The classical principles of osseointegration were based on a strict surgical protocol established through decades of experimental research and human clinical trials. These principles establish a sound scientific and clinical foundation for the neophyte implant surgeon. Research, however, is constantly accumulating, challenging a number of these original concepts and allowing deviation from the established protocol. It is anticipated that these changes will improve implant dentistry performance and expedite patient care. Sound clinical judgment based on experience and knowledge of the scientific literature must be exercised when deviations from the established protocol are considered.
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Caplanis et al. (1997) studied this question.
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