Relação entre implante e osteoporose: revisão de literatura

Abstract

INTRODUCTION: Osteoporosis is a systemic skeletal tissue pathology characterized by reduced bone mineral density and microstructural deterioration, leading to an increased susceptibility to fractures. OBJECTIVES: To conduct a critical review of the literature on scientific evidence explaining how osteoporosis affects the predictability of dental implants and the clinical challenges faced by dental surgeons. METHODOLOGY: Searches were conducted in the PubMed and Google Scholar electronic databases using the following keywords: "osteoporosis," "implants," "bisphosphonate," "maxilla," and "jaws," adapted according to the guidelines of each database. RESULTS: A total of 1,732 studies were identified in the databases, and after applying the inclusion and exclusion criteria, 14 studies were included in the review. All studies evaluated the relationship between osteoporosis and implant osseointegration, with some also assessing and discussing bisphosphonate medications. Despite statistical differences found between patients with osteoporosis and control groups, it is still not possible to definitively conclude whether dental implant rehabilitation treatment should be indicated or contraindicated for these patients.

CONCLUSION: A detailed medical history, appropriate planning, and clinical follow- up are crucial to ensure favorable outcomes in patients with osteoporosis.