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骨致密化与标准钻孔方法对种植体稳定性商数及种植体植入扭矩值的比较。

Comparison of osseodensification and standard drilling methods on implant stability quotient and insertion torque values of implants.

作者信息

Moghaddas Omid, Banazadeh Vanda

机构信息

Private Practice, Tehran, Iran.

出版信息

J Adv Periodontol Implant Dent. 2025 Apr 23;17(2):59-64. doi: 10.34172/japid.025.3475. eCollection 2025 Jun.

Abstract

BACKGROUND

This study aimed to compare insertion torque (IT) and implant stability quotient (ISQ) values immediately and three months after surgery with standard drilling (SD) and osseodensification (OD) drilling methods.

METHODS

In this prospective study, 39 implants with the same diameter and length were placed in 21 patients using SD (23 implants) and OD (16 implants) methods in the posterior maxilla. The amounts of IT after surgery and ISQ after surgery and three months later were evaluated. The data were extracted and statistically analyzed with PASS2 software. The difference between IT and ISQ was determined by the two-way repeated-measures ANOVA at a significance level of 0.001.

RESULTS

Immediately after surgery, the amount of IT using the OD drilling method was 37% higher than the SD drilling (<0.001). ISQ values after surgery did not show a significant difference between SD and OD (1<0.176). Three months after surgery, the ISQ values in both groups were not significantly different. ISQ values for all OD and SD group experimental parameters remained above the threshold value of 68. IT values showed a positive correlation with ISQ values at baseline.

CONCLUSION

In the present study, the OD technique provided a higher IT rate after surgery compared to the SD method; however, no difference was seen between the two groups regarding ISQ value either after surgery or three months later.

摘要

背景

本研究旨在比较采用标准钻孔(SD)和骨致密化(OD)钻孔方法在术后即刻及术后三个月时的植入扭矩(IT)和种植体稳定性商数(ISQ)值。

方法

在这项前瞻性研究中,使用SD方法(23枚种植体)和OD方法(16枚种植体)将39枚直径和长度相同的种植体植入21例患者的上颌后牙区。评估术后的IT值以及术后即刻和三个月后的ISQ值。使用PASS2软件提取数据并进行统计分析。IT和ISQ之间的差异通过双向重复测量方差分析确定,显著性水平为0.001。

结果

术后即刻,使用OD钻孔方法的IT值比SD钻孔方法高37%(P<0.001)。术后SD和OD之间的ISQ值没有显著差异(P>0.176)。术后三个月,两组的ISQ值没有显著差异。所有OD组和SD组实验参数的ISQ值均保持在阈值68以上。基线时IT值与ISQ值呈正相关。

结论

在本研究中,与SD方法相比,OD技术术后提供了更高的IT率;然而,术后及术后三个月两组在ISQ值方面均未观察到差异。

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