Comparative Evaluation of Implant Stability, Insertion Torque, and Implant Macrogeometry in Different Bone Densities Using Resonance Frequency Analysis
Syeda A Haseeb, Kamala Rajendra, Litto Manual, Anuraj S Kochhar, Deepa Dubey, Gagandeep S Dang
Bone density, Implant, Surface treating, Torque
Citation Information :
Haseeb SA, Rajendra K, Manual L, Kochhar AS, Dubey D, Dang GS. Comparative Evaluation of Implant Stability, Insertion Torque, and Implant Macrogeometry in Different Bone Densities Using Resonance Frequency Analysis. J Contemp Dent Pract 2021; 22 (6):665-668.
Aim and objective: Evaluation and comparison of insertion torque (IT) and the implant stability of two different implant macrogeometry in different bone densities using resonance frequency analysis.
Materials and methods: A total of 48 implants (with two implant types having regular and novel macrogeometry) were classified into 4 groups with 12 samples in each group. Group A regular implant without surface treatment, group B regular implant with surface treating, group C novel implant deprived of surface treating, and group D was new dental implant with surface treatment were used. Implant stability quotient (ISQ), implant IT, removal torque (RT) percentage, and torque reduction percentage were calculated.
Results: The mean ± SD ISQ value of bone 1 in group A was 56.7 ± 3.2, in group B was 58.6 ± 2.4, in group C was 57.1 ± 3.5, and in group D was 59.3 ± 2.9. In bone 2, the value was 57.8 ± 1.4, 59.5 ± 1.5, 58.2 ± 2.6, and 59.5 ± 2.4 among A, B, C, and D groups correspondingly. In bone 3, it was 59.4 ± 2.4, 60.3 ± 2.3, 60.4 ± 2.8, and 62.7 ± 2.5 among A, B, C, and D groups correspondingly. In bone 4, it was 67.2 ± 3.4, 69.5 ± 2.7, 68.7 ± 2.4, and 69.4 ± 2.3 among A, B, C, and D groups correspondingly. There was a substantial difference in IT and nonsignificant difference in RT in different groups.
Conclusion: There was a low IT value with new implant macrogeometry as compared to regular implant macrogeometry. There was absence of association between IT and implant stability.
Clinical significance: Calculation of torque insertion score helps in implant placement. Higher bone density scores produce a higher option of decreasing the initial torque. Low IT of new implant types is useful to reduce failure.
Baldi D, Lombardi T, Colombo J, et al. Correlation between insertion torque and implant stability quotient in tapered implants with knife-edge thread design. BioMed Res Int 2018;2018:7201093. DOI: 10.1155/2018/7201093.
Kanth KL, Swamy DN, Mohan TK, et al. Determination of implant stability by resonance frequency analysis device during early healing period. J NTR Univ Health Sci 2014;3:169–175. DOI: 10.4103/2277-8632.140936.
Stacchi C, Vercellotti T, Torelli L, et al. Changes in implant stability using different site preparation techniques: twist drills versus piezosurgery: a single-blinded, randomized, controlled clinical trial. Clin Implant Dent Relat Res 2013;15:188–197. DOI: 10.1111/j.1708-8208.2011.00341.x.
Nedir R, Bischof M, Szmukler-Moncler S, et al. Predicting osseointegration by means of implant primary stability. Clin Oral Implants Res 2004;15:520–528. DOI: 10.1111/j.1600-0501.2004.01059.x.
Javed F, Romanos GE. The role of primary stability for successful immediate loading of dental implants. A literature review. J Dent 2010;38:612–620. DOI: 10.1016/j.jdent.2010.05.013.
Bayarchimeg D, Namgoong H, Kim BK, et al. Evaluation of the correlation between insertion torque and primary stability of dental implants using a block bone test. J Periodontal Implant Sci 2013;43:30–36. DOI: 10.5051/jpis.2013.43.1.30.
Devlin H, Horner K, Ledgerton DA. Comparison of maxillary and mandibular bone mineral densities. J Prosthet Dent 1998;79:323–327. DOI: 10.1016/s0022-3913(98)70245-8.
Jimbo R, Tovar N, Anchieta RB, et al. The combined effects of undersized drilling and implant macrogeometry on bone healing around dental implants: an experimental study. Int J Oral Maxillofac Surg 2014;43:1269–1275. DOI: 10.1016/j.ijom.2014.03.017.
Gehrke SA, Pérez-Díaz L, Mazón P, et al. Biomechanical effects of a new macrogeometry design of dental implants: an in vitro experimental analysis. J Funct Biomater 2019;10(4):47. DOI: 10.3390/jfb10040047.
Sennerby L. Resonance frequency analysis for implant stability measurements. A review. Integr Diagn Update 2015;1:1–11. DOI: 10.4103/jdi.jdi_7_18.
Satwalekar P, Nalla S, Reddy R, et al. Clinical evaluation of osseointegration using resonance frequency analysis. Indian Prosthodont Soc 2015;15:192–199. DOI: 10.4103/0972-4052.165171.
Bafijari D, Benedetti A, Stamatoski A, et al. Influence of resonance frequency analysis (RFA) measurements for successful osseointegration of dental implants during the healing period and its impact on implant assessed by Osstell mentor device. Open Access Maced J Med Sci 2019;7(23):4110–4115. DOI: 10.3889/oamjms.2019.716.
Acil Y, Sievers, J, Gülses A, et al. Correlation between resonance frequency, insertion torque and bone-implant contact in self-cutting threaded implants. Odontology 2017;105:347–353. DOI: 10.1007/s10266-016-0265-2.
Ahn SJ, Leesungbok R, Lee SW, et al. Differences in implant stability associated with various methods of preparation of the implant bed: an in vitro study. J Prosthet Dent 2012;107:366–372. DOI: 10.1016/S0022-3913(12)60092-4.
Gedrange T, Hietschold V, Mai R, et al. An evaluation of resonance frequency analysis for the determination of the primary stability of orthodontic palatal implants. A study in human cadavers. Clin Oral Implants Res 2005;16:425–431. DOI: 10.1111/j.1600-0501.2005.01134.x.
Sennerby L, Meredith N. Implant stability measurements using resonance frequency analysis: biological and biomechanical aspects and clinical implications. Periodontology 2008;47:51–66. DOI: 10.1111/j.1600-0757.2008.00267.x.
Rabel A, Köhler SG, Schmidt-Westhausen AM. Clinical study on the primary stability of two dental implant systems with resonance frequency analysis. Clin Oral Investig 2007;11:257–265. DOI: 10.1007/s00784-007-0115-2.