Osseoincorporation is the healing potential of bone onto an implant surface and into an implant structure. Three-dimensional, porous implantable materials used in the orthopedic and dental implant industries offer the potential for ingrowth as well as ongrowth[1][2][3] or osseoincorporation.
Comparison to osseointegration
editConventional textured or coated implant surfaces are designed to achieve bone-to-implant contact, which is called ongrowth.[4] Per-Ingvar Brånemark defined this ongrowth phenomenon, osseointegration, as "the direct structural and functional connection between ordered, living bone and the surface of a load-carrying implant".[5] In the case of dental implants, they osseointegrate.[6] Porous implantable materials are designed for bone to grow not only onto the material but also into its pores, and in some cases interconnecting within the material’s structure, in a process called osseoincorporation.[7][8][9][10][11]
Complications
editIn some cases, the patient has periodontal defects (damaged or poor bone structure) which hinder osseointegration. Guided tissue and/or bone regeneration may be necessary before the bone can osseointegrate with the dental implant. In this case a combination of barrier membranes, bone tacks, and supplemental autogenous bone may be required to promote proper osseointegration. In addition, implant surface modification has been studied and now integrated, thus promoting an optimal tissue-implant interface (i.e. osseointegration, implant-gingival seal).[12][13][14]
See also
editReferences
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- ^ Unger AS. "Evaluation of a porous tantalum uncemented actetabular cup in revision total hip arthoplasty. Clinical and radiological results of 60 hips". Journal of Arthroplasty, 2005, p 1002–1009
- ^ Cohen R. "A porous tantalum trabedcular metal: basic science". American Journal of Orthopedics, 2002, p. 216-217
- ^ Bobyn JD. "UHMWPE: the good, bad, & ugly. Fixation and bearing surfaces for the next millennium". Orthopedics, 1999, p. 810–812
- ^ Branemark PI. "Introduction to osseointegration". In Branemark PI, Zarb GA, and Albrektsson T. eds. Tissue-Integrated Prosthese. Osseointegration in Clinical Dentistry. Chicago, Illinois: Quintessence. 1985. pp. 11–76
- ^ Branemark PI. "Introduction to osseointegration". In Branemark PI, Zarb GA, and Albrektsson T., eds. Tissue-Integrated Prosthese. Osseointegration in Clinical Dentistry. Chicago, Illinois: Quintessence. 1985. pp. 11–76
- ^ Burton E. Balkin et al. (2001). "Osseointegration Study", Journal of Oral Implantology.
- ^ Unger AS. "Evaluation of a porous tantalum uncemented actetabular cup in revision total hip arthoplasty. Clinical and radiological results of 60 hips". Journal of Arthroplasty, 2005, pp. 1002–1009
- ^ Cohen R. "A porous tantalum trabedcular metal: basic science". American Journal of Orthopedics, 2002, pp. 216–217
- ^ Bobyn JD. "UHMWPE: the good, bad, & ugly. Fixation and bearing surfaces for the next millennium". Orthopedics, 1999, pp. 810–812
- ^ Tsao AK. "Biomechanical and clinical evaluations of a porous tantaluym implant for the treatment of early-stage osteonecrosis". Journal of Bone and Joint Surgery, 2005, pp. 22–27
- ^ Bobyn JD. "Clinical validation of a structural porous tantalum biomaterial for adult reconstruction". Journal of Bone and Joint Surgery, 2004, pp. 123–129
- ^ E. T. den Braber, H. V. Jansen, M. J. de Boer, H. J. E. Croes, M. Elwenspoek, and J. A. Jansen. "Scanning electron microscopic, transmission electron microscopic, and confocal laser scanning microscopic observation of fibroblasts cultured on microgrooved surfaces of bulk titanium substrata". Journal of Biomedical Materials Research, 1998, pp. 425–433
- ^ S. Raghavendra, M. C. Wood, T. D. Taylor. "Early wound healing adjacent to endosseous dental implants: A review of the literature". International Journal of Oral & Maxillofacial Implants, 2005, 425–431
- ^ F. Rupp, L. Scheideler, N. Olshanska, M. de Wild, M. Wieland, J. Geis-Gerstorfer. "Enhancing surface free energy and hydrophilicity through chemical modification of microstructured titanium implant surfaces". Journal of Biomedical Materials Research A. 2006, pp. 323–334