A Comparative Evaluation of Implant Stability and Crestal Bone Levels Around Implants Placed by osseodensification drill and conventional technique in low density bone: clinicoradiographical study

Implant therapy has been a very popular and successful treatment for both partial and total tooth loss in the last few decades. Osseointegration, which is the apparent direct attachment or connection of an osseous tissue to an inert, alloplastic material without intervening fibrous connective tissue. Achieving sufficient stability during the initial surgical placement is critical to the effectiveness of implant therapy and is impacted by a number of factors, including bone density, surgical technique, and implant design.

Low bone density might make it difficult to achieve adequate primary stability, which can cause healing to be delayed and success rates to be lower. The osseodensification technique was created as a novel way to improve bone density during the drilling process in order to address this problem. In contrast to conventional drilling techniques, osseodensification entails a non-subtractive drilling procedure that densifies the bone around the implant site.

By compacting the bone around the osteotomy site, osseodensification aims to improve the implant’s initial stability. Better physical interlocking between the implant and the bone is not the only benefit of this the presence of instrumented bone, which stimulates the production of new bone cells, also speeds up bone growth.

Essentially, by increasing primary stability and encouraging faster bone healing, osseodensification is a viable way to raise implant therapy success rate especially where bone density is a limiting factor.

A single tooth loss is thought to be a frequent source of cosmetic difficulties, since it can have psychological effects and result in non-physiologic occlusion due to neighbouring teeth tipping and opposing natural teeth supra-erupting. One of the most popular ways to prepare an implant bed is to utilise instruments one size smaller than the implant’s diameter to prepare the location. In order to produce an insertion site for implants, this approach involves removing bone, which makes it challenging to provide the best primary stability at sites deficient in both amount and quality of bone.

Osseodensification is a recently developed biomechanical implant site preparation technique. During osteotomy preparation, the technique is characterised by low plastic deformation of bone, which is produced by rolling and sliding contact with a fluted densifying bur that densifies the bone with minimal heat elevation and allows for bone preservation and condensation through compaction autografting. This increases the density of bone in the peri-implant areas and enhances the mechanical stability of the implant.

Not many human studies have been conducted to compare conventional and osseodensification.

Hence, in this study we are evaluating stability and bone loss around implants placed using conventional and osseodensification.