Comparative evaluation of the stability of two different dental implant designs and surgical protocols—a pilot study
Identifieur interne : 000310 ( Main/Exploration ); précédent : 000309; suivant : 000311Comparative evaluation of the stability of two different dental implant designs and surgical protocols—a pilot study
Auteurs : David E. Simmons [États-Unis] ; Pooja Maney [États-Unis] ; Austin G. Teitelbaum [États-Unis] ; Susan Billiot [États-Unis] ; Lomesh J. Popat [États-Unis] ; A. Archontia Palaiologou [États-Unis]Source :
- International Journal of Implant Dentistry [ 2198-4034 ] ; 2017.
Abstract
The purpose of this study was to compare a parallel wall design implant to a tapered apex design implant when placed in the posterior maxilla using two different surgical protocols.
Twenty-seven patients (30 implants) were divided into three groups. All implants were 4 mm wide in diameter and 8 mm long.
Group A received 10 tapered implants (OSPTX) (Astra Tech OsseoSpeed TX™) using the soft bone surgical protocol (TXSoft).
Group B received 10 tapered implants (OSPTX) (AstraTech OsseoSpeedTX™) using the standard surgical protocol (TXStd).
Group C received 10 parallel wall implants (OSP) (AstraTech OsseoSpeed™) using the standard surgical protocol (OStd).
All implants were placed in the posterior maxilla in areas with a minimum of 8-mm crestal bone height.
Resonance frequency measurements (implant stability quotient (ISQ)) and torque values were recorded to determine initial implant stability. All implants were uncovered 6 weeks after placement and restored with a functionally loaded resin provisional screw-retained crown. Resonance frequency measurements were recorded at the time of implant placement, at 6 weeks and 6 and 12 months. Twelve months after implant placement, the stability of the implants was recorded and the final restorations were placed using custom CAD/CAM fabricated abutments and cement-retained PFM DSIGN porcelain crowns. After implant restoration, bone levels were measured at 6 and 12 months with standardized radiographs.
Radiographic mean bone loss was less than 0.5 mm in all groups, with no statistically significant differences between the groups. Implant survival rate at 1 year was 93.3%, with 2/30 implants failing to integrate prior to functional loading at 6 weeks. No statistically significant difference was found between ISQ measurements between the three groups at all time intervals measured. Strong positive correlations were found between overall bone loss at 6 months and insertion torque at time of placement. A very weak correlation was found between insertion torque and ISQ values at time of implant placement.
Survival and stability of OSPTX and OSP implants is comparable. Osteotomy preparation by either standard or soft bone surgical protocol presented no significant effect on implant survival and stability for the specific implant designs.
Url:
DOI: 10.1186/s40729-017-0078-2
PubMed: 28466248
PubMed Central: 5411487
Affiliations:
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Popat</name><affiliation wicri:level="2"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2217 8588</institution-id><institution-id institution-id-type="GRID">grid.265219.b</institution-id><institution></institution><institution>Tulane University SPHTM,</institution></institution-wrap>1440 Canal St, Suite 2001, New Orleans, LA 70130 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Louisiane</region></placeName><wicri:cityArea>1440 Canal St, Suite 2001, New Orleans</wicri:cityArea></affiliation></author><author><name sortKey="Palaiologou, A Archontia" sort="Palaiologou, A Archontia" uniqKey="Palaiologou A" first="A. Archontia" last="Palaiologou">A. Archontia Palaiologou</name><affiliation wicri:level="2"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8954 1233</institution-id><institution-id institution-id-type="GRID">grid.279863.1</institution-id><institution>Department of Periodontics,</institution><institution>Louisiana State University Health Sciences Center School of Dentistry,</institution></institution-wrap>1100 Florida Avenue, New Orleans, LA 70119 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Louisiane</region></placeName><wicri:cityArea>1100 Florida Avenue, New Orleans</wicri:cityArea></affiliation></author></analytic><series><title level="j">International Journal of Implant Dentistry</title><idno type="eISSN">2198-4034</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The purpose of this study was to compare a parallel wall design implant to a tapered apex design implant when placed in the posterior maxilla using two different surgical protocols.</p></sec><sec><title>Methods</title><p>Twenty-seven patients (30 implants) were divided into three groups. All implants were 4 mm wide in diameter and 8 mm long.</p><p>Group A received 10 tapered implants (OSPTX) (Astra Tech OsseoSpeed TX™) using the soft bone surgical protocol (TXSoft).</p><p>Group B received 10 tapered implants (OSPTX) (AstraTech OsseoSpeedTX™) using the standard surgical protocol (TXStd).</p><p>Group C received 10 parallel wall implants (OSP) (AstraTech OsseoSpeed™) using the standard surgical protocol (OStd).</p><p>All implants were placed in the posterior maxilla in areas with a minimum of 8-mm crestal bone height.</p><p>Resonance frequency measurements (implant stability quotient (ISQ)) and torque values were recorded to determine initial implant stability. All implants were uncovered 6 weeks after placement and restored with a functionally loaded resin provisional screw-retained crown. Resonance frequency measurements were recorded at the time of implant placement, at 6 weeks and 6 and 12 months. Twelve months after implant placement, the stability of the implants was recorded and the final restorations were placed using custom CAD/CAM fabricated abutments and cement-retained PFM DSIGN porcelain crowns. After implant restoration, bone levels were measured at 6 and 12 months with standardized radiographs.</p></sec><sec><title>Results</title><p>Radiographic mean bone loss was less than 0.5 mm in all groups, with no statistically significant differences between the groups. Implant survival rate at 1 year was 93.3%, with 2/30 implants failing to integrate prior to functional loading at 6 weeks. No statistically significant difference was found between ISQ measurements between the three groups at all time intervals measured. Strong positive correlations were found between overall bone loss at 6 months and insertion torque at time of placement. A very weak correlation was found between insertion torque and ISQ values at time of implant placement.</p></sec><sec><title>Conclusions</title><p>Survival and stability of OSPTX and OSP implants is comparable. Osteotomy preparation by either standard or soft bone surgical protocol presented no significant effect on implant survival and stability for the specific implant designs.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Anitua, E" uniqKey="Anitua E">E Anitua</name></author><author><name sortKey="Orive, G" uniqKey="Orive G">G Orive</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Feldman, S" uniqKey="Feldman S">S Feldman</name></author><author><name sortKey="Boitel, N" uniqKey="Boitel N">N Boitel</name></author><author><name sortKey="Weng, D" uniqKey="Weng D">D Weng</name></author><author><name sortKey="Kohles, Ss" uniqKey="Kohles S">SS Kohles</name></author><author><name sortKey="Stach, Rm" uniqKey="Stach R">RM Stach</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Felice, P" uniqKey="Felice P">P Felice</name></author><author><name sortKey="Cannizzaro, G" 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uniqKey="Garriga J">JS Garriga</name></author><author><name sortKey="Tarrida, Lg" uniqKey="Tarrida L">LG Tarrida</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ebler, S" uniqKey="Ebler S">S Ebler</name></author><author><name sortKey="Ioannidis, A" uniqKey="Ioannidis A">A Ioannidis</name></author><author><name sortKey="Jung, Re" uniqKey="Jung R">RE Jung</name></author><author><name sortKey="Hammerle, Ch" uniqKey="Hammerle C">CH Hammerle</name></author><author><name sortKey="Thoma, Ds" uniqKey="Thoma D">DS Thoma</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Louisiane</li></region></list><tree><country name="États-Unis"><region name="Louisiane"><name sortKey="Simmons, David E" sort="Simmons, David E" uniqKey="Simmons D" first="David E." last="Simmons">David E. Simmons</name></region><name sortKey="Billiot, Susan" sort="Billiot, Susan" uniqKey="Billiot S" first="Susan" last="Billiot">Susan Billiot</name><name sortKey="Maney, Pooja" sort="Maney, Pooja" uniqKey="Maney P" first="Pooja" last="Maney">Pooja Maney</name><name sortKey="Palaiologou, A Archontia" sort="Palaiologou, A Archontia" uniqKey="Palaiologou A" first="A. Archontia" last="Palaiologou">A. Archontia Palaiologou</name><name sortKey="Popat, Lomesh J" sort="Popat, Lomesh J" uniqKey="Popat L" first="Lomesh J." last="Popat">Lomesh J. Popat</name><name sortKey="Teitelbaum, Austin G" sort="Teitelbaum, Austin G" uniqKey="Teitelbaum A" first="Austin G." last="Teitelbaum">Austin G. Teitelbaum</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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