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Current Osteoporosis Reports
Erschienen in: Current Osteoporosis Reports 1/2014

01.03.2014 | Regenerative Biology and Medicine in Osteoporosis (EM Schwartz and RE Guldberg, Section Editors)

Pharmacologic Augmentation of Implant Fixation in Osteopenic Bone

verfasst von: R. D. Ross, J. L. Hamilton, B. M. Wilson, D. R. Sumner, A. S. Virdi

Erschienen in: Current Osteoporosis Reports | Ausgabe 1/2014

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Abstract

Osteoporosis presents a challenge for successful implant fixation due to an impaired healing response. Preclinical studies have consistently reported reduced osseointegration capability in trabecular bone. Although clinical studies of implant success in dentistry have not found a negative effect due to osteoporosis, low bone mass is a significant risk factor for implant migration in orthopedics. Pharmacologic treatment options that limit bone resorption or upregulate formation have been studied preclinically. While, both treatment options improve implant fixation, direct comparisons to-date have found anti-catabolic more effective than anabolic treatments for establishing implant fixation, but combination approaches are better than either treatment alone. Clinically, anti-catabolic treatments, particularly bisphosphonates have been shown to increase the longevity of implants, while limited clinical evidence on the effects of anabolic treatment exists. Preclinical experiments are needed to determine the effects of osteoporosis and subsequent treatment on the long-term maintenance of fixation and recovery after bone loss.
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Metadaten
Titel
Pharmacologic Augmentation of Implant Fixation in Osteopenic Bone
verfasst von
R. D. Ross
J. L. Hamilton
B. M. Wilson
D. R. Sumner
A. S. Virdi
Publikationsdatum
01.03.2014
Verlag
Springer US
Erschienen in
Current Osteoporosis Reports / Ausgabe 1/2014
Print ISSN: 1544-1873
Elektronische ISSN: 1544-2241
DOI
https://doi.org/10.1007/s11914-013-0182-z

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