A comparative study on bone density before and after implant placement using osseodensification technique: a clinical...

Area of Science:

• Dental Implantology
• Oral Surgery
• Biomaterials Engineering

Background:

• Primary implant stability is crucial for dental implant success, heavily influenced by bone density at the osteotomy site.
• Conventional drilling methods can negatively impact bone volume and quality, compromising implant stability.
• Osseodensification is a novel technique designed to preserve and enhance bone density during osteotomy preparation.

Purpose of the Study:

• To evaluate the impact of osseodensification on bone density and primary implant stability.
• To compare pre-operative and post-operative bone densities using advanced imaging and analysis.
• To assess the efficacy of osseodensification in improving the bone bed for dental implants.

Main Methods:

• A study involving 32 patients undergoing dental implant surgery.
• Osseodensification drills were used for osteotomy preparation in a counter-clockwise direction.
• Pre- and post-operative bone densities were measured using Dentascan (CT) and analyzed with Radiant DICOM software.

Main Results:

• A statistically significant increase in bone density was observed post-operatively (p < 0.001).
• The most substantial bone density improvement occurred in the distal region, followed by mesial and apical regions.
• Osseodensification effectively enhanced bone density, particularly in the distal osteotomy site, improving primary stability.

Conclusions:

• Osseodensification is a significant advancement in implant dentistry, improving osteotomy preparation.
• The technique enhances primary implant stability by preserving and increasing bone density through autograft compaction.
• Osseodensification offers potential benefits for indirect sinus lifts and alveolar ridge expansion, advocating for its clinical adoption.