The osseointegration dynamics are influenced by the implant surface design and surface state. Surgical integration healing dynamics early loading period and mature loading period are the four distinct phases that occur in the formation of the bone implant interface.During the early stages of the development of the implant bone interface the surgical procedure of implant dentistry necessitates initial fixation and lack of relative movement. The implant design is the most important aspect in completing this first stage; nevertheless the implant''s surface condition may also play a role. Rougher surfaces for example: will help the implant have greater friction and fixation during insertion. When the implant''s overall design is a cylinder and/or the bone quality is poor the surface is rough.
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