Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/55143
Type: Artigo de Periódico
Title: Fitting pieces into the puzzle: the impact of titanium-based dental implant surface modifications on bacterial accumulation and polymicrobial infections
Authors: Raphael Costa
João Gabriel Silva Souza
Bruna e Nagay
Martina Bertolini
Barbara Emanuele Costa-Oliveira
Aline Araújo Sampaio
Belén Retamal-Valdes
Jamil Shibli
Magda Feres
Valentim Adelino Ricardo Barão
Abstract: Polymicrobial infection is the main cause of dental implant failure. Although numerous studies have reported the ability of titanium (Ti) surface modifications to inhibit microbial adhesion and biofilm accumulation, the majority of solutions for the utilization of Ti antibacterial surfaces have been testedin in vitro and animal models, with only a few developed surfaces progressing into clinical research. Motivated by this huge gap, we critically reviewed the scientific literature on the existing antibacterial Ti surfaces to help understand these surfaces' impact on the "puzzle" of undesirable dental implant-related infections. This manuscript comprises three main sections: (i) a narrative review on topics related to oral biofilm formation, bacterial-implant surface interactions, and on how implant-surface modifications can influence microbial accumulation; (ii) a critical evidence-based review to summarize pre-clinical and clinical studies in an attempt to "fit pieces into the puzzle" to unveil the best way to reduce microbial loads and control polymicrobial infection around dental implants showed by the current in vivo evidence; and (iii) discussion and recommendations for future research testing emerging antibacterial implant surfaces, connecting basic science and the requirements for future clinical translation. The findings of the present review suggest no consensus regarding the best available Ti surface to reduce bacterial colonization on dental implants. Smart release or on-demand activation surface coatings are a "new piece of the puzzle", which may be the most effective alternative for reducing microbial colonization on Ti surfaces, and future studies should focus on these technologies
Subject: Biofilms
Dental implants
Infections
Titanium
Anti-bacterial agents
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: FAO - DEPARTAMENTO DE CLÍNICA
Rights: Acesso Restrito
metadata.dc.identifier.doi: https://doi.org/10.1016/j.cis.2021.102551
URI: http://hdl.handle.net/1843/55143
Issue Date: 2021
metadata.dc.url.externa: https://www.sciencedirect.com/science/article/abs/pii/S0001868621001925?via%3Dihub
metadata.dc.relation.ispartof: Advances in Colloid and Interface Science
Appears in Collections:Artigo de Periódico

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.