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Oral Surgery & ImplantsAdvanced

Osseointegration

Osseointegration is the direct, structural and functional connection between living bone and the surface of an implant that bears load (the force of chewing).
Implants in the mandible with their metal abutments.
Implants in the mandible with their metal abutments.Photo: Zypcu · CC BY-SA 3.0, Wikimedia Commons

What you need to know

  • It was discovered by the Swede Per-Ingvar Brånemark while studying rabbit bone with titanium pieces. He treated the first toothless patient in 1965.
  • The titanium implant is placed in the bone and, over time, the bone grows attached to its surface.
  • With traditional titanium it took 3 to 6 months. With new surfaces and protocols, that time has been shortened.
  • In the clinic, success is measured by the implant's stability during chewing.
  • Diseases like diabetes or osteoporosis can affect bone healing around the implant.

Terms in plain words

Dental implantTitanium screw that replaces the root of a lost tooth.
AbutmentPart that connects the implant to the crown.
LoadingThe chewing force the implant receives.

For the exam

Who coined the term osseointegration?

Show answerHide answer

Per-Ingvar Brånemark.

Sources

  1. Sharma S, et al. Per-Ingvar Brånemark (1929–2014): A Homage to the Father of Osseointegration and Modern Dentistry. Cureus. 2024;16(9):e68655. View source
  2. Advances in surfaces and osseointegration in implantology. Biomimetic surfaces. View source

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