Bonfante, Estevam A.
Coelho, Paulo G.
Número total de Autores: 7
Afiliação do(s) autor(es):
 Univ Sao Paulo, Dept Prosthodont & Periodontol, Bauru Sch Dent, Bauru - Brazil
 Nagasaki Univ, Grad Sch Biomed Sci, Dept Appl Prosthodont, Nagasaki - Japan
 NYU, Dept Biomat, New York, NY - USA
 Univ Florida, Dept Periodontol, Gainesville, FL - USA
 NYU, Langone Med Ctr, Attending Oral & Maxillofacial Surg, Hansjorg Wyss Dept Plast Surg, New York, NY - USA
 NYU, Dept Biomat, Hansjorg Wyss Dept Plast Surg Mech & Aerosp Engn, New York, NY 10003 - USA
Número total de Afiliações: 6
Tipo de documento:
Artigo de Revisão
Citações Web of Science:
This paper is aimed to present a biomaterials perspective in implant therapy that fosters improved bone response and long-term biomechanical competence from surgical instrumentation to final prosthetic rehabilitation. Strategies to develop implant surface texturing will be presented and their role as an ad hoc treatment discussed in light of the interplay between surgical instrumentation and implant macrogeometric configuration. Evidence from human retrieved implants in service for several years and from in vivo studies will be used to show how the interplay between surgical instrumentation and implant macrogeometry design affect osseointegration healing pathways, and bone morphologic and long-term mechanical properties. Also, the planning of implant-supported prosthetic rehabilitations targeted at long-term performance will be appraised from a standpoint where personal preferences (eg, cementing or screwing a prosthesis) can very often fail to deliver the best patient care. Lastly, the acknowledgement that every rehabilitation will have its strength degraded over time once in function will be highlighted, since the potential occurrence of even minor failures is rarely presented to patients prior to treatment. (AU)