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Does Calcium Phosphate Peri-Implant Grafting Improve Osseointegration of Dental Implants? An Experimental In Vivo Study 磷酸钙种植体周围移植能改善种植体的骨整合吗?一项实验性体内研究。
IF 5.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-09-16 DOI: 10.1111/clr.70046
F. C. A. Lima, S. De Moraes, S. C. Sartoretto, P. S. Nunes, C. M. S. F. dos Santos, B. Ghiraldini, F. J. B. Bezerra, J. M. Granjeiro, M. D. Calasans-Maia, R. S. Louro

Objective

This in vivo study aimed to evaluate the osseointegration of dental implants with a nanostructured hydroxyapatite (HAnano) coating or a double acid-etched (DAA) surface, grafted with or without calcium phosphate in the peri-implant gap, in low-density bone in a sheep model.

Materials and Methods

Thirty implants (15 HAnano and 15 DAA) were installed in the iliac crest of five sheep (2–4 years old). Six implants were placed per animal: two with a xenograft biomaterial, two with an alloplastic biomaterial, and two without grafting (control). Microtomographic analyses evaluated the percentage of bone and biomaterial for all groups. Histomorphometric analysis assessed bone-implant contact (BIC), bone occupied area fraction (BAFo), and biomaterial presence after an 8-week healing period. Data were analyzed using repeated-measures ANOVA or mixed-effects models with a significance level of 0.05.

Results

No complications were observed during the healing period. The average BIC across all groups was 55%, ranging from 4.6% to 67.7%. BAFo averaged 30%, with biomaterial occupying 22% and connective tissue 44% of the interface area. There were no statistically significant differences between grafted and non-grafted groups for BIC (p = 0.413), BAFo (p = 0.097), connective tissue presence (p = 0.192), and for the percentage of bone and biomaterial (p = 0.959), bone percentage (p = 0.283), or biomaterial percentage (p > 0.0959).

Conclusion

Peri-implant grafting with xenograft or alloplastic biomaterials did not significantly enhance osseointegration compared to ungrafted implants in small peri-implant defects. These results suggest that spontaneous healing may suffice in such cases.

目的:本体内研究旨在评估纳米结构羟基磷灰石(HAnano)涂层或双酸蚀(DAA)表面的牙种植体在低密度骨羊模型中的骨整合,在种植体周围间隙中植入或不植入磷酸钙。材料与方法将30个假体(HAnano 15个,DAA 15个)植入5只2-4岁绵羊的髂骨。每只动物放置6个植入物:2个采用异种移植生物材料,2个采用同种异体生物材料,2个不采用移植(对照组)。显微层析分析评估了所有组的骨和生物材料的百分比。组织形态计量学分析评估骨-种植体接触(BIC)、骨占据面积分数(BAFo)和8周愈合期后生物材料的存在。数据分析采用重复测量方差分析或混合效应模型,显著性水平为0.05。结果愈合期间无并发症发生。所有小组的平均BIC为55%,范围从4.6%到67.7%不等。BAFo平均占30%,生物材料占22%,结缔组织占44%。移植物组与非移植物组在BIC (p = 0.413)、BAFo (p = 0.097)、结缔组织存在(p = 0.192)以及骨和生物材料百分比(p = 0.959)、骨百分比(p = 0.283)或生物材料百分比(p > 0.0959)方面差异均无统计学意义。结论同种异体或同种异体生物材料在种植体周围小缺损中的骨整合效果不明显。这些结果表明,在这种情况下,自发愈合可能就足够了。
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引用次数: 0
Oral Communication 第32届欧洲骨整合协会年度科学会议2025年9月18日至20日。
IF 5.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-09-15 DOI: 10.1111/clr.70008
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引用次数: 0
ePoster 第32届欧洲骨整合协会年度科学会议2025年9月18日至20日。
IF 5.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-09-15 DOI: 10.1111/clr.70007
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引用次数: 0
Dual Growth Factor Release From Collagen Based Multilayer Films on Ti-Surfaces Enhances Periimplant Bone Formation and Angiogenic Activity—An Experimental In-Vivo Study ti表面基于胶原的多层膜释放双重生长因子促进种植周骨形成和血管生成活性——一项体内实验研究
IF 5.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-09-12 DOI: 10.1111/clr.70045
Philipp Kauffmann, Susanne Wolfer, Christina Behrens, Pauline Schlosser, Christian Dullin, Uwe Schirmer, Klaus Liefeith, Henning Schliephake

Objectives

The aim of the present study was to assess the effect of dual growth factor release from collagen-based polyelectrolyte multilayer films (PEMs) on titanium implants on periimplant bone formation and angiogenetic activity in minipig mandibles.

Material and Methods

Disc shaped Ti implants (5 × 7 × 1 mm) were coated with polyelectrolyte multilayer films and loaded with rhBMP-2, rhVEGF165, and a combination of both. Uncoated and unloaded Ti implants served as controls. The implants were inserted press-fit into 5 mm trephine cavities in minipig mandibles and evaluated after 4 and 13 weeks for bone formation, bone implant contact, and periimplant expression of CD31.

Results

After 4 weeks, there was no significant difference in periimplant bone formation nor bone-implant contact between the different surface conditions. CD31 expression was significantly increased around PEM coated implants loaded with VEGF and BMP each. After 13 weeks, bone implant contact and bone formation were significantly increased only around PEM coated implants with simultaneous release of BMP-2 and VEGF165. Expression of CD31 was significantly enhanced around all PEM coated implants loaded with growth factors regardless of the type or combination.

Conclusion

It is concluded that simultaneous release of rhBMP-2 and rhVEGF165 may be required to achieve significant improvement of periimplant bone formation and bone implant contact. Angiogenesis as reflected by CD31 expression is enhanced by both rhVEGF165 and rhBMP-2 to a similar extent without an additive effect of simultaneous release.

目的研究胶原基聚电解质多层膜(PEMs)释放双生长因子对微型猪下颌骨种植体周围骨形成和血管生成活性的影响。材料与方法采用聚电解质多层膜包覆片状钛植入物(5 × 7 × 1 mm),并负载rhBMP-2、rhVEGF165或两者的组合。未涂覆和卸载的钛植入物作为对照。将种植体压贴合置入小型猪下颌骨5 mm的环形腔中,在4周和13周后评估骨形成、骨种植体接触和种植体周围CD31的表达。结果4周后,不同表面条件下种植体周围骨形成及骨与种植体接触无显著差异。CD31的表达在分别装载VEGF和BMP的PEM包被植入物周围显著增加。13周后,骨种植体接触和骨形成仅在PEM涂层种植体周围显著增加,同时释放BMP-2和VEGF165。CD31的表达在所有负载生长因子的PEM包被植入物周围显著增强,无论其类型或组合如何。结论需同时释放rhBMP-2和rhVEGF165才能显著改善种植周骨形成和种植体骨接触。通过CD31表达反映的血管生成,rhVEGF165和rhBMP-2均有相似程度的增强,但没有同时释放的叠加效应。
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引用次数: 0
Vertical Ridge Augmentation in the Anterior Maxilla Using a Dual-Texture e-PTFE Membrane and Autogenous Bone: A 2- to 5-Year Retrospective Case-Series Study 使用双纹理e - PTFE膜和自体骨在前上颌垂直嵴增强:一项2 - 5年回顾性病例系列研究
IF 5.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-09-11 DOI: 10.1111/clr.70044
David González, Herman Sahlin, Christer Dahlin

Objectives

To evaluate a novel protocol for vertical ridge augmentation with titanium-(Ti)-reinforced dual-texture expanded polytetrafluoroethylene (e-PTFE) membranes, 100% autogenous bone, and 12 months of bone healing in the anterior maxilla.

Material and Methods

This retrospective study included 14 consecutive patients treated between 2016 and 2021. Large defects, including both vertical and horizontal components, were treated with autogenous bone grafting and non-resorbable Ti-reinforced dual-texture e-PTFE membranes. Implants were placed in the augmented bone after 12 months. All clinical and radiographical parameters were retrieved from patient records.

Results

The case series included 14 patients treated with 15 e-PTFE membranes. The mean initial vertical defect size was 7.5 ± 5.1 mm (range: 3–23 mm). All membranes remained unexposed during the entire healing period (12.6 ± 1.2 months). No complications that needed intervention occurred. Complete bone fill was achieved, that is, regenerated bone filled the entire volume created by the membrane, in all treated defects. Twenty-three implants were placed. The survival rate was 100% and the mean marginal bone level was 0.08 ± 0.11 mm after up to 5 years.

Conclusions

Excellent vertical augmentation outcomes can be achieved in the anterior maxilla using a non-resorbable Ti-reinforced e-PTFE membrane and an autogenous bone graft, followed by 12 months of healing before implant placement. The implants demonstrated stable marginal bone levels after loading. This case series has limitations, mainly the retrospective nature and small sample size, but it indicates that the proper choice of methods, materials, and healing times during GBR results in a predictable clinical outcome.

目的:评价一种采用钛(Ti)增强双纹理膨胀聚四氟乙烯(e - PTFE)膜、100%自体骨和上颌前牙12个月骨愈合的垂直嵴增强新方案。材料和方法本回顾性研究纳入了2016年至2021年间连续治疗的14例患者。大的缺陷,包括垂直和水平的组件,用自体植骨和不可吸收的钛增强双纹理e - PTFE膜进行治疗。12个月后将植入物放置在增强骨中。从患者记录中检索所有临床和影像学参数。结果14例患者接受了15个e - PTFE膜治疗。平均初始垂直缺陷尺寸为7.5±5.1 mm(范围:3-23 mm)。所有膜在整个愈合期间(12.6±1.2个月)均未暴露。未发生需要干预的并发症。在所有处理过的缺损中,实现了完全的骨填充,即再生骨填充了由膜产生的整个体积。共植入了23个植入物。术后5年生存率为100%,平均骨缘水平为0.08±0.11 mm。结论采用不可吸收性钛增强膜和自体骨移植可获得良好的上颌骨垂直增强效果,种植体植入术前愈合12个月。植入物在加载后表现出稳定的边缘骨水平。该病例系列具有局限性,主要是回顾性和小样本量,但它表明,在GBR中正确选择方法、材料和愈合时间可导致可预测的临床结果。
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引用次数: 0
Additional Cover 额外的封面
IF 5.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-09-10 DOI: 10.1111/clr.70043

The cover 3 image is based on the article Bi-Layered Biphasic Calcium Phosphate Bone Substitute to Improve Bone Formation in Lateral Jaw Defects Applying the Principle of Guided Bone Regeneration (GBR)—A Pre-Clinical Randomized Controlled Study by Kiri N. Lang et al., https://doi.org/10.1111/clr.14460.

封面3的图片是基于Kiri N. Lang等人的文章《应用引导骨再生(GBR)原理改善侧颌缺损骨形成的双层双相钙磷酸盐骨替代物——临床前随机对照研究https://doi.org/10.1111/clr.14460》。
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引用次数: 0
Additional Cover 额外的封面
IF 5.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-09-10 DOI: 10.1111/clr.70042

The cover 2 image is based on the article Ridge Preservation in Extraction Sockets of Periodontally Compromised Molars With and Without Primary Wound Closure: Histological and 1-Year Implant Outcomes of a Clinical Trial by Yiping Wei et al., https://doi.org/10.1111/clr.14459.

封面2的图片是基于魏一平等人的文章《牙周受损磨牙牙槽的牙嵴保存:组织学和1年种植体临床试验结果》(https://doi.org/10.1111/clr.14459)。
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引用次数: 0
Role of Local Factors on the Occurrence of Peri-Implantitis: A Cross-Sectional Analysis 局部因素在种植体周围炎发生中的作用:横断面分析。
IF 5.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-09-08 DOI: 10.1111/clr.70036
Alberto Monje, Ramon Pons, Maria Costanza Soldini, Paul S. Rosen, José Nart, Daniel Buser

Objective

A cross-sectional study was made to evaluate the role of local factors, including surgical, implant, and prosthesis-related parameters, in the presence of peri-implantitis.

Methods

Consecutive partially edentulous patients with ≥ 1 implant presenting peri-implantitis were included. Clinical and radiographic data were collected to characterize local factors. Overall, 28 site-specific variables were analyzed for peri-implantitis and non-peri-implantitis implants. Simple and multiple logistic regression analyses were performed to explore potential associations. The diagnostic accuracy of those variables that demonstrated statistical significance in the multiple logistic regression analysis was further tested.

Results

In total, 100 patients with 452 implants met the inclusion criteria. Of these, 227 implants (50.2%) were diagnosed with peri-implantitis, while 225 (49.8%) did not present peri-implantitis. The multiple logistic regression analysis demonstrated statistical significance for the following factors: (1) medial implant position within the prosthesis (OR = 3.9) was more prone to develop peri-implantitis; (2) internal Morse taper implant connection was the least likely to develop peri-implantitis (OR = 0.43); (3) mesio-distally centered implants were less prone to exhibit peri-implantitis (OR = 0.46); (4) bucco-lingual centered implants were less prone to exhibit peri-implantitis (OR = 0.29); (5) implants positioned inside (≥ 2 mm) the bony housing were less prone to exhibit peri-implantitis (OR = 0.13); and (6) implants tilted 10°–30° (OR = 5.84) and ≥ 30° (OR = 7.43) were more prone to exhibit peri-implantitis. Moreover, a prediction model based on the aforementioned factors yielded a high level of accuracy.

Conclusions

Implant malpositioning is a critical factor associated with peri-implantitis.

目的:通过一项横断面研究来评估局部因素(包括手术、种植体和假体相关参数)在种植体周围炎中的作用。方法纳入连续出现种植体≥1颗的部分无牙患者。收集临床和影像学资料以确定局部因素。总的来说,28个位点特异性变量分析了种植体周围炎和非种植体周围炎种植体。进行简单和多元逻辑回归分析以探索潜在的关联。进一步检验多元逻辑回归分析中具有统计学意义的变量的诊断准确性。结果100例患者共452颗种植体符合纳入标准。其中,227个种植体(50.2%)被诊断为种植体周围炎,而225个(49.8%)未出现种植体周围炎。多元logistic回归分析显示以下因素具有统计学意义:(1)种植体内内侧位置(OR = 3.9)更容易发生种植体周围炎;(2)内莫尔斯锥度种植体连接最不容易发生种植体周围炎(OR = 0.43);(3)中远端为中心的种植体不容易出现种植体周围炎(OR = 0.46);(4)颊-舌中心种植体较不容易出现种植体周围炎(OR = 0.29);(5)位于骨壳内(≥2mm)的种植体不容易出现种植体周围炎(OR = 0.13);(6)种植体倾斜10°-30°(OR = 5.84)和≥30°(OR = 7.43)的种植体更容易出现种植体周围炎。此外,基于上述因素的预测模型产生了高水平的准确性。结论种植体错位是引起种植体周围炎的重要因素。
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引用次数: 0
Statistical Gems and Cautions From the Statistical Advisory Board of Clinical Oral Implants Research 临床口腔种植体研究统计顾问委员会的统计瑰宝和注意事项。
IF 5.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-09-04 DOI: 10.1111/clr.70033
Cláudio Mendes Pannuti, Hélio Doyle Pereira da Silva, Naichuan Su, Kar Yan Li, Lisa J. A. Heitz-Mayfield

Objective

Statistics is fundamental in implant dentistry research, playing a crucial role in study design, data analysis, and interpretation of findings. This editorial, authored by members of the Statistical Advisory Board of Clinical Oral Implants Research, aims to highlight common statistical pitfalls encountered in submitted manuscripts and provide practical recommendations to enhance the quality of statistical reporting.

Materials and Methods

In this editorial, study design considerations, sample size calculation, appropriate selection of statistical tests, multiplicity issues, handling hierarchical data structures, and best practices for data presentation are discussed. The importance of pre-registering research protocols, adhering to pre-specified analyses, and reporting effect sizes alongside p-values is emphasised. Additionally, common misinterpretations of statistical significance and the risks of extrapolating findings beyond their intended scope are addressed.

Results

Statistical errors remain prevalent in the scientific literature, affecting the validity of results and evidence-based decision making.

Conclusions

By following guidelines, authors can improve the robustness and reproducibility of their research, ultimately contributing to higher-quality evidence in implant dentistry. Guidance for researchers, reviewers, and readers in handling statistical challenges is presented aiming to ensure that studies published in Clinical Oral Implants Research meet the highest methodological standards.

目的统计学是种植牙医学研究的基础,在研究设计、数据分析和结果解释中起着至关重要的作用。这篇社论由临床口腔种植体研究统计咨询委员会成员撰写,旨在强调在提交的手稿中遇到的常见统计缺陷,并提供实用建议,以提高统计报告的质量。材料和方法在这篇社论中,研究设计的考虑,样本量的计算,统计测试的适当选择,多重性问题,处理分层数据结构,以及数据表示的最佳实践进行了讨论。强调了预先注册研究方案、遵守预先指定的分析和报告效应大小与p值的重要性。此外,还讨论了对统计显著性的常见误解以及将研究结果外推超出预期范围的风险。结果统计误差在科学文献中仍然普遍存在,影响了结果的有效性和循证决策。结论通过遵循指南,作者可以提高其研究的稳健性和可重复性,最终为种植牙科提供更高质量的证据。为研究人员、审稿人和读者提供处理统计挑战的指导,旨在确保发表在《临床口腔种植研究》上的研究符合最高的方法学标准。
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引用次数: 0
Odanacatib Coating Supports Osseointegration of Implants: A Preclinical Study Odanacatib涂层支持种植体骨整合:临床前研究。
IF 5.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-09-04 DOI: 10.1111/clr.70038
Natália dos Santos Sanches, Caroline Liberato Marchiolli, Lara Cristina Cunha Cervantes, Maria Cristina Ruiz Voms Stein, Sara Alves Berton, Estéfany Lopes Lemes do Prado, Carina Kampleitner, Francisley Ávila Souza, Roberta Okamoto, Reinhard Gruber, Idelmo Rangel Garcia Júnior

Introduction

Odanacatib (ODN), a cathepsin K inhibitor, is a drug that reduces bone resorption while preserving bone formation. ODN was initially developed for the treatment of postmenopausal osteoporosis, but further development as a systemic medication has been discontinued. Here, we propose ODN as a topical treatment, the coating of dental implants, to achieve an anabolic shift of early osseointegration.

Material and Methods

To this aim, we have coated double acid etching titanium implants (SLA) with and without ODN dispersed in a simulated body fluid (SBF). The implants were inserted into the tibia of 72 male Wistar rats and osseointegration was studied on Days 15 and 40. Biomechanical testing, micro-computed microtomography, and histomorphometric analyses were performed.

Results

Biomechanical testing reveals that after 15 days of healing, removal torque increased from 2.5 Ncm (1.5–4.4) to 3.9 Ncm (1.7–7.6) when comparing SBF alone with SBF containing ODN, respectively (p = 0.017). Consistently, micro-computed microtomography indicated that local bone volume increased from 24.4% (13.86–32.45) to 32.8% (19.7–39.4), respectively (p = 0.003). The same was true for presumed bone-to-implant contact, which was 34.38% (27.0–50.0) and 43.33% (31.6–54.2), respectively (p = 0.035). Histomorphometric analyses confirmed that the new bone area per total area increased from 34.78% (18.9–43.7) to 41.10% (23.5–54.0), respectively (p = 0.102). This trend proceeds after 40 days of osseointegration.

Discussion

These findings suggest that topical delivery of a cathepsin K inhibitor can support the early osseointegration phase in an ectopic rodent implantation model.

odanacatib (ODN)是一种组织蛋白酶K抑制剂,是一种减少骨吸收同时保持骨形成的药物。ODN最初用于治疗绝经后骨质疏松症,但作为全身药物的进一步发展已经停止。在这里,我们提出ODN作为局部治疗,牙种植体涂层,以实现早期骨整合的合成代谢转变。为了达到这个目的,我们在模拟体液(SBF)中涂覆有ODN和没有ODN的双酸蚀刻钛植入物(SLA)。将植入物置入72只雄性Wistar大鼠胫骨,在第15天和第40天观察其骨整合情况。进行了生物力学测试、显微计算机断层扫描和组织形态学分析。结果生物力学测试显示,愈合15 d后,与单纯SBF和含ODN的SBF相比,去除扭矩分别从2.5 Ncm(1.5-4.4)增加到3.9 Ncm (1.7-7.6) (p = 0.017)。显微计算机断层扫描显示,局部骨体积从24.4%(13.86 ~ 32.45)增加到32.8%(19.7 ~ 39.4),差异有统计学意义(p = 0.003)。假定的骨与种植体接触也是如此,分别为34.38%(27.0-50.0)和43.33% (31.6-54.2)(p = 0.035)。组织形态学分析证实,新骨面积占总面积的比例分别从34.78%(18.9-43.7)增加到41.10% (23.5-54.0)(p = 0.102)。这种趋势在骨融合40天后继续。这些研究结果表明,局部递送组织蛋白酶K抑制剂可以支持异位植入模型的早期骨整合阶段。
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引用次数: 0
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Clinical Oral Implants Research
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