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Does Length, Diameter, or Bone Quality Affect Primary and Secondary Stability in Self-Tapping Dental Implants?

Identifieur interne : 000136 ( PubMed/Corpus ); précédent : 000135; suivant : 000137

Does Length, Diameter, or Bone Quality Affect Primary and Secondary Stability in Self-Tapping Dental Implants?

Auteurs : Miguel G Mez-Polo ; Rocío Ortega ; Cristina G Mez-Polo ; Cristina Martín ; Alicia Celemín ; Jaime Del Río

Source :

RBID : pubmed:27070843

English descriptors

Abstract

Implant stability is a clinically valuable measurement of the strength of implant anchorage in the bone during placement and in the post-osseointegration period. This study aimed to determine 1) the effect of implant diameter and length and bone quality on measurements of primary and secondary stability (insertion torque [IT] and implant stability quotient [ISQ]), 2) the correlation between IT and primary and secondary ISQ, and 3) differences in ISQ in the post-osseointegration period (secondary stability) compared with immediate post-placement (primary) stability.

DOI: 10.1016/j.joms.2016.03.011
PubMed: 27070843

Links to Exploration step

pubmed:27070843

Le document en format XML

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<title xml:lang="en">Does Length, Diameter, or Bone Quality Affect Primary and Secondary Stability in Self-Tapping Dental Implants?</title>
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<name sortKey="G Mez Polo, Miguel" sort="G Mez Polo, Miguel" uniqKey="G Mez Polo M" first="Miguel" last="G Mez-Polo">Miguel G Mez-Polo</name>
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<nlm:affiliation>Doctor in Dental Surgery and Part-Time Professor, Department of Prosthetic Dentistry, School of Dentistry, Complutense University of Madrid, Madrid, Spain. Electronic address: mgpolo@odon.ucm.es.</nlm:affiliation>
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<name sortKey="Ortega, Rocio" sort="Ortega, Rocio" uniqKey="Ortega R" first="Rocío" last="Ortega">Rocío Ortega</name>
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<nlm:affiliation>Doctor in Dental Surgery and Assistant Professor, Department of Prosthetic Dentistry, School of Dentistry, Complutense University of Madrid, Madrid, Spain.</nlm:affiliation>
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<name sortKey="G Mez Polo, Cristina" sort="G Mez Polo, Cristina" uniqKey="G Mez Polo C" first="Cristina" last="G Mez-Polo">Cristina G Mez-Polo</name>
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<nlm:affiliation>Doctor in Dental Surgery and Part-Time Professor, Department of Surgery, Medicine School, University of Salamanca, Salamanca, Spain.</nlm:affiliation>
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<name sortKey="Martin, Cristina" sort="Martin, Cristina" uniqKey="Martin C" first="Cristina" last="Martín">Cristina Martín</name>
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<nlm:affiliation>Doctor in Dental Surgery and Assistant Professor, Department of Prosthetic Dentistry, School of Dentistry, Complutense University of Madrid, Madrid, Spain.</nlm:affiliation>
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<name sortKey="Celemin, Alicia" sort="Celemin, Alicia" uniqKey="Celemin A" first="Alicia" last="Celemín">Alicia Celemín</name>
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<nlm:affiliation>Medicine Doctor and Full-Time Professor, Department of Prosthetic Dentistry, School of Dentistry, Complutense University of Madrid, Madrid, Spain.</nlm:affiliation>
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<title xml:lang="en">Does Length, Diameter, or Bone Quality Affect Primary and Secondary Stability in Self-Tapping Dental Implants?</title>
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<name sortKey="Ortega, Rocio" sort="Ortega, Rocio" uniqKey="Ortega R" first="Rocío" last="Ortega">Rocío Ortega</name>
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<nlm:affiliation>Doctor in Dental Surgery and Assistant Professor, Department of Prosthetic Dentistry, School of Dentistry, Complutense University of Madrid, Madrid, Spain.</nlm:affiliation>
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<name sortKey="G Mez Polo, Cristina" sort="G Mez Polo, Cristina" uniqKey="G Mez Polo C" first="Cristina" last="G Mez-Polo">Cristina G Mez-Polo</name>
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<nlm:affiliation>Doctor in Dental Surgery and Part-Time Professor, Department of Surgery, Medicine School, University of Salamanca, Salamanca, Spain.</nlm:affiliation>
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<name sortKey="Martin, Cristina" sort="Martin, Cristina" uniqKey="Martin C" first="Cristina" last="Martín">Cristina Martín</name>
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<nlm:affiliation>Doctor in Dental Surgery and Assistant Professor, Department of Prosthetic Dentistry, School of Dentistry, Complutense University of Madrid, Madrid, Spain.</nlm:affiliation>
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<name sortKey="Celemin, Alicia" sort="Celemin, Alicia" uniqKey="Celemin A" first="Alicia" last="Celemín">Alicia Celemín</name>
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<nlm:affiliation>Medicine Doctor and Full-Time Professor, Department of Prosthetic Dentistry, School of Dentistry, Complutense University of Madrid, Madrid, Spain.</nlm:affiliation>
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<name sortKey="Del Rio, Jaime" sort="Del Rio, Jaime" uniqKey="Del Rio J" first="Jaime" last="Del Río">Jaime Del Río</name>
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<nlm:affiliation>Medicine Doctor and Full-Time Professor, Department of Prosthetic Dentistry, School of Dentistry, Complutense University of Madrid, Madrid, Spain.</nlm:affiliation>
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<title level="j">Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</title>
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<term>Alveolar Bone Loss (classification)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis Retention</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Titanium</term>
<term>Torque</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
<term>Titanium</term>
</keywords>
<keywords scheme="MESH" qualifier="classification" xml:lang="en">
<term>Alveolar Bone Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis Retention</term>
<term>Female</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Torque</term>
<term>Treatment Outcome</term>
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<front>
<div type="abstract" xml:lang="en">Implant stability is a clinically valuable measurement of the strength of implant anchorage in the bone during placement and in the post-osseointegration period. This study aimed to determine 1) the effect of implant diameter and length and bone quality on measurements of primary and secondary stability (insertion torque [IT] and implant stability quotient [ISQ]), 2) the correlation between IT and primary and secondary ISQ, and 3) differences in ISQ in the post-osseointegration period (secondary stability) compared with immediate post-placement (primary) stability.</div>
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<PMID Version="1">27070843</PMID>
<DateCompleted>
<Year>2017</Year>
<Month>04</Month>
<Day>20</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>08</Month>
<Day>17</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1531-5053</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>74</Volume>
<Issue>7</Issue>
<PubDate>
<Year>2016</Year>
<Month>Jul</Month>
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<Title>Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</Title>
<ISOAbbreviation>J. Oral Maxillofac. Surg.</ISOAbbreviation>
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<ArticleTitle>Does Length, Diameter, or Bone Quality Affect Primary and Secondary Stability in Self-Tapping Dental Implants?</ArticleTitle>
<Pagination>
<MedlinePgn>1344-53</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.joms.2016.03.011</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0278-2391(16)00345-1</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Implant stability is a clinically valuable measurement of the strength of implant anchorage in the bone during placement and in the post-osseointegration period. This study aimed to determine 1) the effect of implant diameter and length and bone quality on measurements of primary and secondary stability (insertion torque [IT] and implant stability quotient [ISQ]), 2) the correlation between IT and primary and secondary ISQ, and 3) differences in ISQ in the post-osseointegration period (secondary stability) compared with immediate post-placement (primary) stability.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">In this longitudinal clinical study, titanium self-tapping implants were inserted in edentulous patients. The implants were grouped according to 3 independent variables: length (10 and 11.5 mm), diameter (3.75 and 4.25 mm), and bone quality (Lekholm and Zarb classification) to analyze primary and secondary implant stability (outcome variables). Statistical analyses were performed using the Student t test for paired data, 1-way analysis of variance, and the Tukey procedure for multiple pairwise comparisons.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Data were collected on 88 self-tapping implants inserted in 63 partially edentulous patients. IT and implant stability were affected by diameter (3.75-mm implants, 26.5-N/cm IT and 74.0 ISQ; 4.25-mm implants, 33.8-N/cm IT and 77.0 ISQ) and bone type (type 1 + 2, 34.86-N/cm IT and 77.4 ISQ; type 3, 27.09-N/cm IT and 75.6 ISQ; type 4, 20.63-N/cm IT and 70.5 ISQ; P < .01 for all comparisons). Secondary ISQ was affected by diameter only (77.41 for 3.75- vs 75.51 for 4.25-mm implants). IT correlated with primary ISQ (R = 0.56; P < .01), although no clear correlation with secondary stability was found.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">IT and primary ISQ in self-tapping implants differed in patients with different bone quality and implant diameter but did not differ between the 2 implant lengths compared in this study. Secondary stability was not substantially affected by any of these factors. Although IT was closely related to primary ISQ, it was unrelated to secondary ISQ. Very high primary ISQ values tended to decrease, whereas intermediate and low values tended to increase, in the transition to secondary stability.</AbstractText>
<CopyrightInformation>Copyright © 2016 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
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