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Comparative Evaluation of Osseodensification vs Conventional Osteotomy Technique on Primary and Secondary Implant
Sudhakar Arpudaswamy1, S Syed A Ali2, Suma Karthigeyan2
1Department of Dental & Maxillofacial Surgey, Bangalore Baptist Hospital, Hebbal, Bengaluru, Karnataka, India, Phone: +91 9945961100,
The Journal of Contemporary Dental Practice
|February 5, 2025
Summary
Osseodensification drills (OD) improved initial and long-term implant stability compared to conventional drills in rabbit models with low-density bone. This technique enhances bone density, potentially leading to better osseointegration and faster healing for patients.
Area of Science:
- Biomaterials Science
- Orthopedic Surgery
- Dental Implantology
Background:
- Primary and secondary implant stability are crucial for successful dental implant treatment.
- Low-density bone presents challenges for achieving adequate implant stability.
- Osseodensification (OD) is a novel drilling technique aimed at enhancing bone density and implant stability.
Purpose of the Study:
- To compare primary and secondary implant stability metrics between conventional drills and OD in rabbit femoral condyles.
- To evaluate insertion torque and implant stability quotient (ISQ) at placement and after three months.
Main Methods:
- Eight New Zealand white rabbits underwent bilateral femoral condyle implant placement.
- Implants were inserted using conventional drills (Group I) and OD (Group II).
- Primary stability was assessed via insertion torque and ISQ; secondary stability via ISQ at three months.
Main Results:
- OD group showed significantly higher insertion torque (33.00 ± 1.309 Ncm) vs. conventional (31.13 ± 1.727 Ncm).
- ISQ at three months was significantly higher in the OD group (75 ± 6.85) vs. conventional (67.25 ± 6.45).
- ISQ changes over time were significant (p=0.001), but ISQ at placement was not significantly different between groups.
Conclusions:
- Osseodensification significantly enhances both primary and secondary implant stability in low-density bone models.
- The OD technique improves bone density and volume around implants, leading to superior stability.
- These findings suggest OD may improve osseointegration and reduce healing times in compromised bone quality.
