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Dental Implant Surgery: neglected biological risk factors (Part 2)

Dental Iceberg

Biological risk factors in Dental Implant Surgery

Do you always consider before dental implant surgery the biological risk factors your patient may have? Biological factors have a significant impact on the outcome of dental surgery. Furthermore, they affect on the longevity of the dental implant.

Following a failure of a bone graft or an implant placement, the hypothesis of a biological abnormality is rarely considered as a possible cause.

Dr. Joseph Choukroun

Vitamin D is one the most important hormones involved in bone growth. In addition, vitamin D also plays a role in reducing the effects of inflammation and helps improve the body’s natural immune reactions.

Vitamin D

It is well known that vitamin D deficiency can impair the correct immune response to oral microbial infections, increasing the risk of periodontitis. Moreover, vitamin D plays an important role in the metabolism of bone.

In the bone, vitamin D stimulates the activity of osteoclasts and increases the production of extracellular matrix proteins by osteoblasts.

Since osseointegration depends on bone metabolism, low levels of vitamin D in the blood may negatively affect bone formation around dental implants.

Therefore, vitamin D deficiency slows down implant osseointegration and increases the risk of graft infection. Vitamin D is also involved in immune function and therefore allergic reactions.

It could be crucial to check the vitamin level of your patient before dental implant surgery.

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25-26th March, 2022 London

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  • Dr. Choukroun’s upcoming Platelet Rich Fibrin -PRF- course is an enlightenment on the biological and mechanical conditions for long term stability and success of bony and soft tissue management.
  • Learn about PRF use in dental implantology, oral surgery, bone graft. Prepare PRF products on the hands-on session, practice phlebotomy and start utilising PRF from the next day in your dental practice.
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Reference: Dr Joseph Choukroun: Two neglected biologic risk factors in bone grafting and implantology: high low-density lipoprotein cholesterol and low serum vitamin D.

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