Stability and marginal bone loss in implants placed using piezoelectric osteotomy versus conventional drilling: systematic review and meta-analysis / Estabilidad y pérdida de hueso marginal en implantes colocados mediante piezoeléctrico osteotomía versus perforación convencional: revisión sistemática y metanálisis

ABSTRACT

Background: The main objective of this systematic review was to compare primary and secondary implant stabil-ity between placement with piezoelectric osteotomy and conventional drilling, comparing marginal bone lossesas a secondary objective.Material and Methods: An electronic search was conducted using PubMed (MEDLINE), Scopus, and CochraneLibrary (Wiley) databases, besides a manual search.Results: A total of 153 articles were retrieved, 39 from Pubmed, 44 from Scopus, and 70 from the CochraneLibrary. After removing duplicates, 112 articles (1 from the manual search) were screened, and 9 were finallyselected for qualitative and statistical analyses.Conclusions: Piezoelectric surgery is a predictable alternative to conventional drilling for dental implant place-ment. Medium/long-term survival rates and marginal bone losses are similar between piezoelectric osteotomy andconventional drilling, and there is no difference in ISQ values for primary stability. However, implants placed withultrasound showed a lower decrease in implant stability quotient (ISQ) during the osseointegration period and ahigher ISQ value for secondary stability. This study contributes further information on peri-implant bone tissueat 3 and 6 months after implant placement with piezoelectric osteotomy or conventional drilling and provides anupdated meta-analysis of comparative studies.(AU)