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计算机断层扫描的骨密度值与种植体稳定性参数之间的关系:230颗常规平台种植体的临床研究

Relations between the bone density values from computerized tomography, and implant stability parameters: a clinical study of 230 regular platform implants.

作者信息

Turkyilmaz Ilser, Tumer Celal, Ozbek Esma Nida, Tözüm Tolga F

机构信息

Department of Restorative and Prosthetic Dentistry, College of Dentistry, The Ohio State University, Columbus, OH 43218-2357, USA.

出版信息

J Clin Periodontol. 2007 Aug;34(8):716-22. doi: 10.1111/j.1600-051X.2007.01112.x.


DOI:10.1111/j.1600-051X.2007.01112.x
PMID:17635248
Abstract

AIMS: The objective of this study was to determine the relationship between bone density, insertion torque, and implant stability at implant placement. MATERIALS AND METHODS: One-hundred and eight patients were treated with 230 Brånemark System implants. A computerized tomography (CT) machine was used for pre-operative evaluation of the jaw bone for each patient. The maximum insertion torque values were recorded with the OsseoCare equipment. Implant stability measurements were performed with the Osstell machine for only 142 implants. RESULTS: The mean bone density and insertion torque values were 721+/-254 Hounsfield unit (HU) and 39.1+/-7 N cm for 230 implants, and the correlation was significant (r=0.664, p<0.001). The mean bone density, insertion torque, and resonance frequency analysis values were 751+/-257 HU, 39.4+/-7 Nc m, and 70.5+/-7 implant stability quotient (ISQ), respectively, for 142 implants. Statistically significant correlations were found between bone density and insertion torque values (p<0.001); bone density and ISQ values (p<0.001); and insertion torque and ISQ values (p<0.001). CONCLUSION: The bone density values from pre-operative CT examination may provide an objective assessment of bone quality, and significant correlations between bone density and implant stability parameters may help clinicians to predict primary stability before implant insertion.

摘要

目的:本研究的目的是确定种植体植入时骨密度、植入扭矩和种植体稳定性之间的关系。 材料与方法:108例患者接受了230枚Brånemark系统种植体治疗。使用计算机断层扫描(CT)机对每位患者的颌骨进行术前评估。使用OsseoCare设备记录最大植入扭矩值。仅对142枚种植体使用Osstell机器进行种植体稳定性测量。 结果:230枚种植体的平均骨密度和植入扭矩值分别为721±254亨氏单位(HU)和39.1±7 N cm,相关性显著(r = 0.664,p < 0.001)。142枚种植体的平均骨密度、植入扭矩和共振频率分析值分别为751±257 HU、39.4±7 N cm和70.5±7种植体稳定性商数(ISQ)。在骨密度与植入扭矩值之间(p < 0.001);骨密度与ISQ值之间(p < 0.001);以及植入扭矩与ISQ值之间(p < 0.001)发现了具有统计学意义的相关性。 结论:术前CT检查的骨密度值可提供对骨质量的客观评估,并且骨密度与种植体稳定性参数之间的显著相关性可能有助于临床医生在种植体植入前预测初期稳定性。

相似文献

[1]
Relations between the bone density values from computerized tomography, and implant stability parameters: a clinical study of 230 regular platform implants.

J Clin Periodontol. 2007-8

[2]
Assessment of correlation between computerized tomography values of the bone, and maximum torque and resonance frequency values at dental implant placement.

J Oral Rehabil. 2006-12

[3]
Two alternative surgical techniques for enhancing primary implant stability in the posterior maxilla: a clinical study including bone density, insertion torque, and resonance frequency analysis data.

Clin Implant Dent Relat Res. 2008-12

[4]
Biomechanical aspects of primary implant stability: a human cadaver study.

Clin Implant Dent Relat Res. 2009-6

[5]
Relationships between bone density values from cone beam computed tomography, maximum insertion torque, and resonance frequency analysis at implant placement: a pilot study.

Int J Oral Maxillofac Implants. 2011

[6]
Relationship between the bone density estimated by cone-beam computed tomography and the primary stability of dental implants.

Clin Oral Implants Res. 2011-5-5

[7]
Evaluation of relationship between preoperative bone density values derived from cone beam computed tomography and implant stability parameters: a clinical study.

Clin Oral Implants Res. 2014-9

[8]
Sensitivity of resonance frequency analysis method to assess implant stability.

N Y State Dent J. 2011

[9]
Implant stability and bone density: assessment of correlation in fresh cadavers using conventional and osteotome implant sockets.

Clin Oral Implants Res. 2009-10

[10]
Is there a lower threshold value of bone density for early loading protocols of dental implants?

J Oral Rehabil. 2008-10

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