Evidence map›Paper›PMID 41490691›Full record

ArticlePloS one2026

Analysis of osseodensification with two drill systems versus conventional technique for dental implants -A paired comparative ex vivo study.

Rafaela Regina de Lima, Lara Rúbia Marques Nascimento, Barbara Magalhães Figueiredo Dias, Dhelfeson Willya Douglas-de-Oliveira, Rodrigo Richard da Silveira, Frederico Santos Lages

Abstract readComparative Study
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rafaela Regina de LimaDepartment of Restorative Dentistry, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.ORCID https://orcid.org/0009-0000-6008-4347
Lara Rúbia Marques NascimentoDepartment of Restorative Dentistry, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Barbara Magalhães Figueiredo DiasDepartment of Restorative Dentistry, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Dhelfeson Willya Douglas-de-OliveiraDepartment of Dentistry, Federal University of Vales do Jequitinhonha e Mucuri, JK Campus, Diamantina, Minas Gerais, Brazil.
Rodrigo Richard da SilveiraDepartment of Restorative Dentistry, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Frederico Santos LagesDepartment of Restorative Dentistry, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare conventional and osseodensification techniques assessing insertion/removal torque, stability (ISQ), maximum temperature, and bone structural alterations, as well as evaluating the performance of osseodensification with two bur systems: Densah®/Versah and Bone Reamer Drills®/WF.

methodsSixteen bovine ribs were prepared into standardized samples. Each bone block received three osteotomies using different techniques following manufacturers' protocols: G1 - conventional burs; G2 - osseodensification with Densah®/Versah burs (VS); G3 - osseodensification with Bone Reamer Drills®/WF burs. Osteotomies were performed under irrigation with 0.9% saline at 4-6 °C. Heat generation was recorded with a thermocouple; torque was measured at implant insertion and removal; ISQ was obtained after implant insertion using Osstell ISQ positioned 2 mm from the SmartPeg at a 45º angle. The burs were weighed before and after perforations and analyzed by scanning electron microscopy (SEM). Bone samples also underwent SEM analysis after implant removal.

resultsThe osseodensification groups exhibited increased insertion and removal torque values and bone compaction at the implant interface was observed. There was no significant increases in ISQ or maximum temperature compared to conventional drilling. No significant mass loss was observed in either systems.

conclusionBone instrumentation with both osseodensification kits improved primary implant stability, demonstrating higher insertion and removal torque values than conventional drilling in type IV bone. No significant ISQ and temperature differences were found. SEM revealed compacted bone at the implant interface in the osseodensification groups. No significant mass changes were observed. CLINICAL RELEVANCE: Results suggest that both techniques are safe and effective for clinical recommendation.

Indexed as

Dental Implantation, EndosseousDental ImplantsOsseointegrationAnimalsCattleOsteotomyRibsTorqueDental Implants

Identifiers

PMID41490691
PMCPMC12768263

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.