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Related Concept Videos

Bone Remodeling01:40

Bone Remodeling

Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.

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Modified drilling technique in enhancing primary stability in low density bone-An Ex-vivo study.

Mamatha Nanjappa Siddalingappa1, Madhumathi Singh1, Ramesh Chowdhary2

  • 1Department of Oral and Maxillofacial Surgery, Rajarajeswari Dental College and Hospital, Bengaluru, Karnataka, India.

National Journal of Maxillofacial Surgery
|September 29, 2025
PubMed
Summary
This summary is machine-generated.

A new proposed drilling technique and osseodensification technique (OT) significantly improve primary implant stability in low-density bone compared to standard protocols. Both techniques offer comparable, enhanced stability for dental implants in challenging bone conditions.

Keywords:
Bone densitydental implantsosseodensificationosseointegration

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Area of Science:

  • Dental Implantology
  • Biomaterials Science
  • Surgical Techniques

Background:

  • Primary implant stability is crucial for successful osseointegration.
  • Low-density bone (D3, D4) presents significant challenges in achieving adequate primary stability.
  • Existing drilling protocols may be insufficient for optimal implant fixation in compromised bone quality.

Purpose of the Study:

  • To compare the primary stability of dental implants using a proposed drilling technique, standard drilling protocol, and osseodensification technique (OT).
  • To evaluate the efficacy of these techniques in low-density bone conditions.
  • To determine if the proposed technique offers comparable stability to established methods like OT.

Main Methods:

  • An ex-vivo study was conducted using fresh, humid bovine bone.
  • Sixty dental implants were placed, with 20 utilizing the standard drilling protocol, 20 the OT, and 20 the proposed drilling technique.
  • Primary stability was assessed by measuring insertion torque value (N cm) and implant stability quotient (ISQ).

Main Results:

  • The proposed drilling technique and OT yielded significantly higher insertion torque values (>40 N cm in 90% and 65% of implants, respectively) compared to the standard protocol (20-30 N cm in 80%).
  • Mean ISQ values were comparable between the proposed technique (68.31 ± 3.22) and OT (68.06 ± 3.14), both higher than the standard protocol (65.51 ± 2.65).
  • Statistical analysis confirmed significant differences in both insertion torque (P < 0.001) and ISQ (P = 0.008) between the techniques.

Conclusions:

  • The proposed drilling technique achieves primary implant stability comparable to the osseodensification technique in low-density bone.
  • Both the proposed technique and OT demonstrate superior performance over the standard drilling protocol.
  • The proposed drilling technique shows potential for clinical application in improving dental implant success rates in low-density bone environments.