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Radiographic alveolar bone assessment in correlation with primary implant stability: A systematic review and
Ramadhan Hardani Putra1, Upul Cooray1,2, Aga Satria Nurrachman1
1Department of Dentomaxillofacial Radiology, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
Clinical Oral Implants Research
|October 16, 2023
Summary
Alveolar bone density and thickness significantly impact primary implant stability (PIS). Lower bone quality, assessed via CBCT/MDCT, correlates with reduced implant stability (ISQ, ITV, PTV), potentially affecting osseointegration.
Area of Science:
- Dentistry
- Oral and Maxillofacial Surgery
- Radiology
Background:
- 3D radiographic imaging is crucial for dental implant treatment planning.
- Alveolar bone parameters like density and cortical thickness are key considerations.
- Assessing these parameters aids in predicting primary implant stability (PIS).
Purpose of the Study:
- To systematically review and quantitatively analyze the correlation between alveolar bone parameters and primary implant stability.
- To investigate the relationship between bone density, cortical thickness, and PIS metrics (ISQ, PTV, ITV).
Main Methods:
- Systematic literature search of PubMed, SCOPUS, and Web of Science databases.
- Inclusion of 26 studies (17 prospective, 8 retrospective, 1 nonrandomized trial) analyzing 3109 implants.
- Meta-analysis of 23 studies using a multilevel random-effects model to determine correlation coefficients.
Main Results:
- A significant correlation was found between alveolar bone condition and ISQ (r=0.60), ITV (r=0.52), and PTV (r=-0.42).
- Lower bone density and thinner cortical bone were associated with reduced PIS.
- The findings were robust across various study designs and patient cohorts.
Conclusions:
- Alveolar bone quality is a significant predictor of primary implant stability.
- Treatment planning and surgical techniques may require adjustments for patients with low bone density or thin cortical bone.
- Optimizing implant placement in relation to bone quality is essential for successful osseointegration.
