Endosseous dental implants have revolutionized the fields of
implants and periodontics. During the last decade, a great deal of
information has been generatedconcerning the effectiveness and
predictability of endosseous implants. Implant placement is a
viable option in the treatment of partial and full edentulism and
has become an integral facet of periodontal therapy. The available
implants are remarkably successful. However, there is no one ideal
implant system. The following areas need further study: edentulous
sites with inadequate bone for endosseous implants, splinting of
implants to natural teeth, long-term effects of microbial and
occlusal stresses, the prevention and treatment of peri-implant
infection and disease, effects of implants on alveolar ridge
maintenance, and routine maintenance protocols. Research on implant
design for narrow ridges and atrophic jaws is ongoing, and the
clinical efficacy of localized ridge augmentation and sinus floor
grafts is being investigated. An area of research with future
clinical significance is the use of growth factors and
osteoinductive substances which may be applied locally or
incorporated into the implant's surface.
General
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