Prognosis of dental implants in patients with low bone density: A systematic review and meta-analysis

The Journal of Prosthetic Dentistry
Iman A-W RadiNouran AbdelNabi

Abstract

Osteoporosis is a risk factor for implant success. Evidence for the prognosis of dental implants in patients with osteoporosis is still unclear. The purpose of this systematic review was to compare implant success in patients with low versus normal bone density and to evaluate special techniques used to enhance implant success in these patients. Searches were performed electronically in 4 databases (PubMed, LILACS, Cochrane, and Grey Literature) through July 2017 and manually to identify studies addressing the subject. Randomized and nonrandomized clinical trials and cohort studies were included. Eleven studies met the eligibility criteria, with a total of 1071 participants. Seven studies compared implant success in low and normal bone density, and 4 compared implant success in special and conventional techniques of implant placement. The risk of bias in the assessment of cohort studies was critical; of nonrandomized clinical trials, serious; and of randomized clinical trials, high. The meta-analysis showed no significant difference between implant survival in patients with low and normal bone density 5 years after implant placement. Implant survival in patients with low bone density seems to be feasible with special precaution...Continue Reading

Citations

Feb 26, 2021·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Tayane da Rocha Costa CoelhoPatricia Ramos Cury
Jul 23, 2020·The Journal of Prosthetic Dentistry·Indumathi SivakumarMuaiyed Mahmoud Buzayan

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