Analysis of acute sinusitis-related early failed implant surface: a combined histological, electron microscopy, and X-ray spectroscopy approach
Abstract Background Even though dental implants are a reliable choice for dental rehabilitation, implant failures due to various etiologies have been reported. Early implant failures account for 2 to 6% of installed implants and are reported to have a higher rate than late failures, regardless of lo...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-04-01
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| Series: | Maxillofacial Plastic and Reconstructive Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40902-022-00346-6 |
| _version_ | 1811289513226403840 |
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| author | Truc Thi Hoang Nguyen Mi Young Eo Mi Hyun Seo Soung Min Kim |
| author_facet | Truc Thi Hoang Nguyen Mi Young Eo Mi Hyun Seo Soung Min Kim |
| author_sort | Truc Thi Hoang Nguyen |
| collection | DOAJ |
| description | Abstract Background Even though dental implants are a reliable choice for dental rehabilitation, implant failures due to various etiologies have been reported. Early implant failures account for 2 to 6% of installed implants and are reported to have a higher rate than late failures, regardless of loading time. We herein report three cases of acute sinusitis and early implant failure with implants that failed within 1 month after installation. The aim of this study was to evaluate the surface properties of early failed implants and peri-implant tissue to determine the early osseointegration pattern in acute sinusitis-related failed implants as well as the possible role of surface contamination in the failure of osseointegration. Results A combined histological, electron microscopy, and X-ray spectroscopy approach was used to characterize the surface of non-osseointegrated titanium implants and the surrounding biological tissues. Morphologic scanning electron microscopy revealed a heterogeneous surface and irregular osseointegration. The implant surface was covered mostly by carbon- and oxygen-rich organic matter. Energy-dispersive X-ray spectroscopy surface analysis of three implants showed the incorporation of some contaminants in both the upper and apical regions. Carbon, nitrogen, sodium, silicon, chlorine, sulfur, gold, and zirconium were detected on the surface of one or more failed implants. Fibrosis, lymphocytic, and macrophage infiltrates and a high activation of osteoclasts surrounding the bone graft particles were detected in the surrounding tissues. Conclusions The etiology and mechanism of early implant failure, especially in sinus-related cases, as well as the proper management interventions to minimize the rate of early implant failures, are of great concern. No matter how confident and accurate the surgeon’s operation, there may be unknown errors in the whole procedure that no one knows about. Rather than errors related to the implant surface, it is expected that there were invisible problems during the evaluation of the patient’s own unique sinus mucosal inflammation or the operator’s own procedure. Furthermore, well-designed researches are necessary to reveal the effect of material-related factors on acute sinus complication and early implant failure. |
| first_indexed | 2024-04-13T03:56:08Z |
| format | Article |
| id | doaj.art-fad40cc4aa82436a875a1733b15e65ce |
| institution | Directory Open Access Journal |
| issn | 2288-8586 |
| language | English |
| last_indexed | 2024-04-13T03:56:08Z |
| publishDate | 2022-04-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Maxillofacial Plastic and Reconstructive Surgery |
| spelling | doaj.art-fad40cc4aa82436a875a1733b15e65ce2022-12-22T03:03:39ZengSpringerOpenMaxillofacial Plastic and Reconstructive Surgery2288-85862022-04-0144111310.1186/s40902-022-00346-6Analysis of acute sinusitis-related early failed implant surface: a combined histological, electron microscopy, and X-ray spectroscopy approachTruc Thi Hoang Nguyen0Mi Young Eo1Mi Hyun Seo2Soung Min Kim3Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National UniversityDepartment of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National UniversityDepartment of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National UniversityDepartment of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National UniversityAbstract Background Even though dental implants are a reliable choice for dental rehabilitation, implant failures due to various etiologies have been reported. Early implant failures account for 2 to 6% of installed implants and are reported to have a higher rate than late failures, regardless of loading time. We herein report three cases of acute sinusitis and early implant failure with implants that failed within 1 month after installation. The aim of this study was to evaluate the surface properties of early failed implants and peri-implant tissue to determine the early osseointegration pattern in acute sinusitis-related failed implants as well as the possible role of surface contamination in the failure of osseointegration. Results A combined histological, electron microscopy, and X-ray spectroscopy approach was used to characterize the surface of non-osseointegrated titanium implants and the surrounding biological tissues. Morphologic scanning electron microscopy revealed a heterogeneous surface and irregular osseointegration. The implant surface was covered mostly by carbon- and oxygen-rich organic matter. Energy-dispersive X-ray spectroscopy surface analysis of three implants showed the incorporation of some contaminants in both the upper and apical regions. Carbon, nitrogen, sodium, silicon, chlorine, sulfur, gold, and zirconium were detected on the surface of one or more failed implants. Fibrosis, lymphocytic, and macrophage infiltrates and a high activation of osteoclasts surrounding the bone graft particles were detected in the surrounding tissues. Conclusions The etiology and mechanism of early implant failure, especially in sinus-related cases, as well as the proper management interventions to minimize the rate of early implant failures, are of great concern. No matter how confident and accurate the surgeon’s operation, there may be unknown errors in the whole procedure that no one knows about. Rather than errors related to the implant surface, it is expected that there were invisible problems during the evaluation of the patient’s own unique sinus mucosal inflammation or the operator’s own procedure. Furthermore, well-designed researches are necessary to reveal the effect of material-related factors on acute sinus complication and early implant failure.https://doi.org/10.1186/s40902-022-00346-6Implant failureMaxillary sinusitisOsseointegrationScanning electron microscopy (SEM)Energy-dispersive X-ray spectroscopy (EDS) |
| spellingShingle | Truc Thi Hoang Nguyen Mi Young Eo Mi Hyun Seo Soung Min Kim Analysis of acute sinusitis-related early failed implant surface: a combined histological, electron microscopy, and X-ray spectroscopy approach Maxillofacial Plastic and Reconstructive Surgery Implant failure Maxillary sinusitis Osseointegration Scanning electron microscopy (SEM) Energy-dispersive X-ray spectroscopy (EDS) |
| title | Analysis of acute sinusitis-related early failed implant surface: a combined histological, electron microscopy, and X-ray spectroscopy approach |
| title_full | Analysis of acute sinusitis-related early failed implant surface: a combined histological, electron microscopy, and X-ray spectroscopy approach |
| title_fullStr | Analysis of acute sinusitis-related early failed implant surface: a combined histological, electron microscopy, and X-ray spectroscopy approach |
| title_full_unstemmed | Analysis of acute sinusitis-related early failed implant surface: a combined histological, electron microscopy, and X-ray spectroscopy approach |
| title_short | Analysis of acute sinusitis-related early failed implant surface: a combined histological, electron microscopy, and X-ray spectroscopy approach |
| title_sort | analysis of acute sinusitis related early failed implant surface a combined histological electron microscopy and x ray spectroscopy approach |
| topic | Implant failure Maxillary sinusitis Osseointegration Scanning electron microscopy (SEM) Energy-dispersive X-ray spectroscopy (EDS) |
| url | https://doi.org/10.1186/s40902-022-00346-6 |
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