Skip to main content
Top
Published in: BMC Oral Health 1/2017

Open Access 01-12-2017 | Research article

Effects of implant length and 3D bone-to-implant contact on initial stabilities of dental implant: a microcomputed tomography study

Authors: Jui-Ting Hsu, Aaron Yu-Jen Wu, Lih-Jyh Fuh, Heng-Li Huang

Published in: BMC Oral Health | Issue 1/2017

Login to get access

Abstract

Background

The influences of potential bone-to-implant contact (BIC) area (pBICA), BIC area (BICA), and three dimensional (3D) BIC percentage (3D BIC%; defined as BICA divided by pBICA) in relation to the implant length on initial implant stability were studied. Correlations between these parameters were also evaluated.

Methods

Implants with lengths of 8.5, 10, 11.5, and 13 mm were placed in artificial bone specimens to measure three indexes of the initial implant stability: insertion torque value (ITV), Periotest value (PTV), and implant stability quotient (ISQ). The implants and bone specimens were also scanned by microcomputed tomography, and the obtained images were imported into Mimics software to reconstruct the 3D models and calculate the parameters of 3D bone-to-implant contact including pBICA, BICA, and 3D BIC%. The Kruskal-Wallis test, Wilcoxon rank-sum test with Bonferroni adjustment, and Spearman correlations were applied for statistical and correlation analyses.

Results

The implant length affected ITV more than PTV and ISQ, and significantly affected pBICA, BICA, and 3D BIC%. A longer implant increased pBICA and BICA but decreased 3D BIC%. The Spearman coefficients were high (>0.78) for the correlations between the three 3D BIC parameters and the three indexes of the initial implant stability.

Conclusions

pBICA, BICA, and 3D BIC% are useful when deciding on treatment plans related to various implant lengths, since these 3D BIC parameters are predictive of the initial implant stability.
Literature
1.
go back to reference Scarano A, Degidi M, Iezzi G, Petrone G, Piattelli A. Correlation between implant stability quotient and bone-implant contact: a retrospective histological and Histomorphometrical study of seven titanium implants retrieved from humans. Clin Implant Dent Relat Res. 2006;8(4):218–22.CrossRefPubMed Scarano A, Degidi M, Iezzi G, Petrone G, Piattelli A. Correlation between implant stability quotient and bone-implant contact: a retrospective histological and Histomorphometrical study of seven titanium implants retrieved from humans. Clin Implant Dent Relat Res. 2006;8(4):218–22.CrossRefPubMed
2.
go back to reference Mathieu V, Vayron R, Richard G, Lambert G, Naili S, Meningaud J-P, Haiat G. Biomechanical determinants of the stability of dental implants: influence of the bone–implant interface properties. J Biomech. 2014;47(1):3–13.CrossRefPubMed Mathieu V, Vayron R, Richard G, Lambert G, Naili S, Meningaud J-P, Haiat G. Biomechanical determinants of the stability of dental implants: influence of the bone–implant interface properties. J Biomech. 2014;47(1):3–13.CrossRefPubMed
3.
go back to reference Duyck J, Vandamme K, Geris L, Van Oosterwyck H, De Cooman M, Vandersloten J, Puers R, Naert I. The influence of micro-motion on the tissue differentiation around immediately loaded cylindrical turned titanium implants. Arch Oral Biol. 2006;51(1):1–9.CrossRefPubMed Duyck J, Vandamme K, Geris L, Van Oosterwyck H, De Cooman M, Vandersloten J, Puers R, Naert I. The influence of micro-motion on the tissue differentiation around immediately loaded cylindrical turned titanium implants. Arch Oral Biol. 2006;51(1):1–9.CrossRefPubMed
4.
go back to reference Winkler S, Morris HF, Ochi S. Implant survival to 36 months as related to length and diameter. Ann Periodontol. 2000;5(1):22–31.CrossRefPubMed Winkler S, Morris HF, Ochi S. Implant survival to 36 months as related to length and diameter. Ann Periodontol. 2000;5(1):22–31.CrossRefPubMed
5.
go back to reference Olate S, Lyrio MCN, de Moraes M, Mazzonetto R, Moreira RWF. Influence of diameter and length of implant on early dental implant failure. J Oral Maxillofac Surg. 2010;68(2):414–9.CrossRefPubMed Olate S, Lyrio MCN, de Moraes M, Mazzonetto R, Moreira RWF. Influence of diameter and length of implant on early dental implant failure. J Oral Maxillofac Surg. 2010;68(2):414–9.CrossRefPubMed
6.
go back to reference Hong J, Lim YJ, Park SO. Quantitative biomechanical analysis of the influence of the cortical bone and implant length on primary stability. Clin Oral Implants Res. 2012;23(10):1193–7.CrossRefPubMed Hong J, Lim YJ, Park SO. Quantitative biomechanical analysis of the influence of the cortical bone and implant length on primary stability. Clin Oral Implants Res. 2012;23(10):1193–7.CrossRefPubMed
7.
go back to reference Capparé P, Vinci R, Di Stefano DA, Traini T, Pantaleo G, Gherlone EF, Gastaldi G. Correlation between initial BIC and the insertion torque/depth integral recorded with an instantaneous torque-measuring implant motor: an in vivo study. Clin Implant Dent Relat Res. 2015;17(2):e613–20.CrossRefPubMed Capparé P, Vinci R, Di Stefano DA, Traini T, Pantaleo G, Gherlone EF, Gastaldi G. Correlation between initial BIC and the insertion torque/depth integral recorded with an instantaneous torque-measuring implant motor: an in vivo study. Clin Implant Dent Relat Res. 2015;17(2):e613–20.CrossRefPubMed
8.
go back to reference Huang H-L, Tsai M-T, Su K-C, Li Y-F, Hsu J-T, Chang C-H, Fuh L-J, Wu AY-J. Relation between initial implant stability quotient and bone-implant contact percentage: an in vitro model study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2013;116(5):e356–61.CrossRef Huang H-L, Tsai M-T, Su K-C, Li Y-F, Hsu J-T, Chang C-H, Fuh L-J, Wu AY-J. Relation between initial implant stability quotient and bone-implant contact percentage: an in vitro model study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2013;116(5):e356–61.CrossRef
9.
go back to reference Degidi M, Daprile G, Piattelli A. Primary stability determination by means of insertion torque and RFA in a sample of 4,135 implants. Clin Implant Dent Relat Res. 2012;14(4):501–7.CrossRefPubMed Degidi M, Daprile G, Piattelli A. Primary stability determination by means of insertion torque and RFA in a sample of 4,135 implants. Clin Implant Dent Relat Res. 2012;14(4):501–7.CrossRefPubMed
10.
go back to reference Ostman P, Hellman M, Wendelhag I, Sennerby L. Resonance frequency analysis measurements of implants at placement surgery. Int J Prosthodont. 2005;19(1):77–83. discussion 84 Ostman P, Hellman M, Wendelhag I, Sennerby L. Resonance frequency analysis measurements of implants at placement surgery. Int J Prosthodont. 2005;19(1):77–83. discussion 84
11.
go back to reference Hsu J-T, Huang H-L, Chang C-H, Tsai M-T, Hung W-C, Fuh L-J. Relationship of three-dimensional bone-to-implant contact to primary implant stability and peri-implant bone strain in immediate loading: microcomputed tomographic and in vitro analyses. Int J Oral Maxillofac Implants. 2013;28(2):367–74.CrossRefPubMed Hsu J-T, Huang H-L, Chang C-H, Tsai M-T, Hung W-C, Fuh L-J. Relationship of three-dimensional bone-to-implant contact to primary implant stability and peri-implant bone strain in immediate loading: microcomputed tomographic and in vitro analyses. Int J Oral Maxillofac Implants. 2013;28(2):367–74.CrossRefPubMed
12.
go back to reference De Vos W, Casselman J, Swennen G. Cone-beam computerized tomography (CBCT) imaging of the oral and maxillofacial region: a systematic review of the literature. Int J Oral Maxillofac Surg. 2009;38(6):609–25.CrossRefPubMed De Vos W, Casselman J, Swennen G. Cone-beam computerized tomography (CBCT) imaging of the oral and maxillofacial region: a systematic review of the literature. Int J Oral Maxillofac Surg. 2009;38(6):609–25.CrossRefPubMed
13.
go back to reference Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc. 2006;72(1):75–80.PubMed Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc. 2006;72(1):75–80.PubMed
14.
go back to reference Ito K, Gomi Y, Sato S, Arai Y, Shinoda K. Clinical application of a new compact CT system to assess 3-D images for the preoperative treatment planning of implants in the posterior mandible. Clin Oral Implants Res. 2001;12(5):539–42.CrossRefPubMed Ito K, Gomi Y, Sato S, Arai Y, Shinoda K. Clinical application of a new compact CT system to assess 3-D images for the preoperative treatment planning of implants in the posterior mandible. Clin Oral Implants Res. 2001;12(5):539–42.CrossRefPubMed
15.
go back to reference Sumer A, Caliskan A, Uzun C, Karoz T, Sumer M, Cankaya S. The evaluation of palatal bone thickness for implant insertion with cone beam computed tomography. Int J Oral Maxillofac Surg. 2016;45(2):216–20.CrossRefPubMed Sumer A, Caliskan A, Uzun C, Karoz T, Sumer M, Cankaya S. The evaluation of palatal bone thickness for implant insertion with cone beam computed tomography. Int J Oral Maxillofac Surg. 2016;45(2):216–20.CrossRefPubMed
16.
go back to reference Zhang W, Skrypczak A, Weltman R. Anterior maxilla alveolar ridge dimension and morphology measurement by cone beam computerized tomography (CBCT) for immediate implant treatment planning. BMC oral health. 2015;15(1):65.CrossRefPubMedPubMedCentral Zhang W, Skrypczak A, Weltman R. Anterior maxilla alveolar ridge dimension and morphology measurement by cone beam computerized tomography (CBCT) for immediate implant treatment planning. BMC oral health. 2015;15(1):65.CrossRefPubMedPubMedCentral
17.
go back to reference Korkmaz Y, Kayıpmaz S, Senel F, Atasoy K, Gumrukcu Z. Does additional cone beam computed tomography decrease the risk of inferior alveolar nerve injury in high-risk cases undergoing third molar surgery? Does CBCT decrease the risk of IAN injury? Int J Oral Maxillofac Surg. 2017;46(5):628–35.CrossRefPubMed Korkmaz Y, Kayıpmaz S, Senel F, Atasoy K, Gumrukcu Z. Does additional cone beam computed tomography decrease the risk of inferior alveolar nerve injury in high-risk cases undergoing third molar surgery? Does CBCT decrease the risk of IAN injury? Int J Oral Maxillofac Surg. 2017;46(5):628–35.CrossRefPubMed
18.
go back to reference Benavides E, Rios HF, Ganz SD, An C-H, Resnik R, Reardon GT, Feldman SJ, Mah JK, Hatcher D, Kim M-J. Use of cone beam computed tomography in implant dentistry: the international congress of oral Implantologists consensus report. Implant Dent. 2012;21(2):78–86.CrossRefPubMed Benavides E, Rios HF, Ganz SD, An C-H, Resnik R, Reardon GT, Feldman SJ, Mah JK, Hatcher D, Kim M-J. Use of cone beam computed tomography in implant dentistry: the international congress of oral Implantologists consensus report. Implant Dent. 2012;21(2):78–86.CrossRefPubMed
19.
go back to reference Kang Y-H, Kim H-M, Byun J-H, Kim U-K, Sung I-Y, Cho Y-C, Park B-W. Stability of simultaneously placed dental implants with autologous bone grafts harvested from the iliac crest or intraoral jaw bone. BMC oral health. 2015;15(1):172.CrossRefPubMedPubMedCentral Kang Y-H, Kim H-M, Byun J-H, Kim U-K, Sung I-Y, Cho Y-C, Park B-W. Stability of simultaneously placed dental implants with autologous bone grafts harvested from the iliac crest or intraoral jaw bone. BMC oral health. 2015;15(1):172.CrossRefPubMedPubMedCentral
20.
go back to reference Hsu J-T, Huang H-L, Tsai M-T, Wu A-J, Tu M-G, Fuh L-J. Effects of the 3D bone-to-implant contact and bone stiffness on the initial stability of a dental implant: micro-CT and resonance frequency analyses. Int J Oral Maxillofac Surg. 2013;42(2):276–80.CrossRefPubMed Hsu J-T, Huang H-L, Tsai M-T, Wu A-J, Tu M-G, Fuh L-J. Effects of the 3D bone-to-implant contact and bone stiffness on the initial stability of a dental implant: micro-CT and resonance frequency analyses. Int J Oral Maxillofac Surg. 2013;42(2):276–80.CrossRefPubMed
21.
go back to reference Möhlhenrich SC, Heussen N, Loberg C, Goloborodko E, Hölzle F, Modabber A. Three-dimensional evaluation of implant bed preparation and the influence on primary implant stability after using 2 different surgical techniques. J Oral Maxillofac Surg. 2015;73(9):1723–32.CrossRefPubMed Möhlhenrich SC, Heussen N, Loberg C, Goloborodko E, Hölzle F, Modabber A. Three-dimensional evaluation of implant bed preparation and the influence on primary implant stability after using 2 different surgical techniques. J Oral Maxillofac Surg. 2015;73(9):1723–32.CrossRefPubMed
22.
go back to reference Schicho K, Kastner J, Klingesberger R, Seemann R, Enislidis G, Undt G, Wanschitz F, Figl M, Wagner A, Ewers R. Surface area analysis of dental implants using micro-computed tomography. Clin Oral Implants Res. 2007;18(4):459–64.CrossRefPubMed Schicho K, Kastner J, Klingesberger R, Seemann R, Enislidis G, Undt G, Wanschitz F, Figl M, Wagner A, Ewers R. Surface area analysis of dental implants using micro-computed tomography. Clin Oral Implants Res. 2007;18(4):459–64.CrossRefPubMed
23.
go back to reference Atsumi M, Park S-H, Wang H-L. Methods used to assess implant stability: current status. Int J Oral Maxillofac Implants. 2007;22(5):743–54.PubMed Atsumi M, Park S-H, Wang H-L. Methods used to assess implant stability: current status. Int J Oral Maxillofac Implants. 2007;22(5):743–54.PubMed
24.
go back to reference Hsu J-T, Shen Y-W, Kuo C-W, Wang R-T, Fuh L-J, Huang H-L. Impacts of 3D bone-to-implant contact and implant diameter on primary stability of dental implant. J Formos Med Assoc. 2017;116(8):582–90.CrossRefPubMed Hsu J-T, Shen Y-W, Kuo C-W, Wang R-T, Fuh L-J, Huang H-L. Impacts of 3D bone-to-implant contact and implant diameter on primary stability of dental implant. J Formos Med Assoc. 2017;116(8):582–90.CrossRefPubMed
25.
go back to reference Stoppie N, Waerden JP, Jansen JA, Duyck J, Wevers M, Naert IE. Validation of microfocus computed tomography in the evaluation of bone implant specimens. Clin Implant Dent Relat Res. 2005;7(2):87–94.CrossRefPubMed Stoppie N, Waerden JP, Jansen JA, Duyck J, Wevers M, Naert IE. Validation of microfocus computed tomography in the evaluation of bone implant specimens. Clin Implant Dent Relat Res. 2005;7(2):87–94.CrossRefPubMed
26.
go back to reference Trisi P, De Benedittis S, Perfetti G, Berardi D. Primary stability, insertion torque and bone density of cylindric implant ad modum Branemark: is there a relationship? An in vitro study. Clin Oral Implants Res. 2011;22(5):567–70.CrossRefPubMed Trisi P, De Benedittis S, Perfetti G, Berardi D. Primary stability, insertion torque and bone density of cylindric implant ad modum Branemark: is there a relationship? An in vitro study. Clin Oral Implants Res. 2011;22(5):567–70.CrossRefPubMed
27.
go back to reference Ito Y, Sato D, Yoneda S, Ito D, Kondo H, Kasugai S. Relevance of resonance frequency analysis to evaluate dental implant stability: simulation and histomorphometrical animal experiments. Clin Oral Implants Res. 2008;19(1):9–14.PubMed Ito Y, Sato D, Yoneda S, Ito D, Kondo H, Kasugai S. Relevance of resonance frequency analysis to evaluate dental implant stability: simulation and histomorphometrical animal experiments. Clin Oral Implants Res. 2008;19(1):9–14.PubMed
28.
go back to reference Hsu JT, Fuh LJ, Tu MG, Li YF, Chen KT, Huang HL. The effects of cortical bone thickness and trabecular bone strength on noninvasive measures of the implant primary stability using synthetic bone models. Clin Implant Dent Relat Res. 2013;15(2):251–61.CrossRefPubMed Hsu JT, Fuh LJ, Tu MG, Li YF, Chen KT, Huang HL. The effects of cortical bone thickness and trabecular bone strength on noninvasive measures of the implant primary stability using synthetic bone models. Clin Implant Dent Relat Res. 2013;15(2):251–61.CrossRefPubMed
Metadata
Title
Effects of implant length and 3D bone-to-implant contact on initial stabilities of dental implant: a microcomputed tomography study
Authors
Jui-Ting Hsu
Aaron Yu-Jen Wu
Lih-Jyh Fuh
Heng-Li Huang
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2017
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-017-0422-1

Other articles of this Issue 1/2017

BMC Oral Health 1/2017 Go to the issue