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Published in: International Journal of Implant Dentistry 1/2021

Open Access 01-12-2021 | Research

An experimental study on the effects of the cortical thickness and bone density on initial mechanical anchorage of different Straumann® implant designs

Authors: Marie Emmert, Aydin Gülses, Eleonore Behrens, Fatih Karayürek, Yahya Acil, Jörg Wiltfang, Johannes Heinrich Spille

Published in: International Journal of Implant Dentistry | Issue 1/2021

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Abstract

Background

The aim of the current study was to comparatively assess the primary stability of different Straumann® implant designs (BLX, Straumann Tapered Effect, Bone Level Tapered, and Standard Plus) via resonance frequency analysis by using an implant insertion model in freshly slaughtered bovine ribs with and without cortical bone. Tapered Effect (4.1 × 10 mm), Bone Level Tapered (4.1 × 10 mm), Standard Plus (4.1 × 10 mm), and BLX (4.0 × 10 mm) implants were inserted into the distal epiphysis on the longitudinal axis of the freshly slaughtered bovine ribs. As a control, implants with the same sizes were inserted into the proximal diaphysis. The stability of the implants was examined with resonance frequency analysis.

Results

BLX and Tapered Effect implants showed higher implant stability quotient values in both study and control groups. All implant systems showed a significant decrease of mechanical anchorage in the study group. BLX and Bone Level Tapered designs had a significantly lower loss of mechanical anchorage in the lack of cortical bone.

Conclusion

Both Tapered Effect and BLX designs could ensure sufficient initial stability; however, BLX implants could be an appropriate option in the lack of cortical bone and poor bone quality at the implant recipient site.

Clinical relevance

BLX is a novel implant system, which could be especially beneficial in the presence of spongious bone type at posterior maxillae.
Literature
6.
go back to reference Sugiura T, Yamamoto K, Horita S, Murakami K, Tsutsumi S, Kirita T. 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. J Periodontal Implant Sci. 2016;46(3):152–65. https://doi.org/10.5051/jpis.2016.46.3.152.CrossRef Sugiura T, Yamamoto K, Horita S, Murakami K, Tsutsumi S, Kirita T. 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. J Periodontal Implant Sci. 2016;46(3):152–65. https://​doi.​org/​10.​5051/​jpis.​2016.​46.​3.​152.CrossRef
9.
go back to reference Tu M-G, Hsu J-T, Fuh L-J, Lin DJ, Huang HL. Effects of cortical bone thickness and implant length on bone strain and interfacial micromotion in an immediately loaded implant. Int J Oral Maxillofac Implants. 2010;25(4):706–14.PubMed Tu M-G, Hsu J-T, Fuh L-J, Lin DJ, Huang HL. Effects of cortical bone thickness and implant length on bone strain and interfacial micromotion in an immediately loaded implant. Int J Oral Maxillofac Implants. 2010;25(4):706–14.PubMed
12.
go back to reference Maló P, de Nobre M, Lopes A. Immediate loading of “All-on-4” maxillary prostheses using trans-sinus tilted implants without sinus bone grafting: a retrospective study reporting the 3-year outcome. Eur J Oral Implantol. 2013;6(3):273–83.PubMed Maló P, de Nobre M, Lopes A. Immediate loading of “All-on-4” maxillary prostheses using trans-sinus tilted implants without sinus bone grafting: a retrospective study reporting the 3-year outcome. Eur J Oral Implantol. 2013;6(3):273–83.PubMed
17.
go back to reference Ayna M, Gulses A, Ziebart T, Neff A, Açil Y. Histopathological and microradiological features of peri-implantitis. A case report. Stomatologija. 2017;19(3):97–100.PubMed Ayna M, Gulses A, Ziebart T, Neff A, Açil Y. Histopathological and microradiological features of peri-implantitis. A case report. Stomatologija. 2017;19(3):97–100.PubMed
19.
23.
24.
go back to reference Sakoh J, Wahlmann U, Stender E, Nat R, al-Nawas B, Wagner W. Primary stability of a conical implant and a hybrid, cylindric screw-type implant in vitro. Int J Oral Maxillofac Implants. 2006;21(4):560–6.PubMed Sakoh J, Wahlmann U, Stender E, Nat R, al-Nawas B, Wagner W. Primary stability of a conical implant and a hybrid, cylindric screw-type implant in vitro. Int J Oral Maxillofac Implants. 2006;21(4):560–6.PubMed
25.
go back to reference Righesso L, Blatt S, Kwon Y-D, Al-Nawas B. Primärstabilität dentaler Implantate - Eine Übersichtsarbeit. Implantologie. 2016;24:261–8. Righesso L, Blatt S, Kwon Y-D, Al-Nawas B. Primärstabilität dentaler Implantate - Eine Übersichtsarbeit. Implantologie. 2016;24:261–8.
26.
go back to reference Fromovich O, Dada K, Pariente L, Daas M. BLX: a new generation of self-drilling implants. Quintessence Special issue. 2019:7–39. Fromovich O, Dada K, Pariente L, Daas M. BLX: a new generation of self-drilling implants. Quintessence Special issue. 2019:7–39.
30.
go back to reference Misch CE. Stress treatment theorem for implant dentistry: the key to implant treatment plans. In: Misch CE, editor. Dental implant prosthetics. New York: Mosby; 2015. p. 159–92.CrossRef Misch CE. Stress treatment theorem for implant dentistry: the key to implant treatment plans. In: Misch CE, editor. Dental implant prosthetics. New York: Mosby; 2015. p. 159–92.CrossRef
31.
go back to reference Misch CE. Maxillary posterior edentulism: treatment options for fixed prostheses. In: Misch CE, editor. Dental implant prosthetics. New York: Mosby; 2015. p. 553–72.CrossRef Misch CE. Maxillary posterior edentulism: treatment options for fixed prostheses. In: Misch CE, editor. Dental implant prosthetics. New York: Mosby; 2015. p. 553–72.CrossRef
Metadata
Title
An experimental study on the effects of the cortical thickness and bone density on initial mechanical anchorage of different Straumann® implant designs
Authors
Marie Emmert
Aydin Gülses
Eleonore Behrens
Fatih Karayürek
Yahya Acil
Jörg Wiltfang
Johannes Heinrich Spille
Publication date
01-12-2021
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Implant Dentistry / Issue 1/2021
Electronic ISSN: 2198-4034
DOI
https://doi.org/10.1186/s40729-021-00367-2

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