Turkyilmaz Ilser, Tumer Celal, Ozbek Esma Nida, Tözüm Tolga F
Department of Restorative and Prosthetic Dentistry, College of Dentistry, The Ohio State University, Columbus, OH 43218-2357, USA.
J Clin Periodontol. 2007 Aug;34(8):716-22. doi: 10.1111/j.1600-051X.2007.01112.x.
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.
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。
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