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VOLUME 14 , ISSUE 1 ( January-March, 2024 ) > List of Articles


Comparative Evaluation of Osseodensification vs Conventional Osteotomy Technique for Dental Implants: A Systematic Review and Meta-analysis

Pooja S Poonia, Ina B Patel

Keywords : Densah, Dental implant, Osseodensification, Primary implant stability, Secondary implant stability

Citation Information : Poonia PS, Patel IB. Comparative Evaluation of Osseodensification vs Conventional Osteotomy Technique for Dental Implants: A Systematic Review and Meta-analysis. Int J Prosthodont Restor Dent 2024; 14 (1):58-69.

DOI: 10.5005/jp-journals-10019-1437

License: CC BY-NC 4.0

Published Online: 30-03-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Purpose: This systematic review and meta-analysis was conducted to evaluate the efficiency of the osseodensification protocol over the conventional drilling protocol. Materials and methods: A systematic search was conducted using PubMed and Google Scholar for English language literature. The focused question was, “is there any effect of osseodensification drilling protocol on the implant stability for dental implants placed in the low-density bone, based on clinical and histologic evaluation?” The selection of articles was done according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Risk of Bias assessment for animal studies was done using the Systematic Review Center for Laboratory Animal Experimentation (SYRCLE) tool, and quality assessment for animal studies was done using Animal Research: Reporting of In Vivo Experiments (ARRIVE) guidelines. Quality assessment for human studies was done using modified ARRIVE guidelines. Meta-analysis was done using Statistical Package for the Social Sciences (SPSS) software for parameters such as bone-implant contact (BIC)%, bone area fraction occupancy (BAFO)%, insertion torque value (ITV), implant stability quotient (ISQ), bone volume (BV)%, and removal torque value (RTV). Results: The systematic search identified a total of 339 studies, out of which 15 articles were selected on the basis of inclusion criteria. These 15 articles included 11 animal studies, one clinical trial, two prospective studies, and one retrospective study. It was found that mean values of BIC, BAFO, ITV, ISQ, BV, and RTV were higher for the osseodensification protocol. Significant ridge width expansion was found with the osseodensification process. Conclusion: The osseodensification drilling protocol showed higher primary implant stability, secondary implant stability, and ridge width expansion in low-density bone and thin alveolar ridges than the conventional drilling protocol. However, to determine the long-term clinical success of this technique, more studies should be conducted.

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