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Treatment guidelines


Key points

  • Osteoporosis is a systemic disease, affecting nearly 30 % of postmenopausal women, characterized by reduced bone density and impaired microarchitecture leading to bone fractures.
  • Osteoporosis affects the jaw bone less than the extracranial skeleton.
  • Reflecting current data the success of implant surgery in osteoporotic patients is not limited.
  • Although antiresorptive medication is highly prescribed in osteoporosis a low risk of the antiresorptive medication related osteonecrosis of the jaw (ARONJ) exists, reflecting the low total dose over time application of antiresorptive medication in osteoporosis.

Additional resources



Bertil Friberg: Possible causes of marginal bone loss, a synopsis

Dr Friberg reports on and compares various studies and presents own research findings from the Branemark Clinic on marginal bone loss and peri-implantitis issues. Bone loss does not show typical patterns, and is not only a bacteria and plaque accumulation, but is multifactorial and...


Sreenivas Koka: Assessment of bone quality relevant for marginal bone integrity ?

The lecture discusses in how far the assessment of marginal bone can be a suitable measure for bone integrity and implant oesseointegration. Dr Koka reviews aspects of definition of bone quality and the concept of osseo-sufficiency, and shows that we still are influenced by biases...
Implant surfaces
Systemic factors


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