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Methods to Improve Osseointegration of Dental Implants in Low Quality (Type-IV) Bone: An Overview

Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
J. Funct. Biomater. 2018, 9(1), 7;
Received: 2 November 2017 / Revised: 9 January 2018 / Accepted: 9 January 2018 / Published: 13 January 2018
(This article belongs to the Special Issue Journal of Functional Biomaterials: Feature Papers 2016)
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Nowadays, dental implants have become more common treatment for replacing missing teeth and aim to improve chewing efficiency, physical health, and esthetics. The favorable clinical performance of dental implants has been attributed to their firm osseointegration, as introduced by Brånemark in 1965. Although the survival rate of dental implants over a 10-year observation has been reported to be higher than 90% in totally edentulous jaws, the clinical outcome of implant treatment is challenged in compromised (bone) conditions, as are frequently present in elderly people. The biomechanical characteristics of bone in aged patients do not offer proper stability to implants, being similar to type-IV bone (Lekholm & Zarb classification), in which a decreased clinical fixation of implants has been clearly demonstrated. However, the search for improved osseointegration has continued forward for the new evolution of modern dental implants. This represents a continuum of developments spanning more than 20 years of research on implant related-factors including surgical techniques, implant design, and surface properties. The methods to enhance osseointegration of dental implants in low quality (type-IV) bone are described in a general manner in this review. View Full-Text
Keywords: dental implants; osseointegration; bone regeneration; surface modifications dental implants; osseointegration; bone regeneration; surface modifications

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Alghamdi, H.S. Methods to Improve Osseointegration of Dental Implants in Low Quality (Type-IV) Bone: An Overview. J. Funct. Biomater. 2018, 9, 7.

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