Hi dear reader,
After loading the prosthetic part, there will be bone loss ( about 1mm) in the first functioning year. This could affect the long term success for short dental implant.
Best wishes
Sarmad
In short, all cylindrical or tappered Implants, as long as the apical region is smaller in diameter than the coronal region will lose crestal bone due to pure physics and the mechanics of the design. All lateral forces get concentrated to the crystal region causing cratering and continuing bone loss. These implants will do better in posterior teeth where forces are more along the axis of the implant poorer in anterior teeth where forces are Mor lateral.
Biodent Inc has studies on the Ultratooth that show by having the apex of the implant expand and have a wider base cause these forces to be transferred apically by what they call the “Eiffel tower” effect. Photo elastic studies and Finite element analysis and clinical studies confirm this fact.
criteria have been set to assess successful of dental implant based on the amount of crystal bone loss.
all we have to do should be done before implant insertion, good selection and good treatment plan but after loading crestal bone loss starts if maintenance of the coronal attached tissue gingival seal has been lost
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