Osteoporosis presents significant challenges in orthopedic dental rehabilitation due to reduced bone mineral density (BMD), altered bone microarchitecture, and impaired healing capacity. Recent advances in digital health technologies, including artificial intelligence (AI), cone-beam computed tomography (CBCT), and clinical data integration systems, offer new opportunities for personalized treatment planning. This study proposes a hybrid system integrating a decision-support software platform with a structured clinical database  to improve diagnostic accuracy, optimize prosthetic selection, and predict treatment outcomes in osteoporotic patients. A comprehensive literature review and conceptual system design are presented. Evidence suggests that while osteoporosis alone does not significantly reduce implant survival, individualized assessment of bone quality and systemic factors is essential. The integration of AI-driven analytics and CBCT-based diagnostics into unified digital systems may significantly enhance clinical outcomes and support precision dentistry.

osteoporosis, orthopedic dentistry, CBCT, artificial intelligence, database systems, decision-support systems, dental implants

Alotaibi S. et al. Deep learning for implant placement. Med Biol Eng Comput. 2025.

AlQahtani SM. CBCT-based bone density assessment. Medicine. 2023.

Haghanifar S. et al. Bone density and implant stability. Dent Res J. 2022.

Dong W. et al. Bone microstructure and implant accuracy. Clin Oral Implants Res. 2025.

Systematic review on osteoporosis and implants. PubMed. 2025.

Meta-analysis on implant survival. PMC. 2025.

CBCT vs DEXA in BMD evaluation. Applied Sciences. 2023.

Bone remodeling after implants. PMC. 2022.

CBCT variability study. BMC Oral Health. 2025.

CBCT outcomes in compromised bone. J Prosthet Dent. 2025.

Yoshinari M., Oda Y., Inoue Т., Matsuzaka K., Shimono M. Bone response to calcium phosphate-coated and bisphosphonate-immobilized titanium implants. // Biomaterials. 2002. - V.23, №14. - P.2879-2885. https://doi.org/10.1016/s0142-9612(01)00415-x

Zarb G., Lekholm U., Albrektsson Т., Tenenbaum H. Aging, osteoporosis, dental implants. Quintess. Publishing Co., Inc., 2002. https://doi.org/10.1016/s0266435602002164

ORTHOPEDIC REHABILITATION FOR OSTEOPOROSIS. (2025). International Journal of Artificial Intelligence, 5(10), 1991-1995. https://www.academicpublishers.org/journals/index.php/ijai/article/view/7290