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Results and discussion : Genomic analyses of early peri-implant bone healing in humans: a systematic review [7]

Results and discussion : Genomic analyses of early peri-implant bone healing in humans: a systematic review [7]

author: Siddharth Shanbhag, Vivek Shanbhag, Andreas Stavropoulos | publisher: drg. Andreas Tjandra, Sp. Perio, FISID

It can be hypothesized that peri-implant neurogenesis is one of the underlying mechanisms governing the phenomenon of osseoperception, defined as the tactile sensibility of osseointegrated implants to occlusal forces induced via activation of nerve endings and/or receptors in the peri-implant environment [82,83]. Moreover, recent evidence suggests that implant surface properties may influence the degree of osseoperception in humans [84], which can be correlated with the genomic evidence for implant surface modulation of neurogenesis during osseointegration.

Finally, the present review findings are consistent with a recent gene expression study of healing extraction sockets in humans [85]. This study reported an initial upregulation of pro-inflammatory cytokines (IL-1, IL-6) at day 1, but by day 7, genes suggestive of immune response (IL-10), osteogenesis (TGF, BMP4, BMP7, OCN and ALP), and angiogenesis (VEGF) were upregulated, continuing until day 14, suggesting that the basic biological processes governing alveolar wound healing and osseointegration are the same.

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