EVALUATING CLINICAL EFFICACY AND COMPLICATION MANAGEMENT IN ADDITIVELY MANUFACTURED SUBPERIOSTEAL IMPLANTS: LITERATURE REVIEW
Keywords:
subperiosteal implants, additive manufacturing, dental implants, bone atrophyAbstract
Subperiosteal implants are a practical option for patients with significant bone atrophy for whom traditional dental implants are not viable. Recent advances in additive manufacturing (AM) have made it possible to design exact, patient-specific implants that reduce complications and improve outcomes. This systematic review evaluates the clinical success and postoperative complications associated with AM subperiosteal implants. The PubMed and Cochrane Library databases were searched for studies published from January 2019 to January 2024. Keywords included "additively manufactured subperiosteal implants" and "3D printed implants". The review included randomized controlled trials, non-randomized trials, and observational studies. Quality assessment was performed using the Downs and Black checklist to ensure the reliability of the included studies. Out of 235 initial records, four studies were selected for the final analysis, involving 60 patients who received AM subperiosteal implants. Complication rates varied from 6.25% to 30%, with peri-implantitis being the most common issue. Nevertheless, the overall success rate of implants was high, with over 90% of cases achieving satisfactory outcomes. 3D imaging technology allowed for highly accurate implant fitting and reduced surgical time. AM subperiosteally implants significantly advance dental implantology, particularly for patients with complex bone conditions. While the results are promising, further long-term research must confirm their durability and success in a broader range of patients.
References
Arshad, M., Khoramshahi, N., Shirani, G. (2023): Additively custom‐made 3D‐printed subperiosteal implants for the rehabilitation of the severely atrophic maxilla (a case report). – Clinical Case Reports 11(11): 16p.
Bai, L., Zheng, L., Ji, P., Wan, H., Zhou, N., Liu, R., Wang, C. (2022): Additively manufactured lattice-like subperiosteal implants for rehabilitation of the severely atrophic ridge. – ACS Biomaterials Science & Engineering 8(2): 912-920.
Branemark, P.I. (1985): Tissue-Integrated Prostheses. – Osseointegration in Clinical Dentistry 344p.
Downs, S.H., Black, N. (1998): The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. – Journal of Epidemiology & Community Health 52(6): 377-384.
Lauwers, F., Jalbert, F., Cavallier, Z., Prevost, A., Brandicourt, P., Roux, F., Delanoe, F. (2019): PEEK-custom made implants for facial reconstruction of complex congenital malformations. – International Journal of Oral and Maxillofacial Surgery 48: 1p.
Mangano, C., Bianchi, A., Mangano, F.G., Dana, J., Colombo, M., Solop, I., Admakin, O. (2020): Custom-made 3D printed subperiosteal titanium implants for the prosthetic restoration of the atrophic posterior mandible of elderly patients: a case series. – 3D Printing in Medicine 6: 1-14.
McCaffery, C., Dodd, M., Bekiroglu, F., Twohig, E. (2017): Synovial chondromatosis of the temporomandibular joint with extension into the middle cranial fossa and internal carotid canal. – International Journal of Oral and Maxillofacial Surgery 46(7): 867-870.
Nemtoi, A., Covrig, V., Nemtoi, A., Stoica, G., Vatavu, R., Haba, D., Zetu, I. (2022): Custom-made direct metal laser sintering titanium subperiosteal implants in oral and maxillofacial surgery for severe bone-deficient patients-a pilot study. – Diagnostics 12(10): 12p.
Onică, N., Budală, D.G., Baciu, E.R., Onică, C.A., Gelețu, G.L., Murariu, A., Balan, M., Pertea, M., Stelea, C. (2024): Long-Term Clinical Outcomes of 3D-Printed Subperiosteal Titanium Implants: A 6-Year Follow-Up. – Journal of Personalized Medicine 14(5): 13p.
Page, M.J., McKenzie, J.E., Bossuyt, P.M., Boutron, I., Hoffmann, T.C., Mulrow, C.D., Shamseer, L., Tetzlaff, J.M., Akl, E.A., Brennan, S.E., Chou, R. (2021): The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. – BMJ 9p.
Schou, S., Pallesen, L., Hjørting‐Hansen, E., Pedersen, C.S., Fibæk, B. (2000): A 41‐year history of a mandibular subperiosteal implant. – Clinical Oral Implants Research: Case report 11(2): 171-178.
Van den Borre, C., Rinaldi, M., De Neef, B., Loomans, N.A., Nout, E., Van Doorne, L., Naert, I., Politis, C., Schouten, H., Klomp, G., Beckers, L. (2021): Radiographic evaluation of bone remodeling after additively manufactured subperiosteal jaw implantation (AMSJI) in the maxilla: a one-year follow-up study. – Journal of Clinical Medicine 10(16): 11p.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 AUDRA JANOVSKIENE, AVIAD HAFIZOV, YANIV DAVID, AINE JAKONYTE, DAINIUS RAZUKEVICIUS, ZYGIMANTAS PETRONIS

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.