head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2019, vol. 25, issue3
Subject Area: Dental Medicine
-
DOI: 10.5272/jimab.2019253.2606
Published online: 17 July 2019

Review article

J of IMAB. 2019 Jul-Sep;25(3):2606-2610;
OSSEODENSIFICATION AS AN ALTERNATIVE APPROACH IN DENTAL IMPLANTOLOGY FOR IMPLANT SITES WITH INSUFFICIENT AVAILABLE BONE
Elitsa Deliverska1ORCID logo Corresponding Autoremail, Bozhidar Yordanov2ORCID logo,
1) Department of Oral and Maxillofacial surgery, Faculty of Dental Medicine, Medical University-Sofia, Bulgaria
2) Department of Prosthetic Dental Medicine, Faculty of Dental Medicine, Medical University - Sofia, Bulgaria.

ABSTRACT:
Considerations for tooth replacement with osseointegrated dental implants include the biologic conditions of soft and hard tissues in the implant site. The aim of this review is to evaluate osseodensificationas a method for implant site preparation that could enhance bone density, ridge width, and implantprimary and secondary stability. An electronic database search was conducted in PUBMED using appropriate keywords. Osseodensification technique in dental implantology is used to increase the width of available bone and bone-to-implant contactsurface area (BIC)in a low-density bone. Compared to conventional implant drilling techniques, osseodensificationmay increase implant primary stability and reduce micromotion. Osseodensification technique is based on the bone expansion attitude - that widerdiameter implant could be placed in a narrow ridge without creating bone dehiscence or fenestration.

Keywords: bone volume, bone density, implant osteotomy, osseodensification, osseointegration, bone expansion, implant primary stability,

pdf - Download FULL TEXT /PDF 504 KB/
Please cite this article as: Deliverska E, Yordanov B. Osseodensification as an Alternative Approach in Dental Implantology for Implant Sites with Insufficient Available Bone. J of IMAB. 2019 Jul-Sep;25(3):2606-2610. DOI: 10.5272/jimab.2019253.2606

Corresponding AutorCorrespondence to: Assoc. Prof. Elitsa Georgieva Deliverska, Department of Oral and Maxillofacial surgery, Faculty of Dental Medicine, Medical University Sofia; 1, Georgi Sofiiski Blvd., 1431 Sofia, Bulgaria; E-mail: elitsadeliverska@yahoo.com

REFERENCES:
1. Marquezan M, Osório A, Sant'Anna E, Souza MM, Maia L. Does bone mineral density influence the primary stability of dental implants? A systematic review. Clin Oral Implants Res. 2012 Jul;23(7):767-74. [PubMed] [Crossref]
2. Trisi P, De Benedittis S, Perfetti G, Berardi D. Primary stability, insertion torque and bone density of cylindric implant ad modum Branemark: is there a relationship? An in vitro study. Clin Oral Implants Res. 2011 May;22(5):567-70. [PubMed] [Crossref]
3. Turkyilmaz I, Aksoy U, McGlumphy EA. Two alternative surgical techniques for enhancing primary implant stability in the posterior maxilla: A clinical study including bone density, insertion torque, and resonance frequency analysis data. Clin Implant Dent Relat Res. 2008 Dec;10(4):231-7. [PubMed] [Crossref]
4. Dos Santos MV, Elias CN, Cavalcanti Lima JH. The effects of superficial roughness and design on the primary stability of dental implants. Clin Implant Dent Relat Res. 2011 Sep;13(3):215-23. [PubMed] [Crossref]
5. Trisi P, Perfetti G, Baldoni E, Berardi D, Colagiovanni M, Scogna G. Implant micromotion is related to peak insertion torque and bone density. Clin Oral Implants Res. 2009 May;20(5):467-71. [PubMed] [Crossref]
6. Cappare P, Vinci R1, Di Stefano DA, Traini T, Pantaleo G, Gherlone EF, et al. Correlation between Initial BIC and the Insertion Torque/Depth Integral Recorded with an Instantaneous Torque-Measuring Implant Motor: An in vivo Study. Clin Implant Dent Relat Res. 2015 Oct;17 Suppl 2:e613-20. [PubMed] [Crossref]
7. Clinical Periodontology and Implant Dentistry. 2 Volume Set. 6th Edition. Edited by Lang NP, Lindhe J. Wiley-Blackwell. April 2015.
8. Trisi P, Berardini M, Falco A, Podaliri Vulpiani M. New osseodensification implant site preparation method to increase bone density in low-density bone: In vivo evaluation in sheep. Implant Dent. 2016 Feb;25(1):24-31. [PubMed] [Crossref]
9. Peterson’s principles of Oral and Maxillofacial surgery, 2-nd edition, 20144.
10. Salama H, Garber DA, Salama MA, Garber D, Adar P, Rosenberg ES. Fifty years of interdisciplinary site development: lessons and guidelines from periodontal prosthesis. J Esthet Dent. 1998; 10(3):149-56.
11. Huwais S, inventor; Fluted osteotome and surgical method for use. US Patent Application US2013/0004918. January 3, 2013.
12. Huwais S. Autografting Osteotome. Geneva, Switzerland: World Intellectual Property Organization Publication; 2014. WO2014/077920.
13. Huwais S, Meyer EG. A Novel Osseous Densification Approach in Implant Osteotomy Preparation to Increase Biomechanical Primary Stability, Bone Mineral Density, and Bone-to-Implant Contact. Int J Oral Maxillofac Implants. 2017 Jan/Feb;32(1):27-36. [PubMed] [Crossref]
14. Degidi M, Daprile G, Piattelli A. Influence of underpreparation on primary stability of implants inserted in poor quality bone sites: An in vitro study. J Oral Maxillofac Surg. 2015 Jun;73(6):1084-8. [PubMed] [Crossref]
15. Boustany CM, Reed H, Cunningham G, Richards M, Kanawati A. Effect of a modified stepped osteotomy on the primary stability of dental implants in low-density bone: a cadaver study. Int J Oral Maxillofac Implants. 2015 Jan-Feb;30(1):48-55. [PubMed] [Crossref]
16. Campos FE, Gomes JB, Marin C, Tiexeira HS, Suzuki M, Witek L, et al. Effect of drilling dimension on implant placement torque and early osseointegration stages: An experimental study in dogs. J Oral Maxillofac Surg. 2012 Jan;70(1):e43-50. [PubMed] [Crossref].
17. Coelho PG, Marin C, Teixeira HS, Campos FE, Gomes JB, Guastaldi F, et al. Biomechanical evaluation of undersized drilling on implant biomechanical stability at early implantation times. J Oral Maxillofac Surg. 2013 Feb;71(2):e69-75. [PubMed] [Crossref]
18. Munjal S, Munjal S, Hazari P, Mahajan H, Munjal A, Mehta DS. Evaluation of specifically designed implants placed in the low-density jaw bones: A clinico-radiographical study. Contemp Clin Dent. 2015 Jan-Mar;6(1):40-3. [PubMed] [Crossref]
19. Shalabi MM, Wolke JG, de Ruijter AJ, Jansen JA. A Mechanical Evaluation of Implants Placed With Different Surgical Techniques Into the Trabecular Bone of Goats. J Oral Implantol. 2007;33(2):51-58. [Crossref]
20. Shalabi MM, Wolke JG, de Ruijter AJ, Jansen JA. Histological evaluation of oral implants inserted with different surgical techniques into trabecular bone of goats. Clin Oral Implants Res. 2007 Aug;18(4):489-95. [PubMed] [Crossref]
21. Pai UY, Rodrigues SJ, Talreja KS, Mundathaje M. Osseodensification - A novel approach in implant dentistry. J Indian Prosthodont Soc. 2018 Jul-Sep;18(3):196-200. [PubMed] [Crossref]
22. Hansson S, Halldin A. Alveolar ridge resorption after tooth extraction: A consequence of a fundamental principle of bone physiology. J Dent Biomech. 2012;3:1758736012456543. [PubMed] [Crossref]
23. Carlsson G, Persson G. Morphologic changes of the mandible after extraction and wearing dentures: A longitudinal clinical and x-ray cephalometric study covering 5 years. Odontol Revy. 1967;18:27–54.
24. Bassetti MA, Bassetti RG, Bosshardt DD.  The alveolar ridge splitting/expansion technique: a systematic review. Clin Oral Implants Res. 2016 Mar;27(3):310-24. [PubMed] [Crossref]
25. Esposito M, Grusovin MG, Felice P, Karatzopoulos G, Worthington HV, Coulthard P. The efficacy of horizontal and vertical bone augmentation procedures for dental implants - a Cochrane systematic review. Eur J Oral Implantol. 2009 Autumn;2(3):167-84. [PubMed]
26. Stricker A, Fleiner J, Stubinger S, Schmelzeisen R, Dard M, Bosshardt DD. Bone loss after ridge expansion with or without reflection of the periosteum. Clin Oral Implants Res. 2015 May;26(5):529-36. [PubMed] [Crossref]
27. Tang YL, Yuan J, Song YL, Ma W, Chao X, Li DH. Ridge expansion alone or in combination with guided bone regeneration to facilitate implant placement in narrow alveolar ridges: A retrospective study. Clin Oral Implants Res. 2015 Feb;26(2):204–211. [PubMed] [Crossref]
28. Huwais S, Meyer EG. A Novel Osseous Densification Approach in Implant Osteotomy Preparation to Increase Biomechanical Primary Stability, Bone Mineral Density, and Bone-to-Implant Contact. Int J Oral Maxillofac Implants. 2017 Jan/Feb;32(1):27-36. [PubMed]
29. Frost HM. A brief review for orthopedic surgeons: Fatigue damage (microdamage) in bone (its determinants and clinical implications). J Orthop Sci. 1998; 3(5):272-81. [PubMed]
30. Meyer EG, Huwais S. Osseodensification is a Novel Implant Preparation Technique that Increases Implant Primary Stability by Compaction and Auto-Grafting Bone. San Francisco, CA: American Academy of Periodontology; 2014.
31. Huwais S. Enhancing implant stability with osseodensification: A two year follow up. Implant Pract. 2015; 8:28-34.
32. Trisi P, Berardini M, Falco A, Podaliri Vulpiani M. Effect of implant thread geometry on secondary stability, bone density, and bone-to-implant contact: A biomechanical and histological analysis. Implant Dent. 2015 Aug;24(4):384-9. [PubMed]
33. Berardini M, Trisi P, Sinjari B, Rutjes AW, Caputi S. The effects of high insertion torque versus low insertion torque on marginal bone resorption and implant failure rates: A systematic review with meta-analyses. Implant Dent. 2016;25:532-40.
34. Li H, Liang Y, Zheng Q. Meta-analysis of correlations between marginal bone resorption and high insertion torque of dental implants. Int J Oral Maxillofac Implants. 2015;30:767-72.
356. Lahens B, Neiva R, Tovar N, Alifarag AM, Jimbo R, Bonfante EA, et al.Biomechanical and histologic basis of osseodensification drilling for endosteal implant placement in low density bone. An experimental study in sheep. J Mech Behav Biomed Mater. 2016;63:56-65.
36. Swami V, Vijayaraghavan V, Swami V. Current trends to measure implant stability. J Indian Prosthodont Soc. 2016;16:124-30.
37. Coelho PG, Jimbo R. Osseointegration of metallic devices: Current trends based on implant hardware design. Arch Biochem Biophys. 2014;561:99-108.
38.Alghamdi H, Anand PS, Anil S. Undersized implant site preparation to enhance primary implant stability in poor bone density: A prospective clinical study. J Oral Maxillofac Surg. 2011;69:506-12.
39. Degidi M, Dapile G, Piattelli A. Influence of underpreparation on primary stability of implants inserted in poor quality bone sites: An in vitro study. J Oral Maxillofac Surg. 2015;73:1084-8.
40. Summers RB. A new concept in maxillary implant surgery: The osteotome technique. Compendium. 1994 Feb;15(2):152, 154-6, 158 passim; quiz 162. [PubMed]
41. Boustany CM, Reed H, Cunningham G, Richards M, Kanawati A. Effect of a modified stepped osteotomy on the primary stability of dental implants in low-density bone: A cadaver study. Int J Oral Maxillofac Implants. 2015;30:48-55.
42. Campos FE, Gomes JB, Marin C, Teixeira HS, Suzuki M, Witek L, et al.Effect of drilling dimension on implant placement torque and early osseointegrations stages: An experimental study in dogs. J Oral Maxillofac Surg. 2012;70:43-50.
43. Coelho PG, Marin C, Teixeira HS, Campos FE, Gomes JB, Guastaldi F, et al. Biomechanical evaluation of undersized drilling on implant biomechanical stability at early implantation times. J Oral Maxillofac Surg. 2013;71:69-75.
44. Munjal S, Hazari P, Mahajan H, Munjal H, Munjal A, Mehta DS, et al. Evaluation of specifically designed implants placed in the low-density jaw bones: A clinico-radiographical study. Contemp Clin Dent. 2015;6:40-3.
45. Buchter A, Kleinheinz J, Wiesmann HP, Kersken J, Nienkemper M, Weyhrother Hv, et al. Biological and biomechanical evaluation of bone remodelling and implant stability after using an osteotome technique. Clin Oral Implants Res. 2005 Feb;16(1):1-8. [PubMed]
46. Stavropoulos A, Nyengaard JR, Lang NP, Karring T. Immediate loading of single SLA implants: Drilling vs. Osteotomes for the preparation of the implant site. Clin Oral Implants Res. 2008;19:55-65.
47. Gil LF, Sarendranath A, Neiva R, Marao HF, Tovar N, Bonfante EA, et al. Bone Healing Around Dental Implants: Simplified vs Conventional Drilling Protocols at Speed of 400 rpm. Int J Oral Maxillofac Implants. 2017 Mar/Apr;32(2):329-336. [PubMed] [Crossref].

Received: 19 February 2019
Published online: 17 July 2019

back to Online Journal