Assessment of Factors that Affect Primary Stability of Minimally Invasive Implant (MII): An in vitro Study
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Purpose: This study aimed to evaluate the factors affecting the primary stability of a new implant design based on minimally invasive implantation (MAGICORE®; INNOBIOSURG Co. Ltd., Daejeon, Korea) using the evaluation index of Periotest value (PTV), implant stability quotient (ISQ), and implant stability test (IST). Materials and Methods: A total of 1056 implants were implanted in artificial bone, imitating human bones D1, D2, D3, and D4. The PTV, ISQ, and IST values of all implants were measured according to the manufacturer’s guidelines for each measuring instrument. To compare the factors affecting the stability of the implant for each measurement method, one-way ANOVA was performed, and posthoc analysis was performed using the Games–Howel test (p < .05). In addition, a stepwise multiple linear regression analysis was performed to evaluate the weight of each factor. Results: Implants with diameters greater than 5.0 mm showed significantly lower PTV values and higher ISQ and IST values. Implants with 11 mm length showed the lowest PTV and highest ISQ and IST values. A cuff size of 2 mm showed the highest implant stability among all the measurement methods. In this study, poor bone quality decreased the primary stability. Conclusion: As the cuff size increased, the stability decreased, and the larger the diameter of the implant, the longer the length and higher the primary stability. The bone quality and diameter of the implant contributed more to the stability of the implant than to the length of the implant and cuff size.
Abstract
Purpose: This study aimed to evaluate the factors affecting the primary stability of a new implant design based on minimally invasive implantation (MAGICORE®; INNOBIOSURG Co. Ltd., Daejeon, Korea) using the evaluation index of Periotest value (PTV), implant stability quotient (ISQ), and implant stability test (IST). Materials and Methods: A total of 1056 implants were implanted in artificial bone, imitating human bones D1, D2, D3, and D4. The PTV, ISQ, and IST values of all implants were measured according to the manufacturer’s guidelines for each measuring instrument. To compare the factors affecting the stability of the implant for each measurement method, one-way ANOVA was performed, and posthoc analysis was performed using the Games–Howel test (p < .05). In addition, a stepwise multiple linear regression analysis was performed to evaluate the weight of each factor. Results: Implants with diameters greater than 5.0 mm showed significantly lower PTV values and higher ISQ and IST values. Implants with 11 mm length showed the lowest PTV and highest ISQ and IST values. A cuff size of 2 mm showed the highest implant stability among all the measurement methods. In this study, poor bone quality decreased the primary stability. Conclusion: As the cuff size increased, the stability decreased, and the larger the diameter of the implant, the longer the length and higher the primary stability. The bone quality and diameter of the implant contributed more to the stability of the implant than to the length of the implant and cuff size.
참고문헌 (31)
- Adell R, "A 15-year study of osseointegrated implants in the treatment of the edentulous jaw", Int J Oral Surg, 10, pp.387~416 (1981)
- Caouette C, "A new interface element with progressive damage and osseointegration for modeling of interfaces in hip resurfacing", Proc Inst Mech Eng H, 227, pp.209~220 (2013)
- Brunski JB, "Biomechanical factors affecting the bone-dental implant interface", Clin Mater, 10, pp.153~201 (1992)
- Chidagam PRLV, "Immediate Versus Delayed Loading of Implant for Replacement of Missing Mandibular First Molar : A Randomized Prospective Six Years Clinical Study", J Clin Diagn Res, 11, pp.ZC35~ZC39 (2017)
- Zhang S, "Immediate loading for implant restoration compared with early or conventional loading : A meta-analysis", J Craniomaxillofac Surg, 45, pp.793~803 (2017)
- Meredith N, "Assessment of implant stability as a prognostic determinant", Int J Prosthodont, 11, pp.491~501 (1998)
- Sennerby L, "Resonance frequency analysis : measuring implant stability and osseointegration", Compend Contin Educ Dent, 19, pp.493~498 (1998)
- Aparicio C, "The use of the Periotest value as the initial success criteria of an implant : 8-year report", Int J Periodontics Restorative Dent, 17, pp.150~161 (1997)
- Atsumi M, "Methods used to assess implant stability : current status", Int J Oral Maxillofac Implants, 22, pp.743~754 (2007)
- Andreotti AM, "Relationship Between Implant Stability Measurements Obtained by Two Different Devices : A Systematic Review", J Periodontol, 88, pp.281~288 (2017)
- Cosyn J, "The effectiveness of immediate implant placement for single tooth replacement compared to delayed implant placement : A systematic review and meta-analysis", J Clin Periodontol, 46, pp.224~241 (2019)
- Becker W, "Minimally invasive flapless implant placement : follow-up results from a multicenter study", J Periodontol, 80, pp.347~352 (2009)
- Javed F, "The role of primary stability for successful immediate loading of dental implants. A literature review", J Dent, 38, pp.612~620 (2010)
- Szmukler-Moncler S, "Timing of loading and effect of micromotion on bone-dental implant interface : Review of experimental literature", J Biomed Mater Res, 43, pp.192~203 (1998)
- Meredith N, "Assessment of implant stability as a prognostic determinant", Int J Prosthodont, 11, pp.491~501 (1998)
- Nedir R, "Predicting osseointegration by means of implant primary stability : A resonance-frequency analysis study with delayed and immediately loaded ITI SLA implants", Clin Oral Implants Res, 15, pp.520~528 (2004)
- Lachmann S, "Resonance frequency analysis and damping capacity assessment", Clin Oral Implants Res, 17, pp.75~79 (2006)
- 이동훈, "The reliability of Anycheck device related to healing abutment diameter", The Journal of Advanced of Prosthodontics, 12(2), pp.83~88 (2020), 대한치과보철학회[DOI]
- Brånemark P, "Osseointegration and its experimental background", J Prosthet Dent, 50, pp.399~410 (1983)
- Lekholm U, "Tissue-Integrated Prostheses: Osseointegration in Clinical Dentistry", pp.199~209 (1985), Quintessence
- Tsutomu Sugiura, "The effects of bone density and crestal cortical bone thickness on micromotion and peri-implant bone strain distribution in an immediately loaded implant: a nonlinear finite element analysis", Journal of Periodontal & Implant Science, 46(3), pp.152~165 (2016), 대한치주과학회
- Aranyarachkul P, "Bone density assessments of dental implant sites : 2. Quantitative cone-beam computerized tomography", Int J Oral Maxillofac Implants, 20, pp.416~424 (2005)
- O'Sullivan D, "Influence of implant taper on the primary and secondary stability of osseointegrated titanium implants", Clin Oral Implants Res, 15, pp.474~480 (2004)
- Simmons DE, "Comparative evaluation of the stability of two different dental implant designs and surgical protocols-a pilot study", Int J Implant Dent, 3, pp.16~ (2017)
- Hong SB, "The influence of the cancellous bone thickness and density on the implant primary stability", J Dent Implant Res, 33, pp.48~52 (2014)
- McCullough JJ, "The effect of implant macro-thread design on implant stability in the early post-operative period : a randomized, controlled pilot study", Clin Oral Implants Res, 28, pp.1218~1226 (2017)
- Hermann JS, "Influence of the size of the microgap on crestal bone changes around titanium implants. A histometric evaluation of unloaded non-submerged implants in the canine mandible", J Periodontol, 72, pp.1372~1383 (2001)
- Shadid RM, "Does the Implant Surgical Technique Affect the Primary and", or Secondary Stability of Dental Implants? A Systematic Review, 2014, pp.2014, 204838~
- Moris C, "Abutments with reduced diameter for both cement and screw retentions : analysis of failure modes and misfit of abutment–crown–connections after cyclic loading", Clin Oral Implants Res, 28, pp.432~436 (2017)
- Meredith N, "Resonance frequency measurements of implant stability in vivo. A cross-sectional and longitudinal study of resonance frequency measurements on implants in the edentulous and partially dentate maxilla", Clin Oral Implants Res, 8, pp.226~233 (1997)
- Arosio P, "Implant Diameter, Length, and the Insertion Torque", Depth Integral : A Study Using Polyurethane Foam Blocks, 2020, pp.8, 56~