Chapter 71

Insight: The observation that titanium is a “likable” material to bone forming cells was a major breakthrough in the development of modern implant dentistry. In effect the titanium-bone interface is so intimate, that it is described as integrated. It’s strong enough to withstand normal occlusal forces for many many years and dependable enough so that complex restorative treatment plans can be implemented.

Clinical Consideration: BE AWARE that while osseointegrated bonds are very good there may be a down side if the implant gets involved with peri-imlant disease. Over the past 10 years millions of implants have been placed and while many are doing what they are supposed to be doing, some are failing or they have failed. This is such an important topic that TRENDs has written a Feature Article in this issue to help expand your understanding and give you some tips on how to manage this important problem.

The primary goal of implant installation is to achieve and maintain a stable bone-to-implant connection (i.e., osseointegration).27,29 Histologically, osseointegration is defined as the direct structural and functional connection between ordered, living bone and the surface of a load-bearing implant without intervening soft tissues (Figure 71-12).28,30 Clinically, osseointegration is the asymptomatic rigid fixation of an alloplastic material (implant) in bone with the ability to withstand occlusal forces.13,122 The hard tissue interface is a fundamental requirement for and an essential component of implant success.

To get more in-depth information please read Chapter 71