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The marginal bone loss that usually observed around dental implant has been well documented and expected. It has related with self-reaction to the forensic body of each patient as well as the osseointegrated interface. Bone quantity and quality of the implant site may help to define the implant-bone interface, which in turn affects primary stability of the immediate implant placement. Analysis of bone quality prior to surgery provides vital information during treatment planning for dental implant. Additionally, it helps in predicting postsurgical success. The classification of bone quality, however, is difficult to follow clinically, as tactile assessments are subject to the variation among surgeons. Although imaging techniques, such as computed tomography (CT) or cone bean computed tomography (CBCT), are useful to determine bone quality, the exposure to radiation and its precision, are still of concern. This paper reviews common techniques and reference used in dental bone classification as well as the recent reports from histomorphometric analysis and molecular components. It is well acknowledged that clinical awareness of evaluating the amounts of bone surrounding the implant site by appropriate method is critical for a successful outcome.
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