Christmas
time 2014 was a sad time for those of us who regularly restored dental
implants. The innovator of the osseointegrated dental implant passed away. Per-Ingvar
Branemark died at the age of 85 of a heart attack in his home town of
Gothenburg, Sweden. The interesting trivia is this development of dental implants
was basically an accident. At the start of his career Branemark was studying blood
flow affects on bone healing in 1952. As part of this study he was encased in
embedding titanium into the legs of various mammals and when the research ended
he went to remove the titanium devices and discovered that it had fused to be
bone and could not be removed. He called this process osseointegration and at
that time his research took on a totally different direction. Interestingly
enough, wanting to broaden his test subjects he actually enlisted 20 students
working in his laboratory to have titanium instruments inserted in their upper
arms. Apparently every male in the laboratory was considered a volunteer and
many of them have scars to this very day. But even after years of
experimentation it was difficult to convince the medical and dental
establishments that titanium could be integrated into living tissue. The
conventional wisdom that the introduction of any foreign material into the body
would inevitably lead to inflammation and ultimate rejection. Dr. Branemark was
further challenged in his work and at lecture in 1969 he was challenged
by one of the senior academics of Swedish dentistry who referred to a Reader’s Digest article involving Dr. Branemark saying, “this may prove to be a popular
article but I simply do not trust people who publish themselves in Readers
Digest.” As it happened, that senior academic was also well know to the Swedish public
for recommending a particular brand of toothpicks, so Dr. Branemark immediately
rose up and struck back saying, “I do not trust people who advertise themselves
on the backs of boxes of toothpicks.”
Following that, the United States Institute of Health financed his
projects and in the mid 70s Swedish National Board of Health and Welfare approved Branemark's implants which would therefore replace the implant
systems that I learned at UCLA in dental school in the early 70s, which were blade
implants and subperiosteal implants, which were often prone to rejection, which is the
reason for the distrust of Brandenmark's research. The turning point came in
1982 in Toronto where he finally won wide spread recognition for his materials
and methods. His dental implant system is currently sold by Novel Biocare, a
publicly traded company, but there are many many different implant suppliers in
the United States at this time. I personally restore more than 6 brands of
implants from different surgeons. In addition to dental implants, this research
has gone a long way to provide the millions of people with other osseo
integrated replacements. So even if you are not a dental implant patient, you
may have an artificial hip or knee, then you should take a moment to thank Dr. Per-Ingvar
Branemark for his help in resolving your complex medical needs. Thanks again
Dr. Branemark we miss you and our prayers go with your family.
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