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Relation between the Initial Stability of Dental Implant and the Host Bone quality

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R

co wh an va (C se CB de re (r ica pe de co m

to

ra bi se th de bi gr hi gr m ho pr of pl im m tit ty la am co cl

Relation

2 Dep

Abstract—Th orrelation betw

hich represent nd the host b alue measured CBCT). Twent even healthy b BCT to obtai ental implants ecorded the ma

) was used to e ant correlation erimental resu ental implant, orrelated (r=0 measured from

Keywords—

orque, bone qu

Implant stab ate of the den ility can be d econdary stabi he mechanica

ental implant ility is formed rowth into the igher implant rowth. Howev measuring relat ost bone and roaches, the m ften been use lant [5-6]. A h mplant. Many might be affect ty. Lekholm ypes based on ar bone. How miner inconsi omputed tomo inical trial. S

between t Jui

1 School o partment of Bio

he purpose of ween the initia ted by maximu bone density, w d by dental co

ty one lumbar bovine. Each b in the bone d s were inserte

aximum ITV.

evaluate wheth n between the ults indicated

quantified as .968) with th dental CBCT.

Dental impl ality, dental co

I. I NTRO

bility is an imp ntal implant [1 divided into t

ility [4]. The al stability im

into the host d by osseoint e surface of t initial stabili ver, so far, the ative movemen

dental impla maximum ins ed to quantify high ITV may

researchers in ted by the hos

and Zarb [7 the amounts wever, this app

istencies. Re ography (CBC Some investig

the Initia i-Ting Hsu 1

of Dentistry, Co omedical Imagi

this study wa al stability of t um insertion t which represe one-beam com r vertebrae w bone specimen density (in gra ed into the b Pearson’s cor her there was a e ITV and bon that the initi the ITV, was e bone densit

lant, initial s one-beam com

ODUCTION

portant factor 1-3]. Basically two stages: in initial stabilit mmediately a bone, while tegration, whi the dental imp ity can result ere is still no m nt at the inte ant. Among t sertion torque y the initial st y indicate a m ndicated that st alveolar bon

] classified j of cortical bo proach was s ecently, the d CT) was exten gators used g

l Stability , Jung-Ting

ollege of Medic ing and Radiolo

as to determin the dental imp torque value (I ented by gray mputed tomogr were collected n was subjecte ayscale value).

bone specimen rrelation coeffi a statistically si ne density. Th ial stability o strongly posit ty in grayscal

stability, inse puted tomogra

for the succe y, the implant nitial stability ty is a functio after inserting

the secondary ch is the bon plant. Basical in more bon method for dir rface between he commonly e value (ITV) tability of the mechanically s the initial stab ne quality or q

awbone into ne versus trab subject to inte dental cone-b nsively used in grayscale valu

y of Denta g Ho 1 , Heng

cine, China Me ogical Science,

ne the plant, ITV), yscale raphy from ed to . The n and ficient

ignif- he ex- of the

tively le, as

ertion aphy

essful t sta- y and

on of g the y sta- ne in- lly, a ne in-

rectly n the y ap- ) has e im- stable

bility quan-

four becu- terex- beam n the ue or

Hou calle was of d bone scale

A. Sp T heal lumb prep Japa spec med ven, dime mm plan repr imen

B. In P spec

al Implan g-Li Huang

edical University China Medical

unsfield units ed radiograph

to evaluate th dental implant

e density, wh e value.

II. M

Specimen prep Twenty one lu lthy bovine. B bar vertebra, pared. A denta an) was used cimen (Figure dical imaging

, Belgium) th ensional mod

in diameter a nt site of each esent the bon n was used in

Figure 1. (Le specimen ob nsertion torqu Pilot holes we cimen using a

nt and the

1 , and Jay W

y, Taichung, 40 University, Ta

to represent hic bone densi

he relationship t, which repre hich represent

M ATERIALS A

aration and C umbar vertebra Bone specimen with dimensio al CBCT devic to obtain den . 1). The CBC software (Mi hat enabled t del of each b and 10 mm lo h bone specim

e density of th this study.

eft) Dental CB btained from b ue measureme

ere drilled int a 3.5 mm diam

e Host Bon Wu 2

04 Taiwan aichung, 404 Ta

the bone de ity. The objec p between the esented by IT ted by bone d

AND METHODS

CBCT scannin ae were colle ns, which obta

ons of 15 30 ce (AZ 3000, ntal CT image CT images we

imics 15.1, M the constructi bone block. T

ong) were de men. The gra the cylinder o

BCT machine bovine lumba ent

to each artifi meter drill, an

ne quality

aiwan

nsity, which cts of this stu e initial stabil TV, and the ho

density in gra

S

ng

cted from sev ained from ea 030 mm 3 we Asahi Roentg es of each bo re imported in Materialise, Le ion of a thre The cylinders fined in the im ayscale value

f the bone spe

; (Right) bone r vertebra.

icial foam bo nd a commerc

1

y

so udy lity ost ay-

ven ach ere gen, one

nto eu- ee- (4 m-

to ec-

e

one

cial

(2)

2

de pl in IT to pe

C

m SD ev tio cu ys N ic

m 94 IT Th bo

ental implant lant Innovatio nserted accord TV (Ncm) w orque meter (T

ei, Taiwan) (F

Figure 2. E (Lef

. Statistical an The values o maximum ITV D values. Pea valuate whethe on between th utoff level wa ses of the data Northampton, M

ance was set a

I

The bone de men obtained

47.5±172.3, r TV of dental im

here was stron one density (r=

(4 mm in dia ons Inc, Wes ding to the m was recorded f TQ-8800, Lut Figure 2).

Experimental ft)entire view;

nalysis of the bone de

of the implan arson’s correl

er there was a he ITV and b as deemed to a were perform MA, USA). T

as p<0.05.

III. R ESULTS A

ensities in gra from the b range from 75 mplant are 26 ng positive co

=0.968, P<0.0

ameter and 10 t Palm Beach manufacturer’s

for each bone tron Electroni

setup for mea

; (Right)closed

ensity of the b nts were summ

ation coefficie a statistically s

bone density.

be P<0.05. A med using Ori The level of th

AND DISCUSSIO

ayscale value bovine lumb 56.0 to 1312.

6.6±17.7, rang orrelation betw 0001) (Figure

0 mm long; 3i h, FL, USA) s instructions.

specimen usi ic Enterprise,

asuring the IT d view.

bone specimen marized as me ent (r) was us significant cor . The signific All statistical

ginPro (Origin e statistical si

ON

of the bone s bar vertebrae .0. The maxim e from 8.2 to ween the ITV

3.)

i Im- was . The ing a Tai-

TV:

n and ean ± sed to rrela- cance

anal- nLab, ignif-

speci- e are

mum 64.1.

V and its l plan mea cont mine been alve [8].

by u shou not effec not impl mea the r the f

T that stron bone

Figure 3. Sc tw The initial sta ong-term perf nt represents asuring the im

tended that th e the bone m n demonstrate eolar bone qua

Therefore, in using the den uld be consid fully represe ct of cortical evaluated. Th lants was onl asuring the ini

resonance fre future.

The experimen the initial im ngly positivel e density in gr

attergraph illu ween ITV and ability of a de formance. De

a nondestru mplant stability

he dental CBC ineral content d to be a good ality and quan this study, w tal CBCT. So ered. First, th nt the real h bone thickne hird, in this s ly evaluated

tial stability o quency and P

IV. C ONCL

ntal results ob mplant stability

y correlated ( rayscale, as m

ustrating the c bone density.

ental implant etermining the uctive clinica

y. Nomura et CT may be po

t. In addition d approach fo ntity prior to we evaluated t ome limitation he bovine bon human jawbon ess on the init

study, the ini by ITV. Oth of the dental i Periotest shou

LUSIONS

btained in this y, quantified a (r=0.968, P<0 measured from

correlation be- .

crucially affe e ITV of an i al approach f

t al. [8] recen ossible to det , the CBCT h or evaluating t implant surge the bone dens

ns of this stu ne specimen d

ne. Second, t tial stability w itial stability her methods f implant, such uld be applied

study indicat as the ITV, w 0.0001) with t dental CBCT -

cts m- for ntly ter- has

the ery sity udy did the was of for as in

ted

was

the

T.

(3)

22 w

This researc 221-E-039-01 wan, Republic o

The authors

1. Huang H bone str an in vit 698 2. Huang H

structure implants 89 3. Chiapasc

mandibu tive mu implants

A CKNOW

h was suppor 1 from the N of China.

C ONFLICT

declare that th

R EFE

HL, Chang YY, L rain evaluation of

tro model study.

HL, Fuh LJ, Tu M e of trabecular b s. Journal of Med

co M, Gatti C, R ular overdentures ulticenter study o s research 8:48-5

WLEDGMENT

rted by the gr National Scie

T OF I NTEREST

hey have no c

ERENCES

Lin DJ et al. (20 f the immediately

Clinical oral imp

MG et al. (2010) E bone on the prim dical and Biologi

Rossi E et al. (1 s with immediate on 226 consecuti 57

rant no. NSC nce Council,

onflict of inte

11) Initial stabilit y loaded dental im plants research 22

Effects of elastici mary stability of cal Engineering 3

1997) Implant-re e loading. A retro

ve cases. Clinica

102- Tai-

erest.

ty and mplant:

2: 691-

ity and dental 30:85-

etained ospec- al oral

4. Jun SH, Ch tial stabilit plants inse study. The 25:985-990 5. Degidi M, P correlated ing period?

of 17 hum research 20 6. Nkenke E, (2003) Imp study in hu ical oral im 7. Lekholm U Branemark Prostheses Quintessen 8. Nomura Y, voxel valu use in eval 24, 543-54

Author: Jui-Tin Institute: China M Street: 91 Hsu City: Taichu Country: Taiwan Email: jthsu@m

hang BM, Weber ty parameters and erted into extrac

International jou 0

Perrotti V, Strocc to bone-implant

? A histological man-retrieved den

0:778-781 Hahn M, Wein plant stability an uman cadavers us mplants research 1 U, Zarb GA. Pat k PI, Zarb GA, A

: Osseointegratio nce 1985; pp. 199

, Watanabe H, S es from cone­bea luating bone min

8.

ng Hsu Medical Universi ueh-Shih Road

ng n

ail.cmu.edu.tw

r HP et al. (2010) d histomorphome ction sockets: hu urnal of oral & ma

chi R et al. (2009 contact percentag and histomorpho ntal implants. Cl

nzierl K, Radesp nd histomorphom sing stepped cyli 14:601-609 atient selection a Alberktsson T (eds on in Clinical D 9–209.

Shirotsu K, et al.

am computed tom neral content. Clin

ity

) Comparison of etric analysis of uman fresh cada axillofacial impla

9) Is insertion torq ge in the early he ometrical evaluat

inical oral impla

iel-Troger M et metry: a correlat

nder implants. C

and preparation.

s). Tissue Integra Dentistry. Chica

(2013) Stability mography for den n Oral Implants R

3

ini- im- aver

ants

que eal- tion ants

al.

tion lin-

In:

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y of

ntal

Res

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