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一体式加压锥度种植体系统在上、下颌后部的初期稳定性和二期稳定性比较。

Comparison of primary and secondary stability of a one-piece compressive conometric implant system in the posterior upper and lower jaws.

作者信息

Al-Hity Thabat R, El-Dhuwaib Bilal, Al-Zahawi Abdulsalam R, Gul Sarhang Sarwat

机构信息

Department of Maxillofacial and Oral Surgery, College of Dentistry, University of Bilad Alrafidain, Baqubah, Iraq.

Department of Maxillofacial and Oral Surgery, College of Dentistry, University of Sulaimani, Sulaymaniyah, Iraq.

出版信息

Front Oral Health. 2025 Jul 25;6:1625593. doi: 10.3389/froh.2025.1625593. eCollection 2025.

DOI:10.3389/froh.2025.1625593
PMID:40786186
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12331769/
Abstract

BACKGROUND

Implant stability plays a key role in establishing implant osseointegration and is a crucial factor in determining the appropriate timing for functional loading with a fixed prosthesis. This study aims to investigate the primary and secondary stability of a one-piece compressive conometric implant system in the posterior upper and lower jaws.

MATERIALS AND METHODS

A total of 46 compressive one-piece dental implants (DIs) from ROOTT Trade Company were placed in the upper and lower jaws. Ready-made conometric TEC (titanium) with a prosthesis was fixed to the abutment. Implant stability was measured using an implant stability tester (AnyCheck device; NeoBiotech, Republic of Korea) by resonance frequency analysis (RFA) at facial, oral, mesial, distal, and occlusal surfaces. These measures were collected at baseline immediately after implant insertion, after 3 months, and at 6 months. The Kruskal-Wallis test was used to compare between the time points.

RESULTS

In total, 14 patients (8 men, 6 women; mean age 61.08 years; age range 35-79 years) were included. The median baseline RFA values show statistically significant differences between maxillary [55, interquartile range (IQR): 51-61] and mandibular (64, IQR: 60-67) as well as between men (59, IQR: 53-64) and women (67, IQR: 64-69). The occlusal surface shows the highest RFA compared to other surfaces. DI stability significantly increases in the maxilla and men after 6 months compared to the baseline ( = 0.0006 and 0.0001, respectively).

CONCLUSIONS

This study suggests that the one-piece compressive conometric implant system demonstrates reliable primary and secondary stability in the posterior upper and lower jaws, with a notable improvement after 6 months.

摘要

背景

种植体稳定性在建立种植体骨整合中起关键作用,是确定固定修复体功能加载合适时机的关键因素。本研究旨在调查一体式压缩圆锥型种植体系统在上颌和下颌后部的初期和二期稳定性。

材料与方法

从ROOTT贸易公司选取46枚一体式压缩牙种植体(DIs)植入上下颌。将带有修复体的成品圆锥型TEC(钛)固定在基台上。使用种植体稳定性测试仪(AnyCheck设备;韩国尼奥生物技术公司)通过共振频率分析(RFA)在种植体的颊侧、舌侧、近中、远中及咬合面测量种植体稳定性。这些测量数据在种植体植入后即刻、3个月后和6个月时收集。采用Kruskal-Wallis检验比较各时间点的数据。

结果

共纳入14例患者(8名男性,6名女性;平均年龄61.08岁;年龄范围35 - 79岁)。基线RFA值的中位数在上颌(55,四分位间距[IQR]:51 - 61)和下颌(64,IQR:60 - 67)之间以及男性(59,IQR:53 - 64)和女性(67,IQR:64 - 69)之间存在统计学显著差异。与其他表面相比,咬合面显示出最高的RFA值。与基线相比,6个月后上颌和男性的DI稳定性显著增加(分别为P = 0.0006和0.0001)。

结论

本研究表明,一体式压缩圆锥型种植体系统在上颌和下颌后部显示出可靠的初期和二期稳定性,6个月后有显著改善。

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本文引用的文献

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Correlation between Implant Surface Roughness and Implant Stability: A Systematic Review.种植体表面粗糙度与种植体稳定性之间的相关性:一项系统评价。
Dent J (Basel). 2024 Aug 23;12(9):276. doi: 10.3390/dj12090276.
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A resonance frequency analysis to investigate the impact of implant size on primary and secondary stability.一项共振频率分析,以研究种植体尺寸对初期稳定性和二期稳定性的影响。
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An analytical model to measure dental implant stability with the Advanced System for Implant Stability Testing (ASIST).
一种使用高级种植体稳定性测试系统(ASIST)测量种植体稳定性的分析模型。
J Mech Behav Biomed Mater. 2024 Feb;150:106238. doi: 10.1016/j.jmbbm.2023.106238. Epub 2023 Nov 17.
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Primary stability of implant placement and loading related to dental implant materials and designs: A literature review.与牙种植体材料和设计相关的种植体植入与加载的初期稳定性:文献综述
J Dent Sci. 2023 Oct;18(4):1467-1476. doi: 10.1016/j.jds.2023.06.010. Epub 2023 Jun 25.
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How does dental implant macrogeometry affect primary implant stability? A narrative review.种植体宏观形态如何影响初次种植体稳定性?一篇叙述性综述。
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Relation Between Insertion Torque and Implant Stability Quotient: A Clinical Study.植入扭矩与种植体稳定性商数之间的关系:一项临床研究。
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A Randomized Clinical Trial Comparing Immediate Loading and Delayed Loading of Single-Tooth Implants: 5-Year Results.一项比较单颗牙种植体即刻负重与延期负重的随机临床试验:5年结果
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