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Two Alternative Surgical Techniques for Enhancing Primary Implant Stability in the Posterior Maxilla: A Clinical Study Including Bone Density, Insertion Torque, and Resonance Frequency Analysis Data

Identifieur interne : 002F80 ( Istex/Corpus ); précédent : 002F79; suivant : 002F81

Two Alternative Surgical Techniques for Enhancing Primary Implant Stability in the Posterior Maxilla: A Clinical Study Including Bone Density, Insertion Torque, and Resonance Frequency Analysis Data

Auteurs : Ilser Turkyilmaz ; Utku Aksoy ; Edwin A. Mcglumphy

Source :

RBID : ISTEX:613D448089EAC936847B7F77E9E58A81E50086F6

English descriptors

Abstract

Background: The primary stability of dental implants associated with resistance to micromotion during healing is affected by surgical technique and implant design, which are important especially in the soft bone, where implant failures are more likely.

Url:
DOI: 10.1111/j.1708-8208.2008.00084.x

Links to Exploration step

ISTEX:613D448089EAC936847B7F77E9E58A81E50086F6

Le document en format XML

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<head>ABSTRACT</head>
<p>
<hi rend="bold">Background:</hi>
The primary stability of dental implants associated with resistance to micromotion during healing is affected by surgical technique and implant design, which are important especially in the soft bone, where implant failures are more likely.</p>
<p>
<hi rend="bold">Purposes:</hi>
This study was designed to compare the parameters associated with implant insertion using two different methods of enhancing implant primary stability and to identify any relationship between these parameters at implant insertion.</p>
<p>
<hi rend="bold">Materials and Methods:</hi>
A total of 60 implants were placed in the maxillary posterior regions of 22 patients. The bone densities at the implant sites were recorded using a computerized tomography machine in Hounsfield unit (HU). The maximum insertion torque data were recorded with the Osseocare™ (Nobel Biocare AB, Göteborg, Sweden) equipment, while resonance frequency analysis (RFA) measurements were taken using an Osstell™ (Integration Diagnostics AB, Göteborg, Sweden) machine at implant surgery. Comparisons including HU, Ncm, and implant stability quotient were made between two control groups (C1 and C2), and corresponding four test groups (T1–T4) using thinner drills to enhance primary implant stability.</p>
<p>
<hi rend="bold">Results:</hi>
Two implants were lost, meaning an overall implant survival rate of 96.6% after 3 ± 1 years. When compared to control groups, significantly higher mean maximum insertion torque and RFA values were found for corresponding test groups. In addition, strong correlations were observed between the bone density and insertion torque, and implant stability values at implant placement.</p>
<p>
<hi rend="bold">Conclusion:</hi>
The results of this study suggest that using thinner drills for implant placement in the maxillary posterior region where bone quality is poor may improve the primary implant stability, which helps clinicians to obtain higher implant survival rates.</p>
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<correspondenceTo>Dr. Ilser Turkyilmaz, College of Dentistry, The Ohio State University, 305 West 12th Avenue, PO Box 182357, Columbus, OH, USA 43218‐2357; e‐mail:
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<title type="main">Two Alternative Surgical Techniques for Enhancing Primary Implant Stability in the Posterior Maxilla: A Clinical Study Including Bone Density, Insertion Torque, and Resonance Frequency Analysis Data</title>
<title type="shortAuthors">Clinical Implant Dentistry and Related Research, Volume 10, Number 4, 2008</title>
<title type="short">Surgical Techniques for Enhancing Implant Stability in the Posterior Maxilla</title>
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<givenNames>Edwin A.</givenNames>
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<unparsedAffiliation>Implant prosthodontic fellow, Department of Restorative and Prosthetic Dentistry, College of Dentistry, The Ohio State University, Columbus, OH, USA;</unparsedAffiliation>
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<unparsedAffiliation>research assistant, Department of Periodontology, Faculty of Dentistry, Hacettepe University, Ankara, Turkey;</unparsedAffiliation>
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<keyword xml:id="k1">bone density</keyword>
<keyword xml:id="k2">computerized tomography</keyword>
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<keyword xml:id="k5">implant stability</keyword>
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<b>Background:</b>
The primary stability of dental implants associated with resistance to micromotion during healing is affected by surgical technique and implant design, which are important especially in the soft bone, where implant failures are more likely.</p>
<p>
<b>Purposes:</b>
This study was designed to compare the parameters associated with implant insertion using two different methods of enhancing implant primary stability and to identify any relationship between these parameters at implant insertion.</p>
<p>
<b>Materials and Methods:</b>
A total of 60 implants were placed in the maxillary posterior regions of 22 patients. The bone densities at the implant sites were recorded using a computerized tomography machine in Hounsfield unit (HU). The maximum insertion torque data were recorded with the Osseocare™ (Nobel Biocare AB, Göteborg, Sweden) equipment, while resonance frequency analysis (RFA) measurements were taken using an Osstell™ (Integration Diagnostics AB, Göteborg, Sweden) machine at implant surgery. Comparisons including HU, Ncm, and implant stability quotient were made between two control groups (C1 and C2), and corresponding four test groups (T1–T4) using thinner drills to enhance primary implant stability.</p>
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<b>Results:</b>
Two implants were lost, meaning an overall implant survival rate of 96.6% after 3 ± 1 years. When compared to control groups, significantly higher mean maximum insertion torque and RFA values were found for corresponding test groups. In addition, strong correlations were observed between the bone density and insertion torque, and implant stability values at implant placement.</p>
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<b>Conclusion:</b>
The results of this study suggest that using thinner drills for implant placement in the maxillary posterior region where bone quality is poor may improve the primary implant stability, which helps clinicians to obtain higher implant survival rates.</p>
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<abstract>Background: The primary stability of dental implants associated with resistance to micromotion during healing is affected by surgical technique and implant design, which are important especially in the soft bone, where implant failures are more likely.</abstract>
<abstract>Purposes: This study was designed to compare the parameters associated with implant insertion using two different methods of enhancing implant primary stability and to identify any relationship between these parameters at implant insertion.</abstract>
<abstract>Materials and Methods: A total of 60 implants were placed in the maxillary posterior regions of 22 patients. The bone densities at the implant sites were recorded using a computerized tomography machine in Hounsfield unit (HU). The maximum insertion torque data were recorded with the Osseocare™ (Nobel Biocare AB, Göteborg, Sweden) equipment, while resonance frequency analysis (RFA) measurements were taken using an Osstell™ (Integration Diagnostics AB, Göteborg, Sweden) machine at implant surgery. Comparisons including HU, Ncm, and implant stability quotient were made between two control groups (C1 and C2), and corresponding four test groups (T1–T4) using thinner drills to enhance primary implant stability.</abstract>
<abstract>Results: Two implants were lost, meaning an overall implant survival rate of 96.6% after 3 ± 1 years. When compared to control groups, significantly higher mean maximum insertion torque and RFA values were found for corresponding test groups. In addition, strong correlations were observed between the bone density and insertion torque, and implant stability values at implant placement.</abstract>
<abstract>Conclusion: The results of this study suggest that using thinner drills for implant placement in the maxillary posterior region where bone quality is poor may improve the primary implant stability, which helps clinicians to obtain higher implant survival rates.</abstract>
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