Unlike other parts of our skeletons, the jawbones are inherently inconsistent. Differences in density, quality, and regenerative potential create a highly variable landscape that surgeons must navigate each time they place an implant. A patient’s age and general health add further complexity, as does the method, location, and timing of osteotomy site preparation. All this biology takes place within a dynamic mechanical environment, which represents its own unique challenges. In this lecture, I will provide an overview of our current understanding of the biomechanics of implant osseointegration, focusing on the clinically challenging scenarios including immediate post-extraction infra-occlusal implants. I’ll conclude with some thoughts about future technologies that I think have the potential to transform the clinical practice of implant dentistry.Curriculum Vitae
I am trained as a dentist. I completed residency training (Periodontology), in conjunction with a PhD (Developmental Neurobiology), followed by a postdoctoral fellowship (Biochemistry). Now I am a full Professor at Stanford University, where I lead a group whose research focus is broadly relevant to the fields of stem cell biology, bioengineering, and regenerative dental medicine. This work has provided us with a deep understanding of the biomechanics of implant osseointegration. From this vantage point we aim to develop new tools and technologies that ensure successful osseointegration in even the most challenging clinical scenarios and in the most difficult-to-treat patients.