A Consideration of Osseointegrated Implant Treatment : Historical Background and Reasons Why Oral Surgeons Accepted

Abstract

Regarding dental implant treatments prior to the appearance of osseointegrated implants, peri-implantitis, etc. frequently occurred and many oral surgeons dealing with implant removal, etc. were against such implant treatments. On the other

hand, oral surgeons then carried out alveolar ridge plasties to enable retentive and stable dentures to be worn on the atrophic alveolar ridge; however, it was difficult to obtain an alveolar ridge with sufficient height and width to retain and stabilize the dentures, and early relapse often occurred, limiting the effectiveness.

Although the concept of osseointegrated implantation was initially confusing, because it was supported by many basic researches with evidence, involved instruments and equipment that were inventive and ingenious, involved a treatment technique with a systematic and theoretical basis as well as broad indications, and demonstrated excellent clinical results, it has come to be accepted by oral surgeons.

Subsequently, with simplification of the technique as well as the development and sales of an implant body that can quickly and effectively achieve osseointegration along with parts that can restore aesthetics, it has been actively incorporated into daily clinical practices.

Moreover, additional indication methods such as maxillary sinus floor elevation have also been actively used. However, troubles have occurred, resulting in social problems. Recently, guided surgery using CAD/CAM with less surgical invasion has been actively carried out; however, because such advantages can only be realized with sufficient oral surgical knowledge and skill to avoid trouble, oral surgeons have a major role to play in terms of education and instructions in the clinic.