Can Osseointegration Be Achieved Without Primary Stability?

Mohanad Al-Sabbagh, Walied Eldomiaty, Yasser Khabbaz

    Research output: Contribution to journalReview articlepeer-review

    39 Scopus citations


    The osseointegration and survival of dental implants are linked to primary stability. Good primary stability relies on the mechanical friction between implant surface and surrounding bone with absence of mobility in the osteotomy site immediately after implant placement. Several factors have been found to affect implant primary stability, including bone density, implant design, and surgical technique. Various methods have been used to assess implant primary stability including insertion torque and resonance frequency analysis. This article aims to evaluate the success of osseointegration in the absence of primary stability and to propose recommendations to manage implants that lack primary stability.

    Original languageEnglish
    Pages (from-to)461-473
    Number of pages13
    JournalDental Clinics of North America
    Issue number3
    StatePublished - Jul 2019

    Bibliographical note

    Publisher Copyright:
    © 2019 Elsevier Inc.


    • Bone density
    • Bone-to-implant contact (BIC)
    • Insertion torque
    • Osseointegration
    • Primary stability
    • Resonance frequency analysis
    • Secondary stability

    ASJC Scopus subject areas

    • General Dentistry


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