The effect of implantoplasty on dental implant fracture resistance: a systematic review

Authors

  • Rayner Goh Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
  • Andrew Tawse-Smith Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
  • Momen Atieh Department of Oral Diagnostic and Surgical Sciences, Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Healthcare City, Dubai, United Arab Emirates & Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
  • Warwick Duncan Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
  • Sunyoung Ma Department of Oral Rehabilitation, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
  • Kai Chun Li Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand

DOI:

https://doi.org/10.31436/ijohs.v3i1.113

Keywords:

dental implant, implantoplasty, peri-implantitis, systematic review

Abstract

An increase in dental implant placements in recent years has seen a growth in the reported cases of post-operative complications such as peri-implantitis. One of the available treatment modalities to overcome such complications is implantoplasty. Although this procedure is not new, the long-term effect of implantoplasty has not been addressed extensively. The aim of this systematic review was to investigate the change in fracture resistance of dental implants after implantoplasty. Three electronic databases and reference lists of included studies were searched to assess the potential effect of implantoplasty on implant fracture resistance. Titles and abstracts were screened by two reviewers in parallel. The extracted information regarding implant fracture resistance was reported based on the guidelines set by the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement. A total of 56 studies were identified, of which, nine studies were included. Narrow platform implants (<3.75 mm) were more susceptible to fracture following implantoplasty compared to wider platforms (?5 mm). Implants with internal hexagon connection may have a higher risk of fracture after implantoplasty compared to other connection designs such as external hexagon and conical connections. Other potential factors which may affect implant fracture resistance after implantoplasty include crown to implant ratio, implant material, and the amount of peri-implant bone loss. Within the limitation of in vitro studies, there is no clear evidence to demonstrate the effect of implantoplasty on implant fracture resistance. Methodological differences between the available studies did not allow for clear comparison between them. Furthermore, the limited amount of clinical reports of this resective procedure, in combination with patient and operator variability, affect the clinical assessment of this treatment modality.

References

Al-Johany, S. S., Al Amri, M. D., Alsaeed, S., & Alalola, B. (2017). Dental Implant Length and Diameter: A Proposed Classification Scheme. Journal of Prosthodontics, 26(3), 252-260.

Al-Omiri, M., Hantash, R. A., & Al-Wahadni, A. (2005). Satisfaction with dental implants: a literature review. Implant Dentistry, 14(4), 399-406.

Albrektsson, T., Dahlin, C., Jemt, T., Sennerby, L., Turri, A., & Wennerberg, A. (2014). Is marginal bone loss around oral implants the result of a provoked foreign body reaction? Clinical Implant Dentistry and Related Research, 16(2), 155-165.

Berglundh, T., Persson, L., & Klinge, B. (2002). A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years. Journal of Clinical Periodontology, 29 Suppl 3, 197-212; discussion 232-193.

Bertl, K., Isidor, F., von Steyern, P. V., & Stavropoulos, A. (2020). Does implantoplasty affect the failure strength of narrow and regular diameter implants? A laboratory study. Clinical Oral Investigations.

Blomberg, S. (1985). Psychiatric aspects of patients treated with bridges on osseointegrated fixtures. Swedish Dental Journal. Supplement, 28, 183-192. https://www.ncbi.nlm.nih.gov/pubmed/3864260

Camps-Font, O., Gonzalez-Barnadas, A., Mir-Mari, J., Figueiredo, R., Gay-Escoda, C., & Valmaseda-Castellon, E. (2020). Fracture resistance after implantoplasty in three implant-abutment connection designs. Medicina Oral, Patologia Oral, Cirugia Bucal, 25(5), e691-e699.

Chan, H. L., Oh, W. S., Ong, H. S., Fu, J. H., Steigmann, M., Sierraalta, M., & Wang, H. L. (2013). Impact of implantoplasty on strength of the implant-abutment complex. The International Journal of Oral & Maxillofacial Implants, 28(6), 1530-1535.

Chen, L., Guo, X., Li, Y., & Li, T. (2010). Finite element analysis for interfacial stress and fatigue behaviors of biomimetic titanium implant under static and dynamic loading conditions. Zhong Nan Da Xue Xue Bao Yi Xue Ban, 35(7), 662-672.

Costa-Berenguer, X., Garcia-Garcia, M., Sanchez-Torres, A., Sanz-Alonso, M., Figueiredo, R., & Valmaseda-Castellon, E. (2018). Effect of implantoplasty on fracture resistance and surface roughness of standard diameter dental implants. Clinical Oral Implants Research, 29(1), 46-54.

de Vries, R. W., P. (2018). In Vitro Critical Appraisal Tool (IV-CAT_: Tool Development Protocol (1.0.0) Zenodo

Derks, J., & Tomasi, C. (2015). Peri-implant health and disease. A systematic review of current epidemiology. Journal of Clinical Periodontology, 42 Suppl 16, S158-171.

Esposito, M., Grusovin, M. G., & Worthington, H. V. (2012). Treatment of peri-implantitis: what interventions are effective? A Cochrane systematic review. European Journal of Oral Implantology, 5 Suppl, S21-41.

Figuero, E., Graziani, F., Sanz, I., Herrera, D., & Sanz, M. (2014). Management of peri-implant mucositis and peri-implantitis. Periodontology 2000, 66(1), 255-273.

Gehrke, S. A., Aramburu Junior, J. S., Dedavid, B. A., & Shibli, J. A. (2016). Analysis of Implant Strength After Implantoplasty in Three Implant-Abutment Connection Designs: An In Vitro Study. The International Journal of Oral & Maxillofacial Implants, 31(3), e65-70.

Goiato, M. C., Andreotti, A. M., dos Santos, D. M., Nobrega, A. S., de Caxias, F. P., & Bannwart, L. C. (2019). Influence of length, diameter and position of the implant in its fracture incidence: A Systematic Review. Journal of Dental Research, Dental Clinics, Dental Prospects, 13(2), 109-116.

Heitz-Mayfield, L. J., & Mombelli, A. (2014). The therapy of peri-implantitis: a systematic review. The International Journal of Oral & Maxillofacial Implants, 29 Suppl, 325-345.

Higgins, J. G., S. (2021). Cochrane Handbook for Systematic Reviews for Interventions Version 6.2

Howe, M. S., Keys, W., & Richards, D. (2019). Long-term (10-year) dental implant survival: A systematic review and sensitivity meta-analysis. Journal of Dentistry, 84, 9-21.

Jorio, I. C., Stawarczyk, B., Attin, T., Schmidlin, P. R., & Sahrmann, P. (2021). Reduced fracture load of dental implants after implantoplasty with different instrumentation sequences. An in vitro study. Clinical Oral Implants Research.

Leitao-Almeida, B., Camps-Font, O., Correia, A., Mir-Mari, J., Figueiredo, R., & Valmaseda-Castellon, E. (2020). Effect of crown to implant ratio and implantoplasty on the fracture resistance of narrow dental implants with marginal bone loss: an in vitro study. BMC Oral Health, 20(1), 329.

Leitão-Almeida, B., Camps-Font, O., Correia, A., Mir-Mari, J., Figueiredo, R., & Valmaseda-Castellón, E. (2021). Effect of bone loss on the fracture resistance of narrow dental implants after implantoplasty. An in vitro study. Medicina Oral, Patologia Oral, Cirugia Bucal.

Lindhe, J., Meyle, J., & Group, D. o. E. W. o. P. (2008). Peri-implant diseases: Consensus Report of the Sixth European Workshop on Periodontology. Journal of Clinical Periodontology, 35(8 Suppl), 282-285.

Louropoulou, A., Slot, D. E., & Van der Weijden, F. (2014). The effects of mechanical instruments on contaminated titanium dental implant surfaces: a systematic review. Clinical Oral Implants Research, 25(10), 1149-1160.

Matarasso, S., Iorio Siciliano, V., Aglietta, M., Andreuccetti, G., & Salvi, G. E. (2014). Clinical and radiographic outcomes of a combined resective and regenerative approach in the treatment of peri-implantitis: a prospective case series. Clinical Oral Implants Research, 25(7), 761-767.

Miller, S. A., & Forrest, J. L. (2001). Enhancing your practice through evidence-based decision making: PICO, learning how to ask good questions. Journal of Evidence-Based Dental Practice, 1(2), 136-141.

Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & Group, P. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLOS Medicine, 6(7), e1000097.

Monje, A., Pons, R., Amerio, E., Wang, H. L., & Nart, J. (2021). Resolution of peri-implantitis by means of implantoplasty as adjunct to surgical therapy: A retrospective study. Journal of Periodontology.

Moraschini, V., Poubel, L. A., Ferreira, V. F., & Barboza Edos, S. (2015). Evaluation of survival and success rates of dental implants reported in longitudinal studies with a follow-up period of at least 10 years: a systematic review. International Journal of Oral and Maxillofacial Surgery, 44(3), 377-388.

Qian, L., Todo, M., Matsushita, Y., & Koyano, K. (2009). Effects of implant diameter, insertion depth, and loading angle on stress/strain fields in implant/jawbone systems: finite element analysis. The International journal of oral and maxillofacial implants, 24(5), 877-886.

Schwarz, F., Hegewald, A., John, G., Sahm, N., & Becker, J. (2013). Four-year follow-up of combined surgical therapy of advanced peri-implantitis evaluating two methods of surface decontamination. Journal of Clinical Periodontology, 40(10), 962-967.

Sivolella, S., Brunello, G., Michelon, F., Concheri, G., Graiff, L., & Meneghello, R. (2021). Implantoplasty: Carbide burs vs diamond sonic tips. An in vitro study. Clinical Oral Implants Research, 32(3), 324-336.

Stavropoulos, A., Bertl, K., Eren, S., & Gotfredsen, K. (2019). Mechanical and biological complications after implantoplasty-A systematic review. Clinical Oral Implants Research, 30(9), 833-848.

Tribst, J. P. M., Dal Piva, A. M. O., Shibli, J. A., Borges, A. L. S., & Tango, R. N. (2017). Influence of implantoplasty on stress distribution of exposed implants at different bone insertion levels. Braz Oral Research, 31, e96.

Downloads

Published

2022-03-04

How to Cite

Goh, R. ., Tawse-Smith, A., Atieh, M. ., Duncan, W. ., Ma, S. ., & Li, K. C. . (2022). The effect of implantoplasty on dental implant fracture resistance: a systematic review. IIUM Journal of Orofacial and Health Sciences, 3(1), 124–135. https://doi.org/10.31436/ijohs.v3i1.113