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Critical Reviews in Oral Biology & Medicine
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10(3):384-404 (1999)     Crit Rev Oral Biol Med
© 1999 SAGE Publications

Post-Extraction Remodeling of the Adult Mandible

V.J. Kingsmill

Lecturer, Department of Conservative Dentistry, St Bartholomew's and the Royal London School of Medicine and Dentistry, Turner Street, London, El 2AD, UK, Honorary Research Fellow, Hard Tissue Research Unit, Department of Anatomy and Developmental Biology, University College London, Gower Street, London, WCIE 6BT, UK

Following tooth loss, the mandible shows an extensive loss of bone in some individuals. This may pose a significant problem in the prosthodontic restoration of function and esthetics. The many factors which have been proposed as being responsible for the inter-individual variation in post-extraction remodeling mean that a perfunctory analysis of the literature, in which well-controlled, relevant studies are scarce, may not provide the whole story. This article reviews the local and systemic factors which may play a role in the post-extraction remodeling of the mandible. Since severe residual ridge resorption may occur even when the bone status in the rest of the skeleton is good and vice versa, it is concluded that local functional factors are of paramount significance. It is now essential to determine how they can be modified and applied to help maintain ridge height and quality in our aging, edentulous population.

Key Words: Oral bone loss • osteoporosis • bone turnover • mandible.

Critical Reviews in Oral Biology & Medicine, Vol. 10, No. 3, 384-404 (1999)
DOI: 10.1177/10454411990100030801
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