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01-09-2007 | Original Article

Clinical study on the primary stability of two dental implant systems with resonance frequency analysis

Authors: Annette Rabel, Steffen Gerhard Köhler, Andrea Maria Schmidt-Westhausen

Published in: Clinical Oral Investigations | Issue 3/2007

Abstract

Primary stability has a major impact on the long-term success of dental implants. The aim of this study was to investigate the correlation of resonance frequency analysis (RFA) and insertion torque of self-tapping and non-self-tapping implants and their respective differences in primary stability. A group of 263 patients were treated with a total of 602 conically formed dental implants: 408 non-self-tapping Ankylos® and 194 self-tapping Camlog®. The maximum insertion torque during implant placement was recorded. Resonance frequency, measured as the implant stability quotient (ISQ), was assessed once immediately after insertion and twice 3 months later. Torque values of the non-self-tapping implants were significantly higher than those in the self-tapping group (p = 0.023). RFA did not show differences between the 2 groups (p = 0.956), but a correlation between ISQ values after implantation and 3 months after implant placement was measured (r = 0.712). Within the implant systems, no correlation between insertion torque and resonance frequency values could be determined (r = 0.305). Our study indicates that the ISQ values obtained from different implant systems are not comparable. The RFA does not appear suitable for the evaluation of implant stability when used as a single method. Higher insertion torque of the non-self-tapping implants appeared to confirm higher clinical primary stability.

Akca K, Akkocaoglu M, Comert A, Tekdemir I, Cehreli MC (2005) Human ex vivo bone tissue strains around immediately loaded implants supporting maxillary overdentures. Clin Oral Implants Res 16(6):715–722PubMedCrossRef

Akkocaoglu M, Uysal S, Tekdemir I, Akca K, Cehreli MC (2005) Implant design and intraosseous stability of immediately placed implants: a human cadaver study. Clin Oral Implants Res 16(2):202–209PubMedCrossRef

Al-Nawas B, Brahm R, Grötz KA (2002) Resonanzfrequenzanalyse zur non-invasiven Analyse der Primärstabilität enossaler Implantate in vivo. Z Zahnärztl Implantol 18:142–148

Bähr W (1992) Comparison of torque measurements between cortical screws and emergency replacement screws in the cadaver mandible. J Oral Maxillofac Surg 50(1):46–49PubMedCrossRef

Balleri P, Cozzolino A, Ghelli L, Momicchioli G, Varriale A (2002) Stability measurements of osseointegrated implants using Osstell in partially edentulous jaws after 1 year of loading: a pilot study. Clin Implant Dent Relat Res 4(3):128–132PubMedCrossRef

Beer A, Gahleitner A, Holm A, Tschabitscher M, Homolka P (2003) Correlation of insertion torques with bone mineral density from dental quantitative CT in the mandible. Clin Oral Implants Res 14(5):616–620PubMedCrossRef

Becker W, Sennerby L, Bedrossian E, Becker BE, Lucchini JP (2005) Implant stability measurements for implants placed at the time of extraction: a cohort, prospective clinical trial. J Periodontol 76(3):391–397PubMedCrossRef

Bischof M, Nedir R, Szmukler-Moncler S, Bernard JP, Samson J (2004) Implant stability measurement of delayed and immediately loaded implants during healing. Clin Oral Implants Res 15(5):529–539PubMedCrossRef

Büchter A, Kleinheinz J, Joos U, Meyer U (2003) Primary implant stability with different bone surgery techniques. An in vitro study of the mandible of the minipig. Mund Kiefer Gesichtschir 7(6):351–355PubMedCrossRef

10.

da Cunha HA, Francischone CE, Filho HN, de Oliveira RC (2004) A comparison between cutting torque and resonance frequency in the assessment of primary stability and final torque capacity of standard and TiUnite single-tooth implants under immediate loading. Int J Oral Maxillofac Implants 19(4):578–585PubMed

11.

Ersanli S, Karabuda C, Beck F, Leblebicioglu B (2005) Resonance frequency analysis of one-stage dental implant stability during the osseointegration period. J Periodontol 76(7):1066–1071PubMedCrossRef

12.

Friberg B, Jemt T, Lekholm U (1991) Early failures in 4,641 consecutively placed Brånemark dental implants: a study from stage 1 surgery to the connection of completed protheses. Int J Oral Maxillofac Implants 6(2):142–146PubMed

13.

Friberg B, Sennerby L, Meredith N, Lekholm U (1999) A comparison between cutting torque and resonance frequency measurements of maxillary implants. A 20-month clinical study. Int J Oral Maxillofac Surg 28(4):297–303PubMedCrossRef

14.

Friberg B, Sennerby L, Roos J, Johansson P, Strid CG, Lekholm U (1995) Evaluation of bone density using cutting resistance and microradiography: an in vitro study in pig ribs. Clin Oral Implants Res 6(3):164–171PubMedCrossRef

15.

Friberg B, Sennerby L, Roos J, Lekholm U (1995) Identification of bone quality in conjunction with insertion of titanium implants. A pilot study in jaw autopsy specimens. Clin Oral Implants Res 6(4):213–219PubMedCrossRef

16.

Glauser R, Sennerby L, Meredith N, Ree A, Lundgren A, Gottlow J, Hammerle CH (2004) Resonance frequency analysis of implants subjected to immediate or early functional occlusal loading. Successful vs. failing implants. Clin Oral Implants Res 15(4):428–434PubMedCrossRef

17.

Homolka P, Beer A, Birkfellner W, Nowotny R, Gahleitner A, Tschabitscher M, Bergmann H (2002) Bone mineral density measurement with dental quantitative CT prior to dental implant placement in cadaver mandibles: pilot study. Radiology 224(1):247–252PubMedCrossRef

18.

Horwitz J, Zuabi O, Peled M (2003) Resonance frequency analysis in immediate loading of dental implants. Refuat Hapeh Vehashinayim 20(3):80–88, 104

19.

Huang HM, Chiu CL, Yeh CY, Lee SY (2003) Factors influencing the resonance frequency of dental implants. J Oral Maxillofac Surg 61(10):1184–1188PubMedCrossRef

20.

Huang HM, Lee SY, Yeh CY, Lin CT (2002) Resonance frequency assessment of dental implant stability with various bone qualities: a numerical approach. Clin Oral Implants Res 13(1):65–74PubMedCrossRef

21.

Ivanoff CJ, Sennerby L, Lekholm U (1996) Influence of mono- and bicortical anchorage on the integration of titanium implants. A study in the rabbit tibia. Int J Oral Maxillofac Surg 25(3):229–235PubMedCrossRef

22.

Johansson P, Strid KG (1994) Assessment of bone quality from cutting resistance during implant surgery. Int J Oral Maxillofac Implants 9:279–288

23.

Lachmann S, Jäger B, Axmann D, Gomez-Roman G, Groten M, Weber H (2006) Resonance frequency analysis and damping capacity assessment. Part 1: an in vitro study on measurement reliability and a method of comparison in the determination of primary dental implant stability. Clin Oral Implants Res 17(1):75–79PubMedCrossRef

24.

Lachmann S, Laval JY, Jäger B, Axmann D, Gomez-Roman G, Groten M, Weber H (2006) Resonance frequency analysis and damping capacity assessment. Part 2: peri-implant bone loss follow-up. An in vitro study with the Periotest and Osstell instruments. Clin Oral Implants Res 17(1):80–84PubMedCrossRef

25.

Lekholm U, Zarb GA (1985) Patient selection and preparation. In: Brånemark PI, Zarb GA, Albrektson T (eds) Tissue-integrated protheses: osseointegration in clinical dentistry. Quintessence, Chicago, pp 199–209

26.

Meredith N (1998) Assessment of implant stability as a prognostic determinant. Int J Prosthodont 11(5):491–501PubMed

27.

Meredith N, Alleyne D, Cawley P (1996) Quantitative determination of the stability of the implant–tissue interface using resonance frequency analysis. Clin Oral Implants Res 7(3):261–267PubMedCrossRef

28.

Miyamoto I, Tsuboi Y, Wada E, Suwa H, Iizuka T (2005) Influence of cortical bone thickness and implant length on implant stability at the time of surgery—clinical, prospective, biomechanical, and imaging study. Bone 37(6):776–780PubMedCrossRef

29.

Nedir R, Bischof M, Szmukler-Moncler S, Bernard JP, Samson J (2004) Predicting osseointegration by means of implant primary stability. Clin Oral Implants Res 15(5):520–528PubMedCrossRef

30.

Nentwig GH (2004) Ankylos implant system: concept and clinical application. J Oral Implantol 30(3):171–177PubMedCrossRef

31.

Neugebauer J, Traini T, Thams U, Piattelli A, Zoller JE (2006) Peri-implant bone organization under immediate loading state. Circularly polarized light analyses: a minipig study. J Periodontol 77(2):152–160PubMedCrossRef

32.

Ostman PO, Hellman M, Sennerby L (2005) Direct implant loading in the edentulous maxilla using a bone density-adapted surgical protocol and primary implant stability criteria for inclusion. Clin Implant Dent Relat Res 7(Suppl 1):S60–S69PubMedCrossRef

33.

Ostman PO, Hellman M, Wendelhag I, Sennerby L (2006) Resonance frequency analysis measurements of implants at placement surgery. Int J Prosthodont 19(1):77–83, discussion 84PubMed

34.

O’Sullivan D, Sennerby L, Meredith N (2000) Measurements comparing the initial stability of five designs of dental implants: a human cadaver study. Clin Implant Dent Relat Res 2(2):85–92PubMedCrossRef

35.

O’Sullivan D, Sennerby L, Meredith N (2004) Influence of implant taper on the primary and secondary stability of osseointegrated titanium implants. Clin Oral Implants Res 15(4):474–480PubMedCrossRef

36.

Ottoni JM, Oliveira ZF, Mansini R, Cabral AM (2005) Correlation between placement torque and survival of single-tooth implants. Int J Oral Maxillofac Implants 20(5):769–776PubMed

37.

Sakoh J, Wahlmann U, Stender E, Nat R, Al-Nawas B, Wagner W (2006) Primary stability of a conical implant and a hybrid, cylindric screw-type implant in vitro. Int J Oral Maxillofac Implants 4(21):560–566

38.

Schmid MR, Schiel HJ, Lambrecht JT (2002) Torque of endosseous dental screw type implants. Schweiz Monatsschr Zahnmed 112(8):804–813PubMed

39.

Schroeder A, Stich H, Straumann F, Sutter F (1978) Über die Anlagerung von Osteozement an einen belasteten Implantatkörper. Schweiz Monatsschr Zahnmed 88(10):1051–1058

40.

Traini T, Assenza B, San Roman F, Thams U, Caputi S, Piattelli A (2006) Bone microvascular pattern around loaded dental implants in a canine model. Clin Oral Investig 10(2):151–156PubMedCrossRef

41.

Trisi P, Rao W (1999) Bone classification: clinical-histomorphometric comparison. Clin Oral Implants Res 10(1):1–7PubMedCrossRef

42.

Turkyilmaz I, Tozum TF, Tumer C, Ozbek EN (2006) Assessment of correlation between computerized tomography values of bone, and maximum torque and resonance frequency values at dental implant placement. J Oral Rehabil 33(12):881–888PubMedCrossRef

43.

Zix J, Kessler-Liechti G, Mericske-Stern R (2005) Stability measurements of 1-stage implants in the maxilla by means of resonance frequency analysis: a pilot study. Int J Oral Maxillofac Implants 20(5):747–752PubMed

Title: Clinical study on the primary stability of two dental implant systems with resonance frequency analysis
Authors: Annette Rabel
Steffen Gerhard Köhler
Andrea Maria Schmidt-Westhausen
Publication date: 01-09-2007
Publisher: Springer-Verlag
Published in: Clinical Oral Investigations / Issue 3/2007
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-007-0115-2

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Clinical study on the primary stability of two dental implant systems with resonance frequency analysis

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