Sreenivas Koka: Systemic considerations in the context of osseointegration
- Complications management
- Compromised medical condition and osseointegration discussion
- Osseointegration and osseosufficiency
The lecture discusses fundamental systemic health challenges and their impact on osseointegration, and reviews the influence of diabetes, osteoporosis, smoking, bisphosphonates and radiation therapy. Dr Koka presents the concepts of osseointegration and osseosufficiency, as well as osseointegration promotion in the shorter term, and osseointegration perpetuation in the long run. The lecture concludes that in patients with diabetes and osteoporosis both osseointegration promotion and perpetuation are given, and the same applies for patients who smoke, provided implants with anodized surfaces are placed. In patients with bisphosphonate therapy promotion is given, and perpetuation unclear, whereas in patients undergoing radation therapy it seems that promotion is given, however not perpetuation.