Skip to main content Skip to main navigation menu Skip to site footer
Review
Published: 07-12-2022

Molecular, cellular and surgical processes of osseointegration for dental implants: a systematic review

UNORTE - University Center of Northern São Paulo - Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil
UNORTE - University Center of Northern São Paulo - Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil
UNORTE - University Center of Northern São Paulo - Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil
UNORTE - University Center of Northern São Paulo - Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil
UNORTE - University Center of Northern São Paulo - Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil
Osseointegration Biomaterials Molecular processes Cellular processes Dental implants

Abstract

Introduction: The maxillary sinus floor elevation procedure should be performed based on the cellular and molecular process of osseointegration. In this sense, when grafting procedures are necessary, the success and predictability of the results do not depend only on the biomaterial, but as well as the morphology of the bone defect. Combinations have been proposed to obtain better regenerative conditions through volume preservation (osteoconduction) and induction of cell migration differentiation (osteoinduction). The surface microstructure of Bio Oss® supports the growth of osteoblasts, which are responsible for bone formation. Objective: To carry out a concise systematic review of the molecular and surgical processes of osseointegration for dental implants. Methods: The present study was followed by a systematic review model (PRSMA). The search strategy was performed in the PubMed, Cochrane Library, Web of Science and Scopus, and Google Scholar databases. The Cochrane Instrument was used to assess the risk of bias from the included studies. Results and Conclusion: In line with the objective of this study, it was observed that the understanding of bone bioengineering, understanding the entire bioprocess of bone formation through the main cells (mesenchymal stem cells and osteoblasts) and molecules (BMPs, PRP, PRF, cytokines and growth factors), can promote the use of biomaterials and epithelial barriers that help in the treatment as an adjuvant to bone grafting-techniques, favoring greater predictability in alveolar and peri-implant reconstructions and with a good prognosis.

Metrics

Metrics Loading ...

References

  1. Hao CP, Cao NJ, Zhu YH, Wang W. The osseointegration and stability of dental implants with different surface treatments in animal models: a network meta-analysis. Sci Rep. 2021 Jul 5;11(1):13849. doi: 10.1038/s41598-021-93307-4. PMID: 34226607; PMCID: PMC8257659.
  2. Pang K, Seo YK, Lee JH. Effects of the combination of bone morphogenetic protein-2 and nano-hydroxyapatite on the osseointegration of dental implants. J Korean Assoc Oral Maxillofac Surg. 2021 Dec 31;47(6):454-464. doi: 10.5125/jkaoms.2021.47.6.454. PMID: 34969019; PMCID: PMC8721409.
  3. Zhuang G, Mao J, Yang G, Wang H. Influence of different incision designs on bone increment of guided bone regeneration (Bio-Gide collagen membrane +Bio-OSS bone powder) during the same period of maxillary anterior tooth implantation. Bioengineered. 2021 Dec;12(1):2155-2163. doi: 10.1080/21655979.2021.1932209. PMID: 34057023.
  4. Abdel-Kader MA, Abdelazeem AF, Ahmed NEB, Khalil YM, Mostafa MI. Oral rehabilitation of a case with regional odontodysplasia using a regenerative approach-A case report and a review of literature. Spec Care Dentist. 2019, May;39(3):330-339. doi: 10.1111/scd.12378. Epub 2019 Apr 16.
  5. Arab H, Shiezadeh F, Moeintaghavi A, Anbiaei N, Mohamadi S. Comparison of Two Regenerative Surgical Treatments for Peri-Implantitis Defect using Natix Alone or in Combination with Bio-Oss and Collagen Membrane. J Long Term Eff Med Implants. 2016;26(3):199-204. doi: 10.1615/JLongTermEffMedImplants.2016016396.
  6. Chiapasco M., Casentini P., Zaniboni M. Bone augmentation procedures in implant dentistry. Int J Oral Maxillofac Implants. 2009;24 Suppl: 237-59
  7. Choukroun J, Diss A., Simonpieri A, Girard M.O. Schhoffler C., Dohan S.L., et al.Platelet-rich-fibrin (PRF): a second generation platelet concentrate. Part IV: clinical effects on tissue healing. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod 2006: 101 (3): e 56 – 60.
  8. Diana C, Mohanty S, Chaudhary Z, Kumari S, Dabas J, Bodh R. Does platelet-rich fibrin have a role in osseointegration of immediate implants? A randomized, single-blind, controlled clinical trial. Int J Oral Maxillofac Surg. 2018 Sep;47(9):1178-1188. doi: 10.1016/j.ijom.2018.01.001. Epub 2018 May 7.
  9. Dohan DM, Choukroun J, Diss A, Dohan SL, Dohan AJJ, Mouhyi J, et al. Platelet-rich-fibrin (PRF); A second generation concentrate. Part I: Tecnological concepts and evolution. Oral Sugery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology. 2006; 101 (3): e 37- e 44.
  10. Nícoli LG, Pigossi SC, Araújo RFdSB, Marcantonio C, Marcantonio E, Marcantonio JRE. Multidisciplinary approach to oral rehabilitation with dental implants after gunshot injury. A clinical report. The Journal of Prothestic Dentistry. 2018; 119 (3): 329 – 33.
  11. Jeong SM, Lee CU, Son JS, Oh JH, Fang Y, Choi BH. Simultaneous sinus lift and implantation using platelet-rich-fibrin as sole grafting material. J. Craniomaxillofac Surgery. 2014; 42 (6): 990 – 4.
  12. Tajima N, Ohba S, Sawase T, Asahima I. Evaluation of sinus floor augmentation with simultaneous implant placement using platelet-rich-fibrin as sole grafting material. Int J Oral Maxillofac Implants 2013;28(1):77- 83.
  13. Xuan F, Lee CU, Son JS, Jeong SM, Choi BH. A comparative study of the regenerative effect of sinus bone grafting with platelet-rich fibrin-mixed Bio-Oss® and commercial fibrin-mixed Bio-Oss®: an experimental study. J Craniomaxillofac Surg. 2014 Jun;42(4):e47-50 [ doi: 10.1016/j.jcms.2013.05.029. Epub 2013 Aug 2].
  14. Moreira AC, Silva JR, Samico RP, Nishioka GNM, Nishioka RS. Application of Bio-Oss in tissue regenerative treatment prior to implant installation: literature review. Braz Dent Sci. 22(2), 2019.
  15. Li P, Zhu H, Huang D. Autogenous DDM versus Bio-Oss granules in GBR for immediate implantation in periodontal postextraction sites: A prospective clinical study. Clin Implant Dent Relat Res. 2018 Dec;20(6):923-928. doi: 10.1111/cid.12667. Epub 2018 Sep 19.
  16. Zhang H, Komasa S, Mashimo C, Sekino T, Okazaki J. Effect of ultraviolet treatment on bacterial attachment and osteogenic activity to alkali-treated titanium with nanonetwork structures. Int J Nanomedicine. 2017 Jun 28;12:4633-4646. doi: 10.2147/IJN.S136273. eCollection 2017.
  17. Albanese M, Ricciardi G, Donadello D, Lucchese A, Gelpi F, Zangani A, DE Santis D, Rizzini A, Rossetto A, Bertossi D. Alveolar splitting with piezosurgery, bone bank grafts and Nobelactive implants as an alternative to major bone grafting for maxillary reconstruction. Minerva Stomatol. 2017 Jul 4. doi: 10.23736/S0026-4970.17.04006-7.
  18. Bruno F. Mello, Jefferson T. Pires, Danilo Jorge Racy, Michelini S. Trentin, Adriano Piattelli, Jamil Awad Shibli. Espaço biológico ao redor de implantes osseointegrados: uma análise fisiológica e histológica em tecido peri-implantar humano. (Int J Periodontics Restorative Dent 2016; 34:713–718.
  19. Costa JBZ, Silva F, Dultra CA, Souza LF, Santos MCNE. Uso de membranas biológicas para regeneração óssea guiada em implantodontia – uma revisão de literatura - Revista Bahiana de Odontologia. 2016 Mar;7(1):14-21.
  20. Saghiri MA, Asatourian A, Garcia-Godoy F, Sheibani N. The role of angiogenesis in implant dentistry part II: The effect of bone-grafting and barrier membrane materials on angiogenesis. Med Oral Patol Oral Cir Bucal (2016), [doi:10.4317/medoral.21200].
  21. Mesimäki K, Lindroos B, Törnwall J, Mauno J, Lindqvist C, Kontio R, Miettinen S, Suuronen R: Novel maxillary reconstruction with ectopic bone formation by GMP adipose stem cells. Int J Oral Maxillofac Surg 2009, 38 : 201-209.
  22. Zotarelli Filho IJ, Frascino LF, Greco OT, Araujo JDD, Bilaqui A, Kassis EN, Ardito RV and Bonilla-Rodriguez GO. Chitosan-collagen scaffolds can regulate the biological activities of adipose mesenchymal stem cells for tissue engineering. J Regen Med Tissue Eng. 2013; 2:12. http://dx.doi.org/10.7243/2050-1218-2-12.
  23. Egido-Moreno S, Valls-Roca-Umbert J, Céspedes-Sánchez JM, López-López J, Velasco-Ortega E. Clinical Efficacy of Mesenchymal Stem Cells in Bone Regeneration in Oral Implantology. Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2021 Jan 21;18(3):894. doi: 10.3390/ijerph18030894. PMID: 33494139; PMCID: PMC7908266.
  24. You JS, Kim SG, Oh, J.S., Kim, J.S. Effects of Platelet-Derived Material (Platelet-Rich Fibrin) on Bone Regeneration. Implant Dent. 2019 Mar 8 [doi: 10.1097/ID.0000000000000877. Epub ahead of print].
  25. Amengual-Peñafiel L, Córdova LA, Constanza Jara-Sepúlveda M, Brañes-Aroca M, Marchesani-Carrasco F, Cartes-Velásquez R. Osteoimmunology drives dental implant osseointegration: A new paradigm for implant dentistry. Jpn Dent Sci Rev. 2021 Nov;57:12-19. doi: 10.1016/j.jdsr.2021.01.001.
  26. Starch-Jensen T, Aludden H, Hallman M, Dahlin C, Christensen AE, Mordenfeld A. A systematic review and meta-analysis of long-term studies (five or more years) assessing maxillary sinus floor augmentation. Int J Oral Maxillofac Surg. 2018 Jan;47(1):103-116. doi: 10.1016/j.ijom.2017.05.001. Epub 2017 May 22.
  27. Strauss FJ, Stähli A, Gruber R. The use of platelet-rich fibrin to enhance the outcomes of implant therapy: A systematic review. Clin Oral Implants Res. 2018 Oct;29 Suppl 18:6-19. doi: 10.1111/clr.13275.
  28. Wu IH, Bakhshalian N, Galaustian R, Naini RB, Min S, Freire M, Zadeh HH. Retrospective Analysis of the Outcome of Ridge Preservation with Anorganic Bovine Bone Mineral: Marginal Bone Level at Implants Placed Following Healing of Grafted Extraction Sockets. Int J Periodontics Restorative Dent. 2019 Jan/Feb;39(1):131-140. doi: 10.11607/prd.3308.
  29. Zhang Y, Tangl S, Huber CD, Lin Y, Qiu L, Raush-Fan X. Effects of Choukroun’s platelet-rich-fibrin on bone regeneration in combination with deproteinized bovine bone mineral in maxillary sinus augmentation: a histological and histomorphometric study. J Craniomaxillofac Surg. 2012; 40 (4): 321 -8.
  30. Zhou, J., Li, X., Sun, X., Qi, M., Chi, M., Yin, L., Zhou, Y. Bone regeneration around immediate placed implant of molar teeth with autologous platelet-rich fibrin: Two case reports. Medicine (Baltimore). 2018 Nov;97(44):e13058. doi: 10.1097/MD.0000000000013058.
  31. Momen-Heravi F, Peters SM, Garfinkle L, Kang P. Acellular Dermal Matrix as a Barrier for Guided Bone Regeneration of Dehiscence Defects Around Dental Implants: A Clinical and Histological Report. Implant Dent. 2018 Aug;27(4):521-524 [doi: 10.1097/ID.0000000000000796].

How to Cite

Sousa, F. O. de, Cardoso, L. G. R. M., Cicareli, A. J., Kassis, E. N., & Manzini, R. (2022). Molecular, cellular and surgical processes of osseointegration for dental implants: a systematic review. MedNEXT Journal of Medical and Health Sciences, 3(S4). https://doi.org/10.54448/mdnt22S405