Abstract
BACKGROUND: Conventional osteotomy is asubtractive technique as for implant placement bone tissue is cut and removedfrom the implant site. However, implant stability (primary)is widely altered asfrom the bed of the implant,bone is removed. Osseodensification is a non-subtractive technique, which acts in a non-cutting mode. They can be used in a clockwise direction for cutting which enhances implant stability, improves implant bone contact or in a counter-clockwise direction for non-cutting,which smoothly condenses the bone. OBJECTIVES: To evaluate and compare primary stability, insertion torque, implant bone contact in osseodensification and conventional osteotomy. DATA SOURCES:Data was searched through the database, Pub Med and Ebscohost published between 1st January 2013 and 31st October 2019. Literature search strategy was developed using keywords related to primary stability in conventional osteotomy and osseodesification. STUDY ELIGIBILITY CRITERIA: The comprehensive data search was performed in Pub Med and Ebscohost. While carrying out the search through Pub Med, the filters were put for the dates of publication as from 1st January 2013 till 31st October 2019. Language restrictions were put. Studies included in English language were selected. No filters for study design or full text articles were set. The keywords for search were decided by reviewing the literature. The search strategy used in PubMed and Ebscohost for searching articles was osseodensification AND conventional osteotomy AND osseodensification,primary stability AND conventional osteotomy, primary stability AND osseodensification, implant bone contact AND conventional osteotomy, implant bone contact AND osseodensification, insertion torque AND conventional osteotomy, insertion torque AND osseodensification (implant stability OR primary stability) AND (implant bone contact OR implant to contact). RESULTS: A total of 129 articles were identified through electronic database searching. After duplicate removal, and full text reading, 6 articles qualified for qualitative synthesis in this systematic review. LIMITATIONS :This review had the following limitations:- 1. As all the databases were not open access, the inclusion of the study articles was less. 2. Unpublished data was not included in this review. 3. Not all the studies provided baseline and end scores so those studies were excluded from the calculation of statistical and clinical significance. CONCLUSION :The success of implant depends on primary stability of implant. Out of all studies that were evaluated few stated that osseodensification improved primary stability and increased implant bone contact. Osseodensifications have higher insertion torque compared to conventional osteotomy. Key Words : Conventional osteotomy, Osseodensification, Densah burs, Primary stability, Insertion torque, Implant-bone contact
Published Version
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