PubMed · 10468447
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M A Siegel. 1999. Osseointegration?. https://doi.org/10.1016/s1079-2104(99)70101-0
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Since the last 30 years endosseous implants are a well established treatment technique in maxillofacial surgery. Implants are used in the rehabilitation of patients having lost parts of maxilla or mandible due to tumor surgery, or which due to radiotherapy have problems tolerating mucosa-borne dentures. The implant borne prosthesis will aid to regain live quality to those patients. Improvement of live quality is also the result when epithetic reconstructions of soft tissue defects in the face are stabilized by extraoral implants. Aim of the paper is to give an overview on important implant related pathophysiological osseous healing patterns, discuss methods to influence these processes, to show correction possibilities for the bony bed and highlight their indications as well as to inform about clinical experiences with endosseous implants.
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In dental implant tomography, a clinician typically makes several tomograms of cross-sectional and sagittal slices at and near the intended implantation site. The slice with the sharpest image of the metal marker is deemed to be the correct implantation site; the other slices with blurred images of the marker are those made either mesially or distally to the marker. However, if the images were over- or underexposed, the marker will be blurred on all the slices and a dentist may be wrongly accused of having placed a dental implant at an improper site with possible medico-legal ramifications.