Osseodensification: Does it stand up to scientific scrutiny?

By: E. Dwayne Darateew, DDS; Arndt Guentsch, DMD, MHBA, PhD; Salah Huwais, DDS; Academy News Guest Contributors

References
1. 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;32:27–36.

2. Slete FB, Olin P, Prasad H. Histomorphometric Comparison of 3 Osteotomy Techniques. Implant Dent. 2018 Aug;27(4):424-428.

3. Cáceres F, Troncoso C, Silva R, Pinto N. Effects of osseodensification protocol on insertion, removal torques, and resonance frequency analysis of BioHorizons® conical implants. An ex vivo study. J Oral Biol Craniofac Res. 2020 Oct- Dec;10(4):625- 628. doi: 10.1016/j.jobcr.2020.08.019.

4. Witek, Lukasz, et al. “Absence of Healing Impairment in Osteotomies Prepared via Osseodensification Drilling.” The International Journal of Periodontics & Restorative Dentistry, vol. 39, no. 1, 1 Nov. 2019, pp. 65–71., doi:10.11607/prd.3504.

5. Lahens B, Lopez CD, Neiva RF, Bowers MM, Jimbo R, Bonfante EA, Morcos J, Witek L, Tovar N, Coelho PG. The effect of Osseodensification drilling for endosteal implants with different surface treatments: A study in Sheep. J Biomed Mater Res B Appl Biomater. 2018 Aug 6.

6. Oliveira PGFP, Bergamo ETP, Neiva R, Bonfante EA, Witek L, Tovar N, Coelho PG. Osseodensification outperforms conventional implant subtractive instrumentation: A study in sheep. Mater Sci Eng C Mater Biol Appl. 2018 Sep 1;90:300-307.

7. Alifarag AM, Lopez CD, Neiva RF, Tovar N, Witek L, Coelho PG. Temporal Osseointegration: Early Biomechanical Stability through Osseodensification. J Orthop Res. 2018 Sep;36(9):2516-2523.

8. Tian J, Neiva R, Paulo G, Coelho P, et al. Alveolar Ridge Expansion: Comparison of Osseodensification and Conventional Osteotome Techniques. J. Craniofac Surg 2018;00:00-00.

9. Trisi P, Berardini M, Falco A, Vulpiani MP. New Osseodensification Implant Site Preparation Method to Increase Bone Density in Low-Density Bone: _In Vivo Evaluation in Sheep. Implant Dent 2016; 25:24–31.

10. Lahens B, Neiva R, Tovar N, Alifarag AM, Jimbo R, Bonfante EA, Bowers MM, Cuppini M, Freitas H, Witek L, Coelho PG. Biomechanical and histologic basis of osseodensification drilling for endosteal implant placement in low density bone. An experimental study in sheep. J Mech Behav Biomed Mater. 2016 Oct; 63:56-65.

11. Gendy, Fady G., Gregory D Kurgansky, Leyla Y. Cavdar, Christopher D Lopez, Lukasz Witek, Paulo G. Coelho and Andrea Torroni. “Mechanical properties of Ossedensification drilling as compared to Regular drilling.” (2017).

12. Mullings O, Tovar N, Abreu de Bortoli JP, Parra M, Torroni A, Coelho PG, Witek L. Osseodensification Versus Subtractive Drilling Techniques in Bone Healing and Implant Osseointegration: Ex Vivo Histomorphologic/ Histomorphometric Analysis in a Low-Density Bone Ovine Model. IJOMI. 2021 Sep- Oct;36(5):903-909. doi: 10.11607/jomi.8828.

13. Bergamo, ETP, Zahoui, A, Barrera, RB, et al. Osseodensification effect on implants primary and secondary stability: Multicenter controlled clinical
trial. Clin Implant Dent Relat Res. 2021; 1– 12.

14. Ahmed M Ibrahim; Sherif S Ayad; Adham Elashwah. “The effect of Osseodensification Techniqueon Implant stability (Clinical Trial). Alexandria Dental Journal, 45,2,2020, 1-7. Doi: 10.21608/ adjalexu.2020.86758

15. Tanello B, Huwais S, Tawil I, Rosen P., Neiva R. Osseodensification protocols for enhancement of primary and secondary implant stability – A retrospective 5-year follow-up multi-center study. Clinical Oral Implants Research, 2019; 30, (S19), 414–414.

16. Koutouzis, Theofilos DDS, MS*; Huwais, Salah DDS†; Hasan, Fadi DDS, MSD‡; Trahan, William DMD, MSD§; Waldrop, Thomas DDS, MS¶; Neiva, Rodrigo DDS, MS‖ Alveolar Ridge Expansion by Osseodensification- Mediated Plastic Deformation and Compaction Autografting, Implant Dentistry: August 2019 – Volume 28 – Issue 4 – p 349-355.

17. Stepan Jarikian, Mohamad Hassan Jaafo, Zuhair Al- Nerabieah. Clinical Evaluation of Two Techniques for Narrow Alveolar Ridge Expansion: Clinical Study. Int J Dentistry Oral Sci. 2021;8(1):1047-1052.

18. Bleyan S, Gaspar J, Huwais S, Schwimer C, Mazor Z, Mendes JJ, Neiva R. Molar Septum Expansion with Osseodensification for Immediate Implant
Placement, Retrospective Multicenter Study with Up- to-5-Year Follow-Up, Introducing a New Molar Socket Classification. Journal of Functional Biomaterials. 2021; 12(4):66.

19. Formiga, M.d.C.; Grzech-Lesniak, K.; Moraschini, V. ; Shibli, J.A.; Neiva, R. Effects of Osseodensification on Immediate Implant Placement: Retrospective
Analysis of 211 Implants. Materials 2022, 15, 3539. https://doi.org/10.3390/ma15103539

20. Huwais S, Mazor Z, Ioannou A, Gluckman H, Neiva R. 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. Int J Oral Maxillofac Implants. 2018;33(6):1305-1311. doi:10.11607/jomi.6770

21. Kumar B, Narayan V. Minimally invasive crestal approach sinus floor elevation using Densah burs, and Hydraulic lift utilising putty graft in cartridge delivery. Clin Oral Implants Res. 2017;28(S14):203.

22. Gaspar J, Esteves T, Gaspar R, Rua J, João Mendes J. Osseodensification for implant site preparation in the maxilla- a prospective study of 97 implants. Clin Oral Implants Res. Published online 2018. doi:10.1111/clr.48_13358

23. Neiva R, Tanello B, Duarte W, Silva F. Osseodensification Crestal Sinus Floor Elevation with or without Synthetic and Resorbable Calcium Phosphosilicate Putty. Clin Oral Implants Res. 2018;29(Suppl.1

24. Arafat S, Elbaz MA. Clinical and radiographic evaluation of osseodensification versus osteotome for sinus floor elevation in partially atrophic maxilla: A prospective long term study. Egypt Dent J. 2019;65(1):189-195. doi:10.21608/edj.2015.71261

25. Alhayati JZ, AL-Anee AM. Evaluation of crestal sinus floor elevations using versah burs with simultaneous implant placement at residual bone height ≥ 2.0 _<6.0 mm. A prospective clinical study. Oral Maxillofac Surg. 2022; doi:10.1007/s10006-022-010710

26. Guentsch, A., An, H., & Dentino, A. R. (2022). Precision and trueness of computer-assisted implant placement using static surgical guides with open and closed sleeves: An in vitro analysis. Clin Oral Implants Res, 33(4), 441-450. doi:10.1111/clr.13904

27. Guentsch, A., Bjork J, Saxe R, Han S, Dentino AR. An in-vitro Analysis of the Accuracy of different Guided Surgery Systems – They are not all the same. Clin Oral Imp Res 2023; DOI: 10.1111/clr.14061

Hybrid Implant Designs – Tissue specific manipulation of the host response

By: David L. Cochran, DDS, MS, PhD, MMSc; Academy News Guest Contributor

References
1. Cochran DL (2008) J Periodontol 79(8 Sup): 1569-1576.

2. Waerhaug (1979) J Clin Periodontal 6: 61-82.

3. Garant (1979) J Periodont Res 14: 26-38.

4. Graves, Cochran (2003) J Periodontal 74: 391-401.

5. Graves DT, Li J, Cochran DL (2011) J Dent Res 90: 143-153.

6. Arron JR, Choi Y (2000) Nature 408: 535-536.

7. Bar-Shavit Z (2007) J Cell Biochem 102: 1130-1139.

8. Schenk RK, Buser D, Hardwick WR, Dahlin C (1994) Intl J Oral Maxillofac Implants 9: 13-29.

9. Buser D, Weber HP, Donath K, Fiorellini JP, Paquette DW, Williams RC (1992) J Periodontol 63: 226-236.

10. Cochran DL, Hermann JS, Schenk RK, Higginbottom FL, Buser D (1997) J Periodontol 68: 186-198.

11. Cochran DL, Obrecht M, Weber K, Dard M, Bosshardt D, Higginbottom FL, Wilson TG, Jones AA (2014) Intl J Perio Rest Dent 34: 773-779.

12. Caram SJ, Huynh-Ba G, Schoolfield JD, Jones AA, Cochran DL, Belser UC (2014) Intl J of Oral and Maxillofac Implants 29: 1114-1122.

13. Cochran DL, Mau LP, Higginbottom FL, Wilson TG, Bosshardt DD, Schoolfield J, Jones AA (2013) Int J Oral Maxillofac Implants 28: 494-502.

14. Bakeen L, Quinlan P, Schoolfield J, Lang NP, Cochran DL (2009) Int J Perio Rest Dent 29: 297-305.

15. Hermann JS, Buser D, Schenk RK, Schoolfield JD, Cochran DL (2001) Clin Oral Implants Res 12: 559-571.

16. Hermann JS, Buser D, Schenk RK, Higginbottom FL, Cochran DL (2000) Clin Oral Implants Res 11: 1-11.

17. Hermann JS, Cochran DL, Nummikoski, PV, Buser D (1997) J Periodontal 68: 1117-1130.

18. Broggini N, McManus LM, Hermann JS, Medina RU, Oates TW, Schenk RK,
Buser D, Mellonig JT, Cochran DL (2003) J Dent Res 82: 232-237.

19. Broggini N, McManus LM, Hermann JS, Medina R, Schenk RK, Buser D, Cochran DL (2006) J Dent Res 85: 473-478.

20. Albrektsson T, Zarb G, Worthington P, Eriksson AR (1986) Int J Oral Maxillofac Implants 1: 11-25.

21. Sasada Y, Cochran DL (2017 Intl J Oral Maxillofac Implants 32: 1296-1307.

22. Derks J, Hakansson J, Wennstrom JL, Tomasi C, Larsson M, Berglundh T (2015) J Dent Res 94: 445-515.

23. Derks J, Schaller D, Hakansson J, Wennstrom JL, Tomasi C, Berglundh T (2016) J Dent Res 95: 43-49.

24. Albrektsson T, Tengvall P, Amengual-Penafiel L, Coli P, Kotsakis G, Cochran DL (2022) Clin Implant Dent Relat Res 24: 532-543.

25. Albrektsson T, Tengvall, Amengual L, Coli P, Kotsakis GA, Cochran D (2023) Front Immunol 13: 1056914 doi: 10.3389.

Peri-implantitis: An Educator’s Perspective

By: Vincent J. Iacono, DMD; Academy News Guest Contributor

References
1. Rozenfeld, H. and Iacono, V.J.: Treatment of cement-associated peri-implantitis using tetracycline and enamel-matrix derivative: A case report. Clin Advances Periodontitis 2.: 49-54, 2015.

2. Iacono, V.J., Bassir, S.H., Wang, H.H. and Myneni, R.: Peri-implantitis: effects of periodontitis and its risk factors-a narrative review. Frontier of Oral and Maxillofacial Medicine 2022 ht tps://dx.doi.org/10.21037 /fomm-21-63.

3. Karoussis, I.K., Salvi, G.E., Heitz-Mayfield, L.J., et al.: Long-term implant prognosis in patients with and without a history of chronic periodontitis: a 10-year prospective cohort study of the ITI Dental Implant system. Clin Oral Implants Res 14:329-339, 2003.

4. Sbordone, L., Barone, A., Ciaglia, R.N., Ramaglia, l., and Iacono, V.J.: Longitudinal study of dental implants in periodontally compromised population. J. Periodontol. 70: 1322-1329; 1999.

5. Roccuzzo, M., DeAngelis, N., Bonino, l., et al.: Ten-year results of a three-arm prospective cohort study on implants in periodontally compromised patients. Part 1: Implant loss and radiographic bone loss. Clin Oral Implants Res. 21: 490-496; 2010.

6. Baima, G., Citterio, F., Romandini, M., Romano, F., Mariani, G.M., Buduneli, N., and Aimetti, M.: Surface decontamination protocols for surgical treatment of peri-implantitis: A systematic review with meta-analysis. Clin Oral Implants Res. 33: 1069-1086, 2022.

Insertion Torque – Beyond the Biologists vs Carpenters Controversy

By: Phillippe Shayat, MSD; Academy News Editorial Consultant

References
1. Li H, Liang Y, Zheng Q. Meta-Analysis of Correlations Between Marginal Bone Resorption and High Insertion Torque of Dental Implants. Int J Oral Maxillofac Implants. 2015;30(4):767‑72.

2. Berardini M, Trisi P, Sinjari B, Rutjes AWS, Caputi S. The Effects of High Insertion Torque Versus Low Insertion Torque on Marginal Bone Resorption and Implant Failure Rates: A Systematic Review With Meta-Analyses. Implant Dent. 2016;25(4):532‑40.

3. Lemos CAA, Verri FR, de Oliveira Neto OB, Cruz RS, Luna Gomes JM, da Silva Casado BG, et al. Clinical effect of the high insertion torque on dental implants: A systematic review and meta-analysis. J Prosthet Dent. 2021;126(4):490‑6.

4. Khayat PG, Arnal HM, Tourbah BI, Sennerby L. Clinical outcome of dental implants placed with high insertion torques (up to 176 Ncm). Clin Implant Dent Relat Res. 2013;15(2):227‑33.

5. Pantani F, Botticelli D, Garcia IR, Salata LA, Borges GJ, Lang NP. Influence of lateral pressure to the implant bed on osseointegration: an experimental study in dogs. Clin Oral Implants Res. 2010;21(11):1264‑70.

6. Trisi P, Todisco M, Consolo U, Travaglini D. High versus low implant insertion torque: a histologic, histomorphometric, and biomechanical study in the sheep mandible. Int J Oral Maxillofac Implants. 2011;26(4):837‑49.

7. Campos FE, Gomes JB, Marin C, Teixeira HS, Suzuki M, Witek L, et al. Effect of drilling dimension on implant placement torque and early osseointegration stages: an experimental study in dogs. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 2012;70(1):e43-50.

8. Consolo U, Travaglini D, Todisco M, Trisi P, Galli S. Histologic and biomechanical evaluation of the effects of implant insertion torque on peri-implant bone healing. J Craniofac Surg. 2013;24(3):860‑5.

9. Duyck J, Roesems R, Cardoso MV, Ogawa T, De Villa Camargos G, Vandamme K. Effect of insertion torque on titanium implant osseointegration: an animal experimental study. Clin Oral Implants Res. 2015;26(2):191‑6.

10. Rea M, Lang NP, Ricci S, Mintrone F, González González G, Botticelli D. Healing of implants installed in over- or under-prepared sites–an experimental study in dogs. Clin Oral Implants Res. 2015;26(4):442‑6.

11. Cohen O, Ormianer Z, Tal H, Rothamel D, Weinreb M, Moses O. Differences in crestal bone-to-implant contact following an under-drilling compared to an over-drilling protocol. A study in the rabbit tibia. Clin Oral Investig. 2016;20(9):2475‑80.

12. Norton MR. The influence of insertion torque on the survival of immediately placed and restored single-tooth implants. Int J Oral Maxillofac Implants. 2011;26(6):1333‑43.

13. Gehrke SA, Pereira GMA, Gehrke AF, Junior NDB, Dedavid BA. Effects of insertion torque on the structure of dental implants with different connections: Experimental pilot study in vitro. PloS One. 2021;16(5):e0251904.