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Optimised Implant Selection Using Digital Volume Tomography (DVT) Osteodensitometry
Manfred Nilius1,2, Jörg Winterhoff1
1Niliusklinik, Londoner Bogen 6, D-44269 Dortmund, Germany.
Case Reports in Dentistry
|February 24, 2022
Summary
Digital volume tomography (DVT) osteodensitometry allows for pre-surgical assessment of jaw bone density, optimizing implant selection for enhanced primary stability. This method predicts implant stability before surgery, improving outcomes.
Area of Science:
- Dental Implantology
- Oral Surgery
- Radiology
Background:
- Jaw bone density is unevenly distributed, complicating pre-surgical assessment of implant stability.
- Conventional implant placement relies on post-operative evaluation for primary stability.
- Variability in bone density can impact the success of dental implants.
Observation:
- Digital volume tomography (DVT) with osteodensitometry was used for pre-implantological diagnosis.
- Orthopantomograms and vertical sections with bone density measurements were obtained.
- Densitometric simulation was performed alongside conventional implant planning.
Findings:
- DVT osteodensitometry accurately assessed bone density at the implant-bone interface preoperatively.
- The procedure provided detailed bone density distribution, enabling selection of implants with optimal geometry and position.
- Maximum insertion torques correlated with predicted stability, validating the densitometric assessment.
Implications:
- DVT osteodensitometry facilitates the selection of implants tailored to specific bone density patterns.
- Predictable primary stability allows for pre-defined loading protocols, enhancing treatment planning.
- Integrating DVT osteodensitometry into implant planning software is recommended for improved clinical outcomes.
