Abstract：
OBJECTIVE: To evaluate the feasibility of reversing a primary failure through therapeutic mechanical stimulation induced by transcutaneous application of acoustic waves (ESWT) in the peri-implant tissues. Materials and Μethods: This clinical report evaluates the outcome of a new protocol proposed to treat a primary failure (loosened oral implant); application of three cycles of ESWT, once session per week for 3 consecutive weeks, with an equivalent positive energy of 0,18 mJ/mm² (therapeutic dose: 2000 impulses/ 8Hz/ 4.0 bar). Standardized intraoral radiographs, Cone Beam Computed Tomography (CBCT), Implant Stability Quotient (ISQ) and clinical evaluations were performed.
RESULTS: It was possible to verify a progressive increase in the ISQ value after the ESWT protocol; 17 (initial), 46 (after two months) and 68 (after four months), which led to successful implant prosthetic rehabilitation (35 N/cm measured). Our evaluation at 6 years of follow-up confirms that the new bone-implant interface is preserved and ESWT as a safe non-invasive treatment.
CONCLUSIONS: In the context of the new dynamic model of osseointegration, the Foreign Body Equilibrium (FBE), this represents the first report of a host-Implant equilibrium re-established after an early failure process. However, it is necessary to perform studies to determine both the medical device and the most effective therapeutic range for clinical applications of this technology in oral implantology.
RESULTS: It was possible to verify a progressive increase in the ISQ value after the ESWT protocol; 17 (initial), 46 (after two months) and 68 (after four months), which led to successful implant prosthetic rehabilitation (35 N/cm measured). Our evaluation at 6 years of follow-up confirms that the new bone-implant interface is preserved and ESWT as a safe non-invasive treatment.
CONCLUSIONS: In the context of the new dynamic model of osseointegration, the Foreign Body Equilibrium (FBE), this represents the first report of a host-Implant equilibrium re-established after an early failure process. However, it is necessary to perform studies to determine both the medical device and the most effective therapeutic range for clinical applications of this technology in oral implantology.
摘要：
目的：评估通过在植入物周围组织中经皮应用声波（ESWT）引起的治疗性机械刺激来逆转原发性失败的可行性。材料和方法：本临床报告评估了用于治疗原发性失败（口腔植入物松动）的新方案的结果；ESWT三个周期的应用，连续3周每周一次，具有0,18mJ/mm²的等效正能量（治疗剂量：2000脉冲/8Hz/4.0bar）。标准化口腔内X光片，锥形束计算机断层扫描(CBCT),进行植入物稳定性商(ISQ)和临床评价。
结果：可以验证ESWT方案后ISQ值的逐步增加；17（初始），46（两个月后）和68（四个月后），这导致成功的植入物假体康复（35N/cm测量）。我们在6年的随访中进行的评估证实，新的骨-植入物界面得以保留，并且ESWT是一种安全的非侵入性治疗方法。
结论：在新的骨整合动态模型的背景下，异物平衡（FBE），这是在早期失败过程后重新建立宿主-植入物平衡的第一份报告。然而,有必要进行研究，以确定该技术在口腔种植中的临床应用的医疗设备和最有效的治疗范围。
结果：可以验证ESWT方案后ISQ值的逐步增加；17（初始），46（两个月后）和68（四个月后），这导致成功的植入物假体康复（35N/cm测量）。我们在6年的随访中进行的评估证实，新的骨-植入物界面得以保留，并且ESWT是一种安全的非侵入性治疗方法。
结论：在新的骨整合动态模型的背景下，异物平衡（FBE），这是在早期失败过程后重新建立宿主-植入物平衡的第一份报告。然而,有必要进行研究，以确定该技术在口腔种植中的临床应用的医疗设备和最有效的治疗范围。
