Influence of periosteal coverage on the osteointegration and stability of dental implant distractors
Objectives Dental implant distractors (DID) are an efficacious means of simultaneously augmenting the vertical bony height together with the installation of dental implants. Little is known about their biomechanical properties and osteointegration ability in the free fibula flap, where the periosteu...
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Veröffentlicht in: | Clinical oral implants research 2013-07, Vol.24 (7), p.826-830 |
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creator | Yin, Xuelai Zhang, Chenping Hze-Khoong, Eugene Poh Shen, Shunkun Xu, Liqun |
description | Objectives
Dental implant distractors (DID) are an efficacious means of simultaneously augmenting the vertical bony height together with the installation of dental implants. Little is known about their biomechanical properties and osteointegration ability in the free fibula flap, where the periosteum is invariably damaged during the multiple osteotomies required for contouring purposes.
Materials and methods
Twenty‐four DID devices inserted into the tibias of 12 goats were evenly divided into three groups – whole periosteum (WP), half periosteum (HP), no periosteum (NP). Following 10 days of distraction and a 12 week consolidation period, the animals were euthanized to retrieve all 12 tibias. The bone‐implant bonded percentage (BIBP) and removal torques (RTQ) of each fixture were determined and statistically compared across the various groups.
Results
A slight decrease in both BIBP and RTQ values was observed across the WP, HP, and NP groups, respectively, with statistically significant differences in the BIBP for the WP and NP groups only.
Conclusion
We conclude that although an intact periosteum is ideal for the osteointegration of the DID fixture, adequate stability can still be achieved due to the sufficient anchorage accorded by the base screws in the apical cortex. |
doi_str_mv | 10.1111/j.1600-0501.2012.02466.x |
format | Article |
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Dental implant distractors (DID) are an efficacious means of simultaneously augmenting the vertical bony height together with the installation of dental implants. Little is known about their biomechanical properties and osteointegration ability in the free fibula flap, where the periosteum is invariably damaged during the multiple osteotomies required for contouring purposes.
Materials and methods
Twenty‐four DID devices inserted into the tibias of 12 goats were evenly divided into three groups – whole periosteum (WP), half periosteum (HP), no periosteum (NP). Following 10 days of distraction and a 12 week consolidation period, the animals were euthanized to retrieve all 12 tibias. The bone‐implant bonded percentage (BIBP) and removal torques (RTQ) of each fixture were determined and statistically compared across the various groups.
Results
A slight decrease in both BIBP and RTQ values was observed across the WP, HP, and NP groups, respectively, with statistically significant differences in the BIBP for the WP and NP groups only.
Conclusion
We conclude that although an intact periosteum is ideal for the osteointegration of the DID fixture, adequate stability can still be achieved due to the sufficient anchorage accorded by the base screws in the apical cortex.</description><identifier>ISSN: 0905-7161</identifier><identifier>EISSN: 1600-0501</identifier><identifier>DOI: 10.1111/j.1600-0501.2012.02466.x</identifier><identifier>PMID: 22471749</identifier><language>eng</language><publisher>Denmark: Blackwell Publishing Ltd</publisher><subject>Animals ; Attention ; dental implant distractor ; Dental Implants ; Dental Prosthesis Retention ; Dentistry ; distraction osteogenesis ; Goats ; Male ; Osseointegration - physiology ; Osteogenesis - physiology ; Osteogenesis, Distraction - instrumentation ; periosteum ; Periosteum - physiology ; Reconstructive Surgical Procedures - methods ; stability of implants ; Tibia - surgery ; Torque ; Vibration</subject><ispartof>Clinical oral implants research, 2013-07, Vol.24 (7), p.826-830</ispartof><rights>2012 John Wiley & Sons A/S</rights><rights>2012 John Wiley & Sons A/S.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4406-3d69fc4445d9d4b4ad16dcf5f6396b22f7dea50147045eea1ad0da039a1d55283</citedby><cites>FETCH-LOGICAL-c4406-3d69fc4445d9d4b4ad16dcf5f6396b22f7dea50147045eea1ad0da039a1d55283</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1600-0501.2012.02466.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1600-0501.2012.02466.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22471749$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yin, Xuelai</creatorcontrib><creatorcontrib>Zhang, Chenping</creatorcontrib><creatorcontrib>Hze-Khoong, Eugene Poh</creatorcontrib><creatorcontrib>Shen, Shunkun</creatorcontrib><creatorcontrib>Xu, Liqun</creatorcontrib><title>Influence of periosteal coverage on the osteointegration and stability of dental implant distractors</title><title>Clinical oral implants research</title><addtitle>Clin. Oral Impl. Res</addtitle><description>Objectives
Dental implant distractors (DID) are an efficacious means of simultaneously augmenting the vertical bony height together with the installation of dental implants. Little is known about their biomechanical properties and osteointegration ability in the free fibula flap, where the periosteum is invariably damaged during the multiple osteotomies required for contouring purposes.
Materials and methods
Twenty‐four DID devices inserted into the tibias of 12 goats were evenly divided into three groups – whole periosteum (WP), half periosteum (HP), no periosteum (NP). Following 10 days of distraction and a 12 week consolidation period, the animals were euthanized to retrieve all 12 tibias. The bone‐implant bonded percentage (BIBP) and removal torques (RTQ) of each fixture were determined and statistically compared across the various groups.
Results
A slight decrease in both BIBP and RTQ values was observed across the WP, HP, and NP groups, respectively, with statistically significant differences in the BIBP for the WP and NP groups only.
Conclusion
We conclude that although an intact periosteum is ideal for the osteointegration of the DID fixture, adequate stability can still be achieved due to the sufficient anchorage accorded by the base screws in the apical cortex.</description><subject>Animals</subject><subject>Attention</subject><subject>dental implant distractor</subject><subject>Dental Implants</subject><subject>Dental Prosthesis Retention</subject><subject>Dentistry</subject><subject>distraction osteogenesis</subject><subject>Goats</subject><subject>Male</subject><subject>Osseointegration - physiology</subject><subject>Osteogenesis - physiology</subject><subject>Osteogenesis, Distraction - instrumentation</subject><subject>periosteum</subject><subject>Periosteum - physiology</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>stability of implants</subject><subject>Tibia - surgery</subject><subject>Torque</subject><subject>Vibration</subject><issn>0905-7161</issn><issn>1600-0501</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1T2zAQhjUMHQiUv8D42IvNSpbk6MChk6EUJkNbPoajRrHWoODYqaSU5N8jE5ozuuzO6n12pXcJySgUNJ2zeUElQA4CaMGAsgIYl7JY75HR7mKfjECByCsq6SE5CmEOAFKN1QE5ZIxXtOJqROxV17Qr7GrM-iZbond9iGjarO7_oTdPqdxl8TmFVO5dF_HJm-hS0XQ2C9HMXOviZoAtdjGBbrFsTRcz60L0po69D1_Jl8a0AU8-4jF5-HFxP_mZT39dXk2-T_Oac5B5aaVqUsqFVZbPuLFU2roRjSyVnDHWVBZN-hmvgAtEQ40Fa6BUhloh2Lg8Jt-2fZe-_7vCEPXChRrb9B7sV0HTsmIgJB_LT0ilAEEFU0k63kpr34fgsdFL7xbGbzQFPaxDz_Xguh5c18M69Ps69Dqhpx9TVrMF2h343_8kON8KXl2Lm0831pPp7ZAlPt_yyWxc73jjX7Ssykrox5tLfffn7nHye3qtb8s3Q1ipTA</recordid><startdate>201307</startdate><enddate>201307</enddate><creator>Yin, Xuelai</creator><creator>Zhang, Chenping</creator><creator>Hze-Khoong, Eugene Poh</creator><creator>Shen, Shunkun</creator><creator>Xu, Liqun</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QO</scope><scope>7QP</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>201307</creationdate><title>Influence of periosteal coverage on the osteointegration and stability of dental implant distractors</title><author>Yin, Xuelai ; Zhang, Chenping ; Hze-Khoong, Eugene Poh ; Shen, Shunkun ; Xu, Liqun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4406-3d69fc4445d9d4b4ad16dcf5f6396b22f7dea50147045eea1ad0da039a1d55283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Animals</topic><topic>Attention</topic><topic>dental implant distractor</topic><topic>Dental Implants</topic><topic>Dental Prosthesis Retention</topic><topic>Dentistry</topic><topic>distraction osteogenesis</topic><topic>Goats</topic><topic>Male</topic><topic>Osseointegration - physiology</topic><topic>Osteogenesis - physiology</topic><topic>Osteogenesis, Distraction - instrumentation</topic><topic>periosteum</topic><topic>Periosteum - physiology</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>stability of implants</topic><topic>Tibia - surgery</topic><topic>Torque</topic><topic>Vibration</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yin, Xuelai</creatorcontrib><creatorcontrib>Zhang, Chenping</creatorcontrib><creatorcontrib>Hze-Khoong, Eugene Poh</creatorcontrib><creatorcontrib>Shen, Shunkun</creatorcontrib><creatorcontrib>Xu, Liqun</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Clinical oral implants research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yin, Xuelai</au><au>Zhang, Chenping</au><au>Hze-Khoong, Eugene Poh</au><au>Shen, Shunkun</au><au>Xu, Liqun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of periosteal coverage on the osteointegration and stability of dental implant distractors</atitle><jtitle>Clinical oral implants research</jtitle><addtitle>Clin. Oral Impl. Res</addtitle><date>2013-07</date><risdate>2013</risdate><volume>24</volume><issue>7</issue><spage>826</spage><epage>830</epage><pages>826-830</pages><issn>0905-7161</issn><eissn>1600-0501</eissn><abstract>Objectives
Dental implant distractors (DID) are an efficacious means of simultaneously augmenting the vertical bony height together with the installation of dental implants. Little is known about their biomechanical properties and osteointegration ability in the free fibula flap, where the periosteum is invariably damaged during the multiple osteotomies required for contouring purposes.
Materials and methods
Twenty‐four DID devices inserted into the tibias of 12 goats were evenly divided into three groups – whole periosteum (WP), half periosteum (HP), no periosteum (NP). Following 10 days of distraction and a 12 week consolidation period, the animals were euthanized to retrieve all 12 tibias. The bone‐implant bonded percentage (BIBP) and removal torques (RTQ) of each fixture were determined and statistically compared across the various groups.
Results
A slight decrease in both BIBP and RTQ values was observed across the WP, HP, and NP groups, respectively, with statistically significant differences in the BIBP for the WP and NP groups only.
Conclusion
We conclude that although an intact periosteum is ideal for the osteointegration of the DID fixture, adequate stability can still be achieved due to the sufficient anchorage accorded by the base screws in the apical cortex.</abstract><cop>Denmark</cop><pub>Blackwell Publishing Ltd</pub><pmid>22471749</pmid><doi>10.1111/j.1600-0501.2012.02466.x</doi><tpages>5</tpages></addata></record> |
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source | MEDLINE; Access via Wiley Online Library |
subjects | Animals Attention dental implant distractor Dental Implants Dental Prosthesis Retention Dentistry distraction osteogenesis Goats Male Osseointegration - physiology Osteogenesis - physiology Osteogenesis, Distraction - instrumentation periosteum Periosteum - physiology Reconstructive Surgical Procedures - methods stability of implants Tibia - surgery Torque Vibration |
title | Influence of periosteal coverage on the osteointegration and stability of dental implant distractors |
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