scholarly journals Correlation between Insertion Torque and Implant Stability Quotient in Tapered Implants with Knife-Edge Thread Design

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Domenico Baldi ◽  
Teresa Lombardi ◽  
Jacopo Colombo ◽  
Gabriele Cervino ◽  
Giuseppe Perinetti ◽  
...  
Keyword(s):  
Torque Control ◽  
Pairwise Comparisons ◽  
Insertion Torque ◽  
Knife Edge ◽  
Implant Stability ◽  
Implant Stability Quotient ◽  
Significant Difference ◽  
High Torque ◽  
Low Torque ◽  
Implant System

Aim. To evaluate the correlation between insertion torque (IT) and implant stability quotient (ISQ) in tapered implants with knife-edge threads.Methods. Seventy-five identical implants (Anyridge, Megagen) were inserted by using a surgical drilling unit with torque control and an integrated resonance frequency analysis module (Implantmed, W&H). IT (N/cm) and ISQ were recorded and implants were divided into three groups (n=25) according to the IT: low (<30), medium (30 < IT < 50), and high torque (>50). ISQ difference among groups was assessed by Kruskal-Wallis test, followed by Bonferroni-corrected Mann–WhitneyU-test for pairwise comparisons. The strength of the association between IT and ISQ was assessed by Spearman Rho correlation coefficient (α=0.05).Results. At the pairwise comparisons, a significant difference of ISQ values was demonstrated only between low torque and high torque groups. The strength of the association between IT and ISQ value was significant for both the entire sample and the medium torque group, while it was not significant in low and high torque groups.Conclusions. For the investigated implant, ISQ and IT showed a positive correlation up to values around 50 N/cm: higher torques subject the bone-implant system to unnecessary biological and mechanical stress without additional benefits in terms of implant stability. This trial is registered withNCT03222219.

scholarly journals Effects of Different Undersizing Site Preparations on Implant Stability

2020 ◽  
Vol 17 (23) ◽  
pp. 8965
Author(s):  
Bernardo Ferreira Lemos ◽  
Paula Lopez-Jarana ◽  
Carlos Falcao ◽  
Blanca Ríos-Carrasco ◽  
Javier Gil ◽  
...  
Keyword(s):  
Primary Stability ◽  
Immediate Loading ◽  
Insertion Torque ◽  
Bovine Bone ◽  
Preparation Technique ◽  
Standard Protocol ◽  
Implant Stability ◽  
Implant Stability Quotient ◽  
Surgical Preparation ◽  
Implant System

As immediate loading protocols are becoming more frequent, the primary stability of implants has become an essential criterion for the osseointegration of dental implants. Based on this, the objective of this study was to understand the influence of different undersized surgical preparation sites on the insertion torque (IT) and implant stability quotient (ISQ). Four different site-preparation protocols were performed on fresh humid type III bovine bone: one control, the standard protocol recommended by the manufacturer (P1), and three variations of undersized techniques (P2, P3 and P4). The implant used was VEGA by Klockner Implant System. The sample size was n = 40 for each of the four groups. A torquemeter was used to measure the IT, and the ISQ was measured with a Penguin RFA. Both variables showed a tendency to increase as the preparation technique was reduced, although not all the values were statistically significant (p < 0.05) when comparing with the standard preparation. The preparations without a cortical drill, P2 and P4, showed better results than those with a cortical drill. Given the limitations of this study, it can be concluded that reducing the implant preparation can increase both the IT and ISQ. Removing the cortical drill is an effective method for increasing implant stability, although it should be used carefully.

scholarly journals A Retrospective Study on Insertion Torque and Implant Stability Quotient (ISQ) as Stability Parameters for Immediate Loading of Implants in Fresh Extraction Sockets

2019 ◽  
Vol 2019 ◽  
pp. 1-10 ◽  
Author(s):  
Giuseppe Bavetta ◽  
Giorgio Bavetta ◽  
Valentina Randazzo ◽  
Alessio Cavataio ◽  
Carlo Paderni ◽  
...  
Keyword(s):  
Test Group ◽  
Immediate Loading ◽  
Control Group ◽  
Insertion Torque ◽  
Implant Stability ◽  
Stability Parameters ◽  
Mean Values ◽  
Implant Stability Quotient ◽  
Significant Difference ◽  
Best Parameter

Background. To date, insertion torque value (ITV) and implant stability quotient (ISQ) obtained by the Osstell instrument are common clinical methods to assess the initial stability of an implant for a predictable loading procedure. The aim of this current study is to evaluate the ITV and ISQ as stability parameters as part of the decision-making protocol in the adoption of immediate loading in fresh extraction sockets. Materials and Methods. A total of 41 tapered implants were allocated into two groups: the test group (n = 11; 3 males and 8 females; mean age: 62.8 ± 10.7) which received 18 implants as type 1 fresh extraction sockets after teeth removal and the control group (n = 7; 4 males and 3 females; mean age: 65.4 ± 9.7) which received 23 implants placed in healed sockets for a period of at least 3 months. Both the ITV and ISQ data were recorded at the time of insertion (t0). Since ITV (test group) and ITV/ISQ (control group) values were useful for the immediate loading protocol, a screw-retained temporary crown was immediately loaded. ISQ values were recorded after a healing period of 4 months (t1). Results. ITV mean values at t0 in test and control groups were, respectively, 48.61 ± 15.39 and 70.47 ± 14.71, whereas ISQ mean values were 57.55 ± 1.93 and 72.86 ± 5.25, respectively, showing a statistically significant difference (p value < 0.001). ISQ mean values at t1 in either the test or the control group were 68.68 ± 4.20 and 74.54 ± 4.17, not showing a statistical difference. The implant survival rate was 100% in both groups, and no surgical and prosthetic complications were reported during the study. Conclusion. In conclusion, this study remarked the presence of a residual gap that influenced the ISQ during implant insertion in fresh extraction sockets making this parameter not sufficient for a conclusive decision in the immediate loading, whereas the ITV alone showed to be the best parameter for a final substantial decision.

scholarly journals Relevant Design Aspects to Improve the Stability of Titanium Dental Implants

Materials ◽  
2020 ◽  
Vol 13 (8) ◽  
pp. 1910 ◽  
Author(s):  
M. Herrero-Climent ◽  
P. López-Jarana ◽  
B. F. Lemos ◽  
F. J. Gil ◽  
C. Falcão ◽  
...  
Keyword(s):  
Primary Stability ◽  
Insertion Torque ◽  
Bovine Bone ◽  
Resonance Frequency Analysis ◽  
Everyday Clinical Practice ◽  
Implant Stability Quotient ◽  
The Stability ◽  
The One ◽  
Implant System ◽  
Titanium Dental Implants

Post-extractional implants and immediate loading protocols are becoming much more frequent in everyday clinical practice. Given the existing literature about tapered implants, the objective of this paper was to understand whether implant shape had a direct influence on the results of the insertion torque (IT) and implant stability quotient (ISQ). Seven tapered implant prototypes were developed and distributed into three groups and compared with a control cylindrical implant—VEGA by Klockner Implant System. The implants were inserted into bovine bone type III according to Lekholm and Zarb Classification. The sample size was n = 30 for the three groups. Final IT was measured with a torquemeter, and the ISQ was measured with Penguin Resonance Frequency Analysis (RFA). Modifications done to the Prototype I did not reveal higher values of the ISQ and IT when compared to VEGA. In the second group, when comparing the five prototypes (II–VI) with VEGA, it was seen that the values of the ISQ and IT were not always higher, but there were two values of the ISQ that were statistically significantly higher with the 4.0 mm diameter Prototypes II (76.3 ± 6.1) and IV (78 ± 3.7). Prototype VII was the one with higher and significant values of the ISQ and IT. In both diameters and in both variables, all differences were statistically significant enough to achieve the higher values of primary stability values (IT and ISQ). Given the limitations of this study, it can be concluded that when there is an increase of the diameter of the implant and body taper, there is an increase of the ISQ and IT, showing that the diameter of the implant is an important criteria to obtain higher values of primary stability.

scholarly journals Does the Osseodensification Technique Allow for the use of a Healing Chamber with Primary Stability in Low-Density Bone? An in Vivo Study

2021 ◽  
Author(s):  
Rafael Coutinho Mello-Machado ◽  
Suelen Cristina Sartoretto ◽  
Jose Mauro Granjeiro ◽  
José Albuquerque Calasans-Maia ◽  
Marcelo Jose Guedes Pinheiro Uzeda ◽  
...  
Keyword(s):  
Bone Remodeling ◽  
Bone Growth ◽  
Primary Stability ◽  
Insertion Torque ◽  
Low Density ◽  
Implant Stability ◽  
Bone Implant ◽  
Implant Stability Quotient ◽  
Implant Bed

Abstract This study aimed to investigate in vivo the hypothesis that the osseodensification technique, through a wider osteotomy, produce healing chambers at the implant-bone interface with no impact on primary stability osseointegration in low-density bone. Twenty implants (3.5 x 10 mm) presenting nanohydroxyapatite (nHA) surface were inserted in the ilium of ten sheep, after preparation of a 2.7-mm wide implant bed with conventional subtractive drilling (SCD) or a 3.8-mm wide implant bed with an osseodensification bur system (OBS) (n = 5/group/period). The final insertion torque (IT) and implant stability quotient (ISQ) evaluated the primary implant stability. After 14 and 28 days, the bone samples containing the implants were processed for histological and histomorphometric evaluation of bone implant contact (BIC) and bone area fraction occupancy (BAFO). No significant differences occurred between the implant bed preparations regarding IT and ISQ (P > 0.05). Histological analysis showed bone remodeling, and bone growth in all samples with no inflammatory infiltrate. BIC values were higher for SCD after 14 and 28 days (p < 0.05), however BAFO values were similar on both groups (p > 0.05). It was possible to conclude that the osseodensification technique allowed a wider implant bed preparation with no prejudice on primary stability and bone remodeling.

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.

scholarly journals Role of New Hydrophilic Surfaces on Early Success Rate and Implant Stability: 1-Year Post-loading Results of a Multicenter, Split-Mouth, Randomized Controlled Trial

2020 ◽  
Author(s):  
Marco Tallarico ◽  
Nicola Baldini ◽  
Fulvio Gatti ◽  
Matteo Martinolli ◽  
Erta Xhanari ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Survival Rates ◽  
Insertion Torque ◽  
Implant Stability ◽  
Randomized Controlled ◽  
Group Outcomes ◽  
Significant Difference ◽  
Multicenter Randomized Controlled Trial

Abstract Objective To compare early implant failure and implant stability of one-stage Hiossen ET III implants with its new hydrophilic (NH) surface, compared with Hiossen ET III implants with the sandblasted and acid-etched (SA) surface at 1-year follow-up. Materials and Methods This study was designed as a split-mouth, multicenter randomized controlled trial aimed to compare SA surface implants (SA group) and NH surface, (NH group). Outcomes were implant and prosthetic survival rates, complications, the insertion torque at implant placement, and implant stability quotient (ISQ) values. Results Twenty-nine patients (mean age 59.9 ± 11.3 years) were treated and followed up to 1 year after loading. No patient dropped out. Fifty-eight implants (29 SA group and 29 NH group) were placed. No implants or prostheses failed and no complications were experienced during follow-up. The mean insertion torque was 40.5 ± 3.23 (38.17–41.83) Ncm in the SA group and 40.48 ± 3.49 (38.02–41.98) Ncm in the NH group (p = 0.981). There was a statistically significant difference at the second week (T2) with higher values in the NH group (p = 0.041). Similar results were found in the maxilla (p = 0.045), but not in the mandible (p = 0.362). A positive correlation was found between initial insertion torque and ISQ with higher value in the NH group (0.73 vs. 0.66). Conclusions NH implants are a viable alternative to SA surface, as they seem to avoid the ISQ drop during the bone remodeling phase.

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.

scholarly journals Effects of insertion torque values on the marginal bone loss of dental implants installed in sheep mandibles

2022 ◽  
Vol 12 (1) ◽  
Author(s):  
Sergio Alexandre Gehrke ◽  
Jaime Aramburú Júnior ◽  
Tiago Luis Eirles Treichel ◽  
Tales Dias do Prado ◽  
Berenice Anina Dedavid ◽  
...  
Keyword(s):  
Bone Loss ◽  
Insertion Torque ◽  
Marginal Bone Loss ◽  
X Ray ◽  
Normal Bone ◽  
High Torque ◽  
Healing Bone ◽  
Low Torque ◽  
Torque Values

AbstractThe aim of the present in vivo study was to analyze and compare the effects on the crestal bone healing of two different implant macrogeometries installed in fresh socket areas and in normal bone areas with different insertion torque values. Two implant macrogeometries were used in the present study, DuoCone implant (DC) and Maestro implant (MAE), forming four groups: group DCws, in which the implants were installed in healing bone (without a socket); group DCfs, in which the implants were installed in post-extraction areas (fresh sockets); group MAEws, in which the implants were installed in healing bone (without a socket); group MAEfs, in which the implants were installed in post-extraction areas (fresh sockets). After 30 and 90 days of implantations in the bilateral mandibles of 10 sheep, eighty implants were evaluated through digital X-ray images and histologic slices. The crestal bone position in relation to the implant platform shoulder was measured and compared. The measured insertion torque was 47.2 ± 4.69 Ncm for the DCws group, 43.4 ± 4.87 Ncm for the DCfs group, 29.3 ± 3.16 Ncm for the MAEws group, and 27.7 ± 4.41 Ncm for the MAEfs group. The radiographic mesio-distal and histological bucco-lingual analyses showed significantly greater vertical bone loss in the implants installed with high torque (DC groups) in comparison to the implants installed with a low torque (MAE groups) (p < 0.05), at both evaluation times. In general, low insertion torque values (Maestro implants) showed better results of MBL when compared to implants installed with higher torque values (Duo Cone implants). Moreover, our results showed that the implants installed in the sites without sockets showed a less MBL in comparison with the implants installed in sites of fresh sockets.

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