Evaluation of specifically designed implants placed in the low-density jaw bones: A clinico-radiographical study

Abstract

Aim:In the less dense bone, it is difficult to obtain implant anchorage. The present study was undertaken to determine the survival rate of Maestro™ implants placed in d3 and d4 bones.Materials and Methods:Fourteen patients (10 males and 4 females) were selected for the study and implants were evaluated for posttreatment changes in at 3, 6, 9 and 12 months from implant placement. The implant probing depth and mobility were recorded 3 and 6 months after prosthesis placement. Also, peri-implant bone level was assessed at the baseline and 12 months postoperatively, followed by a statistical analysis.Results:The mean plaque and gingival indices showed a reduction at repeated intervals. The mean sulcular bleeding showed a slight reduction which was statistically significant. An overall mean bone loss was observed after 12 months follow-up, which was statistically not significant. The overall survival rate of implants was reported as 92.3%.Conclusion:The specific implant used in the study is advantageous in the soft bone condition.Clinical Significance:Although, there is a great evidence of implant failure in compromised jaw quality, the newer designs and approaches suggest that the poor quality is not a contraindication.

Osseodensification – A novel approach in implant dentistry

“…Observations were also made of different healing patterns and peri-implant bone-remodeling models. [293031] The alternative to implant drilling procedures in the posterior maxilla is the osteotome technique[27] that aims to compact the bone with the mechanical action of cylindrical instruments along the osteotomy walls. This procedure created trabecular fractures with debris, which caused an obstruction to the process of osseointegration.…”

New Osseodensification Implant Site Preparation Method to Increase Bone Density in Low-Density Bone

“…Different healing patterns and periimplant bone remodeling models were also observed 16 , 17 between standard site preparation and undersized implant site preparation. Specifically designed implants for low-density bone were also developed 18 testifying the hardness of the challenge to reach a sufficient implant stability in poor bone density.…”

Maxillary sinus lifting using Osseodensification: Cynosure of the implant domain

“…Besides, an implant diagnosed as a clinical failure is easier to describe than one that is a success. 8 The absence of smoking and bruxism was taken into account in our case during case selection as its detrimental to osseointegration right from early healing stage. 9 Recent scientific documentation regarding certain short-length implants 9 have presented to bypass the SFE necessitation and are predictable alternative, as well.…”

“…Implant stability is pivotal for OI and the determining factors are bone density, surgical protocol, and implant thread type, and geometry. 3,8 Furthermore, accomplishment of a direct bone to -implant interface is the ultimate goal in implant dentistry. 10 In fact, a 100% success was demonstrated on low density jaw bones previously, 8 by virtue of an increased bone-to-implant -contact (BIC).…”

“…3,8 Furthermore, accomplishment of a direct bone to -implant interface is the ultimate goal in implant dentistry. 10 In fact, a 100% success was demonstrated on low density jaw bones previously, 8 by virtue of an increased bone-to-implant -contact (BIC). SD for osteotomy preparation works by cutting the bone in order to create an implant site according to the implant's shape and diameter.…”