International Journal of Chemical and Biochemical Sciences (ISSN 2226-9614)[/vc_column_text][/vc_column][/vc_row]

VOLUME 27(21) (2025)

Evaluation of implant stability and bone density following Densah Burs versus Bone Expanders in Soft Bone: A Randomized Clinical Trial: A Mini Review

Anas Belal Kwarah, Suzan Seif Allah Ibrahim, Mohamed M. EL Bahrawy

Master candidate at the Department of Oral Medicine, Periodontology and Oral Diagnosis, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.

Professor of Oral Medicine, Periodontology, and Oral Diagnosis, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.

Associate Professor of Oral Medicine, Periodontology, and Oral Diagnosis Faculty of Dentistry, Ain Shams University, Cairo, Egypt

Abstract

                This study aimed to assess implant primary stability and radiographic bone density, comparing osseodensification burs with screw expanders in the maxilla. Twenty implants were placed in ten patients between the second right and left maxillary premolars. Each patient received one implant using an osseodensification bur and another using a screw expander. Implant stability (ISQ) was recorded intraoperatively and at 3 and 6 months. Digital radiographs were taken at these intervals and analyzed using ImageJ software for fractal analysis. Statistical analysis was applied to the collected data. No statistically significant difference was found between groups regarding bone density or stability, but both groups showed improvement over time. The osseodensification group showed higher bone density at all intervals, while the expander group recorded higher ISQ values. A negative correlation was noted between bone density and implant stability.

Keywords: Atrophic maxilla; ossedensification; Expansion; Implant stability; Bone density; Fractal analysis

Full length article    *Corresponding Author, e-mail: anasabobelal@gmail.com            Doi # https://doi.org/10.62877/19-IJCBS-25-27-21-19