Currently in development with a major digital dental X-ray equipment manufacturer, TBS® Dental is a dedicated medical imaging software technology, which will provide useful information as to a patient’s trabecular bone microarchitecture and overall quality. This will help dental surgeons better predict primary implant stability before dental implant placement.
This product is currently under investigation and the proposed clinical claims are being evaluated.
SELECTED ONGOING RESEARCH
Early results of studies conducted within the company showed that TBS can be used to assess implant stability:
A first ex-vivo study was conducted to evaluate the link between primary implant stability – as measured using RFA method (Osstell) -, and the bone trabecular quality – as assessed using Trabecular Bone Score (TBS) – before the implantation. It showed a strong correlation between TBS (computed from intraoral images before implants placement) and the primary stability (ISQ) measured after placement.
This study was the first to report a link between the primary implant stability and bone mandibular quality before implantation.
In conclusion, TBS seemed to be a good surrogate parameter to ISQ after surgery.
- Le Nost, P., Villate, P., Michelet, F., Winzenrieth, R., Ella, B., Lelong, C., 2013. TBS is a Major Key Factor of Implant Primary Stability. IADR/AADR/CADR Conference, General Session and Exhibition. [Link]
A second in-vivo study showed a strong correlation between TBS and ISQ (primary stability). It confirmed the previous ex-vivo study, which showed a strong correlation.
In conclusion, TBS seemed to be a good surrogate parameter of primary stability, in-vivo.
- Simmons, D.E., Le Nost, P., Orellana, D., Audebert, A., Porras Smith, L., Winzenrieth, R., Lelong, C., 2014. TBS assesses primary implant stability in daily clinical routine. IADR Conference, General Session and Exhibition. [Link]