Bone remodeling and individual-based implant therapy

There has been a strong movement in implant dentistry to immediately load implants at time of placement. This movement has been generated by implant manufacturers, who have acceded to patient wishes for faster function and fewer surgeries. Immediate function has been a therapy for tooth extraction and implant replacement and for implant loading at the time of implant placement in edentulous sites. Bone is a dynamic connective tissue and its reaction to surgery is in response to modeling and remodeling. In this paper, the literature of bone remodeling is reviewed, with emphasis on various parameters that modulate this process and have an impact on the healing period of osseointegration and the prognosis for immediate or delayed loading of dental implants. These parameters define a bone phenotype characteristic of each individual. I suggest a new therapeutic concept for implant dentistry that I call "individualized implant therapy".