How Surgical technique affect Osseointegration

The osteotomy preparation is critical both from biologic and biomechanical points of view. The bone drilling should be sequential and with copious irrigation to prevent overheating and subsequent necrosis of surrounding bone. Also the osteotomy site should be mated to the particular implant selected for use to afford primary stability and ensure the success of osseointegration. Soft tissue handling is vital, the flap should be handled with care and a hermetic closure without tension favours osseointegration as any flap tearing etc can lead to infection and failure