Dental implants in patients with osteoporosis?

Osteoporosis is a disease characterized by the deterioration of bone tissue and the consequent decrease in bone mineral density (BMD) and increase in bone fragility. Whether Osteoporosis influences the long-term survival of dental implants, is still an unsettled issue. A recent study ¹ conducted a systematic review with meta-analysis was performed to evaluate the survival rate of implants in such patients.

The conclusion:

The main outcome of the meta-analysis indicated that there was no difference in implant survival rate between patients with and without osteoporosis, either at the implant level (RR 1.39, 95% CI 0.93-2.08; P=0.11) or at the patient level (RR 0.98, 95% CI 0.50-1.89; P=0.94). However, the meta-analysis for the secondary outcome revealed a significant difference in marginal bone loss around implants between patients with and without osteoporosis (0.18mm, 95% CI 0.05-0.30, P=0.005). Data heterogeneity was low. An increase in peri-implant bone loss was observed in the osteoporosis group¹Read More

How have you approached patients with osteoporosis in your implant practice?

1.Dental implants in patients with osteoporosis: a systematic review with meta-analysis. Int J Oral Maxillofac Surg. 2018 Apr;47(4):480-491. de Medeiros FCFL.