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In addition, the bone adaptation after the surgery can lead to an excessive bone loss and, consequently, can compromise the success of the implant.
If the findings of existing clinical trials hold up in future research, the potential consequences of this deficiency are likely to go far beyond inadequate bone development and excessive bone loss that can result in falls and fractures.
Regular assessment with the goal of earlier identification, especially in higher risk younger and male patients, is important to avoid excessive bone loss and technical difficulties in revision surgery.
Close monitoring for excessive bone loss and anemia is important.
Although bone possesses the capacity for regenerative growth and remodelling, both processes become impaired in clinical situations in which excessive bone loss is caused by disease, trauma or through tumour resection [1].
The incidence of limb bone fracture and subsequent morbidity and mortality due to excessive bone loss is increasing in the progressively ageing populations of both men and women.
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In patients with long daily or nocturnal HD sessions, a low dialysate [Ca] may lead to excessive bone mineral loss; a relatively high dialysate [Ca] may be necessary to prevent osteopenia [ 39].
At 42 months after implant insertion, continuous increase of bone volume above the implant apex was confirmed without excessive marginal bone loss around the implant neck (Figs. 6c and 7c).
They collected data on the hip to be operated on, including the standard K&L grade (0 4) [ 19] and the intra-articular pattern of disease distribution (supero-lateral, supero-medial, medial or concentric) and whether the hip disease appeared hypertrophic (excessive osteophytes and new bone formation) or atrophic (extensive bone loss).
Osteoporosis is the direct consequence of the failure to attain sufficient PBM in youth, typically before the mid-30s, and/or excessive rate of bone loss in later years, suggesting that the risk of fragility fractures in the elderly can start from the first two decades of life.
In case of persistent bleeding or other significant peri-implant inflammative symptoms, the protocol prevents, from the ethical point of view, further peri-implant bone loss, excessive antibiotic administration, and occurrence of systemic influence of the pathologic process.
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