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Volume 2, Issue 2 (Suppl) Dent Implants Dentures, an open access journal
ISSN: 2572-4835 Dental Medicine 2017
October 16-18, 2017
October 16-18, 2017 New York, USA
29th Annual World Congress on
Dental Medicine & Dentistry
Local systemic and environmental factors affecting dimensional changes following implant placement:
What is the evidence?
Eli E Machtei
Harvard University, USA
Implant placement marks the start of a chain of events in both the hard and soft tissues adjacent to the fixture. While earlier concepts
have associated early bone loss around dental implants with physiological remodeling, more recent data suggests do not seem to
support this notion anymore. Instead, early marginal bone loss is considered pathological and should be avoided or minimized. A
multitude of factors have been suggested to be related to the prevalence and severity of early marginal bone loss around implants.
These include placement protocol (submerged or non-submerged; crestal/supra or sub-crestal); loading protocols, implant's design
and position, residual ridge's dimensions and the quality, width of the facial/lingual walls and the width and quality of the peri-
implant mucosa. Also, occlusal overload, crown-implant ration and implant's angulation, implants' diameter, flap versus flapless,
mandibular versus maxillary implants and fixed versus removable implant supported restorations. Other systemic and environmental
factors (smoking habits, diabetes, radiation therapy and past periodontal disease) were also suggested as possible risk factors. This
presentation will focus on current knowledge regarding these variables and will try to highlight the currently available data along with
many missing pieces in the puzzle. Finally, the ways to minimize this phenomenon will be discussed.
Biography
Eli E Machtei has obtained his DMD from the Hebrew University in Jerusalem and his certificate in Periodontology from Boston University. He is currently the Chairman of
the department of Periodontology at the Rambam SGD and a Professor of Dental Medicine at the faculty of Medicine at the Technion (IIT) in Haifa Israel. He is also a Visiting
Senior fellow at Harvard University. He has published over 170 papers in the scientific peer review literature and won several research awards for his work.
Eli E Machtei, Dent Implants Dentures 2017, 2:2 (Suppl)
DOI: 10.4172/2572-4835-C1-002