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CC BY · Eur J Dent 2019; 13(04): 642-648
DOI: 10.1055/s-0039-1697213
Review Article
Dental Investigation Society

Implants Placement in Contact with Dental Tissue: A Potential Paradigm Shift? Systematic Literature Review

Amel Labidi  
1   Department of Removable Prosthodontics, Faculty of Dental Medicine, University of Monastir, Monastir, Tunisia
2   ABCD F Laboratory of Biological, Clinical and Dento-Facial Approach, University of Monastir, Monastir, Tunisia
,
Sana Bekri‡  
1   Department of Removable Prosthodontics, Faculty of Dental Medicine, University of Monastir, Monastir, Tunisia
2   ABCD F Laboratory of Biological, Clinical and Dento-Facial Approach, University of Monastir, Monastir, Tunisia
,
Lamia Mansour
1   Department of Removable Prosthodontics, Faculty of Dental Medicine, University of Monastir, Monastir, Tunisia
2   ABCD F Laboratory of Biological, Clinical and Dento-Facial Approach, University of Monastir, Monastir, Tunisia
,
Sonia Ghoul-Mazgar
2   ABCD F Laboratory of Biological, Clinical and Dento-Facial Approach, University of Monastir, Monastir, Tunisia
3   Laboratory of Histology and Embryology, Department of Oral Histology, Faculty of Dental Medicine, University of Monastir, Monastir, Tunisia
› Author Affiliations
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Publication History

Publication Date:
31 December 2019 (online)

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Abstract

The aim of this study was to explore the literature for clinical and histological data of an unconventional treatment with implants placement in contact with dental tissue (IPICDT) and to try to clarify its indications and surgical procedure particularities.Relevant publications published until May 2019 on the IPICDT were thoroughly reviewed. Search strategy was developed using a controlled vocabulary combination.Medline’s exploration and manual research identified 397 articles; 15 of these were selected after screening. IPICDT was indicated in three clinical situations: impacted teeth, ankylosed teeth, or residual roots. Clinical and radiological follow-up were satisfied except for implants placed in contact with (and not through) roots. Histological analysis revealed different mineralized tissues formed on the implant surface: cementum on removed implants in human and osteodentin on implants placed in contact with animal teeth dentin and pulp. These findings were described as new concept of implants’ “Mineral integration.”According to this study, the follow-up results of implants placed in contact with roots were controversial. Some implants were stable and others were either removed or kept and disinfected after root extraction because of bacterial infection. However, implants placed through ankylosed or impacted teeth were stable. These findings suggest that the clinicians have to be cautious when applying this unconventional approach. Further studies are recommended to explore its long follow-up. It is also interesting to explore this technique in cases of syndromic dental diseases with several impacted teeth (such as cleidocranial dysplasia; or amelogenesis imperfecta).

Keywords

dental implants - tooth, impacted - tooth root - tooth ankylosis - prosthodontics

*Both contributed equally to this work.


 

  • References

  • 1 Brånemark PI, Hansson BO, Adell R. et al. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl 1977; 16: 1-132
    PubMedGoogle Scholar
  • 2 Ma S, Tawse-Smith A, Brown SDK, Duncan W. Immediately restored single implants in the aesthetic zone of the maxilla using a novel design: 5-year results from a prospective single-arm clinical trial. Clin Implant Dent Relat Res 2019; 21 (02) 344-351
    CrossrefPubMedGoogle Scholar
  • 3 Yadav MK, Verma UP, Parikh H, Dixit M. Minimally invasive transgingival implant therapy: a literature review. Natl J Maxillofac Surg 2018; 9 (02) 117-122
    CrossrefPubMedGoogle Scholar
  • 4 Demarosi F, Varoni E, Rimondini L, Carrassi A, Leghissa GC. Immediate implant placement after removal of maxillary impacted canine teeth: a technical note. Int J Oral Maxillofac Implants 2016; 31 (01) 191-194
    Google Scholar
  • 5 Davarpahah M, Szmukler-Moncler S. Unconventional implant placement. 2: placement of implants through impacted teeth. Three case reports. Int J Periodontics Restorative Dent 2009; 29 (04) 405-413
    PubMedGoogle Scholar
  • 6 Davarpanah M, Szmukler-Moncler S, Rajzbaum P, Davarpanah K, Capelle-Ouadah N, Demurashvili G. Unconventional implant placement. V: implant placement through impacted teeth; results from 10 cases with an 8- to 1-year follow-up. Int Orthod 2015; 13 (02) 164-180
    CrossrefPubMedGoogle Scholar
  • 7 Mithridade D, Serge SM, Keyvan D, Nedjoua C-O, Georgy D, Philippe R. Unconventional implant placement iv. Implant placement through impacted teeth to avoid invasive surgery. Long-term results of 3 cases. Open Dent J 2015; 9: 15-20
    CrossrefPubMedGoogle Scholar
  • 8 Davarpanah M, Szmukler-Moncler S, Davarpanah K. et al. [Unconventional transradicular implant placement to avoid invasive surgeries: toward a potential paradigm shift]. Rev Stomatol Chir Maxillofac 2012; 113 (04) 335-349
    CrossrefPubMedGoogle Scholar
  • 9 Davarpanah M, Szmukler-Moncler S. Unconventional implant treatment: I. Implant placement in contact with ankylosed root fragments. A series of five case reports. Clin Oral Implants Res 2009; 20 (08) 851-856
    CrossrefPubMedGoogle Scholar
  • 10 Nevins ML, Langer L, Schupbach P. Late dental implant failures associated with retained root fragments: case reports with histologic and SEM analysis. Int J Periodontics Restorative Dent 2018; 38 (01) 9-15
    CrossrefPubMedGoogle Scholar
  • 11 Szmukler-Moncler S, Davarpanah M, Davarpanah K, Capelle-Ouadah N, Demurashvili G, Rajzbaum P. Unconventional implant placement part iii: implant placement encroaching upon residual roots - a report of six cases. Clin Implant Dent Relat Res 2015; 17 (Suppl 2) e396-e405
    CrossrefPubMedGoogle Scholar
  • 12 Guarnieri R, Giardino L, Crespi R, Romagnoli R. Cementum formation around a titanium implant: a case report. Int J Oral Maxillofac Implants 2002; 17 (05) 729-732
    Google Scholar
  • 13 Langer L, Langer B, Salem D. Unintentional root fragment retention in proximity to dental implants: a series of six human case reports. Int J Periodontics Restorative Dent 2015; 35 (03) 305-313
    CrossrefPubMedGoogle Scholar
  • 14 Schwimer CW, Gluckman H, Salama M, Nagy K, Du Toit J. The socket-shield technique at molar sites: a proof-of-principle technique report. J Prosthet Dent 2019; 121 (02) 229-233
    CrossrefPubMedGoogle Scholar
  • 15 Warrer K, Karring T, Gotfredsen K. Periodontal ligament formation around different types of dental titanium implants. I. The self-tapping screw type implant system. J Periodontol 1993; 64 (01) 29-34
    CrossrefPubMedGoogle Scholar
  • 16 Schwarz F, Mihatovic I, Golubovic V, Becker J. Dentointegration of a titanium implant: a case report. Oral Maxillofac Surg 2013; 17 (03) 235-241
    CrossrefPubMedGoogle Scholar
  • 17 Buser D, Warrer K, Karring T, Stich H. Titanium implants with a true periodontal ligament: an alternative to osseointegrated implants?. Int J Oral Maxillofac Implants 1990; 5 (02) 113-116
    Google Scholar
  • 18 Gray JL, Vernino AR. The interface between retained roots and dental implants: a histologic study in baboons. J Periodontol 2004; 75 (08) 1102-1106
    CrossrefPubMedGoogle Scholar
  • 19 Choi BH. Periodontal ligament formation around titanium implants using cultured periodontal ligament cells: a pilot study. Int J Oral Maxillofac Implants 2000; 15 (02) 193-196
    Google Scholar
  • 20 Kammoun R, Behets C, Mansour L, Ghoul-Mazgar S. Mineral features of connective dental hard tissues in hypoplastic amelogenesis imperfecta. Oral Dis 2018; 24 (03) 384-392
    CrossrefPubMedGoogle Scholar
  • 21 Awawdeh L, Al-Qudah A, Hamouri H, Chakra RJ. Outcomes of vital pulp therapy using mineral trioxide aggregate or biodentine: a prospective randomized clinical trial. J Endod 2018; 44 (11) 1603-1609
    CrossrefPubMedGoogle Scholar