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| Title |
Implant Surface Coating Suggests a Positive Influence on Osseointegration |
| Clinical Question |
In a patient seeking to get dental implants, is implant coating recommended compared to implants without coating, in order to achieve better osseointegration of the implant. |
| Clinical Bottom Line |
Implant surface coating suggests a positive influence on osseointegration. For patients seeking dental implants an implant coating has been shown to promote osseointegration. |
| Best Evidence |
(you may view more info by clicking on the PubMed ID link) |
| PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
| #1) 19663965 | Junker/2009 | Animal and human studies presenting bone-to-implant contact (BIC) percentage for implant surface modifications. In total, 51 reviews/publications were included in this analysis. | Systematic Review of Animal and Human Studies | | Key results | Found no definitive evidence of increased integration with implant coating, but did note a tendency for positive effects of coatings on bone-to-implant response. The review could not establish the coating as the sole reason for the positive correlation for bone-to-implant response, as other factors such as alterations in implant roughness were also considered in the study. The study also grouped together a wide variety of copings such as collagen and collagen mimetic peptides, collagen with chondroitin sulfate, collagen composite with CAP, bone morphogenetic proteins (BMPs), and non-BMP growth factors coated onto titanium implant surfaces. | | #2) 22348981 | Abtahi/2012 | 16 patients in need of two maxillary dental implants with similar bone quality at both sites. | Randomized Split Mouth Trial | | Key results | Each patient was treated with a thin bisphosphonate coated implant and uncoated implant. Fixation of the dental implant was evaluated by the implant stability quotient (ISQ) at a 6-month follow up. The ISQ increased 6.9 units more for the coated implants (p=0.0001; Cohen’s d=1.3). Also less bone resorption at the margin of the implant was noted in the coated implants at 2 month (p=0.012) and 6 month (p=0.012) recalls. | |
| Evidence Search |
(("dental implants"[MeSH Terms] OR ("dental"[All Fields] AND "implants"[All Fields]) OR "dental implants"[All Fields] OR ("dental"[All Fields] AND "implant"[All Fields]) OR "dental implant"[All Fields]) AND coating[All Fields]) AND ("2004/02/18"[PDat] : "2014/02/14"[PDat] AND "humans"[MeSH Terms]) |
Comments on
The Evidence |
Junker article is a systematic review taking into account many articles. The groups, treatment, follow-up, and types of coatings varied from study to study. There does not seem to be any competing interest from the personnel conducting this review.
Abtahi article was a randomized double blind clinical trial. Full participation of the clients was achieved throughout spanning 6 months. The patients were all treated the same and there does not seem to be any recall bias or competing interest.
|
| Applicability |
Dental implant coating seems to be a good option for the stability and longevity of the implant. The positive effects on osseointegration may help with recovery speed and time intervals between appointments that may be a selling point for patients. Other factors may need to be considered such as cost, contraindications, and coating types. |
| Specialty/Discipline |
(Oral Medicine/Pathology/Radiology) (General Dentistry) (Periodontics) |
| Keywords |
dentistry, implants, osseointegration, coating
|
| ID# |
2655 |
| Date of submission: |
02/28/2014 |
| E-mail |
youngma@livemail.uthscsa.edu |
| Author |
Michael Young |
| Co-author(s) |
|
| Co-author(s) e-mail |
|
| Faculty mentor/Co-author |
Concepcion Barboza, DDS |
| Faculty mentor/Co-author e-mail |
BarbozaArgue@uthscsa.edu |
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?) |
post a rationale |
| None available | |
|
Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
post a comment |
| None available | |
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