评估骨的计算机断层扫描值与牙种植体植入时的最大扭矩和共振频率值之间的相关性。

Assessment of correlation between computerized tomography values of the bone, and maximum torque and resonance frequency values at dental implant placement.

作者信息

Turkyilmaz I, Tözüm T F, Tumer C, Ozbek E N

机构信息

Department of Prosthodontics, Faculty of Dentristry, Baskent University, Ankara, Turkey.

出版信息

J Oral Rehabil. 2006 Dec;33(12):881-8. doi: 10.1111/j.1365-2842.2006.01692.x.

Abstract

The aim of this study was to determine the bone density in the designated implant sites using computerized tomography (CT), the fastening torque values of dental implants, and the implant stability values using resonance frequency analysis. Further aim was to evaluate a possible correlation between bone density, fastening torque and implant stability. Eighty-five patients were treated with 158 Brånemark System implants. CT machine was used for preoperative evaluation of the jawbone for each patient, and bone densities were recorded in Hounsfield units (HU). The fastening torque values of all implants were recorded with the OsseoCare equipment. Implant stability measurements were performed with the Osstell machine. The average bone density and fastening torque values were 751.4 +/- 256 HU and 39.7 +/- 7 Ncm for 158 implants. The average primary implant stability was 73.2 +/- 6 ISQ for seventy implants. Strong correlations were observed between the bone density, fastening torque and implant stability values of Brånemark System TiUnite MKIII implants at implant placement (P < 0.001). These results strengthen the hypothesis that it may be possible to predict and quantify initial implant stability and bone quality from pre-surgical CT diagnosis.

摘要

本研究的目的是使用计算机断层扫描(CT)确定指定种植部位的骨密度、牙种植体的紧固扭矩值以及使用共振频率分析的种植体稳定性值。进一步的目的是评估骨密度、紧固扭矩和种植体稳定性之间可能存在的相关性。85例患者接受了158颗Brånemark系统种植体治疗。对每位患者使用CT机进行术前颌骨评估,并以亨氏单位(HU)记录骨密度。所有种植体的紧固扭矩值均使用OsseoCare设备记录。使用Osstell机器进行种植体稳定性测量。158颗种植体的平均骨密度和紧固扭矩值分别为751.4±256 HU和39.7±7 Ncm。70颗种植体的平均初始种植体稳定性为73.2±6 ISQ。在种植体植入时,观察到Brånemark系统TiUnite MKIII种植体的骨密度、紧固扭矩和种植体稳定性值之间存在强相关性(P<0.001)。这些结果强化了这样一种假设,即从术前CT诊断中预测和量化初始种植体稳定性和骨质量可能是可行的。

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