Milillo L, Fiandaca C, Giannoulis F, Ottria L, Lucchese A, Silvestre F, Petruzzi M
Private Practice, Bari, Italy.
Department of Clinical Science and Translational Medicine, University of Rome "Tor Vergata", Rome, Italy.
Oral Implantol (Rome). 2016 Nov 13;9(3):123-131. doi: 10.11138/orl/2016.9.3.123. eCollection 2016 Jul-Sep.
This study aims to evaluate differences in implant stability between post-extractive implants immediately placed post-extractive implants by resonance frequency analysis (RFA).
Patients were grouped into two different categories. In Group A 10 patients had an immediate post-extractive implant, then a provisional, acrylic resin crown was placed (immediate loading). In Group B (control group) 10 patients only had an immediate post-extractive implant. Both upper and lower premolars were chosen as post-extractive sites. Implant Stability Quotient (ISQ) was measured thanks to RFA measurements (Osstell®). Five intervals were considered: immediately after surgery (T0) and every four weeks, until five months after implant placement (T1, T2, T3, T4,T5). A statistical analysis by means of Student's T-test (significance set at p<0.05) for independent sample was carried out in order to compare Groups A and B.
The ISQ value between the two groups showed a statistically significant difference (p<0.02) at T1. No statistically significant difference in ISQ was assessed at T0, T2, T3, T4 and T5.
After clinical assessment it is possible to confirm that provisional and immediate prosthetic surgery in post-extraction sites with cone-shaped implants, platform-switching abutment and bioactive surface can facilitate osseointegration, reducing healing time.
本研究旨在通过共振频率分析(RFA)评估即刻种植体与拔牙后即刻种植体之间的种植体稳定性差异。
患者分为两类。A组10例患者进行了拔牙后即刻种植,然后放置了临时丙烯酸树脂冠(即刻加载)。B组(对照组)10例患者仅进行了拔牙后即刻种植。上下颌前磨牙均被选作拔牙后种植位点。借助RFA测量(Osstell®)来测量种植体稳定性商数(ISQ)。考虑了五个时间点:手术后即刻(T0)以及每隔四周,直至种植体植入后五个月(T1、T2、T3、T4、T5)。为比较A组和B组,采用独立样本的学生t检验进行统计分析(显著性设定为p<0.05)。
两组间的ISQ值在T1时显示出统计学显著差异(p<0.02)。在T0、T2、T3、T4和T5时未评估到ISQ有统计学显著差异。
经过临床评估,可以确认在拔牙位点使用锥形种植体、平台转换基台和生物活性表面进行临时和即刻修复手术可促进骨整合,减少愈合时间。