Adherence to the principles of Osseointegration, a term founded by Professor Per-Ingvar Brånemark after his important breakthrough in the 1950s when he discovered that bone can integrate with titanium components, is the foundation for all clinical applications.


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Direct connection between anchoring element and living bone

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After 6 years of function, metal fatigue occurred and specimen was removed by a trephine and cut longitudinally into two halves with a diamond disc, but with bone tissue still firmly – and inseparably – adhering to the titanium surface.

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High resolution scanning electron micrograph of an osteoblast with its cellular process adapted to the surface of the fixture. Micrograph by Hans-Arne Hansson, 1985

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Anatomy of Osseointegration. Compartment of anchorage composed of continuously remodeling and reorganizing interfacial tissue and titanium at the cellular as well as at the molecular level of dimensions.

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Screw-connected components; fixture, abutment and center screw for the attachment of the prosthesis.

A titanium screw-shaped implant – fixture – is carefully placed in the bone and – amazingly enough – the genetic code that commonly makes bone reject a foreign material is not activated. Instead nature allows bone cells to attach to the titanium surface and the result is a firm and permanent anchorage for a prosthetic reconstruction.
Professor Brånemark named his discovery from the Latin word os – which means bone, and integrate – which means make whole, which can also be expressed as interactive coexistence.


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Osseoperception

Quality care encompasses not only the follow-up of implant and prosthetic stability, but also function. Osseoperception,    which makes it possible for bone-anchored prosthetics to communicate with the mind via the patient´s central nervous system facilitates function in virtually every case.

If our ambition is restitutio ad integrum ( “to restore the original condition”) the need for sensory evaluation becomes self-evident.

P-I Brånemark, October 2010.


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