Dynamic Bone Modeling and Remodeling Around Loaded Dental Implant Surfaces.
	Dr. Clark M. Stanford, DDS, Ph.D. Dows Institute for Dental Research Dr. Richard A. Brand, MD Department of Orthpaedic Surgery

Statement of problem: Dental implant failure rates are greater in the highly atrophic maxillae. An enhanced understanding of bone response to loading (modeling) and maintenance of an integrated state (remodeling) is needed. Purpose: To understand the role of occlusal loading on long-term osseointegration in areas of compromised cancellous bone, a review of the salient features of adaptive bone modeling and remodeling is presented with an emphasis on cancellous bone responses. Conclusions: The ability for dental implants to maintain a long-term stable interface in the maxillae lies in the ability of the local material (adequate strength) and architectural (trabecular connectivity) properties of bone. In this discussion, an emphasis has been placed on understanding how trabecular bone can respond to the new loading environment created upon mastication on an implant. Clinical Significance: The formative and remodeling properties of bone are a key to understanding how masticatory forces will influence long-term implant success.   For more information press here to GO to Iowa.