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Related Concept Videos

Bone Remodeling01:40

Bone Remodeling

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Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
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Updated: Apr 19, 2026

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
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Crestal bone remodeling around implants placed using a short drilling protocol.

Emanuel Bratu, Sorin Mihali, Lior Shapira

    The International Journal of Oral & Maxillofacial Implants
    |December 16, 2014
    PubMed
    Summary
    This summary is machine-generated.

    A new short drilling protocol for dental implants significantly reduces surgery time by about 50%. This method does not negatively impact peri-implant crestal bone levels during the first year after placement.

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    Area of Science:

    • Dental Implantology
    • Oral Surgery
    • Biomaterials Science

    Background:

    • Crestal bone loss around dental implants can compromise long-term success.
    • Drilling protocols influence surgical time and potentially peri-implant bone response.

    Purpose of the Study:

    • To evaluate the effect of a simplified, short drilling protocol on peri-implant crestal bone levels.
    • To compare surgical time between standard and short drilling protocols.

    Main Methods:

    • Forty dental implants were placed in posterior mandibles of 20 patients, with one implant per patient using a standard (five drills) and the other a short (three drills) protocol.
    • Crestal bone levels were assessed radiographically at insertion and at 3, 6, and 12 months post-insertion.
    • Implant drilling time was recorded and analyzed.

    Main Results:

    • No implant failures occurred during the 12-month follow-up.
    • The short drilling protocol reduced surgical time by approximately 50% compared to the standard protocol.
    • Mean crestal bone loss at 12 months was similar for both protocols (0.90 mm for short vs. 0.94 mm for standard), with no statistically significant difference.

    Conclusions:

    • The short drilling protocol is a viable alternative, significantly decreasing surgical time.
    • This protocol does not adversely affect peri-implant crestal bone remodeling in the first year.
    • The findings suggest potential for increased efficiency in dental implant surgery without compromising bone preservation.