Evaluation of the Implant Success Rate of Titanium-based Implant Materials: A Systematic Review and Meta-Analysis

Azizi, Amir; Mehraban, Saeed Hasani; Taghizadeh, Emad; Gabaran, Zahra Mirzaei; Jamali, Samira

doi:10.1590/pboci.2024.039

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Brasil

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

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SYSTEMATIC REVIEW • Pesqui. Bras. Odontopediatria Clín. Integr. 24 • 2024 • https://doi.org/10.1590/pboci.2024.039 copy

Evaluation of the Implant Success Rate of Titanium-based Implant Materials: A Systematic Review and Meta-Analysis

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To investigate the success of implants, the increase of bone integration, and the effect of nanostructure/nanoparticles as Titanium-based implant materials on the success of implants. The present study evaluated the implant success rate of Titanium-based implant materials.

Material and Methods:

PICO: Population (dental implant), intervention (coated titanium implant surface), comparison (uncoated titanium implant surface), and outcome (bone-implant contact) were considered as a search strategy tool and study inclusion criteria. Searches for systematic literature were conducted on databases from Scopus, Science Direct, PubMed, ISI, Web of Knowledge, and Embase until 12 December 2022. Modified CONSORT Criteria (Reporting guidelines for preclinical in vitro studies on dental materials) were used to evaluate the quality of studies. The fixed effect model and inverse-variance method were used to calculate the 95% confidence interval for mean differences. Stata/MP V. 17 software was used to conduct the meta-analysis.

Results:

After reviewing the abstracts of 97 articles, studies not related to the inclusion criteria were excluded, and ten studies were selected from the remaining 39 studies after reviewing the full text. The mean difference in boneimplant contact between coated and uncoated dental implants was 0.25 (MD, 0.25 95% CI 0.01, 0.49;p=0.04).

Conclusion:

The titanium implant surface with nano coating can increase bone-implant contact and cause bone integration.

Keywords:
Dental Implants; Nanoparticles; Titanium

PICO Strategy	Description
P	Population: Dental Implant
I	Intervention: Coated Titanium Implant Surface
C	Comparison: Uncoated Titanium Implant Surface
O	Outcome: Bone-Implant Contact

No.	Study. Years	Study Design	Sample Size		Test Surface Means or %	Control Surface
No.	Study. Years	Study Design	Test	Control	Test Surface Means or %	Control Surface
1	Mathew et al., 2022 [¹⁴14 Mathew A, Abraham S, Stephen S, Babu AS, Gowd SG, Vinod V, et al. Superhydrophilic multifunctional nanotextured titanium dental implants: In vivo short and long-term response in a porcine model. Biomater Sci 2022; 10(3):728-743. https://doi.org/10.1039/D1BM01223A https://doi.org/10.1039/D1BM01223A... ]	In-vivo	3	3	90%	10%
2	Bjursten et al., 2010 [¹⁵15 Bjursten LM, Rasmusson L, Oh S, Smith GC, Brammer KS, Jin S. Titanium dioxide nanotubes enhance bone bonding in vivo. J Biomed Mater Res A 2010; 92(3):1218-1224. https://doi.org/10.1002/jbm.a.32463 https://doi.org/10.1002/jbm.a.32463... ]	In-vivo	7	6	21	21
3	Metzler et al., 2013 [¹⁶16 Metzler P, von Wilmowsky C, Stadlinger B, Zemann W, Schlegel KA, Rosiwal S, et al. Nano-crystalline diamond-coated titanium dental implants–A histomorphometric study in adult domestic pigs. J Craniomaxillofac Surg 2013; 41(6):532-538. https://doi.org/10.1016/j.jcms.2012.11.020 https://doi.org/10.1016/j.jcms.2012.11.0... ]	In-vivo	25	25	18	18
4	Jimbo et al., 2012 [¹⁷17 Jimbo R, Coelho PG, Bryington M, Baldassarri M, Tovar N, Currie F, et al. Nano hydroxyapatite-coated implants improve bone nanomechanical properties. J Dent Res 2012; 91(12):1172-1177. https://doi.org/10.1177/0022034512463240 https://doi.org/10.1177/0022034512463240... ]	In-vivo	10	10	35%	32%
5	Ballo et al., 2011 [¹⁸18 Ballo A, Agheli H, Lausmaa J, Thomsen P, Petronis S. Nanostructured model implants for in vivo studies: Influence of well-defined nanotopography on de novo bone formation on titanium implants. Int J Nanomed 2011; 6:3415-3428. https://doi.org/10.2147/IJN.S25867 https://doi.org/10.2147/IJN.S25867... ]	In-vitro	20	20	76	42
6	Meirelles et al., 2008 [¹⁹19 Meirelles L, Melin L, Peltola T, Kjellin P, Kangasniemi I, Currie F, et al. Effect of hydroxyapatite and titania nanostructures on early in vivo bone response. Clin Implant Dent Relat Res 2008; 10(4):245-254. https://doi.org/10.1111/j.1708-8208.2008.00089.x https://doi.org/10.1111/j.1708-8208.2008... ]	In-vitro	10	10	9	14
7	Lachmann et al., 2006 [²⁰20 Lachmann S, Yves Laval J, Jäger B, Axmann D, Gomez-Roman G, Groten M, et al. Resonance frequency analysis and damping capacity assessment: Part 2: peri-implant bone loss follow-up. An in vitro study with the Periotest™ and Osstell™ instruments. Clin Oral Implants Res 2006; 17(1):80-84. https://doi.org/10.1111/j.1600-0501.2005.01174.x https://doi.org/10.1111/j.1600-0501.2005... ]	In-vitro	12	12	75	62
8	Ellingsen et al., 2004 [²¹21 Ellingsen JE, Johansson CB, Wennerberg A, Holmén A. Improved retention and bone-to-implant contact with fluoride-modified titanium implants. Int J Oral Maxillofac Implants 2004; 19(5):659-666.]	In-vivo	15	15	31	39
9	Salouet al., 201S [²²22 Salou L, Hoornaert A, Louarn G, Layrolle P. Enhanced osseointegration of titanium implants with nanostructured surfaces: An experimental study in rabbits. Acta Biomater 2015; 11:494-502. https://doi.org/10.1016/j.actbio.2014.10.017 https://doi.org/10.1016/j.actbio.2014.10... ]	In-vivo	3	3	65.1	45.1

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[1] Corresponding author: Samira Jamali E-mail: samira.jamali90@yahoo.com