Ibrahim, A., Ayad, S., ElAshwah, A. (2020). THE EFFECT OF OSSEODENSIFICATION TECHNIQUE ON IMPLANT STABILITY (CLINICAL TRIAL). test, 45(2), 1-7. doi: 10.21608/adjalexu.2020.86758
Ahmed M. Ibrahim; Sherif S. Ayad; Adham ElAshwah. "THE EFFECT OF OSSEODENSIFICATION TECHNIQUE ON IMPLANT STABILITY (CLINICAL TRIAL)". test, 45, 2, 2020, 1-7. doi: 10.21608/adjalexu.2020.86758
Ibrahim, A., Ayad, S., ElAshwah, A. (2020). 'THE EFFECT OF OSSEODENSIFICATION TECHNIQUE ON IMPLANT STABILITY (CLINICAL TRIAL)', test, 45(2), pp. 1-7. doi: 10.21608/adjalexu.2020.86758
Ibrahim, A., Ayad, S., ElAshwah, A. THE EFFECT OF OSSEODENSIFICATION TECHNIQUE ON IMPLANT STABILITY (CLINICAL TRIAL). test, 2020; 45(2): 1-7. doi: 10.21608/adjalexu.2020.86758

THE EFFECT OF OSSEODENSIFICATION TECHNIQUE ON IMPLANT STABILITY (CLINICAL TRIAL)

Alexandria Dental Journal
Article 1, Volume 45, Issue 2, August 2020, Pages 1-7    PDF (630.49 K)
Document Type: Original Article
DOI: 10.21608/adjalexu.2020.86758
Authors
Ahmed M. Ibrahim* 1; Sherif S. Ayad2; Adham ElAshwah3
1BDS, Faculty of Dentistry, Alexandria University
2Professor of Oral and Maxillofacial Surgery, Faculty of Dentistry Alexandria University.
3Lecturer of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University.
Abstract
Introduction: Dental implants primary or initial stability originates from the engagement with the cortical bone mechanically, whereas the secondary stability signifies the stability biologically by means of osseointegration through the bone formation and remodeling from the cancellous bone. Osseodensification is an innovative biomechanical technique to prepare the site. It uses Densifying Burs to produce low plastic deformation owing to its non-removal densifying method of site preparation, which preserves the bone enhancing the host site.
Objectives: To evaluate the osseodensification (OD) technique used in implant site preparation by using the newly designed burs (Densah burs), and its effect on enhancing implant primary and secondary stability.
Material and Methods: Twenty dental implants were placed in ten patients; each patient received one implant using the new Osseodensification drilling technique and one implant using the conventional drilling technique in the posterior maxillary ridge. Osstell was used in measuring resonance frequency (ISQ-scale) which is used to determine the amount of implant stability.
Results: The results showed a significant improvement in both primary and secondary stability using densah burs.
Conclusions: Densah burs produce better bone quality around the implant than conventional drills, and therefore, there is an improvement in the primary and secondary stability.
Keywords
Osseodensification; Densah; Dental Implants; Implant Stability; in vitro
References
  1. Meredith N. Assessment of implant stability as a prognostic determinant. Int J Prosthodont. 1998;11(5).
  2. Marquezan M, Osorio 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;23(7):767-74.
  3. Hao Y, Zhao W, Wang Y, Yu J, Zou D. Assessments of jaw bone density at implant sites using 3D cone-beam computed tomography. Eur Rev Med Pharmacol. 2014:6.
  4. Lee SH, Kim YS, Kim WK, Lee YK. Immediate implant placement in areas of aesthetic priority. J Korean Acad Periodontol. 2007;37(3):637-46.
  5. Meredith N. Assessment of implant stability as a prognostic determinant. Int J Prosthodont. 1998;11(5):491-501. 
  6. 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;10(4):231-7.
  7. 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;73(6):1084-8.
  8. Tabassum A, Walboomers XF, Wolke JG, Meijer GJ, Jansen JA. Bone particles and the undersized surgical technique. J Dent Res. 2010;89(6):581-6.
  9. Tabassum A, Meijer GJ, Walboomers XF, Jansen JA. Evaluation of primary and secondary stability of titanium implants using different surgical techniques. Clin Oral Implants Res. 2014;25(4):487-92.
  10. Kanathila H, Pangi A. An Insight into the Concept of Osseodensification-Enhancing the Implant Stability and Success. J Clin Diagn. 2018;12(7):1-3.
  11. Asnani K. Deceiving the Uncertainty of Primary Stability: Densah [R] Burs. J Int Clin Dent Res Organ. 2017;9(2):52-.
  12. 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. 2016;63:56-65.
  13. Hofbauer A, Huwais S. Osseodensification facilitates ridge expansion with enhanced implant stability in the maxilla: part II case report with 2-year follow-up. Implant Practice. 2015;8(2):14-21.
  14. Porter JA, von Fraunhofer JA. Success or failure of dental implants? A literature review with treatment considerations. General dentistry. 2005;53(6):423-32.
  15. Nagarajan A, Perumalsamy R, Thyagarajan R, Namasivayam A. Diagnostic imaging for dental implant therapy. J Clin Imaging Sci. 2014;4(Suppl 2):4.
  16. Al-Juboori MJ, AbdulRahaman SB. The Effect of Flapless and Full-thickness Flap Techniques on Implant Stability During the Healing Period. The open dentistry journal. 2015;9:243-9.
  17. Ahmad N, Saad N. Effects of antibiotics on dental implants: a review. Journal of clinical medicine research. 2012;4(1):1-6.
  18. Larjava H. Oral wound healing: Cell Biology and Clinical Management: John Wiley & Sons; 2012.
  19. 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;32(1):27-36.
  20. Han J, Lulic M, Lang NP. Factors influencing resonance frequency analysis assessed by Osstell mentor during implant tissue integration: II. Implant surface modifications and implant diameter. Clin Oral Implants Res. 2010;21(6):605- 11.
  21. Albrektsson T, Branemark PI, Hansson HA, Lindstrom J. Osseointegrated titanium implants. Requirements forensuring a long-lasting, direct bone-to-implant anchorage in man. Acta orthopaedica Scandinavica. 1981;52(2):155-70.
  22. Zanatta RF, da Silva TM, Esper MALR, Bresciani E, Caneppele TMF, de Paiva Gonçalves SE. Guidelines for conducting split-mouth clinical studies in restorative dentistry. Brazilian Dental Science. 2017;20(2):29-37.
  23. Clementini M, Rossetti P, Penarrocha D, Micarelli C, Bonachela W, Canullo L. Systemic risk factors for periimplant bone loss: a systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2014;43(3):323-34.
  24. Manfredini D, Poggio CE, Lobbezoo F. Is bruxism a risk factor for dental implants? A systematic review of the literature. Clin Implant Dent Relat Res. 2014;16(3):460-9.
  25. Kate MA, Palaskar S, Kapoor P. Implant failure: A dentist's nightmare. J Dent Implant. 2016;6(2):51.
  26. Scharf DR, Tarnow DP. Success rates of osseointegration for implants placed under sterile versus clean conditions. J Periodontol. 1993;64(10):954-6.
  27. Cassetta M, Sofan AA, Altieri F, Barbato E. Evaluation of alveolar cortical bone thickness and density for orthodontic mini-implant placement. J Clin Exp Dent. 2013;5(5):e245.
  28. Bornstein MM, Scarfe WC, Vaughn VM, Jacobs R. Cone beam computed tomography in implant dentistry: a systematic review focusing on guidelines, indications, and radiation dose risks. Int J Oral Maxillofac Implants. 2014;29:55-77.
  29. Pedroso LAdM, Garcia RR, Leles JLR, Leles CR, Silva MAGS. Impact of cone-beam computed tomography on implant planning and on prediction of implant size. Braz Oral Res. 2014;28(1):46-53.
  30. Chasioti E, Sayed M, Drew H. Novel techniques with the aid of a staged CBCT guided surgical protocol. Case Rep Dent. 2015;2015.
  31. Fickl S, Zuhr O, Wachtel H, Bolz W, Huerzeler MB. Hard tissue alterations after socket preservation: an experimental study in the beagle dog. Clin Oral Implants Res. 2008;19(11):1111-8.
  32. Kim J-R, Kim S-H, Kim I-R, Park B-S, Kim Y-D. Low-level laser therapy affects osseointegration in titanium implants: resonance frequency, removal torque, and histomorphometric analysis in rabbits. J Korean Assoc Oral Maxillofac Surg. 2016;42(1):2-8.
  33. Becker W, Wikesjö UM, Sennerby L, Qahash M, Hujoel P, Goldstein M, et al. Histologic evaluation of implants following flapless and flapped surgery: a study in canines. J Periodontol. 2006;77(10):1717-22.
  34. Becker W. Guided tissue regeneration for implants placed into extraction sockets and for implant dehiscences: Surgical techniques and case reports. Int J Periodont Rest Dent. 1990;10:377-91.
  35. Meredith N, Books K, Fribergs B, Jemt T, Sennerby L. Resonance frequency measurements of implant stability in viva. A cross‐sectional and longitudinal study of resonance frequency measurements on implants in the edentulous and partially dentate maxilla. Clin Oral Implants Res. 1997;8(3):226-33.
  36. Meredith N, Alleyne D, Cawley P. Quantitative determination of the stability of the implant‐tissue interface using resonance frequency analysis. Clin Oral Implants Res. 1996;7(3):261-7.
  37. Berardini M, Trisi P, Falco A. introduction of a new noninvasive parameter to measure implant secondary stability and osseointegration: Value of Actual Micromotion (vam). Clin Oral Implants Res. 2015;26:89.
Statistics
Article View: 2,125
PDF Download: 2,902