Alto torque de insercion en implantología

Abstract

An increase in insertion torque improves primary stability. Inherent to the increase in primary stability is the possibility of immediate dental implant loading in clinical practice. If we remain cognizant of these 2 factors and their relationship, we could routinely immediately load dental implants without compromising osseointegration if we first achieve sufficient primary stability. This would occur if one adheres to the remaining indispensable elements of our surgical protocol. Existing literature regarding high torque and inadequate bone remodelling behaviour is inconclusive. Although these concepts are widely accepted in the literature, very few published studies have discussed this hypothesis. According to Dyuck J et al. 2010, there is higher marginal bone loss in implants inserted to 50 Ncm. Nevertheless, Meltzer A et al. indicates that there is no scientific evidence to support the assertion that high torque levels generate bone necrosis by overcompression. Meltzer A et al. also concludes that high torque can provide substantial improvements in traditional surgical protocols and in immediate loading in clinical practice...