In vitro comparison of primary stability of two implant designs in D3 bone

  1. José González Serrano 1
  2. Ricardo Ortega Aranegui 2
  3. Juan López Quiles 3
  1. 1 Student of Master’s Programme in Oral Surgery and Implantology. Department of Oral Medicine and Surgery, School of Dentistry, Complutense University, Madrid, Spain
  2. 2 Associate Professor. Department of Oral Medicine and Surgery, School of Dentistry, Complutense University, Madrid, Spain
  3. 3 Director of Master’s Programme in Oral Surgery and Implantology. Department of Oral Medicine and Surgery, School of Dentistry, Complutense University, Madrid, Spain
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Revista:
Medicina oral, patología oral y cirugía bucal. Ed. inglesa

ISSN: 1698-6946

Año de publicación: 2017

Volumen: 22

Número: 4

Páginas: 6

Tipo: Artículo

DOI: 10.4317/MEDORAL.21714 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Medicina oral, patología oral y cirugía bucal. Ed. inglesa

Resumen

Primary stability (PS) is a key factor for implant survival rate and depends on implant design or bone quality. The aim of this study was to compare different thread designs implants, evaluating PS with periotest values (PV) and implant stability quotient (ISQ) values through resonance frequency analysis (RFA). A total of 60 implants (Radhex®, Inmet-Garnick S.A., Guadalajara, Spain) were placed in freshly bovine ribs in vitro. Two designs were used: 30 tapered body with single thread design (PHI) and 30 tapered body with double thread design implants (PHIA). Both designs were 4mm wide and 12mm long. Implants were placed according to manufacturer’s guidelines. Osstell™ and Periotest® devices were used to evaluate PS by a blinded independent observer. Computed tomographies (CTs) of the ribs were made (BrightSpeed Series CT systems, GE Healthcare, Milwaukee, WI, USA) and bone quality surrounding each implant was evaluated in Hounsfield Units (HU) using Ez3D Plus software (Vatech Co., Korea). Bone quality was classified according to Misch and Kircos in D1, D2, D3 or D4. All implants were mechanically stable. Only implants placed in D3 bone (350-850 HU) were selected for the study: 28 PHI and 26 PHIA. The one way ANOVA showed significant difference (p<0.005) among two implants designs in ISQ values (61,55 ± 6,67 in PHI and 68,94 ± 5,82 in PHIA). No significant difference (p = 0,171) was shown in PV between two designs (-4,47 ± 1,39 in PHI and -4,77 ± 0,87 in PHIA). Higher PS was found using Osstell™ device in implants with double thread design (PHIA) in comparison to implants with single thread design (PHI) in D3 bone.

Referencias bibliográficas

  • Javed, F, Romanos, GE. (2010). The role of primary stability for successful immediate loading of dental implants. A literature review. J Dent. 38. 612
  • Martinez, H, Davarpanah, M, Missika, P, Celletti, R, Lazzara, R. (2001). Optimal implant stabilization in low density bone. Clin Oral Implants Res. 12. 423
  • Winter, W, Möhrle, S, Holst, S, Karl, M. (2010). Parameters of implant stability measurements based on resonance frequency and damping capacity: a comparative finite element analysis. Int J Oral Maxillofac Implants. 25. 532
  • García-Vives, N, Andrés-García, R, Rios-Santos, V, Fernández-Palacín, A, Bullón-Fernández, P, Herrero-Climent, M. (2009). In vitro evaluation of the type of implant bed preparation with osteotomes in bone type IV and its influence on the stability of two implant systems. Med Oral Patol Oral Cir Bucal. 14. 455
  • Roos-Jansåker, AM, Lindahl, C, Renvert, H, Renvert, S. (2006). Nine- to fourteen-year follow-up of implant treatment. Part I: implant loss and associations to various factors. J Clin Periodontol. 33. 283
  • Misch, CE, Kircos, LT. (1999). Diagnostic imaging and techniques. In: Misch CE, ed. Contemporary Implant Dentistry. 2nd ed. Mosby. St. Louis.
  • Lekholm, U, Zarb, GA. (1985). Patient selection and preparation. In: Brånemark PI, Zarb GA, Albrektsson T, eds. Tissue-integrated Prostheses: Osseointegration in Clinical Dentistry. Quintessence. Chicago.
  • Cehreli, M, Sahin, S, Akça, K. (2004). Role of mechanical environment and implant design on bone tissue differentiation: current knowledge and future contexts. J Dent. 32. 123
  • Bilhan, H, Geckili, O, Mumcu, E, Bozdag, E, Sünbüloğlu, E, Kutay, O. (2010). Influence of surgical technique, implant shape and diameter on the primary stability in cancellous bone. J Oral Rehabil. 37. 900
  • Ostman, PO, Hellman, M, Wendelhag, I, Sennerby, L. (2006). Resonance frequency analysis measurements of implants at placement surgery. Int J Prosthodont. 19. 77-83
  • Menicucci, G, Pachie, E, Lorenzetti, M, Migliaretti, G, Carossa, S. (2012). Comparison of primary stability of straight-walled and tapered implants using an insertion torque device. Int J Prosthodont. 25. 465
  • Rokn, A, Ghahroudi, AR, Mesgarzadeh, A, Miremadi, A, Yaghoobi, S. (2011). Evaluation of stability changes in tapered and parallel wall implants: a human clinical trial. J Dent (Tehran). 8. 186-200
  • Orsini, E, Giavaresi, G, Trirè, A, Ottani, V, Salgarello, S. (2012). Dental implant thread pitch and its influence on the osseointegration process: an in vivo comparison study. Int J Oral Maxillofac Implants. 27. 383
  • Chowdhary, R, Jimbo, R, Thomsen, C, Carlsson, L, Wennerberg, A. (2013). Biomechanical evaluation of macro and micro designed screw-type implants: an insertion torque and removal torque study in rabbits. Clin Oral Implants Res. 24. 342
  • Romanos, GE, Ciornei, G, Jucan, A, Malmstrom, H, Gupta, B. (2014). In vitro assessment of primary stability of Straumann® implant designs. Clin Implant Dent Relat Res. 16. 89-95
  • Bilhan, H, Bilmenoglu, C, Urgun, AC, Ates, G, Bural, C, Cilingir, A. (2015). Comparison of the Primary Stability of Two Implant Designs in Two Different Bone Types: An In Vitro Study. Int J Oral Maxillofac Implants. 30. 1036
  • Möhlhenrich, SC, Modabber, A, Steiner, T, Mitchell, DA, Hölzle, F. (2015). Heat generation and drill wear during dental implant site preparation: systematic review. Br J Oral Maxillofac Surg. 53. 679
  • Sener, BC, Dergin, G, Gursoy, B, Kelesoglu, E, Slih, I. (2009). Effects of irrigation temperature on heat control in vitro at different drilling depths. Clin Oral Implants Res. 20. 294
  • Goulart, DR, Muñoz, P, Olate, S, de Moraes, M, Fariña, R. (2015). No differences in morphological characteristics between hyperplastic condyle and class III condyle. Int J Oral Maxillofac Surg. 44. 1281
  • Herekar, M, Sethi, M, Ahmad, T, Fernandes, AS, Patil, V, Kulkarni, H. (2014). A correlation between bone (B), insertion torque (IT), and implant stability (S): BITS score. J Prosthet Dent. 112. 805
  • Andrés-García, R, Vives, NG, Climent, FH, Palacín, AF, Santos, VR, Climent, MH. (2009). In vitro evaluation of the influence of the cortical bone on the primary stability of two implant systems. Med Oral Patol Oral Cir Bucal. 14. 93
  • Geckili, O, Bilhan, H, Cilingir, A, Mumcu, E, Bural, C. (2012). A comparative in vitro evaluation of two different magnetic devices detecting the stability of osseo-integrated implants. J Periodontal Res. 47. 508
  • Abboud, M, Koeck, B, Stark, H, Wahl, G, Paillon, R. (2005). Immediate loading of single-tooth implants in the posterior region. Int J Oral Maxillofac Implants. 20. 61
  • Al-Jetaily, S, Al-Dosari, AA. (2011). Assessment of Osstell™ and Periotest® systems in measuring dental implant stability (in vitro study). Saudi Dent J. 23. 17-21
  • Park, JC, Ha, SR, Kim, SM, Kim, MJ, Lee, JB, Lee, JH. (2010). A randomized clinical 1-year trial comparing two types of non-submerged dental implants. Clin Oral Implants Res. 21. 228
  • Oh, JS, Kim, SG. (2012). Clinical study of the relationship between implant stability measurements using Periotest and Osstell mentor and bone quality assessment. Oral Surg Oral Med Oral Pathol Oral Radiol. 113. 35-40
  • Zix, J, Hug, S, Kessler-Liechti, G, Mericske-Stern, R. (2008). Measurement of dental implant stability by resonance frequency analysis and damping capacity assessment: comparison of both techniques in a clinical trial. Int J Oral Maxillofac Implants. 23. 525
  • Bornstein, MM, Hart, CN, Halbritter, SA, Morton, D, Buser, D. (2009). Early loading of nonsubmerged titanium implants with a chemically modified sand-blasted and acid-etched surface: 6-month results of a prospective case series study in the posterior mandible focusing on peri-implant crestal bone changes and implant stability quotient (ISQ) values. Clin Implant Dent Relat Res. 11. 338
  • Atieh, MA, Alsabeeha, NH, Payne, AG, de Silva, RK, Schwass, DS, Duncan, WJ. (2014). The prognostic accuracy of resonance frequency analysis in predicting failure risk of immediately restored implants. Clin Oral Implants Res. 25. 29-35
Fuente de los datos: Dialnet