Osseodensification in atrophic maxila for subsequente installation of dental implants

Authors

DOI:

https://doi.org/10.33448/rsd-v9i8.5814

Keywords:

Maxilla; Bone; Dental implants.

Abstract

The placement of implants in the maxilla has different characteristics from those found in the mandible. One of the most frequent challenges in the installation of implants is atrophy of the maxilla after partial or total loss of dental units. As a result, there is a significant decrease in the height and volume of the bone available in the posterior region of the maxilla. Currently, several techniques are used to improve bone quality and, consequently, the primary stability of the implant, from the established techniques such as Summers bone expansion technique, through osteotomes, and the most recent ones, such as osseodensification through Densah Bur® multilaminated drills, which consists of the condensation of the bone tissue walls made during preparation. The objective of the study was to present a clinical case using the osseodensification technique in the atrophic maxilla, for later installation of dental implants in the maxilla without using the Summers technique and bone grafts. After implant placement, Osstell® was used to assess primary stability. We conclude that osseodensification is a new biomechanical preparation technique that maintains the integrity of the alveolar ridge and allows the placement of implants with greater primary stability, allows for less morbidity and less time for completion of the rehabilitation treatment.

Author Biographies

Tiago Lessa Brandao, Universidade Santo Amaro

Mestre em Implantodontia - UNISA

Angelica Castro Pimentel, Universidade Santo Amaro

Doutora, Mestre e Especialista em Implantodontia

Profa. da Pós Graduação (Doutorado e Mestrado) de Implantodontia da UNISA

Profa. da Graduação em Cirurgia BucoMaxiloFacial da UNISA

Coordenadora dos cursos de Especialização em Implantodontia e Ortodontia da APIO

References

Lekholm, U., Zarb, G. (1985). Patient Selection and Preparation.In: Branemark P. et al. Tissue Integrated Prosthesis: Osseointegration in Clinical Dentistry. Quintessence International,199-209.

Summers, R. B. (1995). The osteotome technique: Part 4--Future site development. Compend ContinEduc Dent, 16:1090, 1092 passim; 1094-1096, 1098, quiz 1099.

Adell, R., Lekholm, U., Rockler, B., Brånemark, P.I. (1981). A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg, 10:387-416.

De Leo, C., Geremia, T., Geremia, T., Lacroix, C et al. (2002). Carga Imediata em implantes osseointegrados inclinados: aumentando a superfície de Ancoragem – Relato de dois casos. Revista Odonto Ciência,17:331-338.

Huwais, S. (2014). Autografting Osteotome. World Intellectual Property Organization Publication Geneva, Switzerland.

Huwais, S., & Meyer, E. G. (2017). A Novel Osseous Densification Approach in Implant Osteotomy Preparation to Increase Biomechanical Primary Stability, Bone Mineral Density, and Bone-to-Implant Contact. The International journal of oral & maxillofacial implants.

Huwais, S. (2013). Fluted Osteotome and Surgical Method for Use, US2013/ 0004918, U.P.A. https://patents.google.com/patent/US9022783B2/en.

Trisi, P., Berardini, M., Falco, A., & Podaliri Vulpiani, M. (2016). New Osseodensification Implant Site Preparation Method to Increase Bone Density in Low-Density Bone: In Vivo Evaluation in Sheep. Implant dentistry, 25(1), 24–31.

Huwais, S. (2018) Enhancing implant stability with osseodensification — a case report with 2-year follow-up. Implant Practice.; Vol 8; n.2: 28-34.

Huwais, S., Mazor, Z., Ioannou, A. L., Gluckman, H., & Neiva, R. (2018). A Multicenter Retrospective Clinical Study with Up-to-5-Year Follow-up Utilizing a Method that Enhances Bone Density and Allows for Transcrestal Sinus Augmentation Through Compaction Grafting. The International journal of oral & maxillofacial implants, 33(6), 1305–1311.

Lahens, B., Neiva, R., Tovar, N., Alifarag, A. M., Jimbo, R., Bonfante, E. A., Bowers, M. M., Cuppini, M., Freitas, H., Witek, L., & Coelho, P. G. (2016). Biomechanical and histologic basis of osseodensification drilling for endosteal implant placement in low density bone. An experimental study in sheep. Journal of the mechanical behavior of biomedical materials, 63, 56–65.

Lopez, C. D., Alifarag, A. M., Torroni, A., Tovar, N., Diaz-Siso, J. R., Witek, L., Rodriguez, E. D., & Coelho, P. G. (2017). Osseodensification for enhancement of spinal surgical hardware fixation. Journal of the mechanical behavior of biomedical materials, 69, 275–281.

Slete, F. B., Olin, P., Prasad, H. (2018). Histomorphometric Comparison of 3 Osteotomy Techniques. Implant dentistry, 27(4), 424–428.

Koutouzis, T., Huwais, S., Hasan, F., Trahan, W., Waldrop, T., & Neiva, R. (2019). Alveolar Ridge Expansion by Osseodensification-Mediated Plastic Deformation and Compaction Autografting: A Multicenter Retrospective Study. Implant dentistry, 28(4), 349–355.

Padhye, N. M., Padhye, A. M., &Bhatavadekar, N. B. (2020). Osseodensification -- A systematic review and qualitative analysis of published literature. Journal of oral biology and craniofacial research, 10(1), 375–380.

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., &Shitsuka, R. (2018). Metodologia da pesquisa científica. [e-book]. Santa maria. Ed. UAB/NTE/UFSM. Disponível em: https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1. Acessoem: 29 nov. 2019.

Pikos, M. A., Miron, R. J. (2019). To Drill or to Densify? Clinical Indications for the Use of Osseodensification. Compendium of continuing education in dentistry (Jamesburg, N.J.:1995),40(5),276-282.

Published

06/07/2020

How to Cite

BRANDAO, T. L.; MARAO, H. F.; ROMAN-TORRES, C. V. G.; SENDYK, W. R.; PIMENTEL, A. C. Osseodensification in atrophic maxila for subsequente installation of dental implants. Research, Society and Development, [S. l.], v. 9, n. 8, p. e305985814, 2020. DOI: 10.33448/rsd-v9i8.5814. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/5814. Acesso em: 19 apr. 2024.

Issue

Section

Health Sciences