Implant stability and crestal bone level in osseodensification and conventional drilling protocols: A systematic review and meta-analysis

Kalra, Janvi; Dhawan, Pankaj; Jain, Neha

doi:10.1016/j.prosdent.2024.07.036

The Journal of Prosthetic Dentistry

2024

DOI: 10.1016/j.prosdent.2024.07.036

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Implant stability and crestal bone level in osseodensification and conventional drilling protocols: A systematic review and meta-analysis

Janvi Kalra,

Pankaj Dhawan,

Neha Jain

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2024

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Influence of Trabecular Bone Presence on Osseodensification Instrumentation: An In Vivo Study in Sheep

Stauber,

Wu,

Herbert

et al. 2024

Biomimetics

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Osseodensification enhances the stability of endosteal implants. However, pre-clinical studies utilizing osseodensification instrumentation do not account for the limited presence of trabeculae seen clinically. This study aimed to evaluate the effect of osseodensification instrumentation on osteotomy healing in scenarios with and without the presence of trabecular bone. A ~10 cm incision was made over the hip of twelve sheep. Trabecular bone was surgically removed from twelve sites (one site/animal; negative control (Neg. Ctrl)) and left intact at twelve sites (one site/animal; experimental group (Exp.)). All osteotomies were created using the osseodensification drilling protocol. Each osteotomy received an endosteal implant and was evaluated after 3 or 12 weeks of healing (n = 6 animals/time). Histology revealed increased woven and lamellar bone surrounding the implants in the Exp. group relative to the Neg. Ctrl group. The Exp. group demonstrated the presence of bone fragments, which acted as nucleating sites, thereby enhancing the bone formation and remodeling processes. Bone-to-implant contact (%BIC) and bone area fractional occupancy (%BAFO) were significantly higher in the Exp. group relative to the Neg. Ctrl group both at 3 weeks (p = 0.009 and p = 0.043) and 12 weeks (p = 0.010 and p = 0.008). Osseodensification instrumentation in the presence of trabecular bone significantly improved osseointegration. However, no negative influences such as necrosis, inflammation, microfractures, or dehiscence were observed in the absence/limited presence of trabeculae.

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Influence of Trabecular Bone Presence on Osseodensification Instrumentation: An In Vivo Study in Sheep

Stauber,

Wu,

Herbert

et al. 2024

Biomimetics

View full text Add to dashboard Cite

show abstract

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Implant stability and crestal bone level in osseodensification and conventional drilling protocols: A systematic review and meta-analysis

Cited by 1 publication

References 26 publications

Influence of Trabecular Bone Presence on Osseodensification Instrumentation: An In Vivo Study in Sheep

Influence of Trabecular Bone Presence on Osseodensification Instrumentation: An In Vivo Study in Sheep

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