Evolutionary steps in the design and biofunctionalization of the additively manufactured sub-periosteal jaw implant ‘AMSJI’ for the maxilla
Abstract
The purpose of this prospective registry case-series study was to determine the biological, mechanical, and aesthetic improvements made to the additively manufactured sub-periosteal jaw implant (AMSJI) after timed installation. A total of nine patients received maxillary AMSJIs in three sessions over a 2-year period. Architectural changes, topological optimization, and amendments to biofunctionalization were performed after each phase through the use of computer-aided design, finite element analysis, and growing clinical experience. Biological improvements included sandblasting (large grit alumina) and acid-etching; increased hydrophilicity by plasma surface activation; deletion of the crestal connecting struts; relocation of the anterior post in front of the anterior part of the basal loop; protection of the Schneiderian membrane from fixation screw penetration; high polishing of the posts; major platform switch with equigingival connections; the use of removable posts that require local anaesthesia and do not inflict major biological damage; scaffolding for secondary stability; and the provision of an incision guide. Mechanical improvements included the creation of a generic design based on finite element analysis and the resulting topological optimization, a shortening of the wings, and a reduction in the number of fixation screws. Aesthetic improvements included relocation of the anterior post, as described above, and pink anodization of the posts.
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These features, along with cranial base anchorage, make the IPS Implants® Preprosthetic a unique dental rehabilitation device for stable restoration in complex cases, distinguishing it from other subperiosteal implants, particularly those produced by laser melting technology.
“These features, along with cranial base anchorage, make the IPS Implants® Preprosthetic a unique dental rehabilitation device for stable restoration in complex cases, distinguishing it from other subperiosteal implants, particularly those produced by laser melting technology [25–32].”
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- Authors
- Mommaerts, M. Y.
- Affiliations
- Vrije Universiteit Brussel (BE)
- Corresponding author
- Mommaerts, M.Y.
- ORCID
- Mommaerts, M.Y.
- Venue
- International Journal of Oral and Maxillofacial Surgery
- Publisher
- Elsevier BV
- Published
- 2019-01
- Volume
- 48
- Issue
- 1
- Pages
- 108-114
- ISSN
- 0901-5027 (ISSN-L)
- OpenAlex
- W2885886245
- Cited by
- 74
- References
- 13
- Citations by year
- 2026: 9 · 2025: 21 · 2024: 19 · 2023: 10 · 2022: 6 · 2021: 5 · 2020: 2 · 2019: 2
- FWCI
- 2.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Oral and Maxillofacial Surgery (publishedVersion)
- PubMed (publishedVersion)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Topics
- Health Sciences › Dentistry › Oral Surgery › Dental Implant Techniques and Outcomes
- Physical Sciences › Engineering › Biomedical Engineering › Bone Tissue Engineering Materials
- Health Sciences › Dentistry › Orthodontics › Dental materials and restorations
- Keywords
- maxillary implants, additive manufacturing, biofunctionalization, topology optimization, finite element analysis, sandblasting and acid etching, plasma surface activation, hydrophilicity, Schneiderian membrane, platform switching
- MeSH terms
- Aged, Aged, 80 and over, Esthetics, Dental, Female, Humans, Male, Maxilla, Middle Aged, Prospective Studies, Surface Properties, Dental Implants, Alveolar Bone Loss, Treatment Outcome, Dental Prosthesis Design, Printing, Three-Dimensional
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