Dental Implants and Idiopathic Osteosclerosis: Two Case Reports

Background Idiopathic osteosclerosis (IO) is a benign, localized bone lesion often discovered incidentally during radiographic examinations. While typically asymptomatic, its presence in potential dental implant sites may complicate treatment planning and osseointegration. This case report examines the clinical implications of IO in implant dentistry, focusing on diagnostic challenges, surgical considerations, and treatment outcomes. Case Presentation Two cases are presented: a successful implant placement in a maxillary IO lesion with favorable osseointegration, and a failed implant adjacent to an IO lesion that developed significant bone loss. Radiographic, surgical, and histological findings are discussed, highlighting the variability in treatment outcomes. Conclusion IO presents both opportunities and challenges in implant therapy. While dense sclerotic bone may enhance primary stability, its altered biological properties can affect long-term success. Careful case selection, modified surgical techniques, and thorough patient counseling are essential when encountering IO in implant dentistry. These cases underscore the need for further research to establish evidence-based management protocols.