Factors Affecting to Bone Remodeling and Loading Protocol of Dental Implant
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Abstract
Bone remodeling is an important healing process and is considered as an indicator of successful osseointegration and stability of a dental implant. The aim of this article was to review the various factors affecting the bone remodeling process around dental implants, focusing on force.
A literature search in English and Thai was conducted using the PubMed database and a hand search with keywords of “bone remodeling,” “dental implant,” “peri implant bone ” and “force.” After that, 102 articles were selected. This literature review compiles basic knowledge on the bone remodeling process after implant placement, bone responses to occlusal load, and factors affecting peri-implant bone remodeling (including different loading protocols that are classified into conventional, early and immediate loading).
Various factors affect the bone remodeling process, Force is regarded as an important factor, which transfers optimal mechanical loading from occlusal loading to the bone around the dental implant. Optimal mechanical force, transferred to the bone, leads to bone apposition, and eventually maintains the bone’s functionality and engagement without compromising the strength of the bone-implant contact. Applied optimal force to the restoration at different time after implant placement may enhance a faster bone remodeling rate and give an advantage to patients in reducing treatment time and surgery procedure.
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References
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