Aseel R Hindi1, Salwan Y Bede2. 1. B.D.S. Department of Oral and Maxillofacial surgery, College of Dentistry, University of Baghdad Bab- Almoadham, Medical City, Baghdad, Iraq. 2. B.D.S., F.I.B.M.S. Professor. Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Bagh-dad Bab- Almoadham, Medical City, Baghdad, Iraq.
Abstract
BACKGROUND: The aims of this study were to evaluate the effect of implant site preparation in low-density bone using osseodensification method in terms of implant stability changes during the osseous healing period and peri-implant bone density using CBCT. MATERIAL AND METHODS: This prospective observational clinical study included 24 patients who received 46 dental implants that were installed in low-density bone using the osseodensification method. CBCT was used to measure the bone density pre- and postoperatively and implant stability was measured using Periotest® immediately after implant insertion and then after 6 weeks and 12 weeks postoperatively. The data were analyzed using paired t-test and the probability value <0.05 was considered statistically significant. RESULTS: Of the 46 implants, 43 were osseointegrated making the early survival of the implants 93.5%. There was a significant increase in bone density postoperatively; 337.6 ±182.9 compared to 265.3 ±173.9 Hounsfield units preoperatively. The primary implant stability was -2.7 ± 2.13 Periotest values (PTV), at the 6th week it decreased significantly (p<0.0001) to become 0.7 (± 4) PTV, and at the 12th week (secondary stability) it increased significantly (p<0.0001) to become -2.1 (± 2.8) PTV. The difference between primary and secondary stability was statistically non-significant (p=0.0814). CONCLUSIONS: Osseodensification resulted in high primary stability and increased peri-implant bone density but it did not prevent the implant stability drop during the first 6 weeks after insertion of implants. Key words:Osseodensification, implant stability, low-density bone. Copyright:
BACKGROUND: The aims of this study were to evaluate the effect of implant site preparation in low-density bone using osseodensification method in terms of implant stability changes during the osseous healing period and peri-implant bone density using CBCT. MATERIAL AND METHODS: This prospective observational clinical study included 24 patients who received 46 dental implants that were installed in low-density bone using the osseodensification method. CBCT was used to measure the bone density pre- and postoperatively and implant stability was measured using Periotest® immediately after implant insertion and then after 6 weeks and 12 weeks postoperatively. The data were analyzed using paired t-test and the probability value <0.05 was considered statistically significant. RESULTS: Of the 46 implants, 43 were osseointegrated making the early survival of the implants 93.5%. There was a significant increase in bone density postoperatively; 337.6 ±182.9 compared to 265.3 ±173.9 Hounsfield units preoperatively. The primary implant stability was -2.7 ± 2.13 Periotest values (PTV), at the 6th week it decreased significantly (p<0.0001) to become 0.7 (± 4) PTV, and at the 12th week (secondary stability) it increased significantly (p<0.0001) to become -2.1 (± 2.8) PTV. The difference between primary and secondary stability was statistically non-significant (p=0.0814). CONCLUSIONS: Osseodensification resulted in high primary stability and increased peri-implant bone density but it did not prevent the implant stability drop during the first 6 weeks after insertion of implants. Key words:Osseodensification, implant stability, low-density bone. Copyright:
Authors: Christopher D Lopez; Adham M Alifarag; Andrea Torroni; Nick Tovar; J Rodrigo Diaz-Siso; Lukasz Witek; Eduardo D Rodriguez; Paulo G Coelho Journal: J Mech Behav Biomed Mater Date: 2017-01-13
Authors: Bradley Lahens; Rodrigo Neiva; Nick Tovar; Adham M Alifarag; Ryo Jimbo; Estevam A Bonfante; Michelle M Bowers; Marla Cuppini; Helora Freitas; Lukasz Witek; Paulo G Coelho Journal: J Mech Behav Biomed Mater Date: 2016-06-10