骨质量、钻孔方案、种植体直径/长度对初期稳定性的影响:一项关于植入扭矩和共振频率分析的体外对比研究

Influence of Bone Quality, Drilling Protocol, Implant Diameter/Length on Primary Stability: An In Vitro Comparative Study on Insertion Torque and Resonance Frequency Analysis.

作者信息

Farronato Davide, Manfredini Mattia, Stocchero Michele, Caccia Mattia, Azzi Lorenzo, Farronato Marco

机构信息

Department of Medicine and Surgery, University of Insubria, Varese, Italy.

Private Practitioner, Milan, Italy.

出版信息

J Oral Implantol. 2020 Jun 1;46(3):182-189. doi: 10.1563/aaid-joi-D-19-00145.

Abstract

The aim of this study was to evaluate the influence of bone quality, drilling technique, implant diameter, and implant length on insertion torque (IT) and resonance frequency analysis (RFA) of a prototype-tapered implant with knife-edge threads. The investigators hypothesized that IT would be affected by variations in bone quality and drilling protocol, whereas RFA would be less influenced by such variables. The investigators implemented an in vitro experiment in which a prototype implant was inserted with different testing conditions into rigid polyurethane foam blocks. The independent variables were: bone quality, drilling protocol, implant diameter, and implant length. Group A implants were inserted with a conventional drilling protocol, whereas Group B implants were inserted with an undersized drilling protocol. Values of IT and RFA were measured at implant installation. IT and RFA values were significantly correlated (Pearson correlation coefficient: 0.54). A multivariable analysis showed a strong model. Higher IT values were associated with drilling protocol B vs A (mean difference: 71.7 Ncm), implant length (3.6 Ncm increase per mm in length), and substrate density (0.199 Ncm increase per mg/cm3 in density). Higher RFA values were associated with drilling protocol B vs A (mean difference: 3.9), implant length (1.0 increase per mm in length), and substrate density (0.032 increase per mg/cm3 in density). Implant diameter was not associated with RFA or IT. Within the limitations of an in vitro study, the results of this study suggest that the studied implant can achieve good level of primary stability in terms of IT and RFA. A strong correlation was found between values of IT and RFA. Both parameters are influenced by the drilling protocol, implant length, and substrate density. Further studies are required to investigate the clinical response in primary stability and marginal bone response.

摘要

本研究的目的是评估骨质量、钻孔技术、种植体直径和种植体长度对一种带刃边螺纹的原型锥形种植体植入扭矩(IT)和共振频率分析(RFA)的影响。研究者假设IT会受到骨质量和钻孔方案变化的影响,而RFA受这些变量的影响较小。研究者进行了一项体外实验,将一个原型种植体在不同测试条件下植入刚性聚氨酯泡沫块中。自变量为:骨质量、钻孔方案、种植体直径和种植体长度。A组种植体采用传统钻孔方案植入,而B组种植体采用过小尺寸钻孔方案植入。在种植体植入时测量IT和RFA值。IT和RFA值显著相关(Pearson相关系数:0.54)。多变量分析显示模型较强。与A组相比,B组钻孔方案的IT值更高(平均差异:71.7 Ncm),IT值还与种植体长度(长度每增加1 mm增加3.6 Ncm)和基底密度(密度每增加1 mg/cm³增加0.199 Ncm)相关。与A组相比,B组钻孔方案的RFA值更高(平均差异:3.9),RFA值还与种植体长度(长度每增加1 mm增加1.0)和基底密度(密度每增加1 mg/cm³增加0.032)相关。种植体直径与RFA或IT无关。在体外研究的局限性内,本研究结果表明,就IT和RFA而言,所研究的种植体可实现良好的初期稳定性水平。IT和RFA值之间存在强相关性。这两个参数均受钻孔方案、种植体长度和基底密度的影响。需要进一步研究以调查初期稳定性和边缘骨反应的临床反应。

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