Radiographic alveolar bone assessment in correlation with primary implant stability: A systematic review and meta‐analysis

Putra, Ramadhan Hardani; Cooray, Upul; Nurrachman, Aga Satria; Yoda, Nobuhiro; Judge, Roy; Putri, Dina Karimah; Astuti, Eha Renwi

doi:10.1111/clr.14195

Cited by 4 publications

(2 citation statements)

References 87 publications

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“…Cone-beam computed tomography (CBCT) is used in implant planning to generate multiplanar and three-dimensional pictures that enhance the clinical outcome. By incorporating CBCT into implant planning, clinicians can evaluate the condition of the alveolar bone, which is directly related to the success rate of implants, in order to predict primary stability [ 5 ]. This information can assist the surgeon in choosing suitable dental implant and surgical techniques prior to careful placement.…”

Section: Introductionmentioning

confidence: 99%

Accuracy of implant placement with computer-aided static, dynamic, and robot-assisted surgery: a systematic review and meta-analysis of clinical trials

Khaohoen,

Powcharoen,

Sornsuwan

et al. 2024

BMC Oral Health

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This systematic review explores the accuracy of computerized guided implant placement including computer-aided static, dynamic, and robot-assisted surgery. An electronic search up to February 28, 2023, was conducted using the PubMed, Embase, and Scopus databases using the search terms “surgery”, “computer-assisted”, “dynamic computer-assisted”, “robotic surgical procedures”, and “dental implants”. The outcome variables were discrepancies including the implant’s 3D-coronal, -apical and -angular deviations. Articles were selectively retrieved according to the inclusion and exclusion criteria, and the data were quantitatively meta-analysed to verify the study outcomes. Sixty-seven articles were finally identified and included for analysis. The accuracy comparison revealed an overall mean deviation at the entry point of 1.11 mm (95% CI: 1.02–1.19), and 1.40 mm (95% CI: 1.31–1.49) at the apex, and the angulation was 3.51˚ (95% CI: 3.27–3.75). Amongst computerized guided implant placements, the robotic system tended to show the lowest deviation (0.81 mm in coronal deviation, 0.77 mm in apical deviation, and 1.71˚ in angular deviation). No significant differences were found between the arch type and flap operation in cases of dynamic navigation. The fully-guided protocol demonstrated a significantly higher level of accuracy compared to the pilot-guided protocol, but did not show any significant difference when compared to the partially guided protocol. The use of computerized technology clinically affirms that operators can accurately place implants in three directions. Several studies agree that a fully guided protocol is the gold standard in clinical practice.

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Section: Introductionmentioning

confidence: 99%

Accuracy of implant placement with computer-aided static, dynamic, and robot-assisted surgery: a systematic review and meta-analysis of clinical trials

Khaohoen,

Powcharoen,

Sornsuwan

et al. 2024

BMC Oral Health

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“…The preparation of the implant site has been studied in detail by numerous studies, paying particular attention to the effects of insertion torque on osteointegration [27][28][29][30][31][32][33][34][35][36], and cortical compression on marginal bone resorption [37][38][39].…”

Section: Introductionmentioning

confidence: 99%

Influence on marginal bone levels at implants equipped with blades aiming to control the lateral pressure on the cortical bone. An experimental study in dogs

Kanayama,

Ferri,

Guzon

et al. 2024

Oral Maxillofac Surg

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BackgroundTo avoid cortical compression, several implant systems have included dedicated drills aimed at widening the cortical region of osteotomy. However, the manual execution of this operation does not guarantee the necessary precision. Hence, the present study aimed to determine the optimal size of the recipient site at the level of the alveolar crest in relation to the size of the coronal region of the implant to achieve the best healing result. Materials and methods: Blades of different diameters were incorporated into the coronal part of the implant to prepare the cortical region of the bone crest in different dimensions in relation to the collar of the implant. The differences in diameter of the blades in relation to the collar of the implant were as follows: one control group, -175 µm, and three test groups, 0 µm, + 50 µm, or + 200 µm. Results: The marginal bone loss (MBL) at the buccal aspect was 0.7 mm, 0.5 mm, 0.2 mm, and 0.7 mm in the − 175 µm, 0.0 µm, + 50 µm, + 200 µm groups, respectively. The differences were statistically signi cant between group + 50 µm and control group − 175 µm (p = 0.019), and between + 50 µm and + 200 µm (p < 0.01) groups. The level of osseointegration at the buccal aspect was more coronally located in the test groups than in the control group, whereas the bone-to-implant contact percentage was higher in the + 50 µm and + 200 µm groups. However, these differences were not statistically signi cant. Conclusions: The lowest bone crest resorption and highest levels of osseointegration were observed in the 0.0 µm and + 50 µm groups. Only the difference between the + 50 µm and control + 200 µm groups was signi cant. The cortical region where the blades had performed their cutting action showed regular healing with perfect sealing in all the groups. Cortical blades gathered bone particles, particularly in the + 200 µm group, which were incorporated into the newly formed bone. The results from the present experiment provide support to the use of blades that produce a marginal gap of 50 µm after implant insertion.

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Evaluation of bone integrity around the acetabular cup using noninvasive laser resonance frequency analysis

Hatakeyama,

Nakashima,

Mikami

et al. 2024

Journal Orthopaedic Research

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Resonance frequency analysis (RFA) is valuable for assessing implant status. In a previous investigation, acetabular cup fixation was assessed using laser RFA and the pull‐down force was predicted in an in vitro setting. While the pull‐down force alone is sufficient for initial fixation evaluation, it is desirable to evaluate the bone strength of the foundation for subsequent fixation. Diminished bone quality causes micromotion, migration, and protracted osseointegration, consequently elevating susceptibility to periprosthetic fractures and failure of ingrained trabecular bone. Limited research exists on the evaluation of bone mineral density (BMD) around the cup using RFA. For in vivo application of laser RFA, we implemented the sweep pulse excitation method and engineered an innovative laser RFA device having low laser energy and small dimensions. We focused on a specific frequency range (2500–4500 Hz), where the peak frequency was presumed to be influenced by foundational density. Quantitative computed tomography with a phantom was employed to assess periprosthetic BMD. Correlation between the resonance frequency within the designated range and the density around the cup was evaluated both in the laboratory and in vivo using the novel laser RFA device. The Kruskal–Wallis test showed robust correlations in both experiments (laboratory study: R = 0.728, p < 0.001; in vivo study: R = 0.619, p < 0.001). Our laser RFA system can assess the quality of bone surrounding the cup. Laser RFA holds promise in predicting the risk of loosening and might aid in the decision‐making process for additional fixation through screw insertion.

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Radiographic alveolar bone assessment in correlation with primary implant stability: A systematic review and meta‐analysis

Cited by 4 publications

References 87 publications

Accuracy of implant placement with computer-aided static, dynamic, and robot-assisted surgery: a systematic review and meta-analysis of clinical trials

Accuracy of implant placement with computer-aided static, dynamic, and robot-assisted surgery: a systematic review and meta-analysis of clinical trials

Influence on marginal bone levels at implants equipped with blades aiming to control the lateral pressure on the cortical bone. An experimental study in dogs

Evaluation of bone integrity around the acetabular cup using noninvasive laser resonance frequency analysis

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