Miguel Gómez-Polo1, Rocío Ortega2, Cristina Gómez-Polo3, Cristina Martín2, Alicia Celemín4, Jaime Del Río4. 1. Doctor in Dental Surgery and Part-Time Professor, Department of Prosthetic Dentistry, School of Dentistry, Complutense University of Madrid, Madrid, Spain. Electronic address: mgpolo@odon.ucm.es. 2. Doctor in Dental Surgery and Assistant Professor, Department of Prosthetic Dentistry, School of Dentistry, Complutense University of Madrid, Madrid, Spain. 3. Doctor in Dental Surgery and Part-Time Professor, Department of Surgery, Medicine School, University of Salamanca, Salamanca, Spain. 4. Medicine Doctor and Full-Time Professor, Department of Prosthetic Dentistry, School of Dentistry, Complutense University of Madrid, Madrid, Spain.
Abstract
PURPOSE: Implant stability is a clinically valuable measurement of the strength of implant anchorage in the bone during placement and in the post-osseointegration period. This study aimed to determine 1) the effect of implant diameter and length and bone quality on measurements of primary and secondary stability (insertion torque [IT] and implant stability quotient [ISQ]), 2) the correlation between IT and primary and secondary ISQ, and 3) differences in ISQ in the post-osseointegration period (secondary stability) compared with immediate post-placement (primary) stability. PATIENTS AND METHODS: In this longitudinal clinical study, titanium self-tapping implants were inserted in edentulous patients. The implants were grouped according to 3 independent variables: length (10 and 11.5 mm), diameter (3.75 and 4.25 mm), and bone quality (Lekholm and Zarb classification) to analyze primary and secondary implant stability (outcome variables). Statistical analyses were performed using the Student t test for paired data, 1-way analysis of variance, and the Tukey procedure for multiple pairwise comparisons. RESULTS: Data were collected on 88 self-tapping implants inserted in 63 partially edentulous patients. IT and implant stability were affected by diameter (3.75-mm implants, 26.5-N/cm IT and 74.0 ISQ; 4.25-mm implants, 33.8-N/cm IT and 77.0 ISQ) and bone type (type 1 + 2, 34.86-N/cm IT and 77.4 ISQ; type 3, 27.09-N/cm IT and 75.6 ISQ; type 4, 20.63-N/cm IT and 70.5 ISQ; P < .01 for all comparisons). Secondary ISQ was affected by diameter only (77.41 for 3.75- vs 75.51 for 4.25-mm implants). IT correlated with primary ISQ (R = 0.56; P < .01), although no clear correlation with secondary stability was found. CONCLUSIONS: IT and primary ISQ in self-tapping implants differed in patients with different bone quality and implant diameter but did not differ between the 2 implant lengths compared in this study. Secondary stability was not substantially affected by any of these factors. Although IT was closely related to primary ISQ, it was unrelated to secondary ISQ. Very high primary ISQ values tended to decrease, whereas intermediate and low values tended to increase, in the transition to secondary stability.
PURPOSE: Implant stability is a clinically valuable measurement of the strength of implant anchorage in the bone during placement and in the post-osseointegration period. This study aimed to determine 1) the effect of implant diameter and length and bone quality on measurements of primary and secondary stability (insertion torque [IT] and implant stability quotient [ISQ]), 2) the correlation between IT and primary and secondary ISQ, and 3) differences in ISQ in the post-osseointegration period (secondary stability) compared with immediate post-placement (primary) stability. PATIENTS AND METHODS: In this longitudinal clinical study, titanium self-tapping implants were inserted in edentulouspatients. The implants were grouped according to 3 independent variables: length (10 and 11.5 mm), diameter (3.75 and 4.25 mm), and bone quality (Lekholm and Zarb classification) to analyze primary and secondary implant stability (outcome variables). Statistical analyses were performed using the Student t test for paired data, 1-way analysis of variance, and the Tukey procedure for multiple pairwise comparisons. RESULTS: Data were collected on 88 self-tapping implants inserted in 63 partially edentulouspatients. IT and implant stability were affected by diameter (3.75-mm implants, 26.5-N/cm IT and 74.0 ISQ; 4.25-mm implants, 33.8-N/cm IT and 77.0 ISQ) and bone type (type 1 + 2, 34.86-N/cm IT and 77.4 ISQ; type 3, 27.09-N/cm IT and 75.6 ISQ; type 4, 20.63-N/cm IT and 70.5 ISQ; P < .01 for all comparisons). Secondary ISQ was affected by diameter only (77.41 for 3.75- vs 75.51 for 4.25-mm implants). IT correlated with primary ISQ (R = 0.56; P < .01), although no clear correlation with secondary stability was found. CONCLUSIONS: IT and primary ISQ in self-tapping implants differed in patients with different bone quality and implant diameter but did not differ between the 2 implant lengths compared in this study. Secondary stability was not substantially affected by any of these factors. Although IT was closely related to primary ISQ, it was unrelated to secondary ISQ. Very high primary ISQ values tended to decrease, whereas intermediate and low values tended to increase, in the transition to secondary stability.
Authors: Matteo Albertini; Federico Herrero-Climent; Carmen María Díaz-Castro; Jose Nart; Ana Fernández-Palacín; José Vicente Ríos-Santos; Mariano Herrero-Climent Journal: Int J Environ Res Public Health Date: 2021-01-29 Impact factor: 3.390
Authors: Carlos Cobo-Vázquez; David Reininger; Pedro Molinero-Mourelle; José González-Serrano; Blanca Guisado-Moya; Juan López-Quiles Journal: J Clin Exp Dent Date: 2018-01-01
Authors: M-C Díaz-Castro; A Falcao; P López-Jarana; C Falcao; J-V Ríos-Santos; A Fernández-Palacín; M Herrero-Climent Journal: Med Oral Patol Oral Cir Bucal Date: 2019-09-01