Instituto Militar de Engenharia, Biomaterials Laboratory, Pr. Gen. Tiburcio 80, 22290-270 Rio de Janeiro, RJ, Brazil.
Expert Rev Med Devices. 2010 Mar;7(2):241-56. doi: 10.1586/erd.09.74.
In the beginning of implantology, the procedures adopted for treating patients were performed in two surgical phases with an interval of 3-6 months. Nowadays, it is possible to insert and load a dental implant in the same surgical procedure. This change is due to several factors, such as improvement of surgical technique, modifications of the implant design, increased quality of implant manufacturing, development of the surgical instruments' quality, careful patient screening and adequate treatment of the implant surface. The clinical results show that adequate treatment of surfaces is crucial for reducing healing time and treating at-risk patients. The surface properties of dental implants can be significantly improved at the manufacturing stage, affecting cells' activity during the healing phase that will ultimately determine the host tissue response, a fundamental requirement for clinical success. This review focuses on different types of dental implant surfaces and the influence of surface characteristics on osseointegration.
在种植学的早期,治疗患者的程序是分两个手术阶段进行的,间隔 3-6 个月。如今,在同一个手术过程中就可以植入和负载牙种植体。这种变化是由于几个因素造成的,如手术技术的改进、种植体设计的修改、植入物制造质量的提高、手术器械质量的发展、对患者的仔细筛选以及对植入物表面的适当处理。临床结果表明,适当处理表面对于减少愈合时间和治疗高危患者至关重要。牙种植体的表面特性可以在制造阶段得到显著改善,从而影响愈合阶段细胞的活性,最终决定宿主组织的反应,这是临床成功的基本要求。本综述重点介绍了不同类型的牙种植体表面及其表面特性对骨整合的影响。