REOSSEOINTEGRAÇÃO: CONCEITO, FORMAS DE OBTENÇÃO E PREVISIBILIDADE
DOI:
https://doi.org/10.36557/2674-8169.2026v8n5p1352-1370Palavras-chave:
Implante Dentário, Osseointegração, Regeneração Óssea.Resumo
Este trabalho teve como objetivo realizar uma revisão da literatura para elucidar o conceito de reosseointegração, assim como suas formas de obtenção na prática moderna da odontologia reconstrutiva e a previsibilidade destas técnicas em longo prazo. Foi realizado um levantamento bibliográfico acerca do tema proposto através da base de dados Medline. Diversas metodologias são descritas e os estudos selecionados serviram de embasamento para esta revisão, levando-se em consideração as limitações dos estudos. Conclui-se que a reosseointegração é factível de ser obtida em superfícies implantares previamente comprometidas. Algumas formas de obtenção são propostas com graus variados de sucesso, sendo que nenhuma delas pode ser considerada mais previsível que a outra, o que dificulta a tomada de decisão por um protocolo específico na prática clínica. Apesar das evidências clínicas e radiográficas encontradas, estudos em humanos ainda são limitados devido à impossibilidade de análise histológica. O que torna questionável a previsibilidade e sucesso da reosseointegração em longo prazo.
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Alhag M, Renvert S, Polyzois I, Claffey N. Re-osseointegration on rough implant surfaces previously coated with bacterial biofilm: an experimental study in the dog. Clin Oral Implants Res. 2008 Feb;19(2):182-7. doi: 10.1111/j.1600-0501.2007.01429.x. Epub 2007 Nov 26. PMID: 18039336.
Fletcher P, Deluiz D, Tinoco EM, Ricci JL, Tarnow DP, Tinoco JM. Human Histologic Evidence of Reosseointegration Around an Implant Affected with Peri-implantitis Following Decontamination with Sterile Saline and Antiseptics: A Case History Report. Int J Periodontics Restorative Dent. 2017 July/August;37(4):499–508. doi: 10.11607/prd.3037. Epub 2017 Feb 14. PMID: 28196152.
Froum SJ, Rosen PS. Reentry evaluation following treatment of peri-implantitis with a regenerative approach. Int J Periodontics Restorative Dent. 2014 Jan-Feb;34(1):47-59. doi: 10.11607/prd.1904. PMID: 24396840.
Hanisch O, Tatakis DN, Boskovic MM, Rohrer MD, Wikesjö UM. Bone formation and reosseointegration in peri-implantitis defects following surgical implantation of rhBMP-2. Int J Oral Maxillofac Implants. 1997 Sep-Oct;12(5):604-10. PMID: 9337020.
Ivanoff CJ, Sennerby L, Lekholm U. Reintegration of mobilized titanium implants. An experimental study in rabbit tibia. Int J Oral Maxillofac Surg. 1997 Aug;26(4):310-5. doi: 10.1016/s0901-5027(97)80878-8. PMID: 9258729.
Karimi MR, Fathi S, Ghanavati F. Effects of counter torque and transposition (transfer) of installed implants timing on their integration in dog tibia. J Adv Prosthodont. 2015 Feb;7(1):62-8. doi: 10.4047/jap.2015.7.1.62. Epub 2015 Feb 17. PMID: 25722840; PMCID: PMC4341189.
Kim S, Lee JS, Hwang JW, Kim MS, Choi SH, Jung UW. Reosseointegration of mechanically disintegrated implants in dogs: mechanical and histometric analyses. Clin Oral Implants Res. 2014 Jun;25(6):729-34. doi: 10.1111/clr.12135. Epub 2013 Feb 25. PMID: 23432703.
Lucente J, Galante J, Trisi P, Kenealy JN. Reintegration success of osseotite implants after intentional countertorque liberation in the endentulous human mandible. Implant Dent. 2006 Jun;15(2):178-85. doi: 10.1097/01.id.0000220670.57282.54. PMID: 16766901.
Misch CE, Perel ML, Wang HL, Sammartino G, Galindo-Moreno P, Trisi P, Steigmann M, Rebaudi A, Palti A, Pikos MA, Schwartz-Arad D, Choukroun J, Gutierrez-Perez JL, Marenzi G, Valavanis DK. Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference. Implant Dent. 2008 Mar;17(1):5-15. doi: 10.1097/ID.0b013e3181676059. PMID: 18332753.
Mombelli A. Etiology, diagnosis, and treatment considerations in peri-implantitis. Curr Opin Periodontol. 1997;4:127-36. PMID: 9655032.
Park SY, Kim KH, Shin SY, Koo KT, Lee YM, Chung CP, Seol YJ. Decontamination methods using a dental water jet and dental floss for microthreaded implant fixtures in regenerative periimplantitis treatment. Implant Dent. 2015 Jun;24(3):307-16. doi: 10.1097/ID.0000000000000208. PMID: 25734943.
Parlar A, Bosshardt DD, Cetiner D, Schafroth D, Unsal B, Haytaç C, Lang NP. Effects of decontamination and implant surface characteristics on re-osseointegration following treatment of peri-implantitis. Clin Oral Implants Res. 2009 Apr;20(4):391-9. doi: 10.1111/j.1600-0501.2008.01655.x. PMID: 19298293.
Parma-Benfenati S, Roncati M, Galletti P, Tinti C. Peri-implantitis Treatment with a Regenerative Approach: Clinical Outcomes on Reentry. Int J Periodontics Restorative Dent. 2015 Sep-Oct;35(5):625-36. doi: 10.11607/prd.2374. PMID: 26357692.
Renvert S, Polyzois I, Maguire R. Re-osseointegration on previously contaminated surfaces: a systematic review. Clin Oral Implants Res. 2009 Sep;20 Suppl 4:216-27. doi: 10.1111/j.1600-0501.2009.01786.x. PMID: 19663967.
Romanos G, Ko HH, Froum S, Tarnow D. The use of CO(2) laser in the treatment of peri-implantitis. Photomed Laser Surg. 2009 Jun;27(3):381-6. doi: 10.1089/pho.2008.2280. PMID: 19569952.
Sennerby L, Persson LG, Berglundh T, Wennerberg A, Lindhe J. Implant stability during initiation and resolution of experimental periimplantitis: an experimental study in the dog. Clin Implant Dent Relat Res. 2005;7(3):136-40. doi: 10.1111/j.1708-8208.2005.tb00057.x. PMID: 16219243.
SHIBLI, Jamil Awad et al. Lethal photosensitization and guided bone regeneration in treatment of peri‐implantitis: an experimental study in dogs. Clinical Oral Implants Research, v. 17, n. 3, p. 273-281, 2006.
Subramani K, Wismeijer D. Decontamination of titanium implant surface and re-osseointegration to treat peri-implantitis: a literature review. Int J Oral Maxillofac Implants. 2012 Sep-Oct;27(5):1043-54. PMID: 23057016.
Valderrama P, Wilson TG Jr. Detoxification of implant surfaces affected by peri-implant disease: an overview of surgical methods. Int J Dent. 2013;2013:740680. doi: 10.1155/2013/740680. Epub 2013 Aug 4. PMID: 23983691; PMCID: PMC3747607.
Wetzel AC, Vlassis J, Caffesse RG, Hämmerle CH, Lang NP. Attempts to obtain re-osseointegration following experimental peri-implantitis in dogs. Clin Oral Implants Res. 1999 Apr;10(2):111-9. doi: 10.1034/j.1600-0501.1999.100205.x. PMID: 10219130.
Xu L, Sun X, Bai J, Jiang L, Wang S, Zhao J, Xia L, Zhang X, Wen J, Li G, Jiang X. Reosseointegration Following Regenerative Therapy of Tissue-Engineered Bone in a Canine Model of Experimental Peri-Implantitis. Clin Implant Dent Relat Res. 2016 Apr;18(2):379-91. doi: 10.1111/cid.12308. Epub 2016 Feb 29. PMID: 26924075.
Ye; Cho; Lee. An investigation of reosseointegration according to time course after mechanical loosening of the osseointegrated implant fixtures. Journal of Dental Rehabilitation and Applied Science, v. 31, n. 3, p. 203-211, 2015.
You TM, Choi BH, Zhu SJ, Jung JH, Lee SH, Huh JY, Lee HJ, Li J. Treatment of experimental peri-implantitis using autogenous bone grafts and platelet-enriched fibrin glue in dogs. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 Jan;103(1):34-7. doi: 10.1016/j.tripleo.2006.01.005. Epub 2006 Apr 21. PMID: 17178491.
Roos-Jansåker AM, Renvert H, Lindahl C, Renvert S. Submerged healing following surgical treatment of peri-implantitis: a case series. J Clin Periodontol. 2007 Aug;34(8):723-7. doi: 10.1111/j.1600-051X.2007.01098.x. Epub 2007 May 29. PMID: 17535286.
Nevins M, Kim SW, Camelo M, Martin IS, Kim D, Nevins M. A prospective 9-month human clinical evaluation of Laser-Assisted New Attachment Procedure (LANAP) therapy. Int J Periodontics Restorative Dent. 2014 Jan-Feb;34(1):21-7. doi: 10.11607/prd.1848. PMID: 24396837.
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Copyright (c) 2026 Nathália Félix de Leiros Ferreira, Fernanda Kyarelly de Oliveira Amorim Rocha, Renata Rodrigues Alves da Costa, Nair Santos Souza, Luiz Eduardo Meireles Mayrink, Katia Rosiane Müller Lauxen, Pedro Augusto Dias Lima, Pablo Mendonça de Souza, Vitor Hugo Porto Militão, Kelly Marilice Silva Lima, Sarah Frota Loiola
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Os autores são detentores dos direitos autorais mediante uma licença CCBY 4.0.
