Influence of implant design, length, diameter, and anatomic region on implant stability: a randomized clinical trial
Abstract Objectives: To evaluate the influence of implant geometry and anatomical region on implant stability. Methods: A randomized controlled clinical trial was conducted on 45 patients, in whom a total of 79 implants were placed: 40 MIS C1 Implants and 39 MIS Seven Implants. The implant stability quotient was measured using resonance frequency analysis immediately after implant placement and 8 weeks later with an Osstell Mentor device. Results: 76 implants were analyzed. The implant stability quotient was statistically significantly higher for secondary stability than primary stability (68.7}8,6 vs. 65.2}10.3, respectively, p=0.023). Considering primary stability, no statistical differences were found between the implant lengths 8.0 mm, 10.0 mm, 11.0 mm, and 11.5 mm (67.9}7.6, 63.9}10, 57.2}11.1, and 66.4}11.3, respectively, p=0.312). The same was observed for secondary stability (68.4}9.4, 67.9}9.3, 74.7}1.5, and 69.2}7.9, respectively, p=0.504). Also, there were no statistically significant differences between the implant diameters 3.75 mm and 4.20 mm concerning primary stability (64.3}8.7 and 66.1}11.7 respectively, p=0.445) or secondary stability (68.8}8.2 and 68.7}9.1 respectively, p=0.930). Regarding implant design, a statistically significant difference was found only for secondary stability, favoring MIS Seven implants (p=0.048). The intraoral location was statistically significant for both primary and secondary stability, as these were higher on the anterior maxilla than the posterior maxilla and mandible (p<0.05). Conclusions: The diameter and length of the implants studied did not influence their stability. Implant design may influence secondary stability, whereas intraoral location has a relevant effect on primary and secondary stability.
| Main Authors: | , , , , , |
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| Format: | Digital revista |
| Language: | English |
| Published: |
Sociedade Portuguesa de Estomatologia e Medicina Dentária
2021
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| Online Access: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-28902021000100009 |
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