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BMC Oral Health

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Open Access 01-12-2022 | Research

Primary stability of different implant macrodesigns in a sinus floor elevation simulated model: an ex vivo study

Authors: Mikio Imai, Yoichiro Ogino, Hideaki Tanaka, Kiyoshi Koyano, Yasunori Ayukawa, Takeshi Toyoshima

Published in: BMC Oral Health | Issue 1/2022

Abstract

Background

A novel type of implant (Straumann® BLX implant) has been developed for certain stability from the mechanical and biological aspects and is expected for the implant placement in atrophic maxilla with sinus floor elevation (SFE).

Purpose

The aim of this study was to evaluate the primary stability in the implants with different macrodesigns in an SFE simulated model. Primary stabilities defined as maximum insertion torque (MIT) and implant stability quotient (ISQ) were compared between this novel type of implant and other types.

Materials and Methods

Five types of Straumann® 10 mm length implants (Standard Plus; SP, Tapered Effect; TE, Bone Level; BL, Bone Level Tapered; BLT and BLX) and two types of Straumann® 6 mm length implants (SP short, BLX short) were used in this study. Each implant was inserted through 5 mm–thick porcine iliac crest blocks (an SFE simulated model). Primary stability was evaluated by using MIT and ISQ.

Results

The mean value of MIT for BLX group showed significantly higher values than SP, BL (p < 0.01), and TE (p < 0.05) groups. The mean value of ISQ for BLX group was significantly higher than the other groups (p < 0.01). The mean value of MIT and ISQ for BLX and BLX short group were significantly higher than those for SP and SP short group (p < 0.01).

Conclusions

In an SFE simulated ex vivo model, BLX group showed the highest values. These results suggest that implant selection can play a crucial role in the achievement of primary stability during SFE and simultaneous implant placement.

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Danesh-Sani SA, Loomer PM, Wallace SS. A comprehensive clinical review of maxillary sinus floor elevation: anatomy, techniques, biomaterials and complications. Br J Oral Maxillofac Surg. 2016;54(7):724–30.CrossRefPubMed

Lundgren S, et al. Sinus floor elevation procedures to enable implant placement and integration: techniques, biological aspects and clinical outcomes. Periodontol 2000. 2017;73(1):103–20. https://doi.org/10.1111/prd.12165.CrossRefPubMed

Raghoebar GM, et al. Long-term effectiveness of maxillary sinus floor augmentation: a systematic review and meta-analysis. J Clin Periodontol. 2019;46(Suppl 21):307–18. https://doi.org/10.1111/jcpe.13055.CrossRefPubMed

Zhou Y, et al. The comparative evaluation of transcrestal and lateral sinus floor elevation in sites with residual bone height ≤6 mm: a two-year prospective randomized study. Clin Oral Implants Res. 2021;32(2):180–91. https://doi.org/10.1111/clr.13688.CrossRefPubMed

Ogino Y, et al. Staged sinus floor elevation using novel low-crystalline carbonate apatite granules: prospective results after 3-year functional loading. Materials (Basel). 2021. https://doi.org/10.3390/ma14195760.CrossRefPubMed

Farina R, et al. Peri-implant tissue conditions following transcrestal and lateral sinus floor elevation: 3-year results of a bi-center, randomized trial. Clin Oral Investig. 2022. https://doi.org/10.1007/s00784-021-04364-y.CrossRefPubMedPubMedCentral

Al-Dajani M. Recent trends in sinus lift surgery and their clinical implications. Clin Implant Dent Relat Res. 2016;18(1):204–12. https://doi.org/10.1111/cid.12275.CrossRefPubMed

Moraschini V, et al. Maxillary sinus floor elevation with simultaneous implant placement without grafting materials: a systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2017;46(5):636–47. https://doi.org/10.1016/j.ijom.2017.01.021.CrossRefPubMed

Duan DH, et al. Graft-free maxillary sinus floor elevation: a systematic review and meta-analysis. J Periodontol. 2017;88(6):550–64. https://doi.org/10.1902/jop.2017.160665.CrossRefPubMed

10.

Verdugo F, et al. Long-term stable vertical bone regeneration after sinus floor elevation and simultaneous implant placement with and without grafting. Clin Implant Dent Relat Res. 2017;19(6):1054–60. https://doi.org/10.1111/cid.12540.CrossRefPubMed

11.

Khaled H, Atef M, Hakam M. Maxillary sinus floor elevation using hydroxyapatite nano particles vs tenting technique with simultaneous implant placement: a randomized clinical trial. Clin Implant Dent Relat Res. 2019;21(6):1241–52. https://doi.org/10.1111/cid.12859.CrossRefPubMed

12.

Javed F, et al. Role of primary stability for successful osseointegration of dental implants: factors of influence and evaluation. Interv Med Appl Sci. 2013;5(4):162–7. https://doi.org/10.1556/imas.5.2013.4.3.CrossRefPubMedPubMedCentral

13.

Molly L. Bone density and primary stability in implant therapy. Clin Oral Implants Res. 2006;17(Suppl 2):124–35. https://doi.org/10.1111/j.1600-0501.2006.01356.x.CrossRefPubMed

14.

Romanos GE, et al. In vitro assessment of primary stability of Straumann® implant designs. Clin Implant Dent Relat Res. 2014;16(1):89–95. https://doi.org/10.1111/j.1708-8208.2012.00464.x.CrossRefPubMed

15.

Romanos GE, et al. Role of clinician’s experience and implant design on implant stability. An ex vivo study in artificial soft bones. Clin Implant Dent Relat Res. 2014;16(2):166–71. https://doi.org/10.1111/j.1708-8208.2012.00470.x.CrossRefPubMed

16.

Toyoshima T, et al. Primary stability of a hybrid implant compared with tapered and cylindrical implants in an ex vivo model. Clin Implant Dent Relat Res. 2015;17(5):950–6. https://doi.org/10.1111/cid.12205.CrossRefPubMed

17.

Falco A, Berardini M, Trisi P. Correlation between implant geometry, implant surface, insertion torque, and primary stability: in vitro biomechanical analysis. Int J Oral Maxillofac Implants. 2018;33(4):824–30. https://doi.org/10.11607/jomi.6285.CrossRefPubMed

18.

Herrero-Climent M, et al. Influence of implant design and under-preparation of the implant site on implant primary stability. An in vitro study. Int J Environ Res Public Health. 2020. https://doi.org/10.3390/ijerph17124436.CrossRefPubMedPubMedCentral

19.

Abuhussein H, et al. The effect of thread pattern upon implant osseointegration. Clin Oral Implants Res. 2010;21(2):129–36. https://doi.org/10.1111/j.1600-0501.2009.01800.x.CrossRefPubMed

20.

Lozano-Carrascal N, et al. Effect of implant macro-design on primary stability: a prospective clinical study. Med Oral Patol Oral Cir Bucal. 2016;21(2):e214–21. https://doi.org/10.4317/medoral.21024.CrossRefPubMedPubMedCentral

21.

Almutairi AS, Walid MA, Alkhodary MA. The effect of osseodensification and different thread designs on the dental implant primary stability. F1000Res. 2018;7:1898. https://doi.org/10.12688/f1000research.17292.1.CrossRefPubMedPubMedCentral

22.

Yamaguchi Y, et al. Effects of implant thread design on primary stability-a comparison between single- and double-threaded implants in an artificial bone model. Int J Implant Dent. 2020;6(1):42. https://doi.org/10.1186/s40729-020-00239-1.CrossRefPubMedPubMedCentral

23.

Lan TH, et al. Biomechanical analysis of alveolar bone stress around implants with different thread designs and pitches in the mandibular molar area. Clin Oral Investig. 2012;16(2):363–9. https://doi.org/10.1007/s00784-011-0517-z.CrossRefPubMed

24.

Emmert M, et al. Comparative assessment of the primary stability of Straumann® BLX implant design using an in-vitro sinus lift-simultaneous implant insertion model. J Oral Implantol. 2021. https://doi.org/10.1563/aaid-joi-D-20-00411.CrossRef

25.

Bataineh AB, Al-Dakes AM. The influence of length of implant on primary stability: an in vitro study using resonance frequency analysis. J Clin Exp Dent. 2017;9(1):e1–6. https://doi.org/10.4317/jced.53302.CrossRefPubMedPubMedCentral

Title: Primary stability of different implant macrodesigns in a sinus floor elevation simulated model: an ex vivo study
Authors: Mikio Imai
Yoichiro Ogino
Hideaki Tanaka
Kiyoshi Koyano
Yasunori Ayukawa
Takeshi Toyoshima
Publication date: 01-12-2022
Publisher: BioMed Central
Published in: BMC Oral Health / Issue 1/2022
Electronic ISSN: 1472-6831
DOI: https://doi.org/10.1186/s12903-022-02345-5

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Springer Medicine

Primary stability of different implant macrodesigns in a sinus floor elevation simulated model: an ex vivo study

Abstract

Background

Purpose

Materials and Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Purpose

Materials and Methods

Results

Conclusions

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