Some clinical factors related to rate of resorption of residual ridges. 1962
Bone resorption of residual ridges is common. The rate of resorption varies among different individuals and within the same individual at different times. Factors related to the rate of resorption are divided into anatomic, metabolic, functional, and prosthetic factors. Anatomic factors include the size, shape, and density of ridges, the thickness and character of the mucosal covering, the ridge relationships, and the number and depth of sockets. Metabolic factors include all of the multiple nutritional, hormonal, and other metabolic factors which influence the relative cellular activity of the bone-forming cells (osteoblasts) and the bone-resorbing cells (osteoclasts). Age, sex, and general health are inadequate to describe the bone factor but do give some clinical clues. Functional factors include the frequency, intensity, duration, and direction of forces applied to bone which are translated into cellular activity, resulting in either bone formation or bone resorption, depending on the patient's individual resistance to these forces. Prosthetic factors include the myriad of techniques, materials, concepts, principles, and practices which are incorporated into the prostheses. Although the various factors can be divided into these four groups for academic purposes, they are all interrelated, and any one factor may be evaluated only if we place it in its proper perspective to all factors. Since bone resorption depends on the response of living cells to force, the more basic sciences concerned with the physiology and pathology of cells are understood, the more educated will be our clinical judgment.
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- "After extraction, stimulation is lost to the alveolar bone and the pressure from dentures cause bone resorption. The resorption rate varies with from individual to individual and at varying levels in the same individual. "
ABSTRACT: Advancement of materials technology has been immense, especially in the past 30 years. Ceramics has not been new to dentistry. Porcelain crowns, silica fillers in composite resins, and glass ionomer cements have already been proved to be successful. Materials used in the replacement of tissues have come a long way from being inert, to compatible, and now regenerative. When hydroxyapatite was believed to be the best biocompatible replacement material, Larry Hench developed a material using silica (glass) as the host material, incorporated with calcium and phosphorous to fuse broken bones. This material mimics bone material and stimulates the regrowth of new bone material. Thus, due to its biocompatibility and osteogenic capacity it came to be known as "bioactive glass-bioglass." It is now encompassed, along with synthetic hydroxyapatite, in the field of biomaterials science known as "bioactive ceramics." The aim of this article is to give a bird's-eye view, of the various uses in dentistry, of this novel, miracle material which can bond, induce osteogenesis, and also regenerate bone.04/2013; 4(2):78-83. DOI:10.4103/2231-4040.111523
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- "The peri-implant bone loss observed in the implants placed on distracted alveolar bone in our study was similar to what had been described in previous research regarding implants placed on native bone (13,22). Furthermore, some of these publications show higher average bone loss than our results (25-27). Some of the patients of the Distraction Group did not show peri-implant resorp-tion. "
ABSTRACT: Introduction: Vertical osteogenic alveolar distraction (VOAD) allows for the augmentation of the alveolar ridge for the placement of dental implants in atrophic alveolar ridges. The goal of this paper is to assess long-term peri-implant bone resorption in implants placed on bones subjected to VOAD, comparing it with a group of patients who had implants placed directly on the alveolar bone without previous bone regeneration. Material and Methods: We conducted a follow-up study on 32 patients who were divided into two groups: The Distraction Group (14 patients), and the Distraction-Free Group (18 patients), who received a total of 100 implants. Peri-implant bone loss was measured by means of panoramic X-rays, at the time of loading and one year later, and in 35 implants of each group after 3 years of functional loading. Results: The peri-implant bone resorption (PBR) average observed in the Distraction Group at the time of prosthetic placement is higher (0.50±0.09 mm) than in the Distraction-Free Group (0.25±0.06 mm), showing statistically significant results (p=0.047). PBR levels 1 year after loading were the same for both groups (0.66 mm). At 3 years, they were higher in the Distraction Group (1.03 ± 0.22 mm vs. 0.68 ± 0.08 mm). Key words:Bone resorption, alveolar distraction osteogenesis, dental implants.Medicina oral, patologia oral y cirugia bucal 03/2013; 18(4). DOI:10.4317/medoral.18545 · 1.17 Impact Factor
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- "The ability of the dentist, as well as the quality and quantity of available bone, are the primary factors for successful implant therapy. Atwood evaluated changes in the volume of bone after loss of teeth , and in 1985, Lekholm and Zarb  classified the quality and quantity of remaining bone at the planned implant site. Taking these factors into account, predictable treatments can be assured if the dentist selects the implant system with a high survival rate; the design and features of the implant surface should also be considered. "
ABSTRACT: The marginal bone levels around implants following restoration are used as a reference for evaluating implant success and survival. Two design concepts that can reduce crestal bone resorption are the microthread and platform-switching concepts. The aims of this study were to analyze the placement of microthreaded and platform-switched implants and their short-term survival rate, as well as the level of bone around the implants. The subjects of this study were 27 patients (79 implants) undergoing treatment with microthreaded and platform-switched implants between October 2008 and July 2009 in the Dental Hospital of Yonsei University Department of Periodontology. The patients received follow-up care more than 6 months after the final setting of the prosthesis, at which time periapical radiographs were taken. The marginal bone level was measured from the reference point to the lowest observed point of contact between the marginal bone and the fixture. Comparisons were made between radiographs taken at the time of fixture installation and those taken at the follow-up visit. During the study period (average of 11.8 months after fixture installation and 7.4 months after the prosthesis delivery), the short-term survival rate of microthreaded and platform-switched implants was 100% and the marginal bone loss around implants was 0.16±0.08 mm, the latter of which is lower than the previously reported values. This short-term clinical study has demonstrated the successful survival rates of a microthread and platform-switched implant system, and that this system is associated with reduced marginal bone loss.Journal of periodontal & implant science 10/2011; 41(5):211-7. DOI:10.5051/jpis.2011.41.5.211 · 1.15 Impact Factor
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