My dental implant feels loose: what it means and what to do
Crown, screw or implant: what is actually moving, early versus late failure, and what to do in the first 48 hours. Dr. Bruschi's guide for patients.
Osseointegration
19 articles
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There is no universal implant design
Taper, threads and diameter raise primary stability. Ideal geometry is not abstract — it exists for one site and one patient.
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.
Fibrointegration: the implant that moves too much to integrate
Fibrointegration: why an implant wraps itself in fibrous tissue instead of bonding to bone, what causes it, and how to prevent it.
Immediate Loading: Great Treatment, Wrong Hands
Immediate loading is an excellent technique that turns bad as a «one-size-fits-all protocol». The difference is the hand, not the tool.
Per-Ingvar Brånemark Never Wanted to Be a Dentist
Brånemark studied rabbits. In 1952, a titanium screw wouldn't unscrew. From that moment, implant dentistry was never the same.
How Long Do Dental Implants Last? Real Data at 10 and 20 Years
Dental implant longevity according to long-term studies: survival rates, risk factors and what to do to make them last.
Dental Implant Rejection Does Not Exist. Here Is What Really Happens.
Implant rejection does not exist: titanium is biocompatible. The real causes of failure and risk factors according to the literature.
Bone Metabolism Mediators: Molecules with 1000 Functions
RANKL, RANK and OPG: the molecules that govern bone remodeling and immunity — and why they matter in periodontics and implant dentistry.
Proteins That Trigger Osseointegration: 3 Phases
Three phases of osseointegration: blood wets the implant, cells arrive, bone grows. What the data actually say about hydrophilic surfaces.
Immediate Dental Implants After Trauma: 17 Years of Success
Real story of immediate-load implants after a sports trauma at 23. Seventeen years on, the result is still perfect. How to smile again, fast.
They Lied to You About Primary Stability
Primary stability is friction — it always means bone compression. Why torque and ISQ thresholds don't predict success, and where to compress.
Myofibroblasts: what they are and why they decide whether an implant heals
What myofibroblasts do after an implant: the difference between osseointegration and fibrointegration, and how to keep an implant from failing.
Primary Stability and Implant Macrogeometry
Implant macrogeometry — body shape, length, diameter, threads — drives primary stability. What recent evidence says and how to choose the design.
What on Earth Does “Shape Innovation” Mean?
Implant "shape innovation": why macro- and micro-geometry, not roughness alone, drives bone healing — threads, healing chambers, distance osteogenesis.
Immediate Loading: Technique, Benefits and When It's Indicated
How immediate-loading implantology works, when it is indicated, and its real benefits over delayed loading. Clinical guide by Dr. Ernesto Bruschi.
A Friend's Story: Rebuilding an Implant-Supported Prosthesis That No Longer Holds
A friend with malpositioned implants and terminal gum disease, rebuilt with new implants and graftless mucosal regeneration using ovate pontics.
Want All Your Teeth Out and Replaced With Implants? Read This First
No dental treatment, implants included, succeeds 100% of the time. The real survival rates — and why minimally invasive care matters when something fails.
Are You Still in Love with Smooth Implants?
Macrogeometry, not a smooth surface, drives implant primary stability: conical bodies, aggressive threads and the right torque beat smooth cylinders.