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.
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
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.
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.
«But don't you perforate the membrane?» Almost never: the sinus in three dimensions
Many colleagues think transcrestal sinus lift means perforating the membrane. Almost never. You move the cortical floor, across all three planes of space.
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.
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