Nokar Saied, Rasouli-Ghahroudi Amirali Reza, Shidvash Elham, Atri Faezeh
Department of Prosthodontics, Dental Research Center, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Department of Periodontics, Dental Implants Research Center, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Dent Res J (Isfahan). 2019 Jan-Feb;16(1):18-23.
Primary stability is one of the prerequisites of immediate loading. The aim of this study was to compare the primary stability of four different implant systems in low-density bone models.
In this experimental study, 20 fixtures from four implant body designs were selected: Zimmer Tapered Screw-Vent (ZTSV), NobleReplace Tapered (NRT), Replace Select Tapered (RST), and Dentium SuperLine (DSL). Fixtures were inserted in low-density bone models according to manufacturer drilling protocol by one surgeon. Measurement of insertion torque value (ITV), resonance frequency analysis (implant stability quotient [ISQ]), and reverse torque value (RTV) was recorded for each fixture. The data were analyzed with one-way ANOVA and tests (Tukey honestly significant difference) ( < 0.05).
ZTSV had significantly lower amount of insertion torque in comparison to other systems ( = 0.045). RTV was significantly lower in ZTSV in comparison to DSL and NRT ( = 0.004). ISQ value in NRT (ISQ = 67) was significantly higher than other systems ( = 0.000). The lowest amount of ISQ was in RST system (ISQ = 53) with significant difference ( = 0.000).
This study demonstrated that primary stability of different implant systems was not comparable and implant design was effective on ITV, RTV, and ISQ.
初期稳定性是即刻负重的前提条件之一。本研究的目的是比较四种不同种植体系统在低密度骨模型中的初期稳定性。
在本实验研究中,从四种种植体设计中选取了20个种植体:Zimmer锥形螺纹通风式种植体(ZTSV)、NobleReplace锥形种植体(NRT)、Replace Select锥形种植体(RST)和Dentium SuperLine种植体(DSL)。由一名外科医生按照制造商的钻孔方案将种植体植入低密度骨模型中。记录每个种植体的插入扭矩值(ITV)、共振频率分析(种植体稳定性商数[ISQ])和反向扭矩值(RTV)。数据采用单因素方差分析和检验(Tukey真实显著差异检验)(P<0.05)进行分析。
与其他系统相比,ZTSV的插入扭矩值显著更低(P = 0.045)。与DSL和NRT相比,ZTSV的RTV显著更低(P = 0.004)。NRT的ISQ值(ISQ = 67)显著高于其他系统(P = 0.000)。RST系统的ISQ值最低(ISQ = 53),差异显著(P = 0.000)。
本研究表明,不同种植体系统的初期稳定性不可比,种植体设计对ITV、RTV和ISQ有影响。