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VOLUME 9 , ISSUE 3 ( March, 2008 ) > List of Articles

RESEARCH ARTICLE

Human Histologic Evaluation of a Six-year-old Threaded Implant Retrieved from a Subject with Osteoporosis

Adriano Piattelli, Jamil A. Shibli, Leandro de Melo, Giovanna Lezzi, Susana d'Avila, Elton Gonçaives Zenóbio

Citation Information : Piattelli A, Shibli JA, de Melo L, Lezzi G, d'Avila S, Zenóbio EG. Human Histologic Evaluation of a Six-year-old Threaded Implant Retrieved from a Subject with Osteoporosis. J Contemp Dent Pract 2008; 9 (3):99-105.

DOI: 10.5005/jcdp-9-3-99

License: CC BY-NC 3.0

Published Online: 01-09-2009

Copyright Statement:  Copyright © 2008; The Author(s).


Abstract

Aim

The aim of this case report was to present the evaluation of the bone-to-implant contact in an implant retrieved from a subject with osteoporosis after six years of load.

Background

Systemic conditions associated with osteoporosis have been postulated to contribute to the severity of alveolar bone loss. The increase in human life expectancy, the increased number of elderly subjects who are partially or totally edentulous, and the use of dental implants for oral habilitation in subjects with osteoporosis has raised several questions.

Report

A 68-year-old woman with postmenopausal osteoporosis received a prosthetic evaluation of an implant-supported restoration. Histologically, the peri-implant bone appeared healthy. The peri-implant bone appeared in close contact with the implant surface, whereas marrow spaces could be detected in other areas along with prominently stained cement lines. The mean of bone-to-implant contact was 62.51±1.96.

Conclusion

The results of the evaluation of the dental implant reported here suggest the presence of osteoporosis may not be a contra-indication for implant placement at least after osseointegration has already been established.

Citation

de Melo L, Piattelli A, Lezzi G, d'Avila S, Zenóbio EG, Shibli JA. Human Histologic Evaluation of a Six-year-old Threaded Implant Retrieved from a Subject with Osteoporosis. J Contemp Dent Pract 2008 March; (9)3:099-105.


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  1. Epidemiology of osteoporosis in the United States of America. Osteoporos Int. 1997;7 Suppl 3:S68-72.
  2. Is osteoporosis a risk for osseointegration of dental implants? Int J Oral Maxillofac Implants 1993; 8:137-144.
  3. The relative impact of local and endogenous patient-related factors on implant failure up to the abutment stage. Clin Oral Implants Res 2002; 13:617-622.
  4. Comparative study of axial and femoral bone mineral density and parameters of mandibular bone quality in patients receiving dental implants. Osteoporos Int 2006; 17:1494-1500.
  5. Osteoporosis-like bone conditions affect osseointegration of implants. Int J Oral Maxillofac Implants 2004; 19:687-694.
  6. Systemic osteoporosis and oral bone loss: evidence shows increased risk factors. J Am Dent Assoc 1993; 124:49-56.
  7. Ovariectomy hinders the early stage of bone-implant integration: histomorphometric, biomechanical, and molecular analyses. Bone 2002; 30:137-143.
  8. Osteoporosis and implant failure: an exploratory case-control study. J Periodontol. 2000 Apr; 71(4):625-31.
  9. Mineral density in the mandibles of partially and totally edentate postmenopausal women. Scand J Dent Res 1994; 102:64-67.
  10. Oestrogen replacement therapy promotes bone healing around dental implants in osteoporotic rats. Int J Oral Maxillofac Surg 2004; 33:279-285.
  11. Estrogen deficiency affects bone healing around titanium implants: a histometric study in rats. Implant Dent 2003; 12:340-346.
  12. Alendronate therapy may be effective in the prevention of bone loss around titanium implants inserted in estrogen-deficient rats. J Periodontol 2005; 76:107-114.
  13. Prosthodontic decision making among general dentists in Sweden. III: The choice between fixed partial dentures and single implants. Int J Prosthodont 2000; 13:34-40.
  14. Menopause-related oral alveolar bone resorption: a review of relatively unexplored consequences of estrogen deficiency. Menopause 1999 Summer;6(2):129-133.
  15. Treatment of a patient with severe osteoporosis and chronic polyarthritis with fixed implant-supported prosthesis: a case report. Int J Oral Maxillofac Implants 1999; 14:587-590.
  16. Long-term follow-up of severely atrophic edentulous mandibles reconstructed with short Branemark implants. Clin Implant Dent Relat Res. 2000; 2(4):184-9.
  17. Effects of postmenopausal osteoporosis on the mandible. In: Zarb G, Lekholm U, Albrektsson T, Tenenbaum H. Aging, osteoporosis and dental implants. Pag. 207-215, 2002, Quintessence Publishing Co, Inc, Carol Stream, IL.
  18. Peri-implant osteogenesis in health and osteoporosis. Micron 2005; 36:630-644.
  19. A prospective multicenter study evaluating loading of osseotite implants two months after placement: one-year results. J Esthet Dent 1998; 10:280-289.
  20. Influence of implant surface topography on early osseointegration: A histological study in human jaws. J Biomed Mater Res B Appl Biomater 2007;80:377-385.
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