Evaluation of Implant Stability in Low Quality Bone Following the Use of Osseodensifiers Versus Ridge Expanders

using Densah burs in preparation of implant osteotomy compared to ridge expansion screws in low quality bone

Inclusion criteria

• • Single tooth missing in the maxillary region with D3 (350-850 HU) and D4 (150-350 HU) bone (Sultana et al., 2020).

• A minimum of 4 mm residual buccolingual bone width at site of implant placement (Koutouzis et al., 2019).

• The recipient site of the implant should be free from any pathological conditions.
• No diagnosed bone disease or medication known to affect bone metabolism.
• Patients who are cooperative, motivated and hygiene conscious.
• Patients having adequate inter-occlusal space of 8-10 mm (Fernández et al., 2017)

Exclusion criteria

• Systemic conditions/diseases that contraindicate surgery (Jarikian et al., 2021).

• Patients who have any habits that might jeopardize the osseointegration process, such as current smokers (Vollmer et al., 2020).
• Patients with parafunctional habits that produce overload on implant, such as bruxism and clenching (Sultana et al., 2020).
• Alcohol or drug abuse (Ibrahim et al., 2020).
• Pregnant and lactating women.