The stability analysis of implants installed in osteotomies with different types of controlled bone defects

Abstract

The stability parameters of implants (ITV, ISQ & PTV) according to different sizes of controlled bone defects made in implant osteotomies were analyzed and the correlation among the three kinds of implant stability parameters was tested in this study. 45 tapped screw-type dental implants were inserted in three types of implant osteotomies made in 8 fresh-frozen pig femoral bones: Type1 — without coronal bone defect, Type2 — with 3 mm coronal bone defects, and Type3 — with 6 mm coronal bone defects. The insertion torque values, ISQ & PTV of implants were measured and analyzed statistically. It is concluded that the circumferential coronal bone defects statistically influence the primary stability of implants; ITV, ISQ and PTV are suitable and available to detect the peri-implant coronal bone defects in 3 mm increments, and ITV and PTV are more sensitive to coronal cortical bone loss. There was a strong correlation between ITV and ISQ.

Keywords

implant stability / immediate implant / bone defect / insertion torque value / ISQ / PTV

References

[1] Werbitt M J, Goldberg P V The Immediate Implant: Bone Preservation and Bone Regeneration[J]. Int. J. Periodontics Restorative Dent., 1992, 12(3): 206-207.

[2] Akca K, Kökat A M, Cömert A, . Torque Fitting and Resonance Frequency Analyses of Implants in Conventional Sockets Versus Controlled Bone Defects in Vitro[J]. Int. J. Oral Maxillofac Sur., 2010, 39(2): 169-173.

[3] Akkocaoglu M, Uysal S, Tekdemir I, . Implant Design and Intraosseous Stability of Immediately Placed Implants: A Human Cadaver Study[J]. Clin Oral Impl. Res., 2005, 16(2): 202-209.

[4] Mesa F, Muñoz R, Noguerol B Multivariate Study of Factors Influencing Primary Dental Implant Stability[J]. Clin Oral Impl. Res., 2008, 19(2): 196-200.

[5] Lioubavina-Hack N, Lang N P, Karring T Significance of Primary Stability for Osseointegration of Dental Implants[J]. Clin Oral Impl. Res., 2006, 17(3): 244-250.

[6] Degidi M, Perrotti V, Strocchi R, . Is Insertion Torque Correlated to Bone Implant Contact Percentage in the Early Healing Period? A Histological and Histomorphometrical Evaluation of 17 Humanretrieved Dental Implants[J]. Clin Oral Implants Res., 2009, 20(8): 778-781.

[7] Nkenke E, Hahn M, Weinzierl K, . Implant Stability and Histomorphometry: A Correlation Study in Human Cadavers Using Stepped Cylinder Implants[J]. Clin Oral Imp. Res., 2003, 14(5): 601-609.

[8] Rabel A, Köhler S G, Schmidt-Westhausen A M Clinical Study on the Primary Stability of Two Dental Implant Systems with Resonance Frequency Analysis[J]. Clin Oral Investig., 2007, 11(3): 257-265.

[9] Ortega-Martínez J, Pérez-Pascual T, Mareque-Bueno S, . Immediate Implants Following Tooth Extraction: A Systematic Review[J]. Med. Oral Patol. Oral Cir. Bucal., 2012, 17(2): 251-261.

[10] Atsumi M, Park S H, Wang H L Methods Used to Assess Implant Stability: Current Status[J]. Int. J. Oral Maxillofac Implants, 2007, 22(5): 743-754.

[11] Tözüm T F, Bal B T, Turkyilmaz I, . Which Device is More Accurate to Determine the Stability/Mobility of Dental Implants? A Human Cadaver Study[J]. Journal of Oral Rehabilitation, 2010, 9(3): 217-224.

[12] Lachmann S, Jäger B, Axmann D, . Resonance Frequency Analysis Anddamping Capacity Assessment. Part 1: An in Vitro Study on Measurement Reliability and a Method of Comparison in the Determination of Primary Dental Implant Stability[J]. Clin Oral Impl. Res., 2006, 17(1): 75-79.

[13] Huang H M, Chiu C L, Yeh C Y, . Factors Influencing the Resonance Frequency of Dental Implants[J]. J. Oral Maxillofac. Surg., 2003, 61(10): 1 184-1 188.

[14] Cranin A N, DeGrado J, Kaufman M, . Evaluation of the Periotest as a Diagnostic Tool for Dental Implants[J]. J. Oral Implantol., 1998, 24(3): 139-146.

[15] Tricio J, van Steenberghe D, Rosenberg D, . Implant Stability Related to Insertion Torque Force and Bone Density: An in Vitro Study[J]. J. Prosthet Dent., 1995, 74(6): 608-612.

[16] Friberg B, Sennerby L, Roos J, . Evaluation of Bone Density Using Cutting Resistance and Microradiography: An in Vitro Study in Pig Ribs[J]. Clin Oral Implants Res., 1995, 6(3): 164-171.

[17] Friberg B, Sennerby L, Roos J, . Identification of Bone Quality in Conjunction with Insertion of Titanium Implants. A Pilot Study in Jaw Autopsy Specimens[J]. Clin Oral Implants Res., 1995, 6(4): 213-219.

[18] Turkyilmaz I, Tumer C, Ozbek E N, . Relations Between the Bone Density Values from Computerized Tomography, and Implant Stability Parameters: A Clinical Study of 230 Regular Platform Implants[J]. J. ClinPeriodontol, 2007, 34(8): 716-722.

[19] Trisi P, Perfetti G, Baldoni E, . Implant Micromotion is Related to Peak Insertion Torque and Bone Density[J]. Clin Oral Impl. Res., 2009, 20(5): 467-471.

[20] Ueda M, Matsuki M, Jacobsson M, . The Relationship Between Insertion Torque and Removal Torque Analyzed in Fresh Temporal Bone[J]. Int. J. Oral Maxillofac Implants, 1991, 6(4): 442-447.

[21] Oh J S, Kim S G, Lim S C, . A Comparative Study of Two Noninvasive Techniques to Evaluate Implant Stability: Periotest and OsstellMentor[J]. Oral Surg. Oral Med. Oral Pathol Oral Radiol Endod, 2009, 107(4): 513-518.

[22] Olivé J, Aparicio C Periotest Method as A Measure of Osseointegrated Oral Implant Stability[J]. Int. J. Oral Maxillofac Implants, 1990, 5(4): 390-400.

[23] Lachmann S, Laval J Y, Jäger B, . Resonance Frequency Analysis and Damping Capacity Assessment. Part 2: Peri-implant Bone Loss Follow-up. An in Vitro Study with the Periotest and Osstellinstruments[J]. Clinical Oral Implants Research, 2006, 17(1): 80-84.

[24] Turkyilmaz I, Sennerby L, Yilmaz B, . Influence of Defect Depth on Resonance Frequency Analysis and Insertion Torque Values for Implants Placed in Fresh Extraction Sockets: A Human Cadaver Study[J]. Clin Implant Dent Relat. Res., 2009, 11(1): 52-58.

[25] Tözüm T F, Turkyilmaz I, McGlumphy E A Relationship Between Dental Implant Stability Determined by Resonance Frequency Analysis Measurements and Peri-implant Vertical Defects: An in Vitro Study[J]. Journal of Oral Rehabilitation, 2008, 35(10): 739-744.

[26] Kahraman S, Bal B T, Asar N V, . Clinical Study on the Insertion Torque and Wireless Resonance Frequency Analysis in the Assessment of Torque Capacity and Stability of Self-tapping Dental Implants[J]. Journal of Oral Rehabilitation, 2009, 36(10): 755-761.

[27] Oh J S, Kim S G Clinical Study of the Relationship between Implant Stability Measurements Using Periotest and Osstell Mentor and Bone Quality Assessment[J]. Oral Surg. Oral Med. Oral Pathol Oral Radiol, 2012, 11(3): 35-40.

[28] Pearce A I, Richards R G, Milz S, . Animal Models for Implant Biomaterial Research in Bone: A Review[J]. Eur. Cell Mater., 2007, 13(3): 1-10.

[29] Akkocaoglu M, Cehreli M C, Tekdemir I, . Primary Stability of Simultaneously Placed Dental Implants in Extraoral Donor Graft Sites: A Human Cadaver Study[J]. J. Oral Maxillofac Surg., 2007, 65(3): 400-407.

[30] Aparicio C, Lang N P, Rangert B Validity and Clinical Significance of Biomechanical Testing of Implant/Bone Interface[J]. Clin Oral Implants Res., 2006, 17(8): 2-7.

[31] Johansson B, Bäck T, Hirsch J M Cutting Torque Measurements in Conjunction with Implant Placement in Grafted and Nongraftedmaxillas as An Objective Evaluation of Bone Density: A Possible Method for Identifying Early Implant Failures[J]. Clin Implant Dent Relat. Res., 2004, 6(1): 9-15.