Palabras clave
Implantes dentales
Regeneración ósea
Osteointegración
Planificación
Cómo citar
Copyright © | Todos los derechos reservados.
La revista posee los derechos de autor exclusivos para la publicación de este artículo en los términos de la ley brasileña 9610/98.
Reproducción parcial
El uso de partes de los textos, figuras y cuestionario del artículo es libre, siendo obligatoria la citación de los autores y revista.
Reproducción total
Está expresamente prohibido y debe ser autorizado por la revista.
Resumen
Objetivo: Resumir la evidencia sobre la planificación de la rehabilitación con implantes dentales (ID) en el área estética. Métodos: Se trata de una revisión de alcance realizada de acuerdo con las directrices de Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) y registrada en el Open Science Framework (OSF). Las estrategias de búsqueda se desarrollaron con los descriptores “materiales biocompatibles”, “implantes dentales”, “regeneración ósea”, “estética”, “osteointegración” y “planificación”, aplicados en inglés y portugués (Brasil) en las bases de datos PubMed/MEDLINE, SciVerse Scopus, Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS), Web of Science y en la literatura gris (Google Scholar), asociados a través de los operadores booleanos “AND” y “OR”. Resultados: Para una planificación exitosa en implantología, el uso de tecnologías de imagen, como la tomografía computarizada, permite una planificación adecuada. Los escáneres intraorales ayudan a obtener imágenes precisas, facilitando la creación de guías quirúrgicas y la definición de las mejores estrategias terapéuticas. Biomateriales como Geistlich Bio-Oss® y Geistlich Bio-Gide® han demostrado resultados satisfactorios en el proceso de osteointegración. Consideraciones finales: Factores como la evaluación de la calidad y cantidad ósea, el uso de tecnologías de imagen y biomateriales de osteointegración deben ser considerados en la planificación clínica de la rehabilitación oral con ID en el área estética.
Referencias
ALKUDMANI H, et al. Is bone graft or guided bone regeneration needed when placing immediate dental implants? A systematic review. Implant dentistry, 2017; 26(6): 936-944.
ANGELO T, et al. Biomechanical stability of dental implants in augmented maxillary sites: results of a randomized clinical study with four different biomaterials and PRF and a biological view on guided bone regeneration. BioMed Research International, 2015; 1: 850340.
ARUNJAROENSUK S, et al. Stability of guided bone regeneration with two ratios of biphasic calcium phosphate at implant sites in the esthetic zone: A randomized controlled clinical trial. Clinical Oral Implants Research, 2023; 34(8): 850-862.
ARUNJAROENSUK S, et al. The stability of augmented bone between two different membranes used for guided bone regeneration simultaneous with dental implant placement in the esthetic zone. International Journal of Oral & Maxillofacial Implants, 2018; 33(1).
BASLER ARAT, et al. Randomized controlled clinical study assessing two membranes for guided bone regeneration of peri‐implant bone defects: 3‐year results. Clinical Oral Implants Research, 2018; 29(5): 499-507.
BILGE NH, et al. Comparison of Pathologic Changes in the Maxillary Sinus Before and After Dental Implant Surgery Using Cone Beam Computed Tomography. International Journal of Oral & Maxillofacial Implants, 2023; 38(6).
BOUCKAERT E, et al. A randomized controlled trial comparing guided bone regeneration to connective tissue graft to re‐establish buccal convexity at dental implant sites: three‐year results. Clinical Oral Implants Research, 2022; 33(5): 461-471.
CHIAPASCO M e CASENTINI P. Horizontal bone‐augmentation procedures in implant dentistry: prosthetically guided regeneration. Periodontology 2000, 2018; 77(1): 213-240.
CLEMENTINI M, et al. Immediate versus delayed positioning of dental implants in guided bone regeneration or onlay graft regenerated areas: a systematic review. International journal of oral and maxillofacial surgery, 2013; 42(5): 643-650.
DAHLIN C, et al. Healing of bone defects by guided tissue regeneration. Plastic and reconstructive surgery, 1988; 81(5): 672-676.
DE BRUYCKERE T, et al. A randomized controlled study comparing guided bone regeneration with connective tissue graft to re‐establish buccal convexity: one‐year aesthetic and patient‐reported outcomes. Clinical Oral Implants Research, 2020; 31(6): 507-516.
DEL CORSO M e DOHAN EHRENFEST DM. Immediate implantation and peri-implant Natural Bone Regeneration (NBR) in the severely resorbed posterior mandible using Leukocyte-and Platelet-Rich Fibrin (L-PRF): a 4-year follow-up. Poseido, 2013; 1(2): 109-116.
DEL FABBRO M, et al. Immediate loading of postextraction implants in the esthetic area: systematic review of the literature. Clinical implant dentistry and related research, 2015; 17(1): 52-70.
IANNELLO G, et al. Presenting a Protocol for Dental Implant Restorations. Prosthesis, 2023; 5(4): 1153-1170.
IŞIK G, et al. Guided bone regeneration simultaneous with implant placement using bovine-derived xenograft with and without liquid platelet-rich fibrin: a randomized controlled clinical trial. Clinical oral investigations, 2021; 25(9): 5563-5575.
JONKER BP, et al. Esthetics and patient-reported outcomes of implants placed with guided bone regeneration and complete native bone: a prospective controlled clinical trial. Int J Oral Maxillofac Implants, 2020; 35(2): 406-414.
JUNG RE, et al. Clinical and radiographical performance of implants placed with simultaneous guided bone regeneration using resorbable and nonresorbable membranes after 22–24 years, a prospective, controlled clinical trial. Clinical Oral Implants Research, 2021; 32(12): 1455-1465.
JUNG RE, et al. Guided bone regeneration with and without rhBMP‐2: 17‐year results of a randomized controlled clinical trial. Clinical Oral Implants Research, 2022; 33(3): 302-312.
KUCHLER U, et al. Immediate implant placement with simultaneous guided bone regeneration in the esthetic zone: 10‐year clinical and radiographic outcomes. Clinical Oral Implants Research, 2016; 27(2): 253-257.
KURBAD A e KURBAD S. CAD/CAM-based implant abutments. International journal of computerized dentistry, 2013; 16(2): 125-141.
LE B, et al. Treatment of labial soft tissue recession around dental implants in the esthetic zone using guided bone regeneration with mineralized allograft: a retrospective clinical case series. Journal of Oral and Maxillofacial Surgery, 2016; 74(8): 1552-1561.
LEVIN BP, et al. Advanced esthetic management of dental implants: surgical and restorative considerations to improve outcomes. Journal of Esthetic and Restorative Dentistry, 2015; 27(4): 224-230.
MILILLO L e PETRUZZI M. Guided Bone Regeneration with Occlusive Titanium Barrier: A Case Report and Clinical Considerations. Biomimetics, 2023; 8(1): 106.
MIZUMOTO RM e YILMAZ B. Intraoral scan bodies in implant dentistry: A systematic review. The Journal of prosthetic dentistry, 2018; 120(3): 343-352.
NAENNI N, et al. Implants sites with concomitant bone regeneration using a resorbable or non‐resorbable membrane result in stable marginal bone levels and similar profilometric outcomes over 5 years. Clinical Oral Implants Research, 2021; 32(8): 893-904.
NAENNI N, et al. Randomized clinical study assessing two membranes for guided bone regeneration of peri‐implant bone defects: clinical and histological outcomes at 6 months. Clinical Oral Implants Research, 2017; 28(10): 1309-1317.
NAIEM SN, et al. Jumping gap in immediate implant placement in the esthetic zone: a virtual implant planning using cone-beam computed tomography. Journal of Prosthodontic Research, 2023; 68(2): 347-353.
NTOVAS P, et al. Accuracy of manual and artificial intelligence‐based superimposition of cone‐beam computed tomography with digital scan data, utilizing an implant planning software: A randomized clinical study. Clinical Oral Implants Research, 2024; 35(10): 1262-1272.
OLIVEIRA FILHO FA, et al. Guided bone regeneration with immediate loading in esthetic site: a clinical case report. Revista de Cirurgia e Traumatologia Buco-maxilo-facial, 2015; 15(2): 33-38.
ONICĂ N, et al. Advanced techniques for bone restoration and immediate loading after implant failure: a case report. Healthcare, 2023; 11(1608).
PATZELT SBM e SPIES BC, et al. CAD/CAM‐fabricated implant‐supported restorations: a systematic review. Clinical Oral Implants Research, 2015; 26: 77-85.
PUISYS A, et al. Immediate implant placement vs. early implant treatment in the esthetic area: A 1‐year randomized clinical trial. Clinical Oral Implants Research, 2022; 33(6): 634-655.
RIOS HF e BORGNAKKE WS, et al. The use of cone‐beam computed tomography in management of patients requiring dental implants: an American Academy of Periodontology best evidence review. Journal of Periodontology, 2017; 88(10): 946-959.
SABBAH A. Smile analysis: diagnosis and treatment planning. Dental Clinics of North America, 2022; 66(3): 307-341.
SHAH FA e THOMSEN P, et al. Osseointegration and current interpretations of the bone-implant interface. Acta Biomaterialia, 2019; 84: 1-15.
VAN DER MEER WJ, et al. Application of intra-oral dental scanners in the digital workflow of implantology, 2012.
ZHANG K e YANG C, et al. Immediate implants show good therapeutic and aesthetic effect in patients with class III and IV bone loss of the anterior teeth. American Journal of Translational Research, 2023; 15(4): 2885.