Polyurethane Foam as a Model to Study Primary Implant Stability: A Series of In Vitro Studies

2020 ◽  
pp. 169-180
Author(s):  
Margherita Tumedei ◽  
Luca Comuzzi ◽  
Morena Petrini ◽  
Adriano Piattelli ◽  
Giovanna Iezzi
Keyword(s):  
Polyurethane Foam ◽  
In Vitro Studies ◽  
Implant Stability ◽  
Primary Implant

scholarly journals Correction: Antonelli, A., et al. Can Bone Compaction Improve Primary Implant Stability? An In Vitro Comparative Study with Osseodensification Technique. Applied Sciences 2020, 10, 8623

2021 ◽  
Vol 11 (8) ◽  
pp. 3427
Author(s):  
Alessandro Antonelli ◽  
Francesco Bennardo ◽  
Ylenia Brancaccio ◽  
Selene Barone ◽  
Felice Femiano ◽  
...  
Keyword(s):  
Applied Sciences ◽  
Comparative Study ◽  
Implant Stability ◽  
Primary Implant

The author wishes to make the following corrections to this paper [...]

scholarly journals Reliability and Correlation of Different Devices for the Evaluation of Primary Implant Stability: An In Vitro Study

Materials ◽  
2021 ◽  
Vol 14 (19) ◽  
pp. 5537
Author(s):  
Perry Raz ◽  
Haya Meir ◽  
Shifra Levartovsky ◽  
Maia Peleg ◽  
Alon Sebaoun ◽  
...  
Keyword(s):  
In Vitro Study ◽  
Implant Design ◽  
Implant Stability ◽  
High Positive Correlation ◽  
Primary Implant ◽  
Conical Connection ◽  
Vitro Model ◽  
Implant Length ◽  
Positive Significant Correlation

Our aim was to analyze the correlation between the IT evaluated by a surgical motor and the primary implant stability (ISQ) measured by two RFA devices, Osstell and Penguin, in an in vitro model. This study examines the effect of bone type (soft or dense), implant length (13 mm or 8 mm), and implant design (CC: conical connection; IH: internal hexagon), on this correlation. Ninety-six implants were inserted using a surgical motor (IT) into two types of synthetic foam blocks. Initial measurements for both the peak IT and ISQ were recorded at the point when implant insertion was stopped by the surgical motor, and the final measurements were recorded when the implant was completely inserted into the synthetic blocks using only the RFA devices. Our null hypothesis was that there is a good correlation between the devices, independent of the implant length, design, or bone type. We found a positive, significant correlation between the IT, and the Osstell and Penguin devices. Implant length and bone type did not affect this correlation. The correlation between the devices in the CC design was maintained; however, in the IH design it was maintained only between the RFA devices. We concluded that there is a high positive correlation between the IT and ISQ from a mechanical perspective, which was not affected by bone type or implant length but was affected by the implant design.

scholarly journals Can Bone Compaction Improve Primary Implant Stability? An In Vitro Comparative Study with Osseodensification Technique

2020 ◽  
Vol 10 (23) ◽  
pp. 8623
Author(s):  
Alessandro Antonelli ◽  
Francesco Bennardo ◽  
Ylenia Brancaccio ◽  
Selene Barone ◽  
Felice Femiano ◽  
...  
Keyword(s):  
Cancellous Bone ◽  
Biological Response ◽  
In Vivo Studies ◽  
Insertion Torque ◽  
Clinical Settings ◽  
Implant Stability ◽  
Primary Implant ◽  
Significant Difference

Background: This study aims to analyze bone compaction and osseodensification techniques and to investigate how cancellous bone compaction could influence primary implant stability (PS). Methods: Two different surgical protocols (bone compactors—BC; osseodensification drills—OD) were compared by placing 20 implants into 20 fresh pig ribs for each procedure. Peak insertion torque (PIT) and peak removal torque (PRT) were investigated using an MGT-12 digital torque gauge, and implant stability quotient (ISQ) was analyzed using an Osstell® Beacon device. Results: Analysis of our data (T-test p < 0.05) evidenced no statistically significant difference between BC and OD in terms of PIT (p = 0.33) or ISQ (p = 0.97). The comparison of PRT values showed a statistically significant difference between BC and OD protocols (p = 0.009). Conclusions: Cancellous bone compaction seems to improve PS, preserving a significant amount of bone and evenly spreading trabeculae on the entire implant site. Although the PIT and ISQ values obtained are similar, the PRT values suggest a better biological response from the surrounding bone tissue. Nevertheless, a larger sample and further in vivo studies are necessary to validate the usefulness of this protocol in several clinical settings.

Effect of Rotating Osteotomes on Primary Implant Stability—An In Vitro Investigation

2013 ◽  
Vol 39 (1) ◽  
pp. 52-57
Author(s):  
Philipp Kreißel ◽  
Felix Kölpin ◽  
Friedrich Graef ◽  
Manfred Wichmann ◽  
Matthias Karl
Keyword(s):  
Bone Density ◽  
Primary Stability ◽  
Surrogate Models ◽  
Poor Quality ◽  
Cortical Layer ◽  
Implant Stability ◽  
Implant Stability Quotient ◽  
Primary Implant ◽  
In Vitro Investigation

Achieving sufficient primary implant stability in poor-quality bone is difficult. Other than for conventional osteotomes, little is known about the effectiveness of screw-shaped spreaders in condensing bone and increasing primary stability. Therefore, implant stability quotient (ISQ) measurements of implants placed in bone surrogate models were conducted. Whereas bony microarchitecture had no effect on implant stability, initial bone density, presence of a cortical layer, and the use of screw-shaped spreaders significantly increased ISQ levels.

Relative Contribution of Trabecular and Cortical Bone to Primary Implant Stability: An In Vitro Model Study

2016 ◽  
Vol 42 (2) ◽  
pp. 145-152 ◽  
Author(s):  
Russell Wang ◽  
Steven J. Eppell ◽  
Christian Nguyen ◽  
Nathan Morris
Keyword(s):  
Trabecular Bone ◽  
Cortical Bone ◽  
Quantitative Information ◽  
Cortical Layer ◽  
Insertion Torque ◽  
Implant Stability ◽  
Relative Contribution ◽  
Primary Implant ◽  
Torque Values

The specific aim of this study was to examine the relative contributions to the implant insertion torque value (ITV) by cortical and trabecular components of an in vitro bone model. Simulated bone blocks of polyurethane were used with 2 densities of foam (0.08 g/cm3 to mimic trabecular bone and 0.64 g/cm3 to mimic cortical bone). We have developed a new platform technology to collect data that enables quantitative evaluation of ITV at different implant locations. Seven groups were used to model varying thicknesses of cortical bone over a lower-quality trabecular bone that have clinical significance: a solid 0.08 g/cm3 block; 1 mm, 2 mm, and 3 mm thick 0.64 g/cm3 sheets with no underlayer; and 1 mm, 2 mm, and 3 mm thick 0.64 g/cm3 sheets laminated on top of a 4 cm thick 0.08 g/cm3 block. The ITVs were recorded as a function of insertion displacement distance. Relative contributions of ITV ranged from 3% to 18% from trabecular bone, and 62% to 74% from cortical bone depending on the thickness of the cortical layer. Inserting an implant into 2-mm and 3-mm cortical layers laminated atop trabecular blocks had a synergistic effect on ITVs. Finally, an implant with a reverse bevel design near the abutment showed final average torque values that were 14% to 34% less than their maximum torque values. This work provides basic quantitative information for clinicians to understand the influence of composite layers of bone in relation to mechanical torque resistances during implant insertion in order to obtain desired primary implant stability.

Insertion torque/time integral as a measure of primary implant stability

2020 ◽  
Vol 65 (6) ◽  
pp. 729-733
Author(s):  
Tanja Grobecker-Karl ◽  
Matthias Karl ◽  
Constanze Steiner
Keyword(s):  
Cortical Layer ◽  
Implant Design ◽  
Insertion Torque ◽  
Resonance Frequency Analysis ◽  
Implant Stability ◽  
Time Integral ◽  
Primary Implant ◽  
Medium Quality ◽  
Bone Level

AbstractThe goal of this in vitro study was to determine the insertion torque/time integral for three implant systems. Bone level implants (n = 10; BLT – Straumann Bone Level Tapered 4.1 mm × 12 mm, V3 – MIS V3 3.9 mm × 11.5 mm, ASTRA – Dentsply-Sirona ASTRA TX 4.0 mm × 13 mm) were placed in polyurethane foam material consisting of a trabecular and a cortical layer applying protocols for medium quality bone. Besides measuring maximum insertion torque and primary implant stability using resonance frequency analysis (RFA), torque time curves recorded during insertion were used for calculating insertion torque/time integrals. Statistical analysis was based on ANOVA, Tukey’s honest differences test and Pearson product moment correlation (α = 0.05). Significantly greater mean maximum insertion torque (59.9 ± 4.94 Ncm) and mean maximum insertion torque/time integral (961.64 ± 54.07 Ncm∗s) were recorded for BLT implants (p < 0.01). V3 showed significantly higher mean maximum insertion torque as compared to ASTRA (p < 0.01), but significantly lower insertion torque/time integral (p < 0.01). Primary implant stability did not differ significantly among groups. Only a single weak (r = 0.61) but significant correlation could be established between maximum insertion torque and insertion torque/time integral (p < 0.01) when all data from all three implant groups were pooled. Implant design (length, thread pitch) seems to affect insertion torque/time integral more than maximum insertion torque.

scholarly journals Influence of Cortical Layer and Surgical Techniques on the Primary Implant Stability in Low-density Bone:An In Vitro Study

2021 ◽  
Vol 22 (2) ◽  
pp. 146-151
Author(s):  
Sampathkumar JayaKrishnaKumar ◽  
Rahmath S Shafiullah ◽  
Ramasubramanian Hariharan ◽  
Chitra S Krishnan ◽  
Navarasampatti S Azhagarasan ◽  
...  
Keyword(s):  
Surgical Techniques ◽  
In Vitro Study ◽  
Cortical Layer ◽  
Vitro Study ◽  
Low Density ◽  
Implant Stability ◽  
Primary Implant

scholarly journals Primary implant stability in a bone model simulating clinical situations for the posterior maxilla: an in vitro study

2016 ◽  
Vol 46 (4) ◽  
pp. 254 ◽  
Author(s):  
Ho-Chyul Han ◽  
Hyun-Chang Lim ◽  
Ji-Youn Hong ◽  
Su-Jin Ahn ◽  
Ji-Young Han ◽  
...  
Keyword(s):  
In Vitro Study ◽  
Vitro Study ◽  
Implant Stability ◽  
Bone Model ◽  
Primary Implant ◽  
Posterior Maxilla
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