Relationship between dental implant macro-design and osseointegration: a systematic review

Oral Maxillofac Surg. 2024 Mar;28(1):1-14. doi: 10.1007/s10006-022-01116-4. Epub 2022 Sep 29.

Abstract

Purpose: This systematic review aimed to determine whether differences in the macro-geometry of titanium implants promote changes in osseointegration.

Material and method: SCOPUS, PubMed/Medline, Web of Science, and EMBASE databases were searched in June 2021. In addition, it was performed a manual search of the reference lists of the included articles. Eligibility criteria were in vivo studies that addressed the effect of titanium implant macro-geometry on osseointegration, studies that evaluated periodontally healthy models, and papers indexed in Journal Citation Reports.

Results: The database search resulted in 1037 articles. Of the 19 articles selected for full reading, 16 remained in this systematic review. These had a high heterogeneity making it hard to perform statistical analysis of the data, so a descriptive analysis was performed.

Conclusions: Based on the studies included in this systematic review, implant macro-geometry provides influences on osseointegration. In this sense, the various isolated characteristics (thread type, thread pitch, thread depth, face angle) should be studied so that the implant geometry can balance the compressive stress and tensile stress and produce a minimum shear force.

Keywords: Dental implants; Implant design; Osseointegration; Primary stability; V-thread.

Publication types

  • Systematic Review
  • Review

MeSH terms

  • Dental Implants*
  • Humans
  • Osseointegration*
  • Titanium / pharmacology

Substances

  • Dental Implants
  • Titanium