Regardless of the implant surface ( The effect of titanium topography features on mesenchymal human stromal cells' adhesion. Clinical Oral Implants Research 21(2):250-4 DOI: 10.1111/j.1600-0501.2009.01811.x), machined or rough, it is known that osseointegration will occur.
The new discussion is -: "How can macro and the microgeometry be aligned to improve the implant placement in atrophic areas, without the need for bone grafts?"
Be aware-: Short and Narrow Implants are coming!
Do you agree that new alloys (A Double-Blind Randomized Controlled Trial (RCT) of Titanium-13Zirconium Versus Titanium Grade IV Small-Diameter Bone Level Implants in Edentulous Mandibles--Results From a 1-year Observation Period. Clin Implant Dent Relat Res
. 2012 Dec;14(6):896-904. doi: 10.1111/j.1708-8208.2010.00324.x. Epub 2011 Mar 17) and designs are the next frontier after COVID19?
I am a consultant Maxillofacial Surgeon
following 15y at UCL Maxillofacial I am back at OMFS Uni Thessaloniki as clinical prof
The adherence is related
1. to material characteristics, roughness, hardness, acid etching
2. host biology compromise (immunosuppresants, steroids,
chemotherapy, uncontrolled diabetes
3. Blood dyscrasias
www.heighpubs.org/hjcr/acr-aid1041.php
Lawrence Newman and Colin Hopper approached craniofacial implant characteristics with acquired and congenital defects
https://www.google.com/search?sxsrf=ALeKk00dj6Em2h1Oqt7Ygxq2Ej_Wr-v1YQ%3A1608625373388&source=hp&ei=3azhX9GNFdLIaOqli5AJ&q=bousdras+v+newman+l&oq=bou&gs_lcp=CgZwc3ktYWIQARgAMgQIIxAnMgQIIxAnMgQIIxAnMgUIABDJAzICCC4yAggAMgIILjICCC4yAgguMgIIADoICC4QxwEQowJQqDNY_z9gglZoAHAAeACAAXCIAbcCkgEDMS4ymAEAoAEBqgEHZ3dzLXdpeg&sclient=psy-ab
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