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

2008 ◽  
Vol 0 (0) ◽  
pp. 080411085817500-??? ◽  
Author(s):  
Ilser Turkyilmaz ◽  
Utku Aksoy ◽  
Edwin A. McGlumphy
Keyword(s):  
Clinical Study ◽  
Bone Density ◽  
Resonance Frequency ◽  
Frequency Analysis ◽  
Surgical Techniques ◽  
Analysis Data ◽  
Insertion Torque ◽  
Resonance Frequency Analysis ◽  
Implant Stability ◽  
Posterior Maxilla

scholarly journals Does the manual insertion torque of smartpegs affect the outcome of implant stability quotients (ISQ) during resonance frequency analysis (RFA)?

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Ingrid Kästel ◽  
Giles de Quincey ◽  
Jörg Neugebauer ◽  
Robert Sader ◽  
Peter Gehrke
Keyword(s):  
Resonance Frequency ◽  
Frequency Analysis ◽  
Insertion Torque ◽  
Resonance Frequency Analysis ◽  
Implant Stability ◽  
Reliable Determination ◽  
Torque Values ◽  
Finger Pressure

Abstract Background There is disagreement about the optimal torque for tightening smartpegs for resonance frequency analysis (RFA). Subjective finger pressure during hand tightening could affect the reliability of the resulting values. The aim of the current study was therefore to assess whether or not the insertion torque of a smartpeg magnetic device influences the implant stability quotient (ISQ) value during RFA. Methods Thirty self-tapping screw implants (XiVE S, Dentsply Sirona Implants, Bensheim, Germany) with a diameter of 3.8 mm and a length of 11 mm were inserted in three cow ribs with a bone quality of D1. The RFA value of each implant was measured (Ostell, FA W&H Dentalwerk, Bürmoos, Austria) in two orthogonal directions (mesial and buccal) after tightening the corresponding smartpeg type 45 with a mechanically defined value of 5 Ncm (Meg Torq device, Megagen, Daegu, South Korea) (test). Additionally, 4 different examiners measured the RFA after hand tightening the smartpegs, and the results were compared (control). Insertion torque values were determined by measuring the unscrew torque of hand seated smartpegs (Tohnichi Manufacturing Co. Ltd, Tokyo, Japan). Results The ISQ values varied from 2 to 11 Ncm by hand tightening and from 2 to 6 Ncm by machine tightening. The comparison of hand and machine tightening of smartpegs displayed only minor differences in the mean ISQ values with low standard deviations (mesial 79.76 ± 2,11, buccal 77.98 ± 2,) and no statistical difference (mesial p = 0,343 and buccal p = 0,890). Conclusions Manual tightening of smartpeg transducers allows for an objective and reliable determination of ISQ values during RFA.

An in vitro evaluation on polyurethane foam sheets of the insertion torque, removal torque values, and resonance frequency analysis (RFA) of a self-tapping threads and round apex implant

2020 ◽  
pp. 026248932097179
Author(s):  
Margherita Tumedei ◽  
Adriano Piattelli ◽  
Antonello Falco ◽  
Francesco De Angelis ◽  
Felice Lorusso ◽  
...  
Keyword(s):  
Resonance Frequency ◽  
Dental Implant ◽  
Frequency Analysis ◽  
Insertion Torque ◽  
Resonance Frequency Analysis ◽  
Removal Torque ◽  
In Vitro Investigation ◽  
Posterior Maxilla ◽  
Torque Values

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

scholarly journals Evaluation of Insertion Energy as Novel Parameter for Dental Implant Stability

2020 ◽  
Vol 9 (9) ◽  
pp. 2977
Author(s):  
Tanja Grobecker-Karl ◽  
Anthony Dickinson ◽  
Siegfried Heckmann ◽  
Matthias Karl ◽  
Constanze Steiner
Keyword(s):  
Resonance Frequency ◽  
Frequency Analysis ◽  
Primary Stability ◽  
Insertion Torque ◽  
Resonance Frequency Analysis ◽  
Implant Stability ◽  
Time Curve ◽  
Trapezoidal Formula ◽  
Primary Implant ◽  
Reliable Parameter

Insertion energy has been advocated as a novel measure for primary implant stability, but the effect of implant length, diameter, or surgical protocol remains unclear. Twenty implants from one specific bone level implant system were placed in layered polyurethane foam measuring maximum insertion torque, torque–time curves, and primary stability using resonance frequency analysis (RFA). Insertion energy was calculated as area under torque–time curve applying the trapezoidal formula. Statistical analysis was based on analysis of variance, Tukey honest differences tests and Pearson’s product moment correlation tests (α = 0.05). Implant stability (p = 0.01) and insertion energy (p < 0.01) differed significantly among groups, while maximum insertion torque did not (p = 0.17). Short implants showed a significant decrease in implant stability (p = 0.01), while reducing implant diameter did not cause any significant effect. Applying the drilling protocol for dense bone resulted in significantly increased insertion energy (p = 0.02) but a significant decrease in implant stability (p = 0.04). Insertion energy was not found to be a more reliable parameter for evaluating primary implant stability when compared to maximum insertion torque and resonance frequency analysis.

Assessment of Dental Implant Stability in Areas Previously Submitted to Maxillary Sinus Elevation

2018 ◽  
Vol 44 (2) ◽  
pp. 109-113 ◽  
Author(s):  
Karine Câmara Silva ◽  
Elton Gonçalves Zenóbio ◽  
Paulo Eduardo Alencar Souza ◽  
Rodrigo Villamarim Soares ◽  
Maurício Greco Cosso ◽  
...  
Keyword(s):  
Resonance Frequency ◽  
Maxillary Sinus ◽  
Frequency Analysis ◽  
Insertion Torque ◽  
Sinus Lift ◽  
Resonance Frequency Analysis ◽  
Implant Stability ◽  
Air Motor ◽  
Implant Stability Quotient ◽  
Secondary Stability

This study aimed to compare the primary and secondary stability, measured by resonance frequency analysis (RFA), in implants of different lengths installed in areas submitted to maxillary sinus lift. Correlation between RFA and implant insertion torque was also assessed. Twenty implants of 9 and 11 mm were inserted in areas submitted to maxillary sinus lift. The insertion torque was measured by the Bien Air motor. Osstell, through RFA, determined the implant stability quotient (ISQ) 2 times: the day of implant installation (T1) and 90 days after implant installation (T2). No differences were observed in the ISQ between T1 and T2 when the 20 implants were grouped, nor when the 9 mm implants were evaluated separately. In contrast, when the 11 mm values were evaluated separately, the ISQ was significantly higher in T2 than in T1 (P &lt; .05). In T1, 9 mm implants had a higher ISQ than 11 mm ones (P &lt; .05), whereas in T2, the implants of 11 mm showed a higher ISQ than did the 9 mm implants (P &lt; .05). There was no difference in insertion torque between 9 and 11 mm implants (P &gt; .05), nor was there a correlation between ISQ and insertion torque (P &gt; .05). In conclusion, longer implants (11 mm) presented a significant increase in ISQ values during the healing period when installed in areas previously submitted to maxillary sinus lift. This phenomenon was not observed for shorter implants (9 mm). Finally, no correlation was observed between ISQ and insertion torque.

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