J Periodontal Implant Sci.  2019 Feb;49(1):39-46. 10.5051/jpis.2019.49.1.39.

Primary stability of implants with peri-implant bone defects of various widths: an in vitro investigation

Affiliations
  • 1Department of Periodontology, Periodontal-Implant Clinical Research Institute, Kyung Hee University School of Dentistry, Seoul, Korea. ssyislet@khu.ac.kr

Abstract

PURPOSE
This study aimed to evaluate the effects of i) the extent of peri-implant bone defects and ii) the application of bone cement on implant stability with respect to the measurement direction.
METHODS
In 10 bovine rib bones, 4 implant osteotomies with peri-implant bone defects of various widths were prepared: i) no defect (D0), ii) a 2-mm-wide defect (D2), iii) a 4-mm-wide defect (D4), and iv) a 8-mm-wide defect (D8). The height of all defects was 10 mm. Implant stability quotient (ISQ) values and Periotest values (PTVs) were measured after implant placement and bone cement application.
RESULTS
With increasing defect width, decreased ISQs and increased PTVs were observed. Statistically significant differences were found between groups D0 and D8, D0 and D4, and D2 and D8. Prior to bone cement application, inconsistent PTVs were found in group D8 depending on the measurement direction. Bone cement increased the implant stability.
CONCLUSION
Peri-implant bone deficits measuring around 50% of the implant surface compromised implant stability. Clinically, PTVs should be cautiously interpreted in implants with large peri-implant defects due to inconsistent recordings with respect to the measurement direction.

Keyword

Alveolar bone loss; Anatomic models; Bone transplantation; Dental implants

MeSH Terms

Alveolar Bone Loss
Bone Transplantation
Dental Implants
In Vitro Techniques*
Models, Anatomic
Osteotomy
Ribs
Dental Implants

Figure

  • Figure 1 Experimental procedure for defect preparation and implant stability measurements. (A, B) Implant placement after preparing osteotomies and defects. (C, D) Bone cement application.


Reference

1. Atsumi M, Park SH, Wang HL. Methods used to assess implant stability: current status. Int J Oral Maxillofac Implants. 2007; 22:743–754.
2. Bischof M, Nedir R, Szmukler-Moncler S, Bernard JP, Samson J. Implant stability measurement of delayed and immediately loaded implants during healing. Clin Oral Implants Res. 2004; 15:529–539.
Article
3. Jung UW, Kim S, Lee IK, Kim MS, Lee JS, Kim HJ. Secondary stability of microthickness hydroxyapatite-coated dental implants installed without primary stability in dogs. Clin Oral Implants Res. 2014; 25:1169–1174.
Article
4. Rea M, Lang NP, Ricci S, Mintrone F, González González G, Botticelli D. Healing of implants installed in over- or under-prepared sites--an experimental study in dogs. Clin Oral Implants Res. 2015; 26:442–446.
Article
5. Lioubavina-Hack N, Lang NP, Karring T. Significance of primary stability for osseointegration of dental implants. Clin Oral Implants Res. 2006; 17:244–250.
Article
6. Atieh MA, Alsabeeha NH, Payne AG, de Silva RK, Schwass DS, Duncan WJ. The prognostic accuracy of resonance frequency analysis in predicting failure risk of immediately restored implants. Clin Oral Implants Res. 2014; 25:29–35.
Article
7. Baltayan S, Pi-Anfruns J, Aghaloo T, Moy PK. The predictive value of resonance frequency analysis measurements in the surgical placement and loading of endosseous implants. J Oral Maxillofac Surg. 2016; 74:1145–1152.
Article
8. Schulte W, Lukas D. Periotest to monitor osseointegration and to check the occlusion in oral implantology. J Oral Implantol. 1993; 19:23–32.
9. Meredith N, Alleyne D, Cawley P. Quantitative determination of the stability of the implant-tissue interface using resonance frequency analysis. Clin Oral Implants Res. 1996; 7:261–267.
Article
10. Bornstein MM, Hart CN, Halbritter SA, Morton D, Buser D. Early loading of nonsubmerged titanium implants with a chemically modified sand-blasted and acid-etched surface: 6-month results of a prospective case series study in the posterior mandible focusing on peri-implant crestal bone changes and implant stability quotient (ISQ) values. Clin Implant Dent Relat Res. 2009; 11:338–347.
Article
11. Rodrigo D, Aracil L, Martin C, Sanz M. Diagnosis of implant stability and its impact on implant survival: a prospective case series study. Clin Oral Implants Res. 2010; 21:255–261.
Article
12. Sennerby L. 20 Jahre Erfahrung mit der Resonanzfrequenzanalyse. Implantologie. 2013; 21:21–33.
13. Merheb J, Coucke W, Jacobs R, Naert I, Quirynen M. Influence of bony defects on implant stability. Clin Oral Implants Res. 2010; 21:919–923.
Article
14. Shin SY, Shin SI, Kye SB, Hong J, Paeng JY, Chang SW, et al. The effects of defect type and depth, and measurement direction on the implant stability quotient (ISQ) Value. J Oral Implantol. 2014.
Article
15. Jun SH, Park CJ, Hwang SH, Lee YK, Zhou C, Jang HS, et al. The influence of bone graft procedures on primary stability and bone change of implants placed in fresh extraction sockets. Maxillofac Plast Reconstr Surg. 2018; 40:8.
Article
16. Patel S, Lee D, Shiffler K, Aghaloo T, Moy P, Pi-Anfruns J. Resonance frequency analysis of sinus augmentation by osteotome sinus floor elevation and lateral window technique. J Oral Maxillofac Surg. 2015; 73:1920–1925.
Article
17. Park JH, Choi CG, Jeon SR, Rhim SC, Kim CJ, Roh SW. Radiographic analysis of instrumented posterolateral fusion mass using mixture of local autologous bone and b-TCP (PolyBone®) in a lumbar spinal fusion surgery. J Korean Neurosurg Soc. 2011; 49:267–272.
Article
18. Park JH, Roh SW. Anterior cervical interbody fusion using polyetheretherketone cage filled with autologous and synthetic bone graft substrates for cervical spondylosis: comparative analysis between PolyBone® and iliac bone. Neurol Med Chir (Tokyo). 2013; 53:85–90.
Article
19. Park YH, Kim SG, Lee JW, Yoon YH. Obliteration of temporal dorsal bulla in guinea pigs using different types of calcium phosphate. Int J Pediatr Otorhinolaryngol. 2011; 75:1176–1180.
Article
20. Oh JS, Kim SG, Lim SC, Ong JL. A comparative study of two noninvasive techniques to evaluate implant stability: Periotest and Osstell Mentor. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 107:513–518.
Article
21. Rasmusson L, Stegersjö G, Kahnberg KE, Sennerby L. Implant stability measurements using resonance frequency analysis in the grafted maxilla: a cross-sectional pilot study. Clin Implant Dent Relat Res. 1999; 1:70–74.
Article
22. Sennerby L, Meredith N. Implant stability measurements using resonance frequency analysis: biological and biomechanical aspects and clinical implications. Periodontol 2000. 2008; 47:51–66.
Article
23. Shin SY, Shin SI, Kye SB, Chang SW, Hong J, Paeng JY, et al. Bone cement grafting increases implant primary stability in circumferential cortical bone defects. J Periodontal Implant Sci. 2015; 45:30–35.
Article
24. Katranji A, Misch K, Wang HL. Cortical bone thickness in dentate and edentulous human cadavers. J Periodontol. 2007; 78:874–878.
Article
25. Deguchi T, Nasu M, Murakami K, Yabuuchi T, Kamioka H, Takano-Yamamoto T. Quantitative evaluation of cortical bone thickness with computed tomographic scanning for orthodontic implants. Am J Orthod Dentofacial Orthop. 2006; 129:721.e7–721.e12.
Article
Full Text Links
  • JPIS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr