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Impact of Insertion Torque and Implant Neck Design on Peri‐Implant Bone Level: A Randomized Split‐Mouth Trial

Identifieur interne : 000647 ( Istex/Corpus ); précédent : 000646; suivant : 000648

Impact of Insertion Torque and Implant Neck Design on Peri‐Implant Bone Level: A Randomized Split‐Mouth Trial

Auteurs : Markus Hof ; Bernhard Pommer ; Georg D. Strbac ; Christoph Vasak ; Hermann Agis ; Werner Zechner

Source :

RBID : ISTEX:0D81BBD5D5070E8DEB6855CDC6C60DBD5ABB65FD

Abstract

The aim of this study is to assess the impact of insertion torque and implant neck design on peri‐implant bone levels and gain insights into dynamic crestal tissue alterations by radiological, clinical, and biochemical examinations.

Url:
DOI: 10.1111/cid.12042

Links to Exploration step

ISTEX:0D81BBD5D5070E8DEB6855CDC6C60DBD5ABB65FD

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Purpose
<p>The aim of this study is to assess the impact of insertion torque and implant neck design on peri‐implant bone levels and gain insights into dynamic crestal tissue alterations by radiological, clinical, and biochemical examinations.</p>
Material and Methods
<p>In this prospective trial, a total of 84 implants (four implants in each patient) in the interforaminal region of 21 edentulous mandibles were randomly alternated according to a split‐mouth design. Implant placement was performed using different insertion torques (≤20 
<hi rend="fc">Ncm</hi>
vs >50 
<hi rend="fc">Ncm</hi>
). In each group, one machined and one anodized implant neck design (1.5 mm length) was used in the same jaw side. Evaluation of peri‐implant tissues involved radiological, clinical examination and immunoassays for interleukin‐1β.</p>
Results
<p>No significant influence of insertion torque or implant neck design on peri‐implant bone level was found. Protein levels of interleukin‐1β in the peri‐implant crevicular fluid revealed no difference between both insertion torque groups and different neck designs.</p>
Conclusion
<p>Interactive effects of insertion torque and neck surface modification may exist; however, no clinically significant differences in marginal bone resorption after 1 year could be observed in the edentulous anterior mandible.</p>
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<correspondenceTo>Reprint requests: Dr. Markus Hof, Department of Oral Surgery, Bernhard Gottlieb School of Dentistry, Vienna Medical University, Sensengasse 2a, A‐1090 Vienna, Austria; e‐mail:
<email>markus.hof@meduniwien.ac.at</email>
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<title type="short">Impact of Insertion Torque and Implant Neck Design</title>
<title type="shortAuthors">Clinical Implant Dentistry and Related Research, Volume 16, Number 5, 2014</title>
<title type="main">Impact of Insertion Torque and Implant Neck Design on Peri‐Implant Bone Level: A Randomized Split‐Mouth Trial</title>
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<familyName>Hof</familyName>
<degrees>DDS</degrees>
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<jobTitle>Oral surgeon and senior scientist</jobTitle>
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<personName>
<givenNames>Bernhard</givenNames>
<familyName>Pommer</familyName>
<degrees>DDS, PhD</degrees>
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<jobTitle>assistant professor</jobTitle>
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<personName>
<givenNames>Georg D.</givenNames>
<familyName>Strbac</familyName>
<degrees>DDS</degrees>
</personName>
<jobTitle>oral surgeon and senior scientist</jobTitle>
</creator>
<creator affiliationRef="#cid12042-aff-0001" creatorRole="author" xml:id="cid12042-cr-0004">
<personName>
<givenNames>Christoph</givenNames>
<familyName>Vasak</familyName>
<degrees>DDS, MD</degrees>
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<jobTitle>oral surgeon and senior scientist</jobTitle>
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<personName>
<givenNames>Hermann</givenNames>
<familyName>Agis</familyName>
<degrees>PhD</degrees>
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<jobTitle>assistant professor</jobTitle>
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<givenNames>Werner</givenNames>
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<degrees>DDS, MD, PhD</degrees>
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<orgDiv>Department of Oral Surgery</orgDiv>
<orgDiv>Bernhard Gottlieb University Clinic of Dentistry</orgDiv>
<orgName>Medical University of Vienna</orgName>
<address>
<city>Vienna</city>
<country>Austria</country>
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<orgName>Austrian Cluster for Tissue Regeneration</orgName>
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<city>Vienna</city>
<country>Austria</country>
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<keyword xml:id="cid12042-kwd-0001">bone‐implant interface</keyword>
<keyword xml:id="cid12042-kwd-0002">crestal bone loss</keyword>
<keyword xml:id="cid12042-kwd-1003">crevicular fluid analysis</keyword>
<keyword xml:id="cid12042-kwd-0003">edentulous mandible</keyword>
<keyword xml:id="cid12042-kwd-1002">implant neck design</keyword>
<keyword xml:id="cid12042-kwd-0004">implant stability</keyword>
<keyword xml:id="cid12042-kwd-1001">insertion torque</keyword>
<keyword xml:id="cid12042-kwd-0005">osseointegration</keyword>
<keyword xml:id="cid12042-kwd-0006">tapered implants</keyword>
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<title type="main">Purpose</title>
<p>The aim of this study is to assess the impact of insertion torque and implant neck design on peri‐implant bone levels and gain insights into dynamic crestal tissue alterations by radiological, clinical, and biochemical examinations.</p>
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<p>In this prospective trial, a total of 84 implants (four implants in each patient) in the interforaminal region of 21 edentulous mandibles were randomly alternated according to a split‐mouth design. Implant placement was performed using different insertion torques (≤20 
<fc>Ncm</fc>
vs >50 
<fc>Ncm</fc>
). In each group, one machined and one anodized implant neck design (1.5 mm length) was used in the same jaw side. Evaluation of peri‐implant tissues involved radiological, clinical examination and immunoassays for interleukin‐1β.</p>
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<title type="main">Results</title>
<p>No significant influence of insertion torque or implant neck design on peri‐implant bone level was found. Protein levels of interleukin‐1β in the peri‐implant crevicular fluid revealed no difference between both insertion torque groups and different neck designs.</p>
</section>
<section xml:id="cid12042-sec-0004">
<title type="main">Conclusion</title>
<p>Interactive effects of insertion torque and neck surface modification may exist; however, no clinically significant differences in marginal bone resorption after 1 year could be observed in the edentulous anterior mandible.</p>
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<abstract>The aim of this study is to assess the impact of insertion torque and implant neck design on peri‐implant bone levels and gain insights into dynamic crestal tissue alterations by radiological, clinical, and biochemical examinations.</abstract>
<abstract>In this prospective trial, a total of 84 implants (four implants in each patient) in the interforaminal region of 21 edentulous mandibles were randomly alternated according to a split‐mouth design. Implant placement was performed using different insertion torques (≤20 Ncm vs >50 Ncm). In each group, one machined and one anodized implant neck design (1.5 mm length) was used in the same jaw side. Evaluation of peri‐implant tissues involved radiological, clinical examination and immunoassays for interleukin‐1β.</abstract>
<abstract>No significant influence of insertion torque or implant neck design on peri‐implant bone level was found. Protein levels of interleukin‐1β in the peri‐implant crevicular fluid revealed no difference between both insertion torque groups and different neck designs.</abstract>
<abstract>Interactive effects of insertion torque and neck surface modification may exist; however, no clinically significant differences in marginal bone resorption after 1 year could be observed in the edentulous anterior mandible.</abstract>
<note type="funding">Medical University of Vienna</note>
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<topic>implant neck design</topic>
<topic>implant stability</topic>
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