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Materials (Basel). 2021 Nov 25;14(23). doi: 10.3390/ma14237183.

Stability of Dental Implants and Thickness of Cortical Bone: Clinical Research and Future Perspectives. A Systematic Review.

Materials (Basel, Switzerland)

Danilo Alessio Di Stefano, Paolo Arosio, Paolo Capparè, Silvia Barbon, Enrico Felice Gherlone

Affiliations

  1. Dental School, Vita-Salute University IRCCS San Raffaele, 20132 Milan, Italy.
  2. Private Practitioner, 20132 Milan, Italy.
  3. Private Practitioner, 20871 Vimercate, Italy.
  4. Department of Dentistry, Vita-Salute University IRCCS San Raffaele, 20132 Milan, Italy.
  5. Section of Human Anatomy, Department of Neurosciences, Padua University, 35121 Padua, Italy.

PMID: 34885335 PMCID: PMC8658728 DOI: 10.3390/ma14237183

Abstract

Dental surgery implantation has become increasingly important among procedures that aim to rehabilitate edentulous patients to restore esthetics and the mastication ability. The optimal stability of dental implants is correlated primarily to the quality and quantity of bone. This systematic literature review describes clinical research focusing on the correlation between cortical bone thickness and primary/secondary stability of dental fixtures. To predict successful outcome of prosthetic treatment, quantification of bone density at the osteotomy site is, in general, taken into account, with little attention being paid to assessment of the thickness of cortical bone. Nevertheless, local variations in bone structure (including cortical thickness) could explain differences in clinical practice with regard to implantation success, marginal bone resorption or anchorage loss. Current knowledge is preliminarily detailed, while tentatively identifying which inconclusive or unexplored aspects merit further investigation.

Keywords: cortical bone; dental implant; osseointegration; primary stability; secondary stability

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