Implant stability quotient
Force attempting to disengage parts joined by a screw.
Kaplan-Meier estimate is one of the best options to be used to measure the fraction of subjects living for a certain amount of time after treatment. In clinical trials or community trials, the effect of an intervention is assessed by measuring the number of subjects survived or saved after that intervention over a period of …
Light Adjustable Lens
Application of a laser beam to selectively ablate a material from a surface (e. g. surface)
Syn.: Secondary implant failure Failure of an implant after integration has been established. This maybe due to overload or periimplantitis.
Locking Compression Plate Locking Compression Plate (LCP) Implants are taken for temporary ﬁxation, correction or stabilization of bones in various anatomical regions. The plates come in different sizes and shapes according to the anatomy and the intended purpose. Screws are locked in the plate, and the physiological load (F) is transferred from the bone to …
pacemaker without cable electrodes (e.g. MICRA™-TPS-System, Nanostim™-Device)
Statistical method to describe the survival (e. g. implants) in a sample. The distribution of survival times is divided into a certain number of intervals. For each interval, one can compute the number and proportion of cases that entered the respective interval “alive”, the number and proportion of cases that failed in the respective interval …
Lateral Lumbal Interbody Fusion
A locator is used as abutment on dental implants to fix a denture as a snap-on. There may be used 2, 4 or even more for one jaw. It is used on many types of dental implants. A variation is the raptor. Balls and magnets are used for the same reason, but are not as common. …
A study in which observations on the same subjects are made at two or more different points in time.
Locking Trochanter Stabilizing Plate
Syn.: Turned surface An implant surface that results from the milling process of a cylindrical titanium rod. The scratches of the tooling on the implant form a machined implant surface.
Magnesium can be used as implant material. It has metallic strength and can be bioabsorbed (converted in magnesium oxide and hydrogen, degradation, corrosion). It can be used to stabilize bone fractures. Mechanical properties are similar those of natural bone. more details: 1. Bioresorbable Magnesium Implants for Bone Applications by Olga Wetterlöv Charyeva
The hammer-shaped bony protrusions on the tibia (malleolus medialis) and fibula (malleolus lateralis), which are part of the upper ankle joint as a malleolus fork, are called malleolus.
Use of radiography (X-rays) of the breast to detect breast cancer. Recommended as a screening technique for early detection of breast cancer.
Syn.: Transmandibular implant. An dental transosseous implant in which a plate is fixed at the inferior border of the mandible. Retentive screws are placed partially into the inferior border with two continuous screws going transcortically and penetrating into the mouth in the canine areas and used as abutments for a removable denture.
This guidance represents the current thinking of the Food and Drug Administration (FDA or Agency) on this topic. It does not establish any rights for any person and is not binding on FDA or the public. You can use an alternative approach if it satisfies the requirements of the applicable statutes and regulations. To discuss …
Inflammation of the breast.
Plastic surgery to raise and reshape sagging (ptotic) breasts into a more elevated position.
A biomaterial, resorbable or non-resorbable, surgically placed to restore lost bony substance.
A biomaterial, resorbable or non-resorbable, placed surgically on the surface of a bone, with or without loss of tissue, to obtain selective or guided tissue regeneration.
An intricate network of natural or synthetic fibers that aids in the reinforcement and development of tissues by supplying a scaffold on which cells may grow, migrate and proliferate.
Syn.: Antrum, Maxillary antrum, Antrum of Highmore Air cavity in the body of the maxilla that is lined by the Schneiderian membrane consisting a pseudostratified ciliated columnar epithelium. It normally lies superior to the roots of the premolars and molars and generally extends from the canine or premolar region posterior to the molar or tuberosity …
relating to the maxilla (upper jawbone) and the face. Maxillofacial surgery is a specialization of medicine and/or dentistry that focuses on problems around the mouth, jaw, midface and neck. Anatomical limits and skills differ country-to-country. In some countries doctors attend medical school, dental school and than an additional residency. In other countries they attend either …
Monocalcium Phosphate Monohydrate
(arithmetic) Measure of central tendency that is calculated by adding all the individual values in the group and dividing by the number of values in the group.
durability Mechanical heart valves can last indefinitely (tested over 50,000 years in an accelerated tester) types Caged-ball valve Tilting-disc valves Bileaflet heart valves materials Carbon, titanium, titanium coated with pyrolytic carbon, Teflon (PTFE), polyester, dacron side effects Mechanical heart valves require lifelong treatment with blood thinners (anticoagulants) and periodically blood tests to monitor. adverse effects …
Measure of central tendency. It is the middle score in a distribution or set of ranked scores. When the number of values in the sample is even, the median is computed as the average of the two middle values.
ISO: A medical device is a product, such as an instrument, machine, implant or in vitro reagent, that is intended for use in the diagnosis, prevention and treatment of diseases or other medical conditions.
EUROPE The full EU MDR Medical Device definition is: ‘medical device’ means any instrument, apparatus, appliance, software, implant, reagent, material or other article intended by the manufacturer to be used, alone or in combination, for human beings for one or more of the following specific medical purposes: diagnosis, prevention, monitoring, prediction, prognosis, treatment or alleviation of …
European Union (deutsch) (english) (espagnol) (français) U.S.A. (FDA) Germany
A membrane is a selective barrier; it allows some things to pass through but stops others. Membranes can be biological and synthetic.
Dental The part of a dental reconstruction, that couples the implant complex (infrastructure) to the suprastructure.
A quantitative method of combining the results of independent studies measuring specified protocol criteria (usually drawn from the published literature) and synthesizing summaries and conclusions that may be used to evaluate therapeutic effectiveness, and plan new studies.
Minimally Invasive Cardiac Surgery
Minimally Invasive Surgery
Minimally Invasive Spine (port system or access)
Molecular layer deposition
Ratio of stress over strain., when the deformation is elastic. It is a measure of stiffness or flexibility of a material. A stiff material has a high modulus of elasticity and a flexible material ha s a low modulus of elasticity. Syn.: Young´s modulus
Dental An internal connection interface consisting of a converging circular surface, which forms a mechanical locking friction-fit. Also known as cold weld.
Mesenchyymal Stem Cell
see: Oral mucosa
Syn.: Button implant, epithelial implant, intramucosal insert, mucosal implant. Mushroom-shaped device fastened to the tissue surface of a removable denture that fits within a prepared gingival receptor site. The use of multiple mucosal inserts enhances a denture´s retention and stability. As it does not perforate dermal/mucosal integrity, it is no real implant.
Mitral Valve Regurgitation
Myopia, or near-sightedness or short-sightedness, is an eye disorder where light focuses in front of, instead of on, the retina. This causes distant objects to be blurry while close objects appear normal. Myopia may cause headaches and eye strain.
Neurovascular Anticipating Distraction Interference Arthrodesis Bridging the sacroiliac joint from posterior to eliminate neurovascular risks, which could happen with laterally-based techniques. (Ilion Medical)
The DIN Standards Committee Medicine (NAMed) is responsible for the national standardization work and represents the German standardization interests at the European level (CEN).
Nasal continuous positive airway pressure.
Death of tissue may be caused by insufficient blood supply, trauma, radiation, chemical agents or infectious disease.
Neurostimulation is a treatment for neuropsychiatric disorders. It applies electrical currents, in varying parameters, by means of implanted electrodes to achieve functional activation or inhibition of specific neuronal groups, pathways, or networks. For intracranial neurostimulation, stimulation electrodes are inserted into intracerebral targets in ‘deep brain stimulation’ (DBS) or placed over the cortical convexity for ‘cortical …
Near-field communication It enables two electronic devices to communicate with each other in a short distance (4cm, 1.6 in). NFC can be used in transmitting implants, like chip implants, stimulation implants.
Nitinol is an acronym for “NIckel TItanium Naval Ordnance Laboratory”. Nitinol is the intermetallic phase NiTi with an ordered cubic crystal structure that differs from that of titanium and nickel and consists of about 55% nickel, the rest being titanium. The alloy can be used up to 650 °C, is corrosion-resistant and high-strength, but can …
Refers to forces applied off the implant long-axis.
Products made from primary materials of inorganic origin (mineral or synthetic).
Dental The restoration is not in occlusal contact with the opposing dentition in maximal intercuspal position or in excursions. also: nonfunctional loading
Property of a material, that does not degrade over time.
Dental See: One-stage implant
A notified body is an independent, third party, accredited body which is entitled by an authorized accrediting body. Upon definition of standards and regulations, the accrediting body may allow a notified body to provide verification and certification services. These services are meant to ensure and assess compliance to the previously defined standards and regulations, but …
Novolimus™ is an active metabolite of Sirolimus. NOVOLIMUS™ is developed by Elixira Medical Corp. It is a mTOR inhibitor macrocyclic lactone with anti-proliferative and anti-inflammatory properties.
Nylon is a generic designation for a family of synthetic polymers, based on aliphatic or semi-aromatic polyamides. Nylon is a thermoplastic silky material that can be melt-processed into fibers, films, or shapes. Nylon polymers can be mixed with a wide variety of additives to achieve many different property variations. Nylon products for medical use have …
Dental The restoration is in occlusal contact with the opposing dentition in maximal intercuspal position and/or excursions
Original Development & Design Manufacturing
Original Equipment Manufacturer
operation free period
Less bleeding risk than other mechanical aortic heart valves, because of the lower amount of blood thinner required. results Hideki T. et al: 10-results of On-X bileaflet mechanical heart valve…..
see: One-piece implant
One-piece dental implants do not only consist of the artificial root, but are also firmly connected to the abutment that supports the dental crown. Advantages: – No micro-cleft with hygienic problems – Smaller implants possible, smaller wound, faster surgery – Simplified definitive care, cheaper Disadvantages – Insertion divergences (can be corrected in some systems by …
Dental An abutment that connects into the implant without the use of an additional screw. The abutment can be retained by cements, friction (press-fit), or screw threads.
Dental The implant in which the endosseous and transmucosal portions consist of one unit which presents a surface without a joint to the tissues.
Dental Syn.: Nonsubmergible implant, single-stage implant. An endosseous dental implant designed to be placed following a one-stage surgery protocol. The implant is designed with a transmucosal coronal portion. Usually the transmucosal portion and the implant are one piece with no microgap.
Augmentation by placing autogenous bone and/or a bone replacement graft on or over bone to increase length and/or width.
“Oral” relates to the mouth.
Epithelial lining of the oral cavity continuous with the skin of the lips and mucosa of the soft palate and pharynx. The oral mucosa consists of: 1. Masticatory mucosa: Mucosa of the gingiva and hard palate. 2. Specialized mucosa: Mucosa of the dorsum of the tongue. 3. Lining mucosa (Syn.: Alveolar mucosa): The remaining mucosa …
Organoids are multicellular structures that can be derived from adult organs or pluripotent stem cells. Early versions of organoids range from simple epithelial structures to complex, disorganized tissues with large cellular diversity.
Dental Any implant used during orthodontic treatment as anchorage for orthodontic tooth movement.
The term refers to the direct structural and functional connection between living bone and the surface of a load-bearing (Albrektsson et al. in 1981) artificial implant. A more recent definition (by Schroeder et al.) defines osseointegration as “functional ankylosis (bone adherence)”, where new bone is laid down directly on the implant surface and the implant …
A fully differentiated cell that originates in the embryonic mesenchyme and, during the early development of the skeleton, functions in the formation of bone tissue. Osteoblasts synthesize the collagen and glycoproteins that form the bone matrix, and also produce inorganic salts. With growth, they develop into osteocytes.
Large multinucleated cell, arising from mononuclear precursor of the hematopoietic lineage, that functions in the breakdown and resorption of osseous tissue.
Osteoconduction occurs when the bone graft material serves as a scaffold for new bone growth that is perpetuated by the native bone. Osteoblasts from the margin of the defect that is being grafted utilize the bone graft material as a framework upon which to spread and generate new bone. In the very least, a bone …
An osteoblast that has become embedded within the bone matrix, occupying a flat oval cavity (bone lacuna). Cells found in bone lacunae send, through canaliculi, slender cytoplasmic processes that make contact with processes of other osteocytes.
see: Distraction osteogenesis
Osteoinduction involves the stimulation of osteoprogenitor cells to differentiate into osteoblasts that then begin new bone formation. The most widely studied type of osteoinductive cell mediators are bone morphogenetic proteins (BMPs).
De novo production of bone out of pluripotent reserve cells (stem cells), they are present in perivascular tissue and bone and they may activated through morphogene factors. Osteoinductive substances must lead to an ektope bone building at an extraskeletal place.
Osteolysis is an active resorption of bone matrix by osteoclasts. Although osteoclasts are active during the natural formation of healthy bone the term “osteolysis” specifically refers to a pathological process. Osteolysis may occur around implants by inflammation, immunological response, tumors, cysts or changes in the bone’s structural load.
An undifferentiated cell that possesses the ability to transform into a bone forming cell.
Osteopromotion involves the enhancement of osteoinduction without the possession of osteoinductive properties. For example, enamel matrix derivative has been shown to enhance the osteoinductive effect of demineralized freeze dried bone allograft (DFDBA), but will not stimulate new bone growth alone.
Any surgical procedure in which bone is transected or cut.
Dental Removable partial or complete denture, which may be implant-supported or implant-tissue-supported. The prosthesis is retained by attachments.
Modification of the surface oxide properties of titanium implants by alteration of the oxide layer thickness.
Probability that a test statistic will assume a value as extreme as or more extreme than that seen under the assumption that the null hypothesis is true.
A pacemaker (or artificial pacemaker, so as not to be confused with the natural pacemaker of the heart) is a medical device that generates electrical impulses delivered by electrodes to influence the electrical conduction system of an organ. Traditionally is meant the organ heart, but there are more. The heart´s natural pacemaker in the sinoatrial …
Polyaryletherketone (PAEK) is a family of semi-crystalline thermoplastics. PAEK includes PEK, PEEK, PEKK, PEEKK, PEKEKK. They have high-temperature stability and high mechanical strength. Due to its excellent resistance to hydrolysis it is used in medical devices because it does not break down when sterilized. It is used in spinal and hip implants. PEKEKK is used to …
Dental Mainly an orthodontic implant. Also used as additional implant in special situations.
The ability to feel something und der the skin with the hand, e. g. an implant.
Dental Syn.: Parallel-walled implant, straight implant. An endosseous, root-form dental implant, with the body of the implant having the same diameter at the coronal and apical ends. The coronal diameter does not necessarily match that of the platform, which may be of a larger diameter.
Dental see: Parallel-sided implant
Graft consisting of particles.
Parylene is the trade name for a variety of chemical vapor deposited poly(p-xylylene) polymers used as moisture and dielectric barriers. Parylene coatings are moisture and chemical barriers for medical device components. It peovides a pinhole-free barrier to protect against body fluid as well as moisture, chemicals and common gases. It may be used for coronary …
A process by which metals (e.g. titanium) and alloys are made more resistant to corrosion through treatment to produce a thin and stable oxide layer on the external surfaces.
Fit that does not induce strain between two or more implants.
Peripheral Blood Mononuclear Cell
printed circuit boards A printed circuit board mechanically supports and electrically connects electrical or electronic components using conductive tracks. Implants may contain PCBs if electronic tasks are to be performed (example: pacemakers, transmitter implants).
Posterior Cervical Fusion The PCF technique joins the bones in the back of the cervical spine together.
Percutaneous coronary intervention (aka arthroplasty) Percutaneous coronary intervention is a procedure used to open blocked coronary arteries (caused by coronary artery disease). It restores blood flow to the heart muscle without open-heart surgery. Angioplasty can be done in an emergency setting such as an acute heart attack or in an elective setting when heart disease …
Posterior Cruciate Ligament
patent (persistent) ductus arteriosus This is a persistent opening between the two major blood vessels leading from the heart. The opening, called the ductus arteriosus, is a normal part of a baby’s circulatory system before birth that usually closes shortly after birth. If it remains open, however, it’s called a patent ductus arteriosus. If it´s …
Platelet-derived growth factors
poly-DL–lactide acid Polylactide (Poly(lactic acid), PLA) is polymer obtained by the ring-opening polymerization of lactide (cyclic dimer of lactic acid) as monomer. Since lactide has 3 optical isomer as L-lactide, D-lactide, and DL-lactide, the polymers obtained from L-lactide, D-lactide, and DL-lactide are abbreviated to PLLA, PDLA, and PDLLA, respectively. The chemical properties of L-lactide and …
Polyetherketone see: PAEK
Polyetherketoneetherketoneketone belongs to PAEK
poly ethyl methacrylate
The linear surface of an implant in direct contact with the bone, expressed as percentage of the total implant surface.
Term for inflammatory reactions surrounding an implant.
Term for inflammatory reactions surrounding a dental implant.
porcine endogenous retroviruses
patent foramen ovale The blood in a child in the womb is bypassed by a connection between the two atria of the heart. This connection is called the foramen ovale. After birth, the child starts to breathe independently and the connection between the atria closes. In as many as 1 out of 4 people the …
75% glycolide, 25% -caprolactone (source: Riverpoint Medical)
PLGA, PLG, or poly(lactic-co-glycolic acid) is biodegradable and biocompatible. PLGA undergoes hydrolysis in the body to produce the original monomers: lactic acid and glycolic acid.
phakic intra ocular lenses
An article from Zeus Industrial Products, Inc. 2017
Growth factors released by platelets that initiate connective tissue healing including bone regeneration and repair. They also increase mitogenesis, angiogenesis and macrophage activation.
refers to a lesser concentration of active platelets that remain from the separation process in which the formation of platelet-rich plasma is derived.
Autologous product derived from whole blood through the process of gradient density centrifugation. Its intended purpose lies in its ability to incorporate high concentrations of growth factors and fibrin into a graft mixture.
Dental Syn.: Abutment swapping. The use of an abutment with a diameter narrower than that of the implant platform. This switching moves the implant-abutment junction away from the edge of the platform.
Posterior Lumbar Interbody Fusion
poly-l–lactide acid Polylactide (Poly(lactic acid), PLA) is a polymer obtained by the ring-opening polymerization of lactide (cyclic dimer of lactic acid) as monomer. PLLA polymer is mainly applied for absorbable bone fixture and utilized for stent and adhesion barrier. When the stereo complex PLA (scPLA) is formed with PLLA and PDLA, scPLA has higher melting …
Private Label Manufacturer
see: Poly(methyl methacrylate)
Poly(methyl methacrylate-co-2-hydroxyethyl methacrylate)
posterior occipital cervical thoracic
also: PMMA, brand names: Plexiglass, Acrylite, Lucite, Perspex and many others. Chemistry: Poly(methyl 2-methylpropenoate). It is often technically classified as a type of glass hence its occasional historic designation as acrylic glass. Chemically, it is the synthetic polymer of methyl methacrylate. PMMA is an economical alternative to polycarbonate (PC) when tensile strength, flexural strength, transparency, …
Polyurethane (PUR / PU) is a polymer composed of organic units joined by urethane (carbamate) links. Fully reacted polyurethane polymer is chemically inert. Carcinogenity is not known. More health information is available – USA: Polyurethane Manufacturers Association (PMA), Center for the Polyurethanes Industry (CPI) – Europe: ISOPA (European Diisocyanate and Polyol Producers Association) Examples for …
(PES) Application: Implantable drug infusion devices.
Polyethylene or polythene (abbreviated PE; IUPAC name polyethene or poly(ethylene)) is the most common plastic. Many kinds of polyethylene are known, with most having the chemical formula (C2H4)n. PE is usually a mixture of similar polymers of ethylene with various values of n. Application: Implantable products, sutures, …
The most common thermoplastic polymer. Other names: Dacron (a Dupont Brand), Terylene (Britain), Lavsan (Russia). Abbreviations: PET, PETE, PETP, PET-P. Chemical: Poly(ethyl benzene-1,4-dicarboxylate) The majority is used as synthetic fibers, e.g. bottles. For implantation it is used in vascular and heart applications, as nonresorbable suture material, heart valves.
A polymer of glycolic acid used for absorbable sutures and membranes.
Polyimides (PIs) occupy a particular place in commercial plastics because of their ability to tolerate and function in extremely high temperatures. They are also well known for other properties including insulating capability, chemical resistance, and excellent mechanical attributes. From a medical perspective and aside from tubing, polyimides present attractive options for encapsulation of implantable devices …
A polymer of lactic acid used for absorbable sutures or membranes.
Polypropylene (PP, also polypropene), is made via chain-growth polymerization from the monomer propylene. Polypropylene belongs to the group of polyolefins. Its properties are similar to polyethylene, but harder and more heat resistant. It has a high chemical resistance. Polypropylene is the second-most widely produced commodity plastic after polyethylene. In medicine it is used mostly in …
A family of themoplastic polymers, like the reaction of a diphenol and bis(4-chlorophenyl)sulfone, forming a polyether by elimination of sodium chloride: n HOC6H4OH + n (ClC6H4)2SO2 + n Na2CO3 → [OC6H4OC6H4SO2C6H4]n + 2n NaCl + n H2O + n CO2. Chemistry: Polysulfone allows easy manufacturing of membranes, with reproducible properties and controllable size of pores down …
also: PTFE Polytetrafluoroethylene is a synthetic fluoropolymer of tetrafluoroethylene. The best known brand name of PTFE-based formulas is Teflon. Chemistry: poly(1,1,2,2-tetrafluoroethylene), . Application: Coating of catheters, vascular grafts, prostheses. see: ePTFE
also: Polyurethan, PUR, PU chemistry: Application: Artificial hearts, pacemakers, implantable defibrillators.
pelvic organ prolaps Pelvic organ prolapse is when one or more of the organs in the pelvis slip down from their normal position and bulge into the vagina. Find more here: NHS UK, healthtopquestions, Wikipedia (german)
Of or pertaining to the pig.
Partial Ossicular Replacement Prosthesis
A posterior stabilized knee implant replaces the PCL with a cam and post design of the knee replacement that ensures femoral rollback. The advocates of the PS knee design claim more predictable knee ligament balancing and more predictable flexion. The opposition of PS knee designs claim the cam and post design causes additional polyethylene wear, …
Dental A machine-manufactured abutment.
deutsch english français ¿Qué preguntas debe hacer a su dentista sobre los implantes dentales? La siguiente lista de preguntas puede ayudarle a recordar los temas que debe discutir con su dentista. Es posible que no todas las preguntas sean aplicables o que otras preguntas sean útiles. 1. ¿Cuáles son los riesgos y las …
deutsch english français ¿Qué preguntas debe hacer a su cirujano sobre el aumento de senos? Esta lista le ayudará a no olvidar ninguna pregunta que pueda tener en relación con un aumento mamario planificado. Tal vez no todas las preguntas se aplican o usted tiene preguntas adicionales. ¿Cuáles son los …
Energy transferred to a screw when a torque is applied during tightening.
Retention of a root-form implant from close proximity of the bone. Retention of certain components into an implant.
see: Initial stability
An undifferentiated cell that possesses the ability to transform into one or more types of cells.
Gradual increase in the application of load on an implant.
Dental see: Implant platform.
see: Transitional implant.
Phospholipid reduction treatment (PRT) for mitigated calcium absorption The presence of phospholipids in the pericardial tissue play a key role in the calcification process of bioprostheses as their phosphate heads are potential binding sites for circulating calcium ions. The PRT process removes phospholipids using Octanediol, a long chain alcohol that possesses a lipid-soluble tail to …
Dental A root-form implant that has its origin in the region of the former second or third maxillary molar and its end point encroaches in the scaphoid fossa of the sphenoid bone. The implant follows an intrasinusal trajectory in a dorsal and mesio-cranial direction, perforating the posterior sinusal wall and the pterygoid plates.
Circular incision made in the soft tissue over a submerged dental implant, manually or mechanically, to get access to the implants platform, usually after the healing period.
Polyvinylidene fluoride or polyvinylidene difluoride (PVDF) is a highly non-reactive thermoplastic fluoropolymer produced by the polymerization of vinylidene difluoride. Compared to other fluoropolymers, like polytetrafluoroethylene (Teflon), PVDF has a low density (1.78 g/cm3). It is denser than nylon. In medical use, PVDF is used as an artificial membrane (usually with 0.22 or 0.45-micrometre pore sizes), on …
quantitative computed tomography
deutsch english español Quelles questions devriez-vous poser à votre chirurgien au sujet de l’augmentation mammaire ? La liste de questions suivante peut vous aider à vous rappeler les sujets à discuter avec votre chirurgien. Vous pouvez également avoir d’autres questions. 1. Quels sont les risques et les complications liés à …
deutsch english espagñol Quelles questions devez-vous poser à votre dentiste au sujet des implants dentaires ? La liste de questions suivante peut vous aider à vous rappeler les sujets à discuter avec votre dentiste. Il est possible que toutes les questions ne s’appliquent pas ou que d’autres questions soient utiles. 1. Quels sont les risques …
deutsch français español What Questions Should You Ask Your Dentist about Dental Implants? The following list of questions may help you to remind you of topics to discuss with your dentist. It is possible that not all questions apply or further questions are helpful. 1. What are the risks and complications associated with …
deutsch español français What Questions Should You Ask Your Surgeon about Breast Augmentation? The following list of questions may help you to remind you of topics to discuss with your surgeon. You may have additional questions as well. 1. What are the risks and complications associated with having breast implants? 2. How …
deutsch español français What Questions Should You Ask Your Doctor or Surgeon about hip endoprosthesis? The following list of questions may help you to remind you of topics to discuss with your surgeon. You may have additional questions as well. 1. Why is a hip endoprosthesis useful for me? 2. What alternate …
A two-dimensional roughness parameter calculated from the experimental profiles after filtering. Ra: The arithmetic average of the absolute value of all points of the profile, also called central line average height Rt: The maximum peak-to-valley height of the entire measurement trace.
Dental Full arch mandibular implant with a tripodal design that consists of a horizontal supragingival connecting bar with endosseous units placed into the two rami and symphyseal area.
Dental Type of blade implant placed into the anterior border of the ramus of the mandible.
see: Regional acceleratory phenomenon
A raptor (i.e. TRI® Raptor) is used as abutment on dental implants to fix a (over)denture as a snap-on. There may be used 2, 4 or even more for one jaw. A variation is the locator. Balls and magnets are used for the same reason, but are not as common. pictures …
Resorbable Blasting Media
The surgical reopening of a site to improve or observe results obtained from the initial procedure.
Site which received a soft or hard tissue graft. Syn.: Host site.
rhBMP Osteoinductive protein produced by recombinant DNA technology.
RAP A local response to a stimulus in which tissues form 2 to 10 times more rapidly than the normal regeneration process. The duration and intensity of RAP are directly proportional ton the kind and amount of stimulus and the site where it was produced.
Immunological response of incompatibility in a transplanted or implanted material.
Dental restoration that is removable by the patient. The restoration may be partial arch (RPD): Removable partial denture, or complete arch (RCD: Removable complete denture)
Syn.: Reverse torque value Measure of the rotational force needed to rupture the bone-implant interface of a screw- or pin-form implant in bone.
Technique for clinical measurement of implant stability/mobility in bone. The measurement is registered from a transducer attached to the implant. The device records the resonance frequency arising from the implant-bone interface (change in amplitude over induced frequency band) Acro.: RFA
Loss of substance or bone by physiologic or pathologic means.
The human respiratory system cares for gas exchange. The respiratory surface is internalized as linings of the lungs. Gas exchange in the lungs occurs in millions of small air sacs called alveoli. These microscopic air sacs have a very rich blood supply, thus bringing the air into close contact with the blood. Air has to …
Dental see: Implant platform.
A study designed to observe events that have already occurred.
The nuclear receptor Rev-erbα controls circadian thermogenic plasticity. Gerhart-Hines Z, et al. Nature. 2013. Nature. 2013 Nov 21;503(7476):410-413. doi: 10.1038/nature12642. Epub 2013 Oct 27. Abstract Circadian oscillation of body temperature is a basic, evolutionarily conserved feature of mammalian biology. In addition, homeostatic pathways allow organisms to protect their core temperatures in response to cold exposure. …
Test used to assess the extent of osseointegration of an implant, specifically the shear strength at the bone-implant interface, by applying a rotational force in a direction opposite to that used to place the implant. Acro.: RTT
Resonance Frequency Analysis
radio frequency identification Radio frequencies are used to read information from a “tag” that can be either “passive” or “active”. A passive tag has no power source while an active tag is supplied with power, usually from a small battery. The method used to communicate with the tags is referred to as “Near Field Communication” (NFC).
see Recombinant human bone morphogenetic protein
Dental Syn.: Extraction socket graft, socket graft, socket preservation. The immediate placement of a grafting material or any procedure, performed on the extraction socket following tooth extraction. This is done to avoid bone and/or soft tissue resorption to maintain substance for fixing a denture or accepting an implant.
see: bone expansion
There are some risk groups in planning implant surgery, e.g.: Blood disorder, coagulation Tumors Diabetes mellitus HIV Corticosteroids Biphosphonate Medication Bone disorders Dysfunction, Dysgnathia Smokers Handicapped These groups need special planning, special care and contraindication may be wise.
Reverse Torque Test
Removal torque value
right ventricular assist device A right ventricular assist device (RVAD) pumps blood from the right ventricle or right atrium into the pulmonary artery and to the lungs. A ventricular assist device stabilizes the heart function after injury, such as a heart attack. It’s also used after severe heart failure that does not improve with medicines. …
A three-dimensional roughness parameter calculated from topographical images. Sa: The arithmetic average of the absolute value of all points of the profile, it is a height descriptive parameter. Scx: A space descriptive parameter. Sdr: The developed surface area ratio.
Sacral neuromodulation (SNM) or sacral nerve stimulation or a bladder pacemaker is a treatment used to help patients with bladder control problems. It is also known as Interstim therapy. SNM uses mild electrical pulses to stimulate the sacral nerve located near the tailbone, which controls the bladder and other muscles that manage urinary function. A …
A solution of sodium chloride (salt) and water.
Grit blasting of an implant surface using sand to increase the surface.
The excavation of tissue to form a shallow shelving depression, usually performed to facilitate drainage from infected areas of bone. The shallow saucer-like depression on the upper surface of a vertebra that has suffered a compression fracture. Dental: Pericervical depression around an dental implants neck.
A 3D biocompatible construct that serves as a framework which provides a structure on which tissue is growing. It may be replaced by naturel tissue.
Dental A root-form dental implant with the level of the implant-abutment junction different facially to lingually.
Syn.: Sinus membrane (maxillary). Layer of pseudostratified ciliated columnar epithelium cells lining the maxillary sinus.
Spinal Chord Stimulator Spinal Chord Stimulation
see: Standard Deviation.
surface-decalcified allogeneic bone
Dental see: Implant platform.
see: Healing by second intention
see: Late implant failure
Selective Laser Sintering (SLS) or only laser sintering is a generative layer construction method. With the aid of laser beams, any three-dimensional geometries can be produced from a plastic powder. These can also have undercuts that cannot be produced in conventional mechanical or casting production. Laser sintering is a popular process in rapid prototyping because …
Localized collection of serum, the watery portion of blood. Seroma
Stress caused by a load (two forces applied toward one another but not in the same straight line) that tends to slide one portion of object ove another.
Beta-SiAlON type ceramic What are SiAION Ceramics? SiAlONs are ceramic alloys based on the elements silicon (Si), aluminium (Al), oxygen (O) and nitrogen (N) and were developed in the 1970s to solve the problem of silicon nitride (Si3N4) being difficult to fabricate. As alloys of Si3N4, SiAlONs exist in three basic forms. Each form is …
also: Polysiloxanes Chemistry: Polymers that include any inert, synthetic compound made up of repeating units of siloxane, which is a chain of alternating silicon atoms and oxygen atoms, frequently combined with carbon and/or hydrogen. In implants it is used for glaucoma drain, artificial iris, cochlear prosthesis, ear tubes, breast implants, hernia mesh and intrauterine devices …
Distinguish natural and synthetic silk polymers. Synthetic: Innovative biofibers made from a silk protein of the green lacewing are being developed at the Fraunhofer Institute for Applied Polymer Research IAP in conjunction with the company AMSilk GmbH. Researchers are working on producing the protein in large quantities by using biotechnology. The aim is to use …
Dental see: One-stage implant.
An implant surface produced when spherical powders of metallic or ceramic materials become a coherent mass with the core of the implant body. Porous surfaces are characterized by pore size, pore shape, pore volume, and pore depth.
Heating a powder below the melting point of any component so as to permit agglomeration and welding of particles by diffusion alone, with or without applied pressure.
Syn.: Sinus graft, maxillary antroplasty, sinus augmentation, sinus elevation, subantral augmentation,. Augmentation of the antral floor with bone and/or bone substitutes to accommodate dental implant insertion.
Maxillary sinus enlargement. With aging, especially after loss of maxillary teeth and reduction of masticatory forces acting on the maxilla, the sinus walls get gradually thinner and the maxillary sinus increases in size.
Inflammation of the sinus maxillaris. Signs include sensitivity of teeth to percussion, fever, and facial swelling. Symptoms may include nasal congestion, post nasal discharge, facial pain, headache, rhinorrhea, halitosis, popping of ears, and muffled hearing. It may occur with oral surgery combined with dental implants or augmentation (sinus elevation, sinuslift).
Sirolimus (aka “rapamycin”), is used to coat coronary stents, prevent organ transplant rejection and treat a rare lung disease called lymphangioleiomyomatosis. It is immunsuppresiv. It inhibits activation of T cells and B cells by reducing their sensitivity to interleukin-2 (IL-2) through mTOR inhibition. It is produced by the bacterium Streptomyces hygroscopicus.
Sandblasted, Large-Grid, Acid-Etched A method for treating titanium implant surfaces, to magnify the surface of the implant.
Sandblasted, Large-Grid, Acid-Etched–SuperHydrophilicity-Activated A method to magnify titanium implant surfaces and to improve hydrophilicity (used by Cowellmedi Co., Ltd.)
see Selective Laser Sintering
Dental see: Ridge preservation
Soft tissue connects, supports or surrounds other structures of the body. Soft tissue includes connective tissue as there are tendons, ligaments, fascia, skin, fibrous tissues, fat and synovial membranes and as well not connective tissue as muscles, nerves and blood vessels.
Dental Syn.: First-stage surgery. A surgical procedure that consists of placing an endosseous implant in the bone and suturing of the soft tissue over the implant, thereby submerging the implant under the soft tissue for healing.
Dental Syn.: Second-stage surgery Surgical procedure consisting of the exposure of a submerged implant to the oral environment by the connection of an abutment which extrudes through the soft tissue.
also: inox steel, inox. A steel alloy with a minimum of 10,5% chromium content by mass. There are more than 150 grades of stainless steel, some systems of grading steel. It is used when properties of steel and corrosion resistance are required. It forms an inert film of chromium oxide on its surface. This layer …
Acro.: SD Statistical term. A measure of the variability, or dispersion of a distribution of scores. The more scores cluster around the mean, the smaller the standard deviation.
The stapedoplasty is a surgery of the middle ear in order to improve hearing. It consists of removing the stirrup, which is static and unable to transmit sonic vibrations, replacing it with a microscopic metallic prosthesis. Stapedoplasty is effective in the event that there are signs of otosclerosis. In this disease, the bone tissue is …
Dental see: Mandibular staple implant
Undifferentiated cell of embryogenic or adult origin that can undergo unlimited division and give rise to one or several different cell types.
A stent is a tiny tube. It is inserted into the lumen of an anatomic vessel or duct to keep the passageway open. It is left there permanently or absorbs. Types: by anatomy bilar stent coronary stent esophageal stent nasal stent (not an implant, to be placed by oneself) prostatic stent vascular stent ureteral stent …
Syn.: Three dimensional imaging, three-dimensional modeling. Method of creating a three-dimensional model by using lasers driven by CAD software, from information derived from CT-scan. It is used for surgical planning and the generation of placing tools for implantation.
Dental see: Parallel-sided implant
Dental The damage (i. e., distortion or obliteration) of the internal threads of a root-form dental implant. These are important to fix the abutment.
Syn.: Subtractive surface treatment. Alteration of an implant surface by removal of material.
see: Subtracted surface
Conditions established by a study protocol for the evaluation of a procedure as a success.
The percentage of success of a procedure or device in a study or clinical trial according to success criteria defined by the study protocol.
stress urinary incontinence Urinary incontinence is the unintentional passing of urine. Find more at WebMD, NHS UK
Dental The prosthesis that is supported by implants with or without an intervening mesostructure.
The topography of an implant surface is defined in terms of form, waviness and roughness. Roughness describes the smallest irregularities in the surface, while form relates to the largest structure or profile. Waviness and roughness are often presented together under the term texture.
Qualitative and quantitative features of an implant surface determined two-dimensionally by contact stylus profilometry (see: R value) or three-dimensionally by confocal laser scanner.
Tool to transfer 3D-planning of implants into the surgical procedure. There exists several types of surgical guides, mor or less precisely. For instance guides for pilote drilling give a rough direction. Hull-in-hull-systems allow more precisely drilling with hulls, fitting to different drill diameters. Depth control is possible.
The percentage of survivals in a study or clinical trial in placing implants, defined as implants that are functioning according to predetermined criteria.
Commonly used statistical method to evaluate the differences in means between two groups.
Tantalum is a chemical element with symbol Ta and atomic number 73. Tantalum is a rare, hard, blue-gray, lustrous transition metal that is highly corrosion-resistant. There are some specifications Tantalum is used in orthopedic and dental implants. It was used as one-material-implant and as coating. Application is rare. A current application is a dental implant with …
Dental An endosseous, root-form implant, with a wider diameter coronally than apically. The sides of the implant converge apically.
Transcatheter Aortic Valve Implantation
Transcatheter (Aortic) Valve Replacement
see: Tricalcium phosphate
Stress caused by a load (two forces applied away from one another in the same straight line) that tends to stretch or elongate an object.
see: Transforming growth factor beta
theranostics or personalized medicine or precision medicine is a medical model that separates people into different groups—with medical decisions, practices, interventions and/or products being tailored to the individual patient based on their predicted response or risk of disease. The terms personalized medicine, precision medicine, stratified medicine and P4 medicine are used interchangeably to describe this concept though some authors …
An extruding feature of the body of threaded implants. Geometric parameters: Thread depth, thickness, pitch, face angle, helix angle. Basic thread geometries include: V-thread, buttress thread, and power (square) thread.
Number of threads per unit length in the same axial plane.
An dental endosseous implant that is inserted laterally, from the facial aspect of the edentulous alveolar ridge.
Transcatheter Heart Valve
The tibia, the shin bone, is the second longest bone in the human skeleton and together with the thinner fibula forms the lower part of the leg.
transjugular intrahepatic portosystemic shunt
A laboratory specialized in the harvesting, processing, and sterilization of tissues from humans or animals.
Tissue engineering works with cells, engineering and materials methods, and suitable biochemical and physicochemical factors to improve or replace biological tissues.
Tissue heart valves are made of human or animal (usually porcine, bovine) tissue. types Some tissue valves are mounted on a frame or stent; while others are used directly (stentless). advantage Usually they do not require long-term blood thinner therapy. However, approximately one-third of patients with a tissue valve do not benefit from this, because they have …
chemical element Ti, 22Ti physical Metal, high strength-to-weight-ratio. chemical Oxidizes in air. Reacts with water and forms a passive oxide coating that protects the metal from further oxidation. occurrence Ninth-most element in earth crust. About 50 grades of titanium and his alloys known, 35 grades ASTM, commercially used are Grades 1 through 4. It …
So far there is no allergy to titanium known. But there are reports about a titanium intolerance (see there).
Titanium Grade 23 is a variant of Grade 5. It has lower oxygen, nitrogen and iron. It has better ductility and fracture toughness that Titanium Grade 5. It is used in medical technology because of its good biocompatibility and excellent fracture toughness and crack propagation behavior. It maintains its good toughness even at low temperatures …
Signs of an unexpected reaction or intolerance to titanium? Signs most associated with a reaction to titanium are loosening of the implant(s) (or implant failure) rash or hives acne-like swelling or inflammation of the face chronic inflammation around the implant problems with wound healing chronic fatigue syndrome (CFS) confusion, distraction, forgetfulness migraines muscle pain …
A flexible titanium grid used in bone augmentation procedures to assist in maintaining a predetermined volume for bone regeneration or fixation.
Surface layer of varying surface composition (e.g. TiO2, TiO4) immediately formed upon exposure of pure metallic titanium and titanium alloy to air. This corrosion-resistant layer protects the implant against chemical attack in biological fluids. Metal oxide blasted on implant surfaces to increase the surface area.
A process involving high temperature deposition of titanium powders that are totally or partially melted and then rapidly resolidified, forming a dense or porous coating. TPS
Transforaminal Lumbar Interbody Fusion
Transcatheter Mitral Valve Replacement
Transcatheter Mitral Valve Repair
A force that produces or tends to produce rotation or torsion. A measurement of an instrument capacity to do work or to continue to rotate under resistance to rotation. It is expressed in Newtons centimeter (Ncm).
Total hip replacement implants are designed to help a patient get back as close as possible to the healthy, active lifestyle before hip pain limited the mobility. Almost all hip replacement implants have consisted of a three-part system: A hip stem, usually made from such as titanium, which is implanted down the shaft of the …
see: Titanium Plasma Sprayed
Syn.: TGF-β Transforming growth factor beta is a multifunctional cytokine belonging to the transforming growth factor superfamily. It activates different downstream substrates and regulatory proteins, inducing transcription of different target genes that function in differentiation, chemotaxis, proliferation, and activation of many immune cells. Among its key functions is regulation of inflammatory processes, particularly in the gut. …
Dental Syn.: Provisional implant Implant used during implant therapy to support a transitional fixed or removable denture. It is usually an immediately loaded narrow diameter implant, which may be removed at a later stage of treatment.
see: Mandibular staple implant
Dental Syn.: Transosteal implant Implant that completely penetrates through the edentulous ridge buccolingually. Implant that completely penetrates through the parasymphyseal region of the mandible, from the inferior border through the alveolar crest (see: Mandibular staple implant).
see: Transosseous implant
also: TCP, tribasic calcium phosphate, bone phosphate of lime (BPL). Calcium phosphate is one of the main combustion products of bone (bone ash). Chemistry: Tricalcium phosphate (tribasic calcium phosphate or tricalcic phosphate, sometimes referred to as calcium phosphate or calcium orthophosphate, whitlockite), Ca3(PO4)2. It exists as three crystalline polymorphs α, α’, and β. The α …
The placement of three or more implants with a non-linear alignment of their platform.
titanium reinforced membrane
Dental A dental implant in which endosseous and transmucosal portions combine to present a joint surface to the tissues (i.e. implant-abutment junction)
Dental An abutment that connects to the implant with the use of an abutment screw.
Dental Syn.: Submergible implant An dental endosseous implant designed to be placed according to a two-stage surgery protocol. It undergoes osseointegration while covered with soft tissue.
Dental A surgical protocol consisting of placing an endosseous implant in the bone and leaving it covered by mucosa. A second surgery is needed to expose the implant in order to install the prosthesis.
Tetragonal Zirconia Polycrystal, ZrO2-Y2O3 Since the mid-1980s, zirconia has held a steady position in high-performance ceramics. By using additives from the group of oxides of rare-earth elements (yttrium, cerium), the tetragonal phase can be stabilized. Such materials with a submicron grain size are generally designated as TZP (Tetragonal Zirconia Polycrystals) and, depending upon the stabilizing …
Unique Device Identification Unique Device Identifier (UDI) established by the FDA The FDA established the unique device identification system to adequately identify medical devices sold in the United States from manufacturing through distribution to patient use. When fully implemented, the label of most devices will include a unique device identifier (UDI) in human- and machine-readable form, which …
Ultra High Molecular Weight Polyethylene UHMWPE is a subset of the thermoplastic polyethylene. It has extremely long chains resulting in a very tough material, with high impact strength. Its coefficient of friction is comparable to that of PTFE (Polytetrafluoroethylene) but it has better abrasion resistance. UHMWPE as a biomaterial is used for hip, knee and spine …
Dental Popular term for the act of surgically exposing a submerged implant, following healing from stage-one surgery.
Urogenital means “belonging to the urinary and sexual organs” or “concerning the urinary and sexual organs”. also: genitourinary system.
Universal Spine System
Ventricular Assist Device
Factors with potent angiogenic, mitogenic, and vascular permeability, which enhance activities specific for endothelial cells.
The process of infiltration of blood vessels; regarded as a critical support for the health and maintenance of living tissue or the integration of a graft.
Vertebral Body Replacement (in spine)
Vertical Compression Fracture (Spine)
Vascular endothelial growth factors
An opening in an implant body that allows for tissue ingrowth for increased retention and stability.
Metalfree screw, PEEK, 60% carbon fibers-reinforced
Syn.: Glass-like carbon, glassy carbon Vitreous carbon a non-graphitizing, or nongraphitizable, carbon which combines glassy and ceramic properties with those of graphite. The most important properties are high temperature resistance, hardness, low density, low electrical resistance, low friction, low thermal resistance, extreme resistance to chemical attack and impermeability to gases and liquids. Glassy carbon is …
VNS = Vagus Nerve Stimulation source: patient information LivaNova
Welche Fragen können Sie Ihrem Arzt zu einer geplanten Hüftendoprothese stellen? Diese Liste von Fragen kann Ihnen helfen, sich an Themen zu erinnern, die Sie mit Ihrem Arzt besprechen sollten. Es ist möglich, dass nicht alle Fragen zutreffen oder weitere Fragen hilfreich sind. 1. Warum ist bei mir eine Hüftendoprothese sinnvoll? 2. Welche alternativen Behandlungsmöglichkeiten …
A principle stating that bone will develop the structure most suited to resist those forces acting on it.
heterologous Tissue grafts, when donor and recipient belong to different species.
Syn.: Heterogeneous graft, Heterograft. Grafting material harvested from different species from that of the recipient.
eXtreme lateral lumbar intervertebral fusion The XLIF (eXtreme Lateral Interbody Fusion) is an approach to spinal fusion in which the surgeon accesses the intervertebral disc space and fuses the lumbar spine (low back) using a surgical approach from the side (lateral) rather than from the front (anterior) or the back (posterior). The XLIF is one …
Cross-linked polyethylene, commonly abbreviated PEX, XPE or XLPE, is a form of polyethylene with cross-links. Highly cross-linked polyethylene is used in artificial joints as a wear-resistant material, preferred in hip replacement because of its resistance to abrasive wear.
Y = Yttrium. TZP = Tetragonal Zirconia Polycrystal. Y-TZP is a partly stabilized zirconium or Yttria-stabilized zirconium. Pure zirconium dioxide changes from monoclinic (stable at room temperature) to tetragonal (at about 1173 °C) and then to cubic phase (at about 2370 °C).
see: Modulus of elasticity
= Zirconium dioxide
also “Zirconia” ZrO2 physical Density 5,68 g/cm³ Medical used Zirconium dioxides usually come with some dopants, which clearly improve physical properties chemical The change of volume caused by the structure transitions from tetragonal to monoclinic to cubic induces large stresses, causing it to crack upon cooling from high temperatures. When the zirconia is blended with …
see: Zirconium dioxide
= Zirconium dioxide
Dental A root-form or cylindric dental implant that has its origin in the region of the former first maxillary molar and its end point encroaches into the zygomatic bone. It is an elder technique starting in the 1970s, coming back around 2015 with the three-dimensional planning tools with more accuracy. It is used to support …