Is It Possible to Monitor Implant Stability on a Prosthetic Abutment? An In Vitro Resonance Frequency Analysis
Abstract
:1. Introduction
2. Materials and Methods
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- 20 implants of a 3.5 mm diameter in type II bone.
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- 20 implants of a 3.5 mm diameter in type III bone.
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- 20 implants of a 4.0 mm diameter in type II bone.
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- 20 implants of a 4.0 mm diameter in type III bone.
2.1. Surgical Protocol
2.2. Variables
2.3. Protocols for Taking Measurements
3. Statistical Analysis:
4. Results
4.1. Resonance Frequency Analysis
4.2. Insertion Torque/Disinsertion Torque
5. Discussion
6. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
- Degidi, M.; Daprile, G.; Piattelli, A. Primary stability determination by means of insertion torque and RFA in a sample of 4135 implants. Clin. Implant Dent. Relat. Res. 2012, 14, 501–507. [Google Scholar] [CrossRef]
- Alsaadi, G.; Quirynen, M.; Michiels, K.; Jacobs, R.; van Steenberghe, D. A biomechanical assessment of the relation between the oral implant stability at insertion and subjective bone quality assessment. J. Clin. Periodontol. 2007, 34, 359–366. [Google Scholar] [CrossRef]
- Alghamdi, H.; Anand, P.S.; Anil, S. Undersized implant site preparation to enhance primary implant stability in poor bone density: A prospective clinical study. J. Oral Maxillofac. Surg. 2011, 69, e506–e512. [Google Scholar] [CrossRef]
- Meredith, N.; Book, K.; Friberg, B.; Jemt, T.; Sennerby, L. Resonance frequency measurements of implant stability in vivo. A cross-sectional and longitudinal study of resonance frequency measurements on implants in the edentulous and partially dentate maxilla. Clin. Oral Implants Res. 1997, 8, 226–233. [Google Scholar] [CrossRef]
- Glauser, R.; Sennerby, L.; Meredith, N.; Ree, A.; Lundgren, A.; Gottlow, J.; Hämmerle, C.H. Resonance frequency analysis of implants subjected to immediate or early functional occlusal loading. Successful vs. failing implants. Clin. Oral Implants Res. 2004, 15, 428–434. [Google Scholar] [CrossRef]
- Brizuela-Velasco, A.; Alvarez-Arenal, A.; Gil-Mur, F.J.; Herrero-Climent, M.; Chavarri-Prado, D.; Chento-Valiente, Y.; Dieguez-Pereira, M. Relationship Between Insertion Torque and Resonance Frequency Measurements, Performed by Resonance Frequency Analysis, in Micromobility of Dental Implants: An In Vitro Study. Implant Dent. 2015, 24, 607–611. [Google Scholar] [CrossRef]
- Tozum, T.F.; Turkyilmaz, I.; McGlumphy, E.A. Relationship between dental implant stability determined by resonance frequency analysis measurements and peri-implant vertical defects: An in vitro study. J. Oral Rehabil. 2008, 35, 739–744. [Google Scholar] [CrossRef]
- 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. [Google Scholar] [CrossRef]
- Sennerby, L.; Meredith, N. Implant stability measurements using resonance frequency analysis: Biological and biomechanical aspects and clinical implications. Periodontol. 2000 2008, 47, 51–66. [Google Scholar] [CrossRef]
- Degidi, M.; Daprile, G.; Piattelli, A. Determination of primary stability: A comparison of the surgeon’s perception and objective measurements. Int. J. Oral Maxillofac. Implants 2010, 25, 558–561. [Google Scholar]
- O’Sullivan, D.; Sennerby, L.; Jagger, D.; Meredith, N. A comparison of two methods of enhancing implant primary stability. Clin. Implant Dent. Relat. Res. 2004, 6, 48–57. [Google Scholar] [CrossRef]
- Quesada-Garcia, M.P.; Prados-Sanchez, E.; Olmedo-Gaya, M.V.; Munoz-Soto, E.; Gonzalez-Rodriguez, M.P.; Valllecillo-Capilla, M. Measurement of dental implant stability by resonance frequency analysis: A review of the literature. Med. Oral Patol. Oral Cir. Bucal 2009, 14, e538–e546. [Google Scholar] [CrossRef] [Green Version]
- Herrero-Climent, M.; Santos-Garcia, R.; Jaramillo-Santos, R.; Romero-Ruiz, M.M.; Fernandez-Palacin, A.; Lazaro-Calvo, P. Assessment of Osstell ISQ’s reliability for implant stability measurement: A cross-sectional clinical study. Med. Oral Patol. Oral Cir. Bucal 2013, 18, e877–e882. [Google Scholar] [CrossRef]
- Jaramillo, R.; Santos, R.; Lazaro, P.; Romero, M.; Rios-Santos, J.V.; Bullon, P. Comparative analysis of 2 resonance frequency measurement devices: Osstell Mentor and Osstell ISQ. Implant Dent. 2014, 23, 351–356. [Google Scholar] [CrossRef] [Green Version]
- Pagliani, L.; Sennerby, L.; Petersson, A.; Verrocchi, D.; Volpe, S.; Andersson, P. The relationship between resonance frequency analysis (RFA) and lateral displacement of dental implants: An in vitro study. J. Oral Rehabil. 2013, 40, 221–227. [Google Scholar] [CrossRef]
- Szmukler-Moncler, S.; Salama, H.; Reingewirtz, Y.; Dubruille, J.H. Timing of loading and effect of micromotion on bone-dental implant interface: Review of experimental literature. J. Biomed. Mater. Res. 1998, 43, 192–203. [Google Scholar] [CrossRef]
- Sennerby, L.; Roos, J. Surgical determinants of clinical success of osseointegrated oral implants: A review of the literature. Int. J. Prosthodont. 1998, 11, 408–420. [Google Scholar]
- Friberg, B.; Sennerby, L.; Linden, B.; Grondahl, K.; Lekholm, U. Stability measurements of one-stage Branemark implants during healing in mandibles. A clinical resonance frequency analysis study. Int. J. Oral Maxillofac. Surg. 1999, 28, 266–272. [Google Scholar] [CrossRef]
- Sim, C.P.; Lang, N.P. Factors influencing resonance frequency analysis assessed by Osstell mentor during implant tissue integration: I. Instrument positioning, bone structure, implant length. Clin. Oral Implants Res. 2010, 21, 598–604. [Google Scholar] [CrossRef]
- Meredith, N.; Shagaldi, F.; Alleyne, D.; Sennerby, L.; Cawley, P. The application of resonance frequency measurements to study the stability of titanium implants during healing in the rabbit tibia. Clin. Oral Implants Res. 1997, 8, 234–243. [Google Scholar] [CrossRef]
- Bischof, M.; Nedir, R.; Szmukler-Moncler, S.; Bernard, J.P.; Samson, J. Implant stability measurement of delayed and immediately loaded implants during healing. Clin. Oral Implants Res. 2004, 15, 529–539. [Google Scholar] [CrossRef]
- Friberg, B.; Sennerby, L.; Meredith, N.; Lekholm, U. A comparison between cutting torque and resonance frequency measurements of maxillary implants. A 20-month clinical study. Int. J. Oral Maxillofac. Surg. 1999, 28, 297–303. [Google Scholar] [CrossRef]
- Veltri, M.; Balleri, P.; Ferrari, M. Influence of transducer orientation on Osstell stability measurements of osseointegrated implants. Clin. Implant Dent. Relat. Res. 2007, 9, 60–64. [Google Scholar] [CrossRef]
- Capek, L.; Simunek, A.; Slezak, R.; Dzan, L. Influence of the orientation of the Osstell transducer during measurement of dental implant stability using resonance frequency analysis: A numerical approach. Med. Eng. Phys. 2009, 31, 764–769. [Google Scholar] [CrossRef]
- Han, J.; Lulic, M.; Lang, N.P. Factors influencing resonance frequency analysis assessed by Osstell mentor during implant tissue integration: II. Implant surface modifications and implant diameter. Clin. Oral Implants Res. 2010, 21, 605–611. [Google Scholar] [CrossRef]
- Johansson, B.; Back, T.; Hirsch, J.M. Cutting torque measurements in conjunction with implant placement in grafted and nongrafted maxillas as an objective evaluation of bone density: A possible method for identifying early implant failures? Clin. Implant Dent. Relat. Res. 2004, 6, 9–15. [Google Scholar] [CrossRef]
- Monje, A.; Insua, A.; Monje, F.; Munoz, F.; Salvi, G.E.; Buser, D.; Chappuis, V. Diagnostic accuracy of the implant stability quotient in monitoring progressive peri-implant bone loss: An experimental study in dogs. Clin. Oral Implants Res. 2018, 29, 1016–1024. [Google Scholar] [CrossRef]
- Kahraman, S.; Bal, B.T.; Asar, N.V.; Turkyilmaz, I.; Tozum, T.F. Clinical study on the insertion torque and wireless resonance frequency analysis in the assessment of torque capacity and stability of self-tapping dental implants. J. Oral Rehabil. 2009, 36, 755–761. [Google Scholar] [CrossRef]
- Norton, M.R. Resonance Frequency Analysis: Agreement and Correlation of Implant Stability Quotients between Three Commercially Available Instruments. Int. J. Oral Maxillofac. Implants 2019, 34, 215–222. [Google Scholar] [CrossRef]
- Diaz-Sanchez, R.M.; Delgado-Munoz, J.M.; Serrera-Figallo, M.A.; Gonzalez-Martin, M.I.; Torres-Lagares, D.; Gutierrez-Perez, J.L. Analysis of marginal bone loss and implant stability quotient by resonance frequency analysis in different osteointegrated implant systems. Randomized prospective clinical trial. Med. Oral Patol. Oral Cir. Bucal 2019, 24, e260–e264. [Google Scholar] [CrossRef]
- Norton, M.R. The Influence of Low Insertion Torque on Primary Stability, Implant Survival, and Maintenance of Marginal Bone Levels: A Closed-Cohort Prospective Study. Int. J. Oral Maxillofac. Implants 2017, 32, 849–857. [Google Scholar] [CrossRef] [PubMed]
- Canullo, L.; Bignozzi, I.; Cocchetto, R.; Cristalli, M.P.; Iannello, G. Immediate positioning of a definitive abutment versus repeated abutment replacements in post-extractive implants: 3-year follow-up of a randomised multicentre clinical trial. Eur. J. Oral Implantol. 2010, 3, 285–296. [Google Scholar] [PubMed]
- Abrahamsson, I.; Berglundh, T.; Lindhe, J. The mucosal barrier following abutment dis/reconnection. An experimental study in dogs. J. Clin. Periodontol. 1997, 24, 568–572. [Google Scholar] [CrossRef]
- Abrahamsson, I.; Berglundh, T.; Sekino, S.; Lindhe, J. Tissue reactions to abutment shift: An experimental study in dogs. Clin. Implant Dent. Relat. Res. 2003, 5, 82–88. [Google Scholar] [CrossRef]
- Atieh, M.A.; Tawse-Smith, A.; Alsabeeha, N.H.M.; Ma, S.; Duncan, W.J. The One Abutment-One Time Protocol: A Systematic Review and Meta-Analysis. J. Periodontol. 2017, 88, 1173–1185. [Google Scholar] [CrossRef]
- Degidi, M.; Nardi, D.; Daprile, G.; Piattelli, A. Nonremoval of immediate abutments in cases involving subcrestally placed postextractive tapered single implants: A randomized controlled clinical study. Clin. Implant Dent. Relat. Res. 2014, 16, 794–805. [Google Scholar] [CrossRef]
- Tallarico, M.; Caneva, M.; Meloni, S.M.; Xhanari, E.; Covani, U.; Canullo, L. Definitive Abutments Placed at Implant Insertion and Never Removed: Is It an Effective Approach? A Systematic Review and Meta-Analysis of Randomized Controlled Trials. J. Oral Maxillofac. Surg. 2018, 76, 316–324. [Google Scholar] [CrossRef]
- Gil, F.J.; Herrero-Climent, M.; Lazaro, P.; Rios, J.V. Implant-abutment connections: Influence of the design on the microgap and their fatigue and fracture behavior of dental implants. J. Mater. Sci. Mater. Med. 2014, 25, 1825–1830. [Google Scholar] [CrossRef]
- Canullo, L.; Tallarico, M.; Gracis, S.; Vela, X.; Rodriguez, X.; Covani, U. Clinical Considerations on Strategies That Avoid Multiple Connections and Disconnections of Implant Abutments. Int. J. Periodontics Restorative Dent. 2020, 40, 9–17. [Google Scholar] [CrossRef]
- Canullo, L.; Pesce, P.; Tronchi, M.; Fiorellini, J.; Amari, Y.; Penarrocha, D. Marginal soft tissue stability around conical abutments inserted with the one abutment-one time protocol after 5 years of prosthetic loading. Clin. Implant Dent. Relat. Res. 2018, 20, 976–982. [Google Scholar] [CrossRef]
- Cohen, O.; Gabay, E.; Machtei, E.E. Primary stability following abutment preparation of one-piece dental implants. Int. J. Oral Maxillofac. Implants 2013, 28, 375–379. [Google Scholar] [CrossRef] [Green Version]
- Buyukguclu, G.; Ozkurt-Kayahan, Z.; Kazazoglu, E. Reliability of the Osstell Implant Stability Quotient and Penguin Resonance Frequency Analysis to Evaluate Implant Stability. Implant Dent. 2018, 27, 429–433. [Google Scholar] [CrossRef]
- Khouja, N.; Tai, W.C.; Shen, I.Y.; Sorensen, J.A. A Critique of Resonance Frequency Analysis and a Novel Method for Quantifying Dental Implant Stability in Vitro. Int. J. Oral Maxillofac. Implants 2019, 34, 595–603. [Google Scholar] [CrossRef]
- Herrero-Climent, M.; Albertini, M.; Rios-Santos, J.V.; Lazaro-Calvo, P.; Fernandez-Palacin, A.; Bullon, P. Resonance frequency analysis-reliability in third generation instruments: Osstell mentor(R). Med. Oral Patol. Oral Cir. Bucal 2012, 17, e801–e806. [Google Scholar] [CrossRef] [Green Version]
- Adell, R.; Lekholm, U.; Branemark, P.I.; Lindhe, J.; Rockler, B.; Eriksson, B.; Lindvall, A.M.; Yoneyama, T.; Sbordone, L. Marginal tissue reactions at osseointegrated titanium fixtures. Swed. Dent. J. Suppl. 1985, 28, 175–181. [Google Scholar] [CrossRef]
- Herrero-Climent, M.; Falcao, A.; Lopez-Jarana, P.; Diaz-Castro, C.M.; Rios-Carrasco, B.; Rios-Santos, J.V. In vitro comparative analysis of two resonance frequency measurement devices: Osstell implant stability coefficient and Penguin resonance frequency analysis. Clin. Implant Dent. Relat. Res. 2019, 21, 1124–1131. [Google Scholar] [CrossRef]
- Diaz-Castro, M.C.; Falcao, A.; Lopez-Jarana, P.; Falcao, C.; Rios-Santos, J.V.; Fernandez-Palacin, A. Repeatability of the resonance frequency analysis values in implants with a new technology. Med. Oral Patol. Oral Cir. Bucal 2019, 24, e636–e642. [Google Scholar] [CrossRef]
- Herrero-Climent, M.; Castro, C.; Chereguini, C.; Costa, C.; Gil, F.J.; Santos, J. Resonance frequency analysis by the Osstell system, using the transducer screwed to different healings abutments. Rev. Port. Estomatol. Med. Dent. Cir. Maxilofac. 2017, 58, 91–96. [Google Scholar]
- Gultekin, B.A.; Sirali, A.; Gultekin, P.; Ersanli, S. Clinical evaluation of the stability of implants placed at different supracrestal levels. J. Istanb. Univ. Fac. Dent. 2016, 50, 21–31. [Google Scholar] [CrossRef] [Green Version]
- Lages, F.S.; Willya Douglas-de-Oliveira, D.; Ibelli, G.S.; Assaf, F.; Queiroz, T.P.; Costa, F.O. Relationship between implant stability on the abutment and platform level by means of resonance frequency analysis: A cross-sectional study. PLoS ONE 2017, 12, e0181873. [Google Scholar] [CrossRef] [Green Version]
- Lages, F.S.; Douglas-de Oliveira, D.W.; Costa, F.O. Relationship between implant stability measurements obtained by insertion torque and resonance frequency analysis: A systematic review. Clin. Implant Dent. Relat. Res. 2018, 20, 26–33. [Google Scholar] [CrossRef]
- Trisi, P.; De Benedittis, S.; Perfetti, G.; Berardi, D. Primary stability, insertion torque and bone density of cylindric implant ad modum Branemark: Is there a relationship? An in vitro study. Clin. Oral Implants Res. 2011, 22, 567–570. [Google Scholar] [CrossRef] [PubMed]
- Ostman, P.O.; Hellman, M.; Wendelhag, I.; Sennerby, L. Resonance frequency analysis measurements of implants at placement surgery. Int. J. Prosthodont. 2006, 19, 77–83. [Google Scholar] [PubMed]
- Romanos, G.E.; Ciornei, G.; Jucan, A.; Malmstrom, H.; Gupta, B. In vitro assessment of primary stability of Straumann(R) implant designs. Clin. Implant Dent. Relat. Res. 2014, 16, 89–95. [Google Scholar] [CrossRef]
- Andres-Garcia, R.; Vives, N.G.; Climent, F.H.; Palacin, A.F.; Santos, V.R.; Herrero-Climent, M.H.; Bullón, P. In vitro evaluation of the influence of the cortical bone on the primary stability of two implant systems. Med. Oral Patol. Oral Cir. Bucal 2009, 14, 93–97. [Google Scholar]
- Garcia-Vives, N.; Andres-Garcia, R.; Rios-Santos, V.; Fernandez-Palacin, A.; Bullon-Fernandez, P.; Herrero-Climent, M. In vitro evaluation of the type of implant bed preparation with osteotomes in bone type IV and its influence on the stability of two implant systems. Med. Oral Patol. Oral Cir. Bucal 2009, 14, e455–e460. [Google Scholar]
Directly on the Implant | Straight, Permanent, 1 mm Height | Straight, Permanent, 2 mm Height | Straight, Permanent, 3 mm Height | Angled, Permanent, 2 mm Height | Angled, Permanent, 3 mm Height |
---|---|---|---|---|---|
75.72 | 79.5 | 76.12 | 71.42 | 68.74 | 64.51 |
+4.9% | +0.52% | −5.67% | −9.21% | −14.80% |
ICC A1-A2 | ICC B1-B2 | MEAN ICC A-B | |
---|---|---|---|
Directly on the implant | 0.93 | 0.84 | 0.96 |
Straight, 1 mm abutment | 0.85 | 0.84 | 0.98 |
Straight, 2 mm abutment | 0.87 | 0.87 | 0.99 |
Straight, 3 mm abutment | 0.84 | 0.85 | 0.99 |
Angled, 18°, 2 mm abutment | 0.74 | 0.57 | 0.95 |
Angled, 18°, 3 mm abutment | 0.71 | 0.71 | 0.97 |
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López-Jarana, P.; Díaz-Castro, C.M.; Falcão, A.; Ríos-Carrasco, B.; Fernandez-Palacín, A.; Ríos-Santos, J.-V.; Herrero-Climent, M. Is It Possible to Monitor Implant Stability on a Prosthetic Abutment? An In Vitro Resonance Frequency Analysis. Int. J. Environ. Res. Public Health 2020, 17, 4073. https://doi.org/10.3390/ijerph17114073
López-Jarana P, Díaz-Castro CM, Falcão A, Ríos-Carrasco B, Fernandez-Palacín A, Ríos-Santos J-V, Herrero-Climent M. Is It Possible to Monitor Implant Stability on a Prosthetic Abutment? An In Vitro Resonance Frequency Analysis. International Journal of Environmental Research and Public Health. 2020; 17(11):4073. https://doi.org/10.3390/ijerph17114073
Chicago/Turabian StyleLópez-Jarana, Paula, Carmen María Díaz-Castro, Artur Falcão, Blanca Ríos-Carrasco, Ana Fernandez-Palacín, José-Vicente Ríos-Santos, and Mariano Herrero-Climent. 2020. "Is It Possible to Monitor Implant Stability on a Prosthetic Abutment? An In Vitro Resonance Frequency Analysis" International Journal of Environmental Research and Public Health 17, no. 11: 4073. https://doi.org/10.3390/ijerph17114073