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Bone Response to Implants

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Evidence-Based Implant Dentistry

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Abstract

A successful implant treatment presupposes an effective osseointegration, which is the direct apposition of bone to the implant surface. The implant surface plays a huge role in the bone response leading to osseointegration. For this reason, evaluation of chemical and physical characteristics is considered important in order to choose the best implant and obtain optimal clinical results. Although it is not clear which specific surface confers a true advantage, there is a general consensus that a roughened surface gives better results compared to machined one.

Bone remodeling after extraction may have an influence on the implant treatment planning and clinical results. Finally, optimal osseointegration mechanisms, good primary stability, and high bone-to-implant contact (BIC) should guarantee the best results at long term.

A relatively recent technology, the piezoelectric surgery, which has the best cutting efficiency on mineralized tissue without overheating the bone, may contribute to reduce the bone trauma before implant placement. Also, it can aid in inserting the implants in difficult clinical situations like the contiguity to delicate structures such as the inferior alveolar nerve or the maxillary sinus.

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  1. International Medical School, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy

    Oreste Iocca DDS

  2. Private Practice Limited to Oral Surgery, Periodontology and Implant Dentistry, Rome, Italy

    Oreste Iocca DDS

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    Oreste Iocca

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Iocca, O. (2016). Bone Response to Implants. In: Iocca, O. (eds) Evidence-Based Implant Dentistry. Springer, Cham. https://doi.org/10.1007/978-3-319-26872-9_4

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  • DOI: https://doi.org/10.1007/978-3-319-26872-9_4

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