Do you always consider before dental implant surgery the biological risk factors your patient may have? These factors have a significant impact on the outcome of the surgery. Furthermore, they affect on the longevity of the dental implant.

According to Dr Joseph Choukroun: following a failure of a bone graft or an implant placement, the hypothesis of a biological abnormality is rarely considered as a possible cause.


Vitamin D is one the most important hormones involved in bone growth. In addition, vitamin D also plays a role in reducing the effects of inflammation and helps improve the body’s natural immune reactions.


Vitamin D

It is well known that vitamin D deficiency can impair the correct immune response to oral microbial infections, increasing the risk of periodontitis. Moreover, vitamin D plays an important role in the metabolism of bone.

In the bone, vitamin D stimulates the activity of osteoclasts and increases the production of extracellular matrix proteins by osteoblasts.

Since osseointegration depends on bone metabolism, low levels of vitamin D in the blood may negatively affect bone formation around dental implants.

Therefore, vitamin D deficiency slows implant osseointegration and increases the risk of graft infection. Vitamin D is also involved in immune function and therefore allergic reactions.

Therefore it could be crucial to check the vitamin level of your patient before dental implant surgery.


🔸If you would like to learn more about the biological background of predictable dental implant placement and longevity, furthermore if you wish to expand your knowledge on Platelet Rich Fibrin than look no further as Dr Choukroun is here to explain all.

🔸Dr Choukroun’s upcoming Platelet Rich Fibrin -PRF- course is an enlightenment on the biological and mechanical conditions for long term stability and success of bony and soft tissue management.

🔸All positive and negative factors which control angiogenesis, blood supply and bone metabolism will be presented.


Find out more by clicking on the link below:

PRF 2 day

Reference: Dr Joseph Choukroun: Two neglected biologic risk factors in bone grafting and implantology: high low-density lipoprotein cholesterol and low serum vitamin D.

Leave a Reply