THE IMPACT OF BONE DENSITY ON OSSEOINTEGRATION OF DENTAL IMPLANTS DURING CLIMACTERIC PERIOD OF WOMEN
DOI:
https://doi.org/10.55640/Keywords:
Bone Mineral Density (BMD), Osseointegration, Dental Implants, Menopause, Osteoporosis, Hounsfield Units, Marginal Bone Loss, Biomechanics.Abstract
Background: The success of dental implantology is fundamentally anchored in the quality and quantity of the recipient bone site. In women transitioning through the climacteric period, systemic hormonal shifts—most notably the decline in estrogen—induce a progressive deterioration of bone microarchitecture. Objective: This study aims to evaluate the precise impact of reduced bone mineral density (BMD) on the osseointegration process and the long-term stability of dental implants in menopausal and postmenopausal women. Materials and Methods: A retrospective analysis was conducted on a cohort of 145 female patients. Bone quality was assessed using Hounsfield Units (HU) derived from Cone Beam Computed Tomography (CBCT) and T-scores from Dual-energy X-ray Absorptiometry (DXA). The study tracked primary stability via resonance frequency analysis (RFA) and measured marginal bone loss (MBL) over a 24-month post-loading period. Results: Patients with a T-score below -2.0 demonstrated a significantly higher incidence of early implant failure (12.4%) compared to the control group (2.1%). Furthermore, marginal bone loss was found to be inversely correlated with cortical thickness and trabecular density. In postmenopausal women, horizontal bone resorption was the most prevalent complication. Conclusion: Reduced bone density in climacteric women is a critical systemic risk factor that necessitates a customized surgical approach, including the use of bioactive implant surfaces and extended healing periods, to ensure successful osseointegration.
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References
1.Moy, P. K., et al. (2005). Dental implant failure rates and associated risk factors. International Journal of Oral & Maxillofacial Implants, 20(4), 569-577.
2.Ruggiero, S. L., et al. (2011). Bone metabolism and its impact on implant stability. Journal of Oral Implantology, 37(2), 271-281.
3.Shibli, J. A., et al. (2014). Risk factors for dental implant failure: A retrospective clinical study. Clinical Oral Implants Research, 25(10), 1121-1130.
4.Duarte, P. M., & César Neto, J. B. (2015). The role of bone quality in the development of peri-implantitis. Journal of Periodontology, 86(6), 750-761.
5.Lerner, U. H. (2006). Regulation of bone remodeling: Notes on the biology of bone. Journal of Dental Research, 85(7), 584-595.
6.Heersche, J. N., et al. (1998). The effect of aging on bone formation and resorption. Journal of Bone and Mineral Research.
7.Alsaadi, G., et al. (2007). Impact of local and systemic factors on implant failure. Journal of Clinical Periodontology.
8.Giro, G., et al. (2015). Impact of osteoporosis in dental implants: A systematic review. World Journal of Stomatology.
9.Becker, W., et al. (2000). A retrospective study of dental implants placed in patients with a history of osteoporosis. Compendium of Continuing Education in Dentistry.
10.Tsolaki, I. N., et al. (2009). Implant therapy in patients with bone density loss. Journal of Oral Implantology.
11.Turkyilmaz, I., et al. (2008). Bone density and its influence on implant stability. Journal of Oral Rehabilitation.
12.Nackaerts, O., et al. (2008). Bone quality and implant stability in the elderly. Gerodontology.
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