Confirmation of Calcium Phosphate Cement Biodegradation after Jawbone Augmentation around Dental Implants Using Three-Dimensional Visualization and Segmentation Software

The use of autologous bone graft for oral rehabilitation of bone atrophy is considered the gold standard. However, the available grafts do not allow a fast loading of dental implants, as they require a long healing time before full functionality. Innovative bioactive materials provide an easy-to-use...

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Autores principales: Qusai Alkhasawnah, Sera Elmas, Keywan Sohrabi, Sameh Attia, Sascha Heinemann, Thaqif El Khassawna, Christian Heiss
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:542e2603f7ce45cfae4b7e33bab8564b2021-11-25T18:16:15ZConfirmation of Calcium Phosphate Cement Biodegradation after Jawbone Augmentation around Dental Implants Using Three-Dimensional Visualization and Segmentation Software10.3390/ma142270841996-1944https://doaj.org/article/542e2603f7ce45cfae4b7e33bab8564b2021-11-01T00:00:00Zhttps://www.mdpi.com/1996-1944/14/22/7084https://doaj.org/toc/1996-1944The use of autologous bone graft for oral rehabilitation of bone atrophy is considered the gold standard. However, the available grafts do not allow a fast loading of dental implants, as they require a long healing time before full functionality. Innovative bioactive materials provide an easy-to-use solution to this problem. The current study shows the feasibility of calcium phosphate cement paste (Paste-CPC) in the sinus. Long implants were placed simultaneously with the cement paste, and provisional prosthetics were also mounted in the same sessions. Final prosthetics and the full loading took place within the same week. Furthermore, the study shows for the first time the possibility to monitor not only healing progression using Cone Beam Computer tomography (CBCT) but also material retention, over two years, on a case study example. The segmented images showed a 30% reduction of the cement size and an increased mineralized tissue in the sinus. Mechanical testing was performed qualitatively using reverse torque after insertion and cement solidification to indicate clinical feasibility. Both functional and esthetic satisfaction remain unchanged after one year. This flowable paste encourages the augmentation procedure with less invasive measure through socket of removed implants. However, this limitation can be addressed in future studies.Qusai AlkhasawnahSera ElmasKeywan SohrabiSameh AttiaSascha HeinemannThaqif El KhassawnaChristian HeissMDPI AGarticlecalcium phosphate cementdental implantsimmediate dental implantssinus liftbone augmentationdental implants loadingTechnologyTElectrical engineering. Electronics. Nuclear engineeringTK1-9971Engineering (General). Civil engineering (General)TA1-2040MicroscopyQH201-278.5Descriptive and experimental mechanicsQC120-168.85ENMaterials, Vol 14, Iss 7084, p 7084 (2021)
institution DOAJ
collection DOAJ
language EN
topic calcium phosphate cement
dental implants
immediate dental implants
sinus lift
bone augmentation
dental implants loading
Technology
T
Electrical engineering. Electronics. Nuclear engineering
TK1-9971
Engineering (General). Civil engineering (General)
TA1-2040
Microscopy
QH201-278.5
Descriptive and experimental mechanics
QC120-168.85
spellingShingle calcium phosphate cement
dental implants
immediate dental implants
sinus lift
bone augmentation
dental implants loading
Technology
T
Electrical engineering. Electronics. Nuclear engineering
TK1-9971
Engineering (General). Civil engineering (General)
TA1-2040
Microscopy
QH201-278.5
Descriptive and experimental mechanics
QC120-168.85
Qusai Alkhasawnah
Sera Elmas
Keywan Sohrabi
Sameh Attia
Sascha Heinemann
Thaqif El Khassawna
Christian Heiss
Confirmation of Calcium Phosphate Cement Biodegradation after Jawbone Augmentation around Dental Implants Using Three-Dimensional Visualization and Segmentation Software
description The use of autologous bone graft for oral rehabilitation of bone atrophy is considered the gold standard. However, the available grafts do not allow a fast loading of dental implants, as they require a long healing time before full functionality. Innovative bioactive materials provide an easy-to-use solution to this problem. The current study shows the feasibility of calcium phosphate cement paste (Paste-CPC) in the sinus. Long implants were placed simultaneously with the cement paste, and provisional prosthetics were also mounted in the same sessions. Final prosthetics and the full loading took place within the same week. Furthermore, the study shows for the first time the possibility to monitor not only healing progression using Cone Beam Computer tomography (CBCT) but also material retention, over two years, on a case study example. The segmented images showed a 30% reduction of the cement size and an increased mineralized tissue in the sinus. Mechanical testing was performed qualitatively using reverse torque after insertion and cement solidification to indicate clinical feasibility. Both functional and esthetic satisfaction remain unchanged after one year. This flowable paste encourages the augmentation procedure with less invasive measure through socket of removed implants. However, this limitation can be addressed in future studies.
format article
author Qusai Alkhasawnah
Sera Elmas
Keywan Sohrabi
Sameh Attia
Sascha Heinemann
Thaqif El Khassawna
Christian Heiss
author_facet Qusai Alkhasawnah
Sera Elmas
Keywan Sohrabi
Sameh Attia
Sascha Heinemann
Thaqif El Khassawna
Christian Heiss
author_sort Qusai Alkhasawnah
title Confirmation of Calcium Phosphate Cement Biodegradation after Jawbone Augmentation around Dental Implants Using Three-Dimensional Visualization and Segmentation Software
title_short Confirmation of Calcium Phosphate Cement Biodegradation after Jawbone Augmentation around Dental Implants Using Three-Dimensional Visualization and Segmentation Software
title_full Confirmation of Calcium Phosphate Cement Biodegradation after Jawbone Augmentation around Dental Implants Using Three-Dimensional Visualization and Segmentation Software
title_fullStr Confirmation of Calcium Phosphate Cement Biodegradation after Jawbone Augmentation around Dental Implants Using Three-Dimensional Visualization and Segmentation Software
title_full_unstemmed Confirmation of Calcium Phosphate Cement Biodegradation after Jawbone Augmentation around Dental Implants Using Three-Dimensional Visualization and Segmentation Software
title_sort confirmation of calcium phosphate cement biodegradation after jawbone augmentation around dental implants using three-dimensional visualization and segmentation software
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/542e2603f7ce45cfae4b7e33bab8564b
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AT seraelmas confirmationofcalciumphosphatecementbiodegradationafterjawboneaugmentationarounddentalimplantsusingthreedimensionalvisualizationandsegmentationsoftware
AT keywansohrabi confirmationofcalciumphosphatecementbiodegradationafterjawboneaugmentationarounddentalimplantsusingthreedimensionalvisualizationandsegmentationsoftware
AT samehattia confirmationofcalciumphosphatecementbiodegradationafterjawboneaugmentationarounddentalimplantsusingthreedimensionalvisualizationandsegmentationsoftware
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AT thaqifelkhassawna confirmationofcalciumphosphatecementbiodegradationafterjawboneaugmentationarounddentalimplantsusingthreedimensionalvisualizationandsegmentationsoftware
AT christianheiss confirmationofcalciumphosphatecementbiodegradationafterjawboneaugmentationarounddentalimplantsusingthreedimensionalvisualizationandsegmentationsoftware
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