Exploring the concepts of osseodensification in implants

Abstract

With the advent of the osseointegration concept, dental implants have gained popularity as an alternative to oral and maxillofacial rehabilitation therapies. Delays in osseointegration adversely affect the bone-to-implant contact of the BIC, which might result from low bone density. Low-density bone is more stable when various osteotomy methods and drilling techniques are used. However, these methods have drawbacks, such as damage to the surrounding bone and control issues during the procedure. One recent development is osseodensification. By rotating in a noncutting direction and compressing the bone, densifying burs are specially designed burs that aid in bone preservation. The goal of osseodensification is to preserve and compact bone via nonsubtractive drilling or implants with a unique thread design. As a result, the quantity and composition of the peri-implant bone may increase. There are very few investigations on osseodensification in the literature, most of which involve low-evidence case reports and animal experiments. The outcomes are contradictory and should be interpreted cautiously, although osseodensification is a workable strategy for increasing bone quantity and quality. The primary stability of the implant is one of the most significant elements influencing osseointegration. An implant put in low density bone can now have its primary stability increased by a variety of surgical procedures, including bicortical fixation, smaller implant bed preparation, and bone condensation using osteotomes. A novel and intriguing method called osseodensification has emerged. It involves the use of specially made burs that rotate both clockwise and counterclockwise to form an autograft layer of condensed bone around the edge of the implant bed. Before such a technology is used on a daily basis, well-designed in vivo trials including animals and humans with extended periods of follow-up are necessary.