Fractal analysis as an adjuvant tool in the evaluation of dental implants stability

Abstract

Objective: To review the literature on the use of fractal analysis as an adjunct method for evaluating dental implant stability in imaging exams. Methods: An integrative review was conducted following the PRISMA 2020 guideline. The search strategy used the PECO approach, including studies with normoreactive patients undergoing dental implant surgery, evaluated through imaging exams using Fractal Dimension to measure implant stability. The databases PubMed, BVS, Web of Science, Scopus, Embase, and Google Scholar were consulted, with the search updated in April 2024. Cross-sectional, longitudinal, cohort, case-control studies, and randomized clinical trials were included, with no restrictions on language or publication date. Results: The analysis revealed that fractal dimension can be a useful tool in evaluating implant stability, especially when combined with conventional methods. However, methodological variability among studies indicates the need for more research with robust study designs. Conclusion: Fractal analysis shows potential as an adjunct indicator in assessing dental implant stability, but more evidence is needed to consolidate its clinical use.

Keywords: Dental Implants; Diagnostic Imaging; Fractals.