Can Osseointegration Be Achieved Without Primary Stability?

Mohanad Al-Sabbagh, Walied Eldomiaty, Yasser Khabbaz

Research output: Contribution to journalReview articlepeer-review

24 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

  • Dentistry (all)


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