Implant stability using piezoelectric bone surgery compared with conventional drilling: a systematic review and...

Area of Science:

• Dental Implantology
• Biomaterials Science
• Surgical Techniques

Background:

• Assessing dental implant stability is crucial for successful osseointegration.
• Comparing novel surgical techniques like piezoelectric bone surgery (PBS) with conventional drilling (CD) is essential for clinical practice.
• Understanding the impact of preparation methods on primary and secondary implant stability informs treatment planning.

Purpose of the Study:

• To systematically review and compare the primary and secondary stability of dental implants.
• To evaluate implants placed in sites prepared by piezoelectric bone surgery (PBS) versus conventional drilling (CD).
• To analyze implant survival rates associated with each preparation method.

Main Methods:

• Systematic review and meta-analysis of controlled clinical trials.
• Searched PubMed/MEDLINE and Cochrane Library databases up to June 2017.
• Included studies measuring implant stability on day 0 and during osseointegration; assessed methodological quality.

Main Results:

• No significant difference in primary implant stability (day 0) between PBS and CD groups (P=0.51).
• Statistically higher secondary stability observed with PBS preparation at 2 months (P=0.04) and 3 months (P=0.01).
• Implant survival rates were 97.5% for CD and 100% for PBS.

Conclusions:

• Piezoelectric bone surgery (PBS) enhances secondary dental implant stability at 2 and 3 months post-surgery compared to conventional drilling (CD).
• Both techniques demonstrate comparable implant survival rates.
• Further research is warranted to explore potential reductions in osseointegration periods using PBS.