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Initial Bone Bed Activation: Bone Matrix Osseotensors—Tissue Engineering

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Basal Implantology

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Abstract

Osseointegration of dental implants requires sufficient intrabony blood supply. In extremely resorbed areas, however, the main source of blood is the periosteal arteries. Basal implant placement in severely atrophic jaws is thus especially challenging because of the poor quality as well as the reduced volume of the future recipient bone site. This situation is aggravated in smokers. Calvaria or iliac bone grafts, mental nerve displacement, and sinus lift procedures are often performed prior to implant placement to overcome the initially unfavorable biological, anatomical, and mechanical status. Patients are often reluctant to undergo such procedures, though, as they are time-consuming and expensive and involve unpredictable degrees of morbidity at the donor and/or recipient sites. Although free bone grafts (autologous bone or bone substitutes) can augment bone volume, they do not promote better blood supply per se; only vascularized pedicular bone grafts are capable of this. Furthermore, in some instances, postsurgical scar tissue actually reduces the blood supply. Stem cell activation using osseotensors and use of PRF membranes are two of the approaches developed to overcome these difficulties.

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Conflict of interest statement

Gérard M. Scortecci is the inventor of the Diskimplant and holder of several associated patents that are exploited by the Victory company. He is an unpaid consultant to this firm and a minority shareholder in the company. No money was received from any of the companies mentioned in the book or from any of the companies whose products are mentioned.

Author information

Authors and Affiliations

  1. Department of Oral Biology, University of Tel Aviv, Tel Aviv, Israel

    Itzhak Binderman

  2. University of Nice-Sophia Antipolis Medical School, Nice, France

    Gérard M. Scortecci

  3. New York University, New York, NY, USA

    Gérard M. Scortecci

  4. University of Southern California, Los Angeles, CA, USA

    Gérard M. Scortecci

  5. Private Practice, Nice, France

    Gérard M. Scortecci

  6. Faculté de Médecine, Département d’Histologie, Unité d’Exploration Fonctionnelle Cellulaire et Tissulaire, Hôpital Pasteur, University of Nice-Sophia Antipolis, Nice, France

    Patrick Philip

  7. SYFAC, Nice, France

    Joseph Choukroun

  8. Private Practice, Los Angeles, CA, USA

    Alexandre-Amir Aalam

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  1. Itzhak Binderman
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  5. Alexandre-Amir Aalam
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Correspondence to Gérard M. Scortecci .

Editor information

Editors and Affiliations

  1. Nice, France

    Gérard M. Scortecci

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Binderman, I., Scortecci, G.M., Philip, P., Choukroun, J., Aalam, AA. (2019). Initial Bone Bed Activation: Bone Matrix Osseotensors—Tissue Engineering. In: Scortecci, G. (eds) Basal Implantology. Springer, Cham. https://doi.org/10.1007/978-3-319-44873-2_5

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  • DOI: https://doi.org/10.1007/978-3-319-44873-2_5

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