scholarly journals An in vitro investigation of peak insertion torque values of six commercially available mini-implants

2010 ◽  
Vol 33 (6) ◽  
pp. 660-666 ◽  
Author(s):  
C. Z. Y. Whang ◽  
D. Bister ◽  
M. Sherriff
2020 ◽  
pp. 026248932097179
Author(s):  
Margherita Tumedei ◽  
Adriano Piattelli ◽  
Antonello Falco ◽  
Francesco De Angelis ◽  
Felice Lorusso ◽  
...  

The dental implant primary stability and micromovement absence represent critical factor for dental implant osseointegration. The aim of the present in vitro investigation was to simulate the bone response on different polyurethane densities the effect of self-tapping threads and round apex implant geometry. A total of 40 implants were positioned in D1, D2, D3 and D4 polyurethane block densities following a calibrated drilling protocol. The Insertion, removal Torque and resonance frequency analysis (RFA) means were calculated. All experimental conditions showed insertion torque values >30 Ncm. A significant higher insertion torque, removal and RFA was present in D1 polyurethane. Similar evidences were evidenced for D3 and D4. The effectiveness of the present study suggested a valuable clinical advantage for self-tapping threads and round apex implant using, such as in case of reduced bone density in the posterior maxilla


Polymers ◽  
2019 ◽  
Vol 11 (6) ◽  
pp. 1020 ◽  
Author(s):  
Luca Comuzzi ◽  
Giovanna Iezzi ◽  
Adriano Piattelli ◽  
Margherita Tumedei

Objectives: The aim of this study was to investigate, in polyurethane foam sheets, the primary implant stability of a NanoShort implant compared to a self-condenser implant and to a standard, conventional implant. Materials and Methods: Three implant designs were evaluated in the present in vitro investigation: The Test implant (NanoShort), the Control A implant (self-condenser), and the Control B implant (standard design). The study was conducted by comparing the insertion torque values, the pull-out strength values, and the resonance frequency analysis (RFA) values of the Test and Control A and B implants inserted in polyurethane foam models of different thicknesses and densities. The foam densities were 10, 20, and 30 pounds per cubic foot (pcf). Three thicknesses of polyurethane foams (1, 2, 3 mm) were evaluated for a total of 640 experimental sites. Results: The Pearson correlation showed a moderate/strong correlation between all study groups (r > 0.3) for insertion torque and pull-out strength levels. Increased stability of the Test implants was obtained in 3 mm polyurethane sheets. The 2.5 and 3.5 mm Test implants presented good stability in 3 mm polyurethane sheets of 20–30 pcf densities. The Control implants showed better results compared to the Test implants in 1, 2, and 3 mm polyurethane sheets with densities of 10, 20, and 30 pcf. Conclusions: The NanoShort dental implant evaluated in this in vitro study showed a high level of stability in some experimental conditions, and could represent a useful tool, especially in the posterior mandible, as an alternative to vertical augmentation procedures.


Symmetry ◽  
2019 ◽  
Vol 11 (11) ◽  
pp. 1349 ◽  
Author(s):  
Luca Comuzzi ◽  
Margherita Tumedei ◽  
Adriano Piattelli ◽  
Giovanna Iezzi

The aim of the investigation was to evaluate the insertion torque, pull-out torque and implant stability quotient (ISQ) of short implants (SI) and standard length implants (ST) inserted into linearly elastic and constitutive isotropic symmetry polyurethane foam blocks. Short dental titanium implants with a Cone Morse connection and a conical shape (test implants: Test Implant A—diameter 5.5 mm and length 6 mm) (Test Implant B—diameter 5.5 mm and length 5 mm) were used for the present in vitro investigation. ST implants (4 mm diameter and 10 mm length), with a Cone Morse connection and a conical shape, were used as Control Implant A and as Control Implants B. These two latter implants had a different macro design. A total of 20 implants (5 Test A, 5 Test B, 5 Control A and 5 Control B) were used for the present research. The results were similar when comparing the Test A and Test B implants. The test implants had very good stability in polyurethane 14.88–29.76 kgm3 density blocks. The insertion torque values were very high for both types of test implant (25–32 Ncm on 14.88 kgm blocks, and up to 45 Ncm in 29.76 kgm3 blocks). The pull-out test values were very similar to the insertion torque values. The ISQ values were significantly high with 75–80 in 14.88 kgm3 blocks, and 78–83 in 29.76 kgm3 blocks. No differences were found in the values of the Control A and Control B implants. In both these implants, the insertion torque was quite low in the 14.88 kgm3 blocks (16–28 Ncm). Better results were found in the 29.76 kgm3 blocks. The pull-out values for these control implants were slightly lower than the insertion torque values. High ISQ values were found in both control implants (57–80). When comparing SI and ST implants, the SI had a similar if not better performance in low quality polyurethane foam blocks (14.88–29.76 kgm), corresponding to D3 and D4 bone.


Prosthesis ◽  
2020 ◽  
Vol 2 (2) ◽  
pp. 76-86
Author(s):  
Luca Comuzzi ◽  
Margherita Tumedei ◽  
Adriano Piattelli ◽  
Giovanna Iezzi

(1) Background: The aim of the present in vitro investigation was to evaluate, on polyurethane sheets, two different drilling techniques for dental implant positioning using osteocondensing burs compared to a standard type protocol. (2) Methods: Three different implant designs (Implacil De Bortoli UN III 4 × 10 mm, Restore RBM 4 (HEX) × 10 mm; Implacil De Bortoli UN II 4 × 10 mm) were evaluated (test implant (osteocondensing drills) and control implant (standard drills)). The insertion torque (IT), the removal torque (RT) and the resonance frequency analysis (RFA) values of test and control implants inserted in different size and different density polyurethane foam models were compared for 120 experimental sites. Accordingly, 120 experimental holes were produced in different PCF polyurethane foams: 60 sites were produced in 10 PCF sheets and 60 sites in 10 PCF sheets with an additional 1 mm layer of 30 PCF. (3) Results: The IT, removal torque and RFA values were significantly higher for both of the evaluated implants, in the sites prepared with the osteocondenser drills when compared to sites prepared with standard drills (p < 0.05). The UNII and UN III showed significantly higher stability compared to the HEX implant; these differences increased drastically in the 10 PCF Polyurethane Block with the additional 1 mm cortical layer (p < 0.05). (4) Conclusions: The outcome of this investigation suggested a possible clinical application of osteocondensing burs in case of reduced bone quality and quantity in the posterior maxilla.


Author(s):  
Bruno Di Leonardo ◽  
Björn Ludwig ◽  
Jörg Alexander Lisson ◽  
Luca Contardo ◽  
Rossano Mura ◽  
...  

Materials ◽  
2020 ◽  
Vol 13 (14) ◽  
pp. 3205 ◽  
Author(s):  
Seen-Young Kang ◽  
Ji-Min Yu ◽  
Hyoung-Sik Kim ◽  
Jun-Seok Lee ◽  
Chan-Mi Yeon ◽  
...  

This study aims to compare the torque values for various lengths of the titanium-based orthodontic anchor screw (OAS), different anchorage methods and varying artificial bone densities after predrilling. Furthermore, the effects of these parameters on bone stability are evaluated. A total of 144 OASs were prepared with a diameter of 1.6 mm and heights of 6, 8 and 10 mm. Artificial bones were selected according to their density, corresponding to Grades 50, 40 and 30. Torque values for the automatic device and manual anchorage methods exhibited a statistically significant difference for the same-sized OAS, according to the bone density of the artificial bones (p < 0.05). However, when insertion torque was at the maximum rotations, there was no significant difference in the torque values for the Grade 30 artificial bone (p > 0.05). When the torque values of both anchorage methods were statistically compared with the mean difference for each group, the results of the manual anchorage method were significantly higher than those of the automatic device anchorage method (p < 0.05). A statistically significant difference was observed in the bone stability resulting from different OAS anchorage methods and artificial bone lengths. These findings suggest that the automatic anchorage method should be used when fixing the OAS.


2016 ◽  
Vol 10 (1) ◽  
pp. 251-260 ◽  
Author(s):  
Marco Migliorati ◽  
Sara Drago ◽  
Fabrizio Barberis ◽  
Irene Schiavetti ◽  
Domenico Dalessandri ◽  
...  

To evaluate torque loss a week after insertion, both in an in vivo and an in vitro experimental setup were designed. In the in vivo setup a total of 29 miniscrews were placed in 20 patients who underwent orthodontic treatment. Maximum insertion torque (MIT) was evaluated at insertion time (T1). A week later, insertion torque was measured again by applying a quarter turn (T2); no load was applied on the screw during the first week. In the in vitro setup a total of 20 miniscrews were placed in pig rib bone samples. MIT was evaluated at insertion time (T1). Bone samples were kept in saline solution and controlled environment for a week during which the solution was refreshed every day. Afterwards, torque was measured again by applying a quarter turn (T2). The comparison of MIT over time was done calculating the percentage difference of the torque values between pre- and post-treatment and using the parametric two independent samples t-test or the non-parametric Mann–Whitney test. After a week unloaded miniscrews showed a mean loss of rotational torque of 36.3% and 40.9% in in vitro and in in vivo conditions, respectively. No statistical differences were found between the two different setups. Torque loss was observed after the first week in both study models; in vitro experimental setup provided a reliable study model for studying torque variation during the first week after insertion.


2018 ◽  
Vol 8 ◽  
pp. 124-130
Author(s):  
Juan Pablo Gomez ◽  
Lisbetd Giraldo ◽  
Daniela Montoya ◽  
Miguel Urrea

Objective The objective of this study was to determine the effect of cortical piezo-puncture (CPP) on maximum insertion torque (MIT), maximum removal torque (MRT), and maximum axial load (MAL) during the insertion of self-drilling miniscrew implants (MSI), in an experimental model with proximal epiphysis of bovine tibia. Materials and Methods A comparative study was conducted using two groups of 20 self-drilling MSI inserted in intact bone (control group) and in bone with previous CPP (experimental group). MIT, MRT, and MAL of the 20 mini implants of each group were measured. Using SPSS software, Student’s t-test was applied to compare MIT and MRT and the U-test Mann–Whitney test was applied to compare MAL in both groups as well as Pearson and Spearman correlation. Results In the experimental group, average values of 12.85 (±4,32) Newton x centimeters (Ncm), 13.7 (±4,54) Ncm, and 22,474 (±895,95) gF for MIT, MRT, and MAL were found, respectively. In the control group, average values found for MIT, MRT, and MAL were 20.2 (±4,7) Ncm, 22.3 (±5,17) Ncm, and 4688,7 (±320,18) gF, respectively. Statistically significant differences were observed in MIT, MRT, and MAL between control and experimental groups (P < 0,001). Conclusions CPP before insertion of orthodontic MSI in bovine tibia significantly reduces MIT, MRT, and MAL.


2008 ◽  
Vol 78 (6) ◽  
pp. 1065-1070 ◽  
Author(s):  
Benedict Wilmes ◽  
Yu-Yu Su ◽  
Dieter Drescher

Abstract Objective: To analyze the impact of the insertion angle on the primary stability of mini-implants. Materials and Methods: A total of 28 ilium bone segments of pigs were embedded in resin. Two different mini-implant sizes (Dual-Top Screw 1.6 × 8 mm and 2.0 × 10 mm) were inserted at seven different angles (30°, 40°, 50°, 60°, 70°, 80°, and 90°). The insertion torque was recorded to assess primary stability. In each bone, five Dual-Top Screws were used to compensate for differences in local bone quality. Results: The angle of mini-implant insertion had a significant impact on primary stability. The highest insertion torque values were measured at angles between 60° and 70° (63.8° for Dual-Top 1.6 mm and 66.7° for Dual-Top 2.0 mm). Very oblique insertion angles (30°) resulted in reduced primary stability. Conclusions: To achieve the best primary stability, an insertion angle ranging from 60° to 70° is advisable. If the available space between two adjacent roots is small, a more oblique direction of insertion seems to be favorable to minimize the risk of root contact.


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