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Reverse drilling v/s Conventional drilling: Expounding the concept of osseodensification - A narrative review

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Review Article

Author Details : Naila Perween*, Shabina Sachdeva, Pranav Kapoor

Volume : 10, Issue : 2, Year : 2024

Article Page : 113-117

https://doi.org/10.18231/j.aprd.2024.022

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Abstract

Achieving optimal primary stability during surgical implant placement is essential for successful implant rehabilitation. Several factors, both biomechanical and clinical, influence implant stability. Among these factors, the quality of the surrounding bone and the surgical technique employed play significant roles.Placement of implants in low density bone such as Type IV bone found in posterior maxilla is a clinical and diagnostic challenge Low bone density can compromise initial stability and jeopardize the long-term success of the implant. In order to maintain sufficient bulk and density to achieve the desired bone to implant contact, several surgical techniques have been proposed in such low quality bone. One such innovative technique gaining attention is Osseodensification, which is a non-subtractive drilling technique that utilizes specially designed drills in a counterclockwise direction. This technique is designed to preserve bone integrity while inducing controlled plastic deformation of the surrounding bone. Additionally, Osseodensification facilitates compaction autografting, wherein bone particles are compacted within the osteotomy site, further enhancing primary stability. This review aims to provide insights into the array of techniques available for improving primary stability in low-density bone, with emphasis on the novel Osseodensification procedure.
 

Keywords: Osseodensification, Dental Implant, Primary Stability, Osseointegration, Bone Densification

How to cite : Perween N, Sachdeva S, Kapoor P, Reverse drilling v/s Conventional drilling: Expounding the concept of osseodensification - A narrative review. IP Ann Prosthodont Restor Dent 2024;10(2):113-117

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