Massimiliano Rea1, Niklaus P Lang2,3, Sara Ricci4, Francesco Mintrone5, Gladys González González1, Daniele Botticelli1,2,4,6,7. 1. Faculty of Dentistry, University of Medical Science, La Habana, Cuba. 2. The University of Hong Kong, Prince Philip Dental Hospital, Hong Kong, China. 3. University of Zurich, Zurich, Switzerland. 4. University of Padoa, Padova, Italy. 5. Private Practice, Modena, Italy. 6. Faculdade de Odontologia de Araçatuba, UNESP, Universidade Estadual Paulista, São Paulo, Brasil. 7. ARDEC, Ariminum Odontologica, Rimini, Italy.
Abstract
OBJECTIVE: To study bone healing at implants installed with different insertion torques. MATERIAL AND METHODS: In six Labrador dogs, all mandibular premolars and first molars were extracted. After 4 months of healing, flaps were elevated, and two implant sites were prepared at each side of the mandible. In the right side of the mandible, the distal sites were prepared conventionally, while the mesial sites were over-prepared by 0.2 mm. As a consequence, a final insertion torque of ~30 Ncm at the distal and a minimal insertion torque close to 0 Ncm at the mesial sites were obtained. In the left sides of the mandible, however, the recipient sites were underprepared by 0.3 mm resulting in an insertion torque of ≥ 70 Ncm at both implants. Cover screws were applied, and flaps sutured to fully submerge the experimental sites. After 4 months, the animals were sacrificed and ground sections obtained for histological evaluation. RESULTS: The mineralized bone-to-implant contact was in the range of 55.2-62.1%, displaying the highest value at implants with ~30 Ncm insertion torque and the lowest value at the implant sites with close to 0 Ncm insertion torque. No statistically significant differences were revealed. Bone density was in the range of 43.4-54.9%, yielding the highest value at implants with ≥ 70 Ncm insertion torque and the lowest at the implant sites with close to 0 Ncm insertion torque. The difference between the sites of ~30 Ncm and the corresponding ≥ 70 Ncm insertion torque reached statistical significance. CONCLUSIONS: Similar amounts of osseointegration were obtained irrespective of the insertion torque applied. Moreover, implants installed in sites with close to 0 Ncm insertion torque may properly osseointegrate as well.
OBJECTIVE: To study bone healing at implants installed with different insertion torques. MATERIAL AND METHODS: In six Labrador dogs, all mandibular premolars and first molars were extracted. After 4 months of healing, flaps were elevated, and two implant sites were prepared at each side of the mandible. In the right side of the mandible, the distal sites were prepared conventionally, while the mesial sites were over-prepared by 0.2 mm. As a consequence, a final insertion torque of ~30 Ncm at the distal and a minimal insertion torque close to 0 Ncm at the mesial sites were obtained. In the left sides of the mandible, however, the recipient sites were underprepared by 0.3 mm resulting in an insertion torque of ≥ 70 Ncm at both implants. Cover screws were applied, and flaps sutured to fully submerge the experimental sites. After 4 months, the animals were sacrificed and ground sections obtained for histological evaluation. RESULTS: The mineralized bone-to-implant contact was in the range of 55.2-62.1%, displaying the highest value at implants with ~30 Ncm insertion torque and the lowest value at the implant sites with close to 0 Ncm insertion torque. No statistically significant differences were revealed. Bone density was in the range of 43.4-54.9%, yielding the highest value at implants with ≥ 70 Ncm insertion torque and the lowest at the implant sites with close to 0 Ncm insertion torque. The difference between the sites of ~30 Ncm and the corresponding ≥ 70 Ncm insertion torque reached statistical significance. CONCLUSIONS: Similar amounts of osseointegration were obtained irrespective of the insertion torque applied. Moreover, implants installed in sites with close to 0 Ncm insertion torque may properly osseointegrate as well.
Authors: Luciano Mayer; Fernando Vacilotto Gomes; Marília Gerhardt de Oliveira; João Feliz Duarte de Moraes; Lennart Carlsson Journal: Lasers Med Sci Date: 2016-08-17 Impact factor: 3.161
Authors: Mohamed Ali Ali Arakeeb; Ahmed Abbas Zaky; Tarek Abdel-Hamid Harhash; Walid S Salem; Mohamed El-Mofty Journal: Open Access Maced J Med Sci Date: 2019-08-12