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FCE7: Osseodensification: Myth vs. Reality
November 4, 2019 @ 10:45 am - 12:15 pm
Program Track: Emerging Concepts and Innovative Therapies
Jill A. Helms
Robert A. Horowitz
Osseodensifcation is a novel biomechanical bone instrumentation method that allows for the creation of an osteotomy through incremental preservative, non-subtractive drilling. In addition to preserving collagen, it occurs in a slow, incremental process to enhance bone plasticity. The argument for osseodensification is that the procedure compacts and distorts low density or poorly trabeculated bone using specially designed rotary instruments and protocol. This procedure results in greater primary stability than would be anticipated using normal drilling protocols. There is, however, abundant evidence that under many circumstances, bone deformation causes micro-fractures, as well as promotes inflammation, and delays wound healing and osseointegration. The science behind both perspectives will be presented and the room should look forward to a healthy debate.
- Document clinical and histological literature comparing and contrasting this novel instrumentation method to conventional standard drilling and conventional osteotome condensation methods for implant placement.
- Review potential long-term negative effects of relying on bone compression, and its effects on wound healing as it relates to dental implants.