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A Narrative Review of the Histological and Histomorphometrical Evaluation of the Peri-Implant Bone in Loaded and Unloaded Dental Implants. A 30-Year Experience (1988–2018)

Author

Listed:
  • Margherita Tumedei

    (Department of Medical, Oral and Biotechnological Sciences, University “G. D’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy)

  • Adriano Piattelli

    (Department of Medical, Oral and Biotechnological Sciences, University “G. D’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy
    Biomaterials Engineering, Catholic University of San Antonio de Murcia (UCAM), Av. de los Jerónimos, Guadalupe, 135 30107 Murcia, Spain
    Fondazione Villaserena per la Ricerca, 65121 Città Sant’Angelo (Pescara), Italy)

  • Marco Degidi

    (Private Practice, 40121 Bologna, Italy)

  • Carlo Mangano

    (Private Practice, 22015 Gravedona (Como), Italy)

  • Giovanna Iezzi

    (Department of Medical, Oral and Biotechnological Sciences, University “G. D’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy)

Abstract

Background : The aim of the present review was to assess the histological and histomorphometrical data from the paper published by our Laboratory on peri-implant bone in dental implants in different loading conditions. Methods : The papers published in different implant loading conditions, in dental implants retrieved from humans, and in the Hard Tissues Research Center of the University of Chieti-Pescara, Italy, were screened on MEDLINE/PubMed, Embase, Scopus, and other electronic databases until 31 December 2018. Only articles that reported the histological and histomorphometrical values of the Bone-Implant Contact (BIC) were selected. Results : The system selection provided a total of 155 papers. The manuscripts included for the narrative review were 57. These papers provided histological and histomorphometrical data. Conclusions : The bone remodeling around dental implants was found to be a dynamic process; loading changed the microstructure of the peri-implant bone; and implants were found to provide a successful function, over several decades, with different range of degrees of BIC in vivo (varying from a little more than 30% to a little more than 90%). Loaded implants presented a 10%–12% higher BIC values when compared to submerged, unloaded implants, and rougher surfaces had, on average, about a 10% higher BIC than machined surfaces.

Suggested Citation

  • Margherita Tumedei & Adriano Piattelli & Marco Degidi & Carlo Mangano & Giovanna Iezzi, 2020. "A Narrative Review of the Histological and Histomorphometrical Evaluation of the Peri-Implant Bone in Loaded and Unloaded Dental Implants. A 30-Year Experience (1988–2018)," IJERPH, MDPI, vol. 17(6), pages 1-18, March.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:6:p:2088-:d:335345
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