Reference and classification of bone quality in dental implantology.

Abstract

The success rates of dental implants depend on many factors. One important factor is bone quality, which in turn affects the primary cell stability. The classification of bone quality is difficult to follow clinically, as tactile sensation is subjected to variations between surgeons. Though imaging techniques, such as CT or CBCT, are useful to determine the bone quality, they lack precision. CBCT is less invasive at a reasonably lower cost. However, the exposure to radiation, although very low, is still of concern. Histomorphometric analysis shows the microstructure of bone trabeculae reflects both bone density and quality. Molecular analysis of the bone cell density in each region of the jaw can provide vital information during treatment planning for dental implantology, and may help in giving a prediction of its success.