Although we have a balanced diet, which provides the body with the necessary vitamins and minerals for it to function, there are more and more studies that show the benefits of indicating other micronutrients during the pre and post-operative period in the dental field.

Clinical studies in other medical disciplines demonstrate the properties provided by the main micronutrients in tissues, with which we can anticipate positive results in the success of the treatment.

For this reason, the preoperative preparation of the patient is essential before any surgical intervention.

Our body is prepared to respond to any surgical process’s aggression; however, it does not always have the micronutrients available in the operated area.

By making it easier for us, the human body will be more efficient in its regenerative processes without adding risk factors we will: minimize risks, avoid infections, prepare the immune system, have a bioavailability of micronutrients before surgery, improve the postoperative period, shorten treatment times between interventions and promote osseointegration with predictable and accurate results.

For this reason, it is crucial to indicate nutritional supplements within the treatment plan for oral surgeries, periodontal treatments, and other treatments.

Its indication lies in the ability of some vitamins and minerals to act directly on connective and bone tissue and the immune system.

We know that the most relevant Micronutrients are: Calcium, Magnesium, Vitamins: A, B, C, D, E, K, Hydrolyzed Collagen, Coenzyme Q10, Bioflavonoids, and Betacarotenes.

I will refer primarily to calcium and vitamin D on this occasion.

Calcium: It is the most abundant mineral element in our body. It is involved in mineralizing skeletal and dental tissue and regulating cellular functions in practically all body tissues.

Nowadays, we frequently observe the appearance of bone demineralization and osteoporosis associated with our current diet, which does not favor or enhance its absorption.

Vitamin D: It acts as a regulator of the immune response to infectious processes, regulates calcium homeostasis and bone mineral metabolism, and stimulates the production of the bone matrix of osteoblasts, thus optimizing the remodeling and formation of bone tissue.

Treatment with vitamin D shows a significant increase in peri-implant bone density, in the bone-implant contact, in a 1.5-fold greater ratio, and an improvement in the peri-implant trabecular microarchitecture. Zhou et al. (2012).

It must be remembered that in Spain, 80% of the population is deficient in Vitamin D. This situation is alarming and does not differ much from the situation in other European countries.

If we understand the role of Vitamin D and Calcium in the new bone formation process, what are we doing as professionals to improve this condition?

It is crucial to guide the patient regarding a good diet and pre and post-surgical nutritional supplementation.

AVAILABILITY OF MICRONUTRIENTS.

Regarding the previous question, we currently have supplements that allow us to contribute to the regeneration and remineralization of bone tissue directly.

Osteo Implant has a unique composition, which incorporates Ovocet® as a molecular vehicle or transport protein that ensures the bioavailability of micronutrients in the intervention area, constitutes a source of calcium, magnesium, Vitamins: C, D and E, as well as Zinc, Beta carotenes, Bioflavonoids and coenzyme Q10 that act directly on the organic matrix of the bone, increasing bone density.

This is an option that the clinician can incorporate into the pre and post-surgical protocol to contribute to the presence of these micronutrients in the regenerative process.

Although it is not a guarantee, it is a factor that positively affects the recovery of supporting tissues.

A thorough treatment plan should consider the indication of products that favor the processes of collagen biosynthesis, bone formation, and immune response to achieve a better quality of bone and mucous tissue, which benefits osseointegration in the shortest possible time, achieving stability in the structures, which in turn, will result in an increase in the success rate in the treatments for the Dentist and his patients.

Dr. Roger Swidorowicz

Dentist – Oral Surgeon.

Graduate Professor.