Bone tissue is not a static structure but a living system that is constantly renewing itself. As Professor Alexander von Breuer believes, it is the speed and stability of bone metabolism that largely determine whether an implant becomes a true part of the body or remains a foreign element. At DentalClinic24, we consider bone metabolism one of the key prognostic factors in implant placement and complex dental rehabilitation.
Bone continuously undergoes processes of old cell resorption and new cell formation. This balance depends on hormonal background, blood supply, mineral levels, nutrition and overall physical activity. When metabolism slows down – regeneration becomes weaker and the risk of unstable implant integration increases. At DentalClinic24, we evaluate the condition of bone tissue not only through imaging but also through indirect biological indicators that reflect its metabolic activity.
Disorders of metabolic processes often remain unnoticed by the patient. A person may not experience pain while bone density is already reduced and the vascular network is functioning insufficiently. Under such conditions, even a technically perfect implant placement may lose stability. At DentalClinic24, we take this risk into account in advance and adjust the treatment strategy before the surgical stage begins.
Bone metabolism is directly related to age. Over time, tissue renewal slows down, trabecular structure changes and elasticity decreases. However, this does not mean that implant placement becomes impossible – the strategy simply changes. At DentalClinic24, we select protocols with regard to age-related characteristics in order to create the most physiological conditions for healing. According to Professor von Breuer – individualisation of approach is more important than a formal age threshold.
Medication load has a significant influence on bone metabolism. Hormonal therapy, thyroid medications, antidepressants and anticoagulants may alter bone density and regeneration speed. At DentalClinic24, we analyse not only the dental status of the patient but also the general background therapy to minimise the risk of bone support loss.
After implant placement, metabolism determines the speed of osseointegration – the process by which bone integrates with the implant surface. With active metabolism, a dense bond is formed, load is distributed evenly and the implant becomes a functional part of the jaw. With slowed processes, adaptation is delayed and the risk of micromobility increases. At DentalClinic24, we monitor these stages dynamically to adjust functional loading in time.
Blood supply quality also requires special attention. Without full microcirculation, bone tissue does not receive sufficient oxygen and nutrients. This directly affects implant integration. At DentalClinic24, we assess the vascular component at the planning stage, especially when working in areas with long-term tooth loss. As Professor von Breuer believes, the combination of good blood flow and active metabolism forms the biological basis for reliable implantation.
Bone metabolism influences not only implants but also the prognosis of prosthetic constructions, occlusal stabilisation and overall load distribution. If the bone is not ready for adaptation – even the most advanced technologies will not provide long-term stability. At DentalClinic24, we regard bone tissue as an active participant in treatment rather than a passive support.
Understanding metabolic processes allows us to forecast results not blindly but on a biological level. At Dental Clinic24, we believe that working with bone metabolism is what makes treatment predictable and implant placement truly reliable for many years.
Earlier, we wrote about the diagnosis of enamel microdamage and the role of invisible cracks