scholarly journals Influence of Implant Dimensions and Position on Implant Stability: A Prospective Clinical Study in Maxilla Using Resonance Frequency Analysis

2019 ◽  
Vol 9 (5) ◽  
pp. 860 ◽  
Author(s):  
Antonio Nappo ◽  
Carlo Rengo ◽  
Giuseppe Pantaleo ◽  
Gianrico Spagnuolo ◽  
Marco Ferrari

Implant stability is relevant for the correct osseointegration and long-term success of dental implant treatments. The aim of this study has been to evaluate the influence of implant dimensions and position on primary and secondary stability of implants placed in maxilla using resonance frequency analysis. Thirty-one healthy patients who underwent dental implant placement were enrolled for the study. A total of 70 OsseoSpeed TX (Astra Tech Implant System—Dentsply Implants; Mölndal, Sweden) implants were placed. All implants have been placed according to a conventional two-stage surgical procedure according to the manufacturer instructions. Bone quality and implant stability quotient were recorded. Mean implant stability quotient (ISQ) at baseline (ISQ1) was statistically significant lower compared to 3-months post-implant placement (ISQ2) (p < 0.05). Initial implant stability was significantly higher with 4 mm diameter implants with respect to 3.5 mm. No differences were observed within maxilla regions. Implant length, diameter and maxillary regions have an influence on primary stability.

2011 ◽  
Vol 37 (3) ◽  
pp. 301-308 ◽  
Author(s):  
Ashish Thomas Kunnekel ◽  
K. Chandrasekharan Nair ◽  
E. Munirathnam Naidu ◽  
Gomathinayagam Sivagami

Abstract The study was designed to determine the relationship between implant stability quotient (ISQ) values measured using resonance frequency analysis (RFA) and implant-bone distance measured histomorphometrically. Ten identical implants were equally divided into 2 groups based on primary stability at placement. Osteotomies were prepared in harvested goat femurs. ISQ values were measured and compared with implant-bone distance determined by micrometry. Based on the results, it was concluded that RFA can be used to measure implant stability reliably.


Author(s):  
Paula López-Jarana ◽  
Carmen María Díaz-Castro ◽  
Artur Falcão ◽  
Blanca Ríos-Carrasco ◽  
Ana Fernandez-Palacín ◽  
...  

In order to apply the “one-abutment–one-time” concept, we evaluated the possibility of measuring resonance frequency analysis (RFA) on the abutment. This trial aimed to compare the Implant Stability Quotient (ISQ) values obtained by the PenguinRFA when screwing the transducer onto the implant or onto abutments with different heights and angulations. Eighty implants (VEGA®, Klockner Implant System, SOADCO, Les Escaldes, Andorra) were inserted into fresh bovine ribs. The groups were composed of 20 implants, 12 mm in length, with two diameters (3.5 and 4 mm). Five different abutments for screwed retained restorations (Permanent®) were placed as follows: straight with 1, 2, and 3 mm heights, and angulated at 18° with 2 and 3 mm heights. The mean value of the ISQ measured directly on the implant was 75.72 ± 4.37. The mean value of the ISQ registered over straight abutments was 79.5 ± 8.50, 76.12 ± 6.63, and 71.42 ± 6.86 for 1, 2, and 3 mm height abutments. The mean ISQ over angled abutments of 2 and 3 mm heights were 68.74 ± 4.68 and 64.51 ± 4.53 respectively. The present study demonstrates that, when the ISQ is registered over the straight abutments of 2 and 3 mm heights, the values decrease, and values are lower for angled, 3 mm height abutments.


2013 ◽  
Vol 70 (6) ◽  
pp. 586-594 ◽  
Author(s):  
Zoran Vlahovic ◽  
Branko Mihailovic ◽  
Zoran Lazic ◽  
Mileta Golubovic

Background/Aim. Flapless implant surgery has become very important issue during recent years, mostly thanks to computerization of dentistry and software planning of dental implants placements. The aim of this study was to compare flap and flapless surgical techniques for implant placement through radiographic and radiofrequency analyses. Methods. The experiment was made in five domestic pigs. Nine weeks following domestic pigs teeth extraction, implants were placed, on the right side using surgical technique flap, and flapless on the left side. Digital dental Xrays were applied to determine primary dental implant stability quality (ISQ). At certain intervals, not later than three months, the experimental animals were sacrificed, and just before it, control X-rays were applied to measure dental implants stability. Results. Radiographic analysis showed that peri-implant bone resorption in the first 4 weeks following placement implants with flap and flapless surgical techniques was negligible. After the 3 months, mean value of peri-implant bone resorption of the implants placed using flap technique was 1.86 mm, and of those placed using flapless technique was 1.13 mm. In relation to the primary dental implant stability in the first and second week there was an expected decrease in ISQ values, but it was less expressed in the dental implants placed using the flapless technique. In the third week the ISQ values were increased in the dental implants placed by using both techniques, but the increase in flapless implant placement was higher (7.4 ISQ) than in flap implant placement (1.5 ISQ). The upward trend continued in a 4- week period, and after 3 months the dental implant stability values in the implants placed using flap technique were higher than the primary stability for 7.1 ISQ, and in the implants placed using flapless technique were higher comparing to the primary stability for 10.1 ISQ units. Conclusion. Based on the results of radiographic and resonance frequency analyses it can be concluded that the flapless technique in surgical implants placemat, leads to better results.


Author(s):  
Reza Harirforoush ◽  
Siamak Arzanpour

This paper investigates primary stability of dental implant that indicates the process of bone-implant integration. This integration is known to happen at the boundary of the bone and dental implant contact surface. The resonance frequency of dental implant is used as the parameter for this investigation due to its high sensitivity to boundary condition variations. In this study, resonance frequency analysis (RFA) of the jaw-implant structure is carried out using finite element modeling. The FEM analyses are conducted in ANSYS modal analysis simulation environment. The FEM model of the structure includes titanium implant, Cancellous and cortical bone. Different implant-bone interface conditions are studied for this investigation. Various boundary conditions were studied to identify natural frequencies of jaw-implant structure. Our analysis shows that the resonance frequency of the implant increases during the healing period and reaches a plateau when the implant-bone interface was fully integrated. The results show that RFA could be suggested as a non-invasive, reliable and accurate diagnostic method for early assessment of the healing stages.


2019 ◽  
Vol 21 (5) ◽  
pp. 1028-1040
Author(s):  
Attakorn Charatchaiwanna ◽  
Thaned Rojsiraphisa ◽  
Weerapan Aunmeungtong ◽  
Peter A. Reichart ◽  
Pathawee Khongkhunthian

2007 ◽  
Vol 26 (5) ◽  
pp. 665-671 ◽  
Author(s):  
Wei-Jen CHANG ◽  
Sheng-Yang LEE ◽  
Chen-Che WU ◽  
Che-Tong LIN ◽  
Yoshimitsu ABIKO ◽  
...  

2014 ◽  
Vol 40 (4) ◽  
pp. 438-447 ◽  
Author(s):  
Giorgio Deli ◽  
Vincenzo Petrone ◽  
Valeria De Risi ◽  
Drazen Tadic ◽  
Gregory-George Zafiropoulos

Primary stability is an indicator of subsequent osseointegration of dental implants. However, few studies have compared the implant stability among anatomical regions and bone types; thus, not enough data exist regarding the stability of implants placed in regenerated bone (RB). The present study evaluated primary and long-term stability of implants placed in RB and non-regenerated healed bone (HB). A total of 216 screw cylinder implants were placed in 216 patients (98 in HB and 118 in RB, 6 [RB6, N = 68] or 12 [RB12, N = 50] months after tooth extraction). Implant stability was evaluated using resonance frequency analysis (RFA) measured at the time of implant placement (E1), at the time of loading (4 months after placement, E2), and 4 months after loading (E3). Various clinically relevant measurements were obtained, such as implant diameter, length, and location, as well as bone quality. At E1, implant location, bone quality, and experimental group significantly affected implant stability (all at P &lt; .05). At E2, implant location, diameter, length, and experimental group significantly affected implant stability (all at P &lt; .05). At E3, bone quality, implant diameter, length, and experimental group significantly affected implant stability (all at P &lt; .01). Stability for the RB12 group was significantly higher than all other corresponding values; further, the values did not change significantly over time. For the HB and RB6 groups, stability was significantly higher at E2 than at E1 (P &lt; .001) and was no different between E2 and E3. Implant location, length, and experimental group were associated with these differences (all at P &lt; .05). Compared with HB and RB6, higher implant stability may be achieved in regenerated bone 12 months post-extraction (RB12). This stability was achieved at E1 and maintained for at least 8 months. Variables such as implant length, diameter, and bone quality affected the stability differently over time. Implant stability varied in different anatomic regions and with regard to different healing processes in the bone.


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