IMPLICATIONS OF OSTEOPOROSIS IN IMPLANTOLOGY: CLINICAL CHALLENGES AND TREATMENT

Abstract

Osteoporosis is an osteometabolic pathology whose characteristic is a decrease in bone density and wear and tear of the tissue microstructure, resulting in bone fragility and predisposition to fractures. It can manifest itself through the resorption of the alveolar bone, tooth loss, and periodontal disease, making rehabilitation treatments such as prostheses and implants difficult. Osteoporosis affects bone quality and quantity, so implant placement can be risky. Studies link dental implant loss and osteoporosis directly, although they are not statistically significant. Despite the fact that osteoporosis the quantity and quality of the bones are affected, adequate bone formation around the implant and with a similar percentage of bone contact with the implant surface has been demonstrated in healthy individuals versus individuals with osteoporosis. Searches were carried out in online databases, such as Bireme, PubMed, Science Direct, Web of Science, Scielo and Google Scholar, in English and Portuguese,
using terms such as “oral health”,“osteoporosis”, and “implantology”. The present study aims to analyze the effects of osteoporosis on oral health and its relationship with dental practices, through a literature review.