Advanced Therapeutics

  • Stephen Harrel
  • Jeffrey Pope


When bone loss is present around an implant, advanced diagnosis and treatment are necessary. As a first step, excess cement should be ruled out. Ultrasonic scalers should not be used on the titanium oxide surface of an implant. A decision should be made whether to approach bone loss surgically. If surgery is to be performed, a decision whether to attempt bone regeneration must be made.


Excess cement Avoid ultrasonic instruments Maintain the Ti oxide layer Non-regenerative surgery Regenerative surgery 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Stephen Harrel
    • 1
  • Jeffrey Pope
    • 2
  1. 1.Texas A&M College of DentistryDallasUSA
  2. 2.Private Practice of PeriodonticsDallasUSA

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