Vallecillo-Rivas Marta, Reyes-Botella Candela, Vallecillo Cristina, Lisbona-González María Jesús, Vallecillo-Capilla Manuel, Olmedo-Gaya María Victoria
Department of Oral Surgery and Implantology, Faculty of Dentistry, University of Granada, Colegio Máximo de Cartuja s/n, 18071 Granada, Spain.
Medicina Clínica y Salud Pública PhD Programme, Faculty of Dentistry, University of Granada, 18071 Granada, Spain.
J Clin Med. 2021 Jul 21;10(15):3220. doi: 10.3390/jcm10153220.
Implant stability is one of the main indicators of successful osseointegration. Although it has been measured in numerous studies, there has been little research on implant stability in regenerated bone. The study compares primary and secondary stability between implants placed in regenerated versus native bone and evaluates the influence of bone quality on the results. Sixty implants were placed in 31 patients: 30 implants inserted in native bone (non-regenerated) after a healing period of at least 6 months post-exodontia and 30 inserted in regenerated bone at 6 months after grafting with xenograft. Resonance frequency analysis (RFA) was used to obtain implant stability quotient (ISQ) values at baseline (implant placement), 8 weeks, and 12 weeks. Statistically significant differences were found between implants placed in regenerated bone and those placed in native bone at all measurement time points ( < 0.05). ISQ values were significantly influenced by bone quality at baseline ( < 0.05) but not at 8 or 12 weeks. Greater stability was obtained in implants placed in native bone; however, those placed in regenerated bone showed adequate primary and secondary stability for prosthetic loading. Bone quality influences the primary but not secondary stability of the implants in both native and regenerated bone.
种植体稳定性是成功骨结合的主要指标之一。尽管在众多研究中已对其进行测量,但关于再生骨中种植体稳定性的研究却很少。本研究比较了植入再生骨与天然骨中的种植体的初期稳定性和二期稳定性,并评估了骨质量对结果的影响。在31例患者中植入了60颗种植体:30颗种植体在拔牙后至少6个月的愈合期后植入天然骨(非再生骨),30颗在异种骨移植6个月后植入再生骨。采用共振频率分析(RFA)在基线(种植体植入时)、8周和12周时获取种植体稳定性商(ISQ)值。在所有测量时间点,植入再生骨的种植体与植入天然骨的种植体之间均存在统计学显著差异(<0.05)。ISQ值在基线时受骨质量的显著影响(<0.05),但在8周或12周时不受影响。植入天然骨的种植体获得了更高的稳定性;然而,植入再生骨的种植体在修复加载时显示出足够的初期和二期稳定性。骨质量影响天然骨和再生骨中种植体的初期稳定性,但不影响二期稳定性。