Impacto da osseodensificação na estabilidade primária e osseointegração de implantes dentários
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Apr 30, 2025
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Resumo
Objetivo: Avaliar o impacto da osseodensificação na estabilidade primária e na osseointegração de implantes dentários, buscando esclarecer como essa técnica influencia o desempenho dos implantes em curto e longo prazo. Revisão bibliográfica: Os estudos indicam que a osseodensificação aumenta significativamente a estabilidade primária devido à compactação do osso durante a perfuração, promovendo maior contato entre osso e implante. Além disso, a técnica parece acelerar a osseointegração, reduzindo o tempo de cicatrização. A utilização de brocas especiais permite a preservação da densidade óssea e melhora a distribuição de forças ao redor do implante. Contudo, alguns estudos relatam que os resultados podem variar dependendo da qualidade óssea inicial e da experiência do cirurgião. Considerações finais: A osseodensificação demonstra benefícios claros na melhoria da estabilidade primária e na osseointegração de implantes dentários, especialmente em ossos de baixa densidade. Limitações incluem a necessidade de mais estudos clínicos de longo prazo para validar esses resultados.
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Como Citar
FrancisquiniI. de A., BittarB. F., FagundesM. R., PintoR. de A. S., WerneckC. de S., LimaR. K., LevasseurC. M. P., & Sotto-MaiorB. S. (2025). Impacto da osseodensificação na estabilidade primária e osseointegração de implantes dentários. Revista Eletrônica Acervo Saúde, 25, e18530. https://doi.org/10.25248/reas.e18530.2025
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Revisão Bibliográfica
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Referências
1. ALMUTAIRI AS, et al. The effect of osseodensification and different thread designs on the dental implant primary stability. F1000Res, 2018; 7: 1898.
2. ALTHOBAITI AK, et al. A Comparative Assessment of Primary Implant Stability Using Osseodensification vs. Conventional Drilling Methods: A Systematic Review. Cureus, 2023; 15(10): 46841.
3. BANERJEE S, et al. Comparative evaluation of osseodensification drilling versus conventional drilling technique on dental implant stability: A systematic review. J Indian Prosthodont Soc, 2024; 24(3): 225-232.
4. BHARGAVA N, et al. Comparison of heat production and bone architecture changes in the implant site preparation with compressive osteotomes, osseodensification technique, piezoelectric devices, and standard drills: an ex vivo study on porcine ribs. Odontology, 2022; 19.
5. BHARGAVA N, et al. Comparison of heat production and bone architecture changes in the implant site preparation with compressive osteotomes, osseodensification technique, piezoelectric devices, and standard drills: an ex vivo study on porcine ribs. Odontology, 2023; 111(1): 142-153.
6. BITTAR BF, et al. Assessing peri-implant bone microarchitecture: conventional vs. osseodensification drilling - ex vivo analysis. Braz Dent J, 2024; 35: 245599.
7. COSTA JA, et al. Osseodensification vs. Conventional Osteotomy: A Case Series with Cone Beam Computed Tomography. J Clin Med, 2024; 13(6): 9.
8. DELGADO-RUIZ R, et al. Under-Drilling versus Hybrid Osseodensification Technique: Differences in Implant Primary Stability and Bone Density of the Implant Bed Walls. Materials (Basel), 2020; 13(2): 15.
9. EL-KHOLEY KE e ELKOMY A. Does the Drilling Technique for Implant Site Preparation Enhance Implant Success in Low-Density Bone? A Systematic Review. Implant Dent, 2019; 28(5): 500-509.
10. FORMIGA MC, et al. Effects of Osseodensification on Immediate Implant Placement: Retrospective Analysis of 211 Implants. Materials (Basel), 2022; 15(10).
11. FRIZZERA F, et al. Effect of osseodensification on the increase in ridge thickness and the prevention of buccal peri-implant defects: an in vitro randomized split mouth pilot study. BMC Oral Health, 2022; 22(1): 233.
12. GAIKWAD AM, et al. Biomechanical and histomorphometric analysis of endosteal implants placed by using the osseodensification technique in animal models: A systematic review and meta-analysis. J Prosthet Dent, 2022; 127(1): 61-70.
13. GANDHI Y e PADHYE N. Comparison of insertion torque, implant stability quotient and removal torque, in two different implant designs with and without osseodensification. - An ex vivo bench top study. J Oral Biol Craniofac Res, 2023; 13(2): 249-252.
14. GASPAR J, et al. Implant Stability of Osseodensification Drilling Versus Conventional Surgical Technique: A Systematic Review. Int J Oral Maxillofac Implants, 2021; 36(6): 1104-1110.
15. HUWAIS S e 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(1): 27-36.
16. INCHINGOLO AD, et al. The Effectiveness of Osseodensification Drilling Protocol for Implant Site Osteotomy: A Systematic Review of the Literature and Meta-Analysis. Materials (Basel), 2021; 14(5).
17. LAHENS B, et al. The effect of osseodensification drilling for endosteal implants with different surface treatments: A study in sheep. J Biomed Mater Res B Appl Biomater, 2019; 107(3): 615-623.
18. OLIVEIRA PGFP, et al. Osseodensification outperforms conventional implant subtractive instrumentation: A study in sheep. Mater Sci Eng C Mater Biol Appl, 2018; 90: 300-307.
19. PEREIRA JF, et al. Osseodensification: An Alternative to Conventional Osteotomy in Implant Site Preparation: A Systematic Review. J Clin Med, 2023; 12(22).
20. PIKOS MA e MIRON RJ. Osseodensification: An Overview of Scientific Rationale and Biological Background. Compend Contin Educ Dent, 2019; 40(4): 217-222.
21. POTDUKHE SS, et al. Evaluation of implant stability and increase in bone height in indirect sinus lift done with the osseodensification and osteotome technique: A systematic review and meta-analysis. J Prosthet Dent, 2023.
22. PUNNOOSE K, et al. Osseodensification implant site preparation technique and subsequent implant stability: A pilot study. J Orthod Sci, 2022; 11: 50.
23. SHANMUGAM M, et al. Conventional Versus Osseodensification Drilling in the Narrow Alveolar Ridge: A Prospective Randomized Controlled Trial. Cureus, 2024; 16(3): 56963.
24. SLETE FB, et al. Histomorphometric Comparison of 3 Osteotomy Techniques. Implant Dent, 2018; 27(4): 424-428.
25. STOCCHERO M, et al. Biomechanical, Biologic, and Clinical Outcomes of Undersized Implant Surgical Preparation: A Systematic Review. Int J Oral Maxillofac Implants, 2016; 31(6): 1247-1263.
26. SULTANA A, et al. To compare the stability and crestal bone loss of implants placed using osseodensification and traditional drilling protocol: A clinicoradiographical study. J Indian Prosthodont Soc, 2020; 20(1): 45-51.
27. SUMMERS RB. A new concept in maxillary implant surgery: the osteotome technique. Compend Contin Educ Dent, 1994; 15(2): 152-162.
28. TRISI P, et al. New Osseodensification Implant Site Preparation Method to Increase Bone Density in Low-Density Bone: In Vivo Evaluation in Sheep. Implant Dent, 2016; 25(1): 24-31.
29. WITEK L, et al. Absence of Healing Impairment in Osteotomies Prepared via Osseodensification Drilling. Int J Periodontics Restorative Dent, 2019; 39(1): 65-71.
2. ALTHOBAITI AK, et al. A Comparative Assessment of Primary Implant Stability Using Osseodensification vs. Conventional Drilling Methods: A Systematic Review. Cureus, 2023; 15(10): 46841.
3. BANERJEE S, et al. Comparative evaluation of osseodensification drilling versus conventional drilling technique on dental implant stability: A systematic review. J Indian Prosthodont Soc, 2024; 24(3): 225-232.
4. BHARGAVA N, et al. Comparison of heat production and bone architecture changes in the implant site preparation with compressive osteotomes, osseodensification technique, piezoelectric devices, and standard drills: an ex vivo study on porcine ribs. Odontology, 2022; 19.
5. BHARGAVA N, et al. Comparison of heat production and bone architecture changes in the implant site preparation with compressive osteotomes, osseodensification technique, piezoelectric devices, and standard drills: an ex vivo study on porcine ribs. Odontology, 2023; 111(1): 142-153.
6. BITTAR BF, et al. Assessing peri-implant bone microarchitecture: conventional vs. osseodensification drilling - ex vivo analysis. Braz Dent J, 2024; 35: 245599.
7. COSTA JA, et al. Osseodensification vs. Conventional Osteotomy: A Case Series with Cone Beam Computed Tomography. J Clin Med, 2024; 13(6): 9.
8. DELGADO-RUIZ R, et al. Under-Drilling versus Hybrid Osseodensification Technique: Differences in Implant Primary Stability and Bone Density of the Implant Bed Walls. Materials (Basel), 2020; 13(2): 15.
9. EL-KHOLEY KE e ELKOMY A. Does the Drilling Technique for Implant Site Preparation Enhance Implant Success in Low-Density Bone? A Systematic Review. Implant Dent, 2019; 28(5): 500-509.
10. FORMIGA MC, et al. Effects of Osseodensification on Immediate Implant Placement: Retrospective Analysis of 211 Implants. Materials (Basel), 2022; 15(10).
11. FRIZZERA F, et al. Effect of osseodensification on the increase in ridge thickness and the prevention of buccal peri-implant defects: an in vitro randomized split mouth pilot study. BMC Oral Health, 2022; 22(1): 233.
12. GAIKWAD AM, et al. Biomechanical and histomorphometric analysis of endosteal implants placed by using the osseodensification technique in animal models: A systematic review and meta-analysis. J Prosthet Dent, 2022; 127(1): 61-70.
13. GANDHI Y e PADHYE N. Comparison of insertion torque, implant stability quotient and removal torque, in two different implant designs with and without osseodensification. - An ex vivo bench top study. J Oral Biol Craniofac Res, 2023; 13(2): 249-252.
14. GASPAR J, et al. Implant Stability of Osseodensification Drilling Versus Conventional Surgical Technique: A Systematic Review. Int J Oral Maxillofac Implants, 2021; 36(6): 1104-1110.
15. HUWAIS S e 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(1): 27-36.
16. INCHINGOLO AD, et al. The Effectiveness of Osseodensification Drilling Protocol for Implant Site Osteotomy: A Systematic Review of the Literature and Meta-Analysis. Materials (Basel), 2021; 14(5).
17. LAHENS B, et al. The effect of osseodensification drilling for endosteal implants with different surface treatments: A study in sheep. J Biomed Mater Res B Appl Biomater, 2019; 107(3): 615-623.
18. OLIVEIRA PGFP, et al. Osseodensification outperforms conventional implant subtractive instrumentation: A study in sheep. Mater Sci Eng C Mater Biol Appl, 2018; 90: 300-307.
19. PEREIRA JF, et al. Osseodensification: An Alternative to Conventional Osteotomy in Implant Site Preparation: A Systematic Review. J Clin Med, 2023; 12(22).
20. PIKOS MA e MIRON RJ. Osseodensification: An Overview of Scientific Rationale and Biological Background. Compend Contin Educ Dent, 2019; 40(4): 217-222.
21. POTDUKHE SS, et al. Evaluation of implant stability and increase in bone height in indirect sinus lift done with the osseodensification and osteotome technique: A systematic review and meta-analysis. J Prosthet Dent, 2023.
22. PUNNOOSE K, et al. Osseodensification implant site preparation technique and subsequent implant stability: A pilot study. J Orthod Sci, 2022; 11: 50.
23. SHANMUGAM M, et al. Conventional Versus Osseodensification Drilling in the Narrow Alveolar Ridge: A Prospective Randomized Controlled Trial. Cureus, 2024; 16(3): 56963.
24. SLETE FB, et al. Histomorphometric Comparison of 3 Osteotomy Techniques. Implant Dent, 2018; 27(4): 424-428.
25. STOCCHERO M, et al. Biomechanical, Biologic, and Clinical Outcomes of Undersized Implant Surgical Preparation: A Systematic Review. Int J Oral Maxillofac Implants, 2016; 31(6): 1247-1263.
26. SULTANA A, et al. To compare the stability and crestal bone loss of implants placed using osseodensification and traditional drilling protocol: A clinicoradiographical study. J Indian Prosthodont Soc, 2020; 20(1): 45-51.
27. SUMMERS RB. A new concept in maxillary implant surgery: the osteotome technique. Compend Contin Educ Dent, 1994; 15(2): 152-162.
28. TRISI P, et al. New Osseodensification Implant Site Preparation Method to Increase Bone Density in Low-Density Bone: In Vivo Evaluation in Sheep. Implant Dent, 2016; 25(1): 24-31.
29. WITEK L, et al. Absence of Healing Impairment in Osteotomies Prepared via Osseodensification Drilling. Int J Periodontics Restorative Dent, 2019; 39(1): 65-71.