removal torque.Methods. The systematic review of the extracted publications was performed to compare the bone to implant contact (BIC) with removal torque (RT) values of titanium dental implants and machined and surfaced modified zirconia implants.Results. A total of fifteen articles on BIC and RT values were included in the quantitative analysis. No significant difference in the BIC values was observed between titanium and machined zirconia implants (p=0.373; 95% CI:-0.166 to 0.443). However, a significantly better BIC values were observed for acid etched zirconia implants compared with those of titanium implants (p=0.032; 95% CI: 0.068 to 1.461). Unmodified zirconia implants showed favorable BIC values compared to modified-surface zirconia implants (p=0.021; 95% CI:-0.973 to-0.080).Conclusion. Acid etched zirconia implants may serve as a possible substitute for successful osseointegration.

scholarly journals Zirconia vs. Titanium Dental Implants: Primary Stability In-Vitro Analysis

Materials ◽  
2021 ◽  
Vol 14 (24) ◽  
pp. 7886
Author(s):  
Nerea Arlucea ◽  
Aritza Brizuela-Velasco ◽  
Markel Dieguez-Pereira ◽  
Miquel Punset ◽  
Meritxell Molmeneu ◽  
...  
Keyword(s):  
Dental Implants ◽  
Primary Stability ◽  
Titanium Implants ◽  
Insertion Torque ◽  
Static Compression ◽  
Compression Load ◽  
Vitro Analysis ◽  
Titanium Dental Implants ◽  
Zirconia Implants

The present experimental trial uses two types of dental implants, one made of titanium (Ti6Al4V) and the other one of zirconia (ZrO2), but both of identical design, to compare their stability and micro-movements values under load. One of each type of implant (n = 42) was placed into 21 cow ribs, recording the insertion torque and the resonance frequency using a specific transducer. Subsequently, a prosthetic crown made of PMMA was screwed onto each of the implants in the sample. They were then subjected to a static compression load on the vestibular cusp of the crown. The resulting micromovements were measured. The zirconia implants obtained a higher mean of both IT and RFA when compared with those of titanium, with statistically significant differences in both cases (p = 0.0483 and p = 0.0296). However, the micromovement values when load was applied were very similar for both types, with the differences between them (p = 0.3867) not found to be statistically significant. The results show that zirconia implants have higher implant stability values than titanium implants. However, the fact that there are no differences in micromobility values implies that caution should be exercised when applying clinical protocols for zirconia based on RFA, which only has evidence for titanium.

scholarly journals Surface Activation of Titanium Dental Implants by Using UVC-LED Irradiation

2021 ◽  
Vol 22 (5) ◽  
pp. 2597
Author(s):  
Nagore Arroyo-Lamas ◽  
Iciar Arteagoitia ◽  
Unai Ugalde
Keyword(s):  
Dental Implants ◽  
Photoelectron Spectroscopy ◽  
Organic Contaminants ◽  
Light Emitting Diode ◽  
In Vitro Study ◽  
Sem Analysis ◽  
Titanium Implants ◽  
Chemical Compositions ◽  
Titanium Dental Implants

Organic contaminants significantly limit the bioactivity of titanium implants, resulting in the degradation known as the ageing of titanium. To reactivate the surfaces, they can be photofunctionalized, i.e., irradiated with C-range ultraviolet (UVC) light. This descriptive in vitro study compares the effectiveness of novel light-emitting diode (LED) technology to remove contaminant hydrocarbons from three different commercially available titanium dental implants: THD, TiUnite, and SLA. The surface topography and morphology were characterized by scanning electron microscopy (SEM). The chemical compositions were analyzed by X-ray photoelectron spectroscopy (XPS), before and after the lighting treatment, by a pair of closely placed UVC (λ = 278 nm) and LED devices for 24 h. SEM analysis showed morphological differences at the macro- and micro-scopic level. XPS analysis showed a remarkable reduction in the carbon contents after the UVC treatment: from 25.6 to 19.5 C at. % (carbon atomic concentration) in the THD; from 30.2 to 20.2 C at. % in the TiUnite; from 26.1 to 19.2 C at. % in the SLA surface. Simultaneously, the concentration of oxygen and titanium increased. Therefore, LED-based UVC irradiation decontaminated titanium surfaces and improved the chemical features of them, regardless of the kind of surface.

scholarly journals Macrophagic Inflammatory Response Next to Dental Implants with Different Macro- and Micro-Structure: An In Vitro Study

2021 ◽  
Vol 11 (12) ◽  
pp. 5324
Author(s):  
Maria Menini ◽  
Francesca Delucchi ◽  
Domenico Baldi ◽  
Francesco Pera ◽  
Francesco Bagnasco ◽  
...  
Keyword(s):  
Inflammatory Response ◽  
Dental Implants ◽  
In Vitro Study ◽  
Titanium Implants ◽  
Implant Surface ◽  
Bone Implant ◽  
Optimal Outcomes ◽  
Negative Controls ◽  
Inflammatory Effect

(1) Background: Intrinsic characteristics of the implant surface and the possible presence of endotoxins may affect the bone–implant interface and cause an inflammatory response. This study aims to evaluate the possible inflammatory response induced in vitro in macrophages in contact with five different commercially available dental implants. (2) Methods: one zirconia implant NobelPearl® (Nobel Biocare) and four titanium implants, Syra® (Sweden & Martina), Prama® (Sweden & Martina), 3iT3® (Biomet 3i) and Shard® (Mech & Human), were evaluated. After 4 h of contact of murine macrophage cells J774a.1 with the implants, the total RNA was extracted, transcribed to cDNA and the gene expression of the macrophages was evaluated by quantitative PCR (qPCR) in relation to the following genes: GAPDH, YWHAZ, IL1β, IL6, TNFα, NOS2, MMP-9, MMP-8 and TIMP3. The results were statistically analyzed and compared with negative controls. (3) Results: No implant triggered a significant inflammatory response in macrophages, although 3iT3 exhibited a slight pro-inflammatory effect compared to other samples. (4) Conclusions: All the samples showed optimal outcomes without any inflammatory stimulus on the examined macrophagic cells.

On three-dimensional printing of 17-4 precipitation-hardenable stainless steel with direct metal laser sintering in aircraft structural applications

2021 ◽  
pp. 146442072110448
Author(s):  
Rupinder Singh ◽  
Rishab ◽  
Jashanpreet S Sidhu
Keyword(s):  
Stainless Steel ◽  
Structural Engineering ◽  
Three Dimensional ◽  
Surface Hardness ◽  
Dimensional Accuracy ◽  
Scanning Speed ◽  
Laser Sintering ◽  
Structural Components ◽  
Direct Metal Laser Sintering ◽  
Structural Applications

The martensitic 17-4 precipitation-hardenable stainless steel is one of the commercially established materials for structural engineering applications in aircrafts due to its superior mechanical and corrosion resistance properties. The mechanical processing of this alloy through a conventional manufacturing route is critical from the dimensional accuracy (Δ d) viewpoint for development of innovative structural components such as: slat tracks, wing flap tracks, etc. In past two decades, a number of studies have been reported on challenges being faced while conventional processing of 17-4 precipitation-hardenable stainless steel for maintaining uniform thickness of aircraft structural components. However, hitherto little has been reported on direct metal laser sintering of 17-4 precipitation-hardenable stainless steel for development of innovative functional prototypes with uniform surface hardness (HV), Δ d, and surface roughness ( Ra) in aircraft structural engineering. This paper reports the effect of direct metal laser sintering process parameters on HV, Δ d, and Ra for structural components. The results of study suggest that optimized settings of direct metal laser sintering from multifactor optimization viewpoint are laser power 100 W, scanning speed 1400 mm/s, and layer thickness 0.02 mm. The results have been supported with scanning electron microscopy analysis (for metallurgical changes such as porosity (%), HV, grain size, etc.) and international tolerance grades for ensuring assembly fitment.

scholarly journals Marginal Bone Loss and Aesthetics Around Zirconia and Titanium Dental Implants-A Metanalysis

2020 ◽  
Author(s):  
Pulijala Sathwika ◽  
Rampalli Viswa Chandra
Keyword(s):  
Bone Loss ◽  
Randomized Controlled Trials ◽  
Meta Analysis ◽  
Titanium Implants ◽  
Controlled Trials ◽  
Marginal Bone Loss ◽  
Randomized Controlled ◽  
Cie Lab ◽  
Titanium Dental Implants ◽  
Zirconia Implants

AIM: To evaluate and compare the marginal bone loss and aesthetic outcomes of zirconia implants with titanium implants in randomized controlled trials (RCTs). MATERIAL AND METHODS: Electronic [PubMed] and hand searches were performed to identify randomized controlled trials that were published between January 2008 to April 2020 which investigated and compared various outcomes between zirconia and titanium dental implants. Outcomes included assessment of marginal bone loss and aesthetics using spectrophotometric measurements. Meta-analysis was performed to estimate the above parameters among various studies. RESULTS: A total of 58 articles were screened for titles and abstracts. Subsequently 8 articles were selected for data extraction and evaluation. Zirconia implants were investigated and compared to titanium implants for marginal bone loss [MBL]. Customized zirconia and titanium abutments seated over implants were analyzed for aesthetic outcomes using spectrophotometric method using CIE-Lab measurements. Meta-analysis estimated that zirconia implants exhibited marginal bone loss reduction of 0.179mm (95% CI, 0.02 to 0.33) and -0.242mm (95% CI, -4.026 to 3.542) in aesthetic measurements than titanium implants. CONCLUSIONS: No heterogeneity was observed among studies analyzed for marginal bone loss and significant differences were noticed between two groups. Noticeable heterogeneity was observed among studies assessing aesthetics using spectrophotometry and CIE-Lab measurements and results revealed no many significant differences between the two groups.

scholarly journals Dental Implants Surface in vitro Decontamination Protocols

2020 ◽  
Author(s):  
Vanessa Coelho Batalha ◽  
Raquel Abreu Bueno ◽  
Edemar Fronchetti Junior ◽  
José Ricardo Mariano ◽  
Gabriela Cristina Santin ◽  
...  
Keyword(s):  
Photodynamic Therapy ◽  
Sodium Bicarbonate ◽  
Dental Implants ◽  
Negative Control ◽  
Titanium Implants ◽  
Antimicrobial Photodynamic Therapy ◽  
Significance Level ◽  
Sterile Saline ◽  
Number Of Patients

Abstract Objective The number of patients rehabilitated with dental implants has contributed to increased incidence of peri-implant diseases. Due to complex and difficult treatment, peri-implantitis is a challenge and an efficient clinical protocol is not yet established. Aim of this study was to evaluate the efficacy of two protocols for in vitro decontamination of dental implants surface. Material and Methods Twenty titanium implants (BioHE-Bioconect) were used. Implants were divided into five groups (n = 4). NC group (negative control): sterile implants; PC group (positive control): biofilm contaminated implants; S group: biofilm contaminated implants, brushed with sterile saline; SB group: biofilm contaminated implants, brushed with sterile saline and treated with air-powder abrasive system with sodium bicarbonate (1 minute); and antimicrobial photodynamic therapy (aPDT) group: biofilm contaminated implants, brushed with sterile saline and treated with antimicrobial photodynamic therapy (red laser + toluidine blue O). The implants were contaminated in vitro with subgingival biofilm and distributed in groups PC, S, SB, and aPDT. Each group received the respective decontamination treatment, except groups NC and PC. Then, all implants were placed in tubes containing culture medium for later sowing and counting of colony-forming units (CFUs). Statistical Analysis One-way analysis of variance and Tukey tests were performed, at 5% significance level. Results Significantly fewer CFUs were observed in the aPDT group (19.38 × 105) when compared with groups SB (26.88 × 105), S (47.75 × 105), and PC (59.88 × 105) (p < 0.01). Both the aPDT and SB groups were statistically different from the NC group (p < 0.01). Conclusion Proposed protocols, using air-powder abrasive system with sodium bicarbonate and aPDT, showed to be efficacious in the decontamination of dental implants surface in vitro.

Sign in / Sign up

Export Citation Format

Share Document