Background : Is maxillary diastema an appropriate site for implantation in rats? [1]
Implantology or implant dentistry is a fast-growing industry. It is reported that the global dental implant market was valued at $ 3.77 billion in 2016 growing at a compound annual growth rate (CAGR) of 7.7% over the forecast period (2018–2024) [1]. The USA holds a substantial market share due to the growing demand of dental implant treatment (Grand View Research, 2018, Figs 1 and 2). The 2009 and 2010 National Health and Nutrition Examination Survey conducted by investigators at the Center for Disease Control and Prevention (CDC) pointed out that among adults in the USA, 8.7% have mild periodontitis, 30% have moderate periodontitis, and 8.5% have severe periodontitis [2]. Sixty-four percent of the population 65 years or older have periodontitis [2], indicating a large number of people in the USA are potential implant patients. With the fast increase in dental implant demand of $6.82 billion globally in 2024 as estimated upon data in Grand View Research, 2018, we are facing substantial challenges increase in peri-implantitis which is a challenge to long term survival of implants. A recent investigation indicates that the prevalence of peri-implantitis approximates 10% of implants and 20% of patients 5–10 years after implant placement [3]. Though investigators have revealed that the etiology of the peri-implant infection is similar to periodontitis [4,5,6,7], clinically there is no effective treatment. Implantation in patients with severe systemic conditions, i.e., severe diabetes, lupus, osteoporosis, organ transplant, and cancer with intensive radiotherapy and/or chemotherapy is another challenge to implant dentistry for lack of scientific research data. Animal models are crucial to help investigators reveal the mechanisms underlying these disorders. Variant animal implant models have been reported including mice, rats, rabbits, guinea pigs, dogs, sheep, goats, and nonhuman primates [8]. Genetically, both mice and rats are more than 90% similarities to human beings which are as high as all the other animals used to be implant animal models except for nonhuman primates. Biologically and economically, rats are the best animal models. In dental implant research, mice could not provide clinical compatible and macro-level measurable data for implant osseointegration and peri-implantitis in oral cavity due to lacking enough cancellous bone to support an implant more than 1 mm in length.
Serial posts:
- Abstract : Is maxillary diastema an appropriate site for implantation in rats?
- Highlights : Is maxillary diastema an appropriate site for implantation in rats?
- Background : Is maxillary diastema an appropriate site for implantation in rats? [1]
- Background : Is maxillary diastema an appropriate site for implantation in rats? [2]
- Materials and methods : Is maxillary diastema an appropriate site for implantation in rats? [1]
- Materials and methods : Is maxillary diastema an appropriate site for implantation in rats? [2]
- Results : Is maxillary diastema an appropriate site for implantation in rats?
- Discussion : Is maxillary diastema an appropriate site for implantation in rats? [1]
- Discussion : Is maxillary diastema an appropriate site for implantation in rats? [2]
- Discussion : Is maxillary diastema an appropriate site for implantation in rats? [3]
- Conclusion : Is maxillary diastema an appropriate site for implantation in rats?
- Availability of data and materials : Is maxillary diastema an appropriate site for implantation in rats?
- References : Is maxillary diastema an appropriate site for implantation in rats? [1]
- References : Is maxillary diastema an appropriate site for implantation in rats? [2]
- References : Is maxillary diastema an appropriate site for implantation in rats? [3]
- References : Is maxillary diastema an appropriate site for implantation in rats? [4]
- Acknowledgements : Is maxillary diastema an appropriate site for implantation in rats?
- Funding : Is maxillary diastema an appropriate site for implantation in rats?
- Author information : Is maxillary diastema an appropriate site for implantation in rats? [1]
- Author information : Is maxillary diastema an appropriate site for implantation in rats? [2]
- Ethics declarations : Is maxillary diastema an appropriate site for implantation in rats?
- Additional information : Is maxillary diastema an appropriate site for implantation in rats?
- Rights and permissions : Is maxillary diastema an appropriate site for implantation in rats?
- About this article : Is maxillary diastema an appropriate site for implantation in rats?
- Table 1 Rat body weight during the experiment : Is maxillary diastema an appropriate site for implantation in rats?
- Fig. 1. a) Time course of the experiment. b) Curve of the rat body weight change. c) Implant survival after 7 weeks of implantation. Implant success and failure rate is analyzed by using Clopper-Pearson’s exact method at 95% confidence interval. Our experiment data indicate that the true success rate of implantation in maxillary natural diastema in rat is less than 38.4% at a confident level of 95% : Is maxillary diastema an appropriate site for implant
- Fig. 2. Implantation of two implants at maxillary diastemata per rat. a Surgery implantation. b X-ray periapical picture after surgery. c Seven weeks after implantion : Is maxillary diastema an appropriate site for implant
- Fig. 3. a–c Micro-CT frontal planes indicate the location of implant. d, e Micro-CT sagittal plane. f, g Micro-CT transverse plane. h Micro-CT 3D constructed image indicates osseointegration around the implant fixture : Is maxillary diastema an appropriate site for implant
- Fig. 4. Micro-CT images indicate maxillary fist molar site will be able to provide a substantial cancellous bone to support a dental implant. a Sagittal plane. b Frontal plane : Is maxillary diastema an appropriate site for implant