Diabetes, Prediabetes, and Implants. No Problem. But Check Your Glycated Hemoglobin.
Diabetes and prediabetes do not rule out implants: HbA1c (glycated hemoglobin) counts. Thresholds, peri-implantitis, and your diabetologist.
Bonebenders
An evidence-based blog on periodontology, implantology and oral surgery. Dr. Ernesto Bruschi — dentist in Frosinone, Italy — shares clinical cases, bone regeneration techniques and science-driven protocols. Plus biology, pharmacology, history of medicine and the connections between oral and systemic health.
"Rare are those who use their mind, few those who use their heart, unique those who use both." — Rita Levi Montalcini
Dr. Ernesto Bruschi
I learned oral surgery watching my father's hands — Prof. Giovanni Battista Bruschi. Periodontology I studied with Jan Lindhe and Jan Wennström, in Sweden. In the United States, Ronald Odrich and Frank Celenza Jr. taught me that surgical and prosthetic precision is a form of respect for the patient.
Thirty years on, I still do the same thing. I do surgery. I study. I try to understand why bone heals one way and not another.
Behind every smile there is a person's personal story. Behind every bone and soft tissue defect, a biology worth understanding. This blog is my way of sharing what I see under the microscope and in the operating room — with colleagues and with patients who want to understand.
Latest Articles
Ode to the Hidden Buttress of the Upper Jaw
The supramaxillary bony arch links nasopalatine recess, canine buttress, and anterior nasal spine: CBCT anatomy that decides upper jaw implant anchorage.
Chronic Stress and Periodontal Bone Loss — The Mechanism
Chronic stress consumes the bone around the teeth through the HPA axis, cortisol, and the collapse of IL-10. The molecular mechanism, and 4 ways to break it.
What's Behind the Surge in So-Called 'Atrophic' Implant Cases?
Untreated periodontitis, immediate loading that flattens bone, mass extractions, re-treatments: why 'atrophic' implant cases keep surging. Atrophy we create.
Zone A and Zone B: The Histology of the Peri-Implant Biological Seal
Zone A (40 μm, avascular, fibroblast-rich) seals the implant. Zone B (160 μm, collagenous, vascularized) supports it. Moon et al., 1999.
When chromosomes grow tired: centromeres, cellular aging, and cancer risk
How the loss of CENP-A from centromeres explains cellular aging — and why this matters for oral cancer risk and tissue repair.
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