Implant stability and bone density: assessment of correlation in fresh cadavers using conventional and osteotome implant sockets
Objective: To compare the primary stability of implants placed in conventional and osteotome sites and to evaluate the level of correlation between cutting torque measurements, resonance frequency analysis (RFA), and bone density. Materials and methods: Eight human femoral heads were scanned with co...
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Veröffentlicht in: | Clinical oral implants research 2009-10, Vol.20 (10), p.1163-1169 |
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description | Objective: To compare the primary stability of implants placed in conventional and osteotome sites and to evaluate the level of correlation between cutting torque measurements, resonance frequency analysis (RFA), and bone density.
Materials and methods: Eight human femoral heads were scanned with computed tomography for bone density measurements as Hounsfield units (HU), and individualized computed tomography‐based surgical stents were prepared for placement of implants. Five implant sockets were prepared in each collum (CoF), caput (CaF), and trochanter (Tr‐MM) section of the femoral heads using the conventional drilling technique or by a combination of drilling and use of an osteotome. Cutting‐torque values (CTV) of the implants were measured by a manual torque wrench, followed by determination of implant stability quotients (ISQ) by RFA.
Results: The CTVs of implants were similar in the conventional group, but different in the osteotome group (P0.05). CTV of implants in CaF and Tr‐MM and ISQ values in CoF in the conventional groups were higher than those in the osteotome groups (P0.025).
Conclusions: Conventional placement led to higher implant stability than the drilling and osteotome technique used in the study. No correlation could be found between CTV, RFA, and bone density. |
doi_str_mv | 10.1111/j.1600-0501.2009.01758.x |
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Materials and methods: Eight human femoral heads were scanned with computed tomography for bone density measurements as Hounsfield units (HU), and individualized computed tomography‐based surgical stents were prepared for placement of implants. Five implant sockets were prepared in each collum (CoF), caput (CaF), and trochanter (Tr‐MM) section of the femoral heads using the conventional drilling technique or by a combination of drilling and use of an osteotome. Cutting‐torque values (CTV) of the implants were measured by a manual torque wrench, followed by determination of implant stability quotients (ISQ) by RFA.
Results: The CTVs of implants were similar in the conventional group, but different in the osteotome group (P<0.05). There was a general tendency toward achieving higher CTV and ISQ values in CoF than CaF and Tr‐MM (P<0.05), and measurements in CaF and Tr‐MM were comparable (P>0.05). The mean HU of sites were similar, although CoF had higher HU values (P>0.05). CTV of implants in CaF and Tr‐MM and ISQ values in CoF in the conventional groups were higher than those in the osteotome groups (P<0.05). The correlation between CTV and HU in Tr‐MM was significant in the osteotome group, although no other correlations between CTV, ISQ, and HU could be detected (P>0.025).
Conclusions: Conventional placement led to higher implant stability than the drilling and osteotome technique used in the study. No correlation could be found between CTV, RFA, and bone density.</description><identifier>ISSN: 0905-7161</identifier><identifier>EISSN: 1600-0501</identifier><identifier>DOI: 10.1111/j.1600-0501.2009.01758.x</identifier><identifier>PMID: 19681964</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Aged ; Bone Density ; computed tomography ; cutting torque ; Dental Implantation, Endosseous - instrumentation ; Dental Implantation, Endosseous - methods ; Dental Implants ; Dental Prosthesis Retention ; Dental Restoration Failure ; Dental Stress Analysis - instrumentation ; Dental Stress Analysis - methods ; Dentistry ; Femur - anatomy & histology ; Femur - surgery ; Hounsfield unit ; Humans ; implant stability ; Male ; Middle Aged ; Models, Biological ; osteotome ; Osteotomy - instrumentation ; resonance frequency analysis ; Statistics, Nonparametric ; Tomography, X-Ray Computed ; Torque ; Vibration</subject><ispartof>Clinical oral implants research, 2009-10, Vol.20 (10), p.1163-1169</ispartof><rights>2009 John Wiley & Sons A/S</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5038-b5e099113f88323246cbe5e33dd7f4ba0d9e7adee1a8799db94ca620efdc17183</citedby><cites>FETCH-LOGICAL-c5038-b5e099113f88323246cbe5e33dd7f4ba0d9e7adee1a8799db94ca620efdc17183</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1600-0501.2009.01758.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1600-0501.2009.01758.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19681964$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Çehreli, Murat Cavit</creatorcontrib><creatorcontrib>Kökat, Ali Murat</creatorcontrib><creatorcontrib>Comert, Ayhan</creatorcontrib><creatorcontrib>Akkocaoğlu, Murat</creatorcontrib><creatorcontrib>Tekdemir, Ibrahim</creatorcontrib><creatorcontrib>Akça, Kιvanç</creatorcontrib><title>Implant stability and bone density: assessment of correlation in fresh cadavers using conventional and osteotome implant sockets</title><title>Clinical oral implants research</title><addtitle>Clin Oral Implants Res</addtitle><description>Objective: To compare the primary stability of implants placed in conventional and osteotome sites and to evaluate the level of correlation between cutting torque measurements, resonance frequency analysis (RFA), and bone density.
Materials and methods: Eight human femoral heads were scanned with computed tomography for bone density measurements as Hounsfield units (HU), and individualized computed tomography‐based surgical stents were prepared for placement of implants. Five implant sockets were prepared in each collum (CoF), caput (CaF), and trochanter (Tr‐MM) section of the femoral heads using the conventional drilling technique or by a combination of drilling and use of an osteotome. Cutting‐torque values (CTV) of the implants were measured by a manual torque wrench, followed by determination of implant stability quotients (ISQ) by RFA.
Results: The CTVs of implants were similar in the conventional group, but different in the osteotome group (P<0.05). There was a general tendency toward achieving higher CTV and ISQ values in CoF than CaF and Tr‐MM (P<0.05), and measurements in CaF and Tr‐MM were comparable (P>0.05). The mean HU of sites were similar, although CoF had higher HU values (P>0.05). CTV of implants in CaF and Tr‐MM and ISQ values in CoF in the conventional groups were higher than those in the osteotome groups (P<0.05). The correlation between CTV and HU in Tr‐MM was significant in the osteotome group, although no other correlations between CTV, ISQ, and HU could be detected (P>0.025).
Conclusions: Conventional placement led to higher implant stability than the drilling and osteotome technique used in the study. No correlation could be found between CTV, RFA, and bone density.</description><subject>Aged</subject><subject>Bone Density</subject><subject>computed tomography</subject><subject>cutting torque</subject><subject>Dental Implantation, Endosseous - instrumentation</subject><subject>Dental Implantation, Endosseous - methods</subject><subject>Dental Implants</subject><subject>Dental Prosthesis Retention</subject><subject>Dental Restoration Failure</subject><subject>Dental Stress Analysis - instrumentation</subject><subject>Dental Stress Analysis - methods</subject><subject>Dentistry</subject><subject>Femur - anatomy & histology</subject><subject>Femur - surgery</subject><subject>Hounsfield unit</subject><subject>Humans</subject><subject>implant stability</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Models, Biological</subject><subject>osteotome</subject><subject>Osteotomy - instrumentation</subject><subject>resonance frequency analysis</subject><subject>Statistics, Nonparametric</subject><subject>Tomography, X-Ray Computed</subject><subject>Torque</subject><subject>Vibration</subject><issn>0905-7161</issn><issn>1600-0501</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUGP1CAUx4nRuOPqVzCc9NT6KC0FEw860XWzE40bzSZeCC2vymxbRuisMzc_unRnXG9GEgKB3_89wo8QyiBnabxY50wAZFABywsAlQOrK5nv7pHF3cV9sgAFVVYzwU7IoxjXACCUVA_JCVNCplkuyK_zYdObcaJxMo3r3bSnZrS08SNSi2NMBy-piRFjHDBhvqOtDwF7Mzk_UjfSLmD8TltjzQ2GSLfRjd8SM94kPCGmvy3o44R-8gNS96ehb69xio_Jg870EZ8c11Py5d3bz8v32erj2fny9SprK-AyayoEpRjjnZS84EUp2gYr5NzauisbA1ZhbSwiM7JWyjaqbI0oADvbsppJfkqeH-pugv-xxTjpwcUW-_QW9Nuoa15CKZiYyWf_JAuQHGShEigPYBt8jAE7vQluMGGvGejZk17rWYeedejZk771pHcp-vTYY9sMaP8Gj2IS8OoA_HQ97v-7sF6uLuddymeHvEsfv7vLm3CtRc3rSl99ONNvVl8vPl1eXOmS_wa8r7O1</recordid><startdate>200910</startdate><enddate>200910</enddate><creator>Çehreli, Murat Cavit</creator><creator>Kökat, Ali Murat</creator><creator>Comert, Ayhan</creator><creator>Akkocaoğlu, Murat</creator><creator>Tekdemir, Ibrahim</creator><creator>Akça, Kιvanç</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7QP</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>200910</creationdate><title>Implant stability and bone density: assessment of correlation in fresh cadavers using conventional and osteotome implant sockets</title><author>Çehreli, Murat Cavit ; Kökat, Ali Murat ; Comert, Ayhan ; Akkocaoğlu, Murat ; Tekdemir, Ibrahim ; Akça, Kιvanç</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5038-b5e099113f88323246cbe5e33dd7f4ba0d9e7adee1a8799db94ca620efdc17183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Bone Density</topic><topic>computed tomography</topic><topic>cutting torque</topic><topic>Dental Implantation, Endosseous - instrumentation</topic><topic>Dental Implantation, Endosseous - methods</topic><topic>Dental Implants</topic><topic>Dental Prosthesis Retention</topic><topic>Dental Restoration Failure</topic><topic>Dental Stress Analysis - instrumentation</topic><topic>Dental Stress Analysis - methods</topic><topic>Dentistry</topic><topic>Femur - anatomy & histology</topic><topic>Femur - surgery</topic><topic>Hounsfield unit</topic><topic>Humans</topic><topic>implant stability</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Models, Biological</topic><topic>osteotome</topic><topic>Osteotomy - instrumentation</topic><topic>resonance frequency analysis</topic><topic>Statistics, Nonparametric</topic><topic>Tomography, X-Ray Computed</topic><topic>Torque</topic><topic>Vibration</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Çehreli, Murat Cavit</creatorcontrib><creatorcontrib>Kökat, Ali Murat</creatorcontrib><creatorcontrib>Comert, Ayhan</creatorcontrib><creatorcontrib>Akkocaoğlu, Murat</creatorcontrib><creatorcontrib>Tekdemir, Ibrahim</creatorcontrib><creatorcontrib>Akça, Kιvanç</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical oral implants research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Çehreli, Murat Cavit</au><au>Kökat, Ali Murat</au><au>Comert, Ayhan</au><au>Akkocaoğlu, Murat</au><au>Tekdemir, Ibrahim</au><au>Akça, Kιvanç</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Implant stability and bone density: assessment of correlation in fresh cadavers using conventional and osteotome implant sockets</atitle><jtitle>Clinical oral implants research</jtitle><addtitle>Clin Oral Implants Res</addtitle><date>2009-10</date><risdate>2009</risdate><volume>20</volume><issue>10</issue><spage>1163</spage><epage>1169</epage><pages>1163-1169</pages><issn>0905-7161</issn><eissn>1600-0501</eissn><abstract>Objective: To compare the primary stability of implants placed in conventional and osteotome sites and to evaluate the level of correlation between cutting torque measurements, resonance frequency analysis (RFA), and bone density.
Materials and methods: Eight human femoral heads were scanned with computed tomography for bone density measurements as Hounsfield units (HU), and individualized computed tomography‐based surgical stents were prepared for placement of implants. Five implant sockets were prepared in each collum (CoF), caput (CaF), and trochanter (Tr‐MM) section of the femoral heads using the conventional drilling technique or by a combination of drilling and use of an osteotome. Cutting‐torque values (CTV) of the implants were measured by a manual torque wrench, followed by determination of implant stability quotients (ISQ) by RFA.
Results: The CTVs of implants were similar in the conventional group, but different in the osteotome group (P<0.05). There was a general tendency toward achieving higher CTV and ISQ values in CoF than CaF and Tr‐MM (P<0.05), and measurements in CaF and Tr‐MM were comparable (P>0.05). The mean HU of sites were similar, although CoF had higher HU values (P>0.05). CTV of implants in CaF and Tr‐MM and ISQ values in CoF in the conventional groups were higher than those in the osteotome groups (P<0.05). The correlation between CTV and HU in Tr‐MM was significant in the osteotome group, although no other correlations between CTV, ISQ, and HU could be detected (P>0.025).
Conclusions: Conventional placement led to higher implant stability than the drilling and osteotome technique used in the study. No correlation could be found between CTV, RFA, and bone density.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19681964</pmid><doi>10.1111/j.1600-0501.2009.01758.x</doi><tpages>7</tpages></addata></record> |
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subjects | Aged Bone Density computed tomography cutting torque Dental Implantation, Endosseous - instrumentation Dental Implantation, Endosseous - methods Dental Implants Dental Prosthesis Retention Dental Restoration Failure Dental Stress Analysis - instrumentation Dental Stress Analysis - methods Dentistry Femur - anatomy & histology Femur - surgery Hounsfield unit Humans implant stability Male Middle Aged Models, Biological osteotome Osteotomy - instrumentation resonance frequency analysis Statistics, Nonparametric Tomography, X-Ray Computed Torque Vibration |
title | Implant stability and bone density: assessment of correlation in fresh cadavers using conventional and osteotome implant sockets |
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