The influence of length of implant on primary stability: An in vitro study using resonance frequency analysis

Anwar B Bataineh, Ala M Al-Dakes, Anwar B Bataineh, Ala M Al-Dakes

Abstract

Background: Primary stabilityis not sufficientin less contact area between the implant and bone, the healing process because will be disrupted due to micro-motions and fibrous tissue affects osseointegration.

Material and methods: We implemented an in vitro experimental study of total 135 XiVE® implants were inserted in 22.5 bovine cow ribs with bone quality similar to a type IV human bone. Each rib end received a group of three different implant lengths, which were 8mm, 13mm and 15mm and had the same diameter 3.8mm. Immediately after the implant placement, its primary stability was measured using Osstell Mentor equipment. ANOVA Tukey's honest to test the significant difference were performed for data analysis between the resonance measures of the different lengths of implants. Statistical significance was assessed at a level P< 0.05.

Results: A total of 45 implants were inserted for each length at cortical bone level. A significant difference between the three groups in favor of implant with 15mm length group (P = 0.000).

Conclusions: Increasing dental implant length is considered to play a fundamental role in increasing dental implant primary stability, even in poor bone quality, through controlling the bone preparation process. Key words:Dental implants, primary stability, resonance frequency analysis.

Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Figure 1
Figure 1
Preparation of the three implant beds with 7 millimeters inter-implant distance.
Figure 2
Figure 2
The three dental implants in each preparation bed.
Figure 3
Figure 3
Dental implants after insertion the Smartpeg.

References

    1. Grassi S, Piattelli A, Ferrari DS, Figueiredo LC, Feres M, Iezzi G. Histologic evaluation of human bone integration on machined and sandblasted acid-etched titanium surfaces in type IV bone. J Oral Implantol. 2007;33:8–12.
    1. Farré-Pagés N, Augé-Castro ML, Alaejos-Algarra F, Mareque-Bueno J, Ferrés-Padró E, Hernández-Alfaro F. Relation between bone density and primary implant stability. Med Oral Patol Oral Cir Bucal. 2011;16:e62–7.
    1. Atsumi M, Park SH, Wang HL. Methods used to assess implant stability: current status. Int J Oral Maxillofac Implants. 2007;22:743–54.
    1. Quesada-García MP, Prados-Sánchez E, Olmedo-Gaya MV, Muñoz-Soto E, González-Rodríguez MP, Vallecillo-Capilla M. Measurement of dental implant stability by resonance frequency analysis: a review of the literature. Med Oral Patol Oral Cir Bucal. 2009;14:e538–46.
    1. Boronat López A, Balaguer Martínez J, Lamas Pelayo J, Carrillo García C, Peñarrocha Diago M. Resonance frequency analysis of dental implant stability during the healing period. Med Oral Patol Oral Cir Bucal. 2008;13:e244–7.
    1. Morris HF, Ochi S, Orenstein IH, Petrazzuolo V. AICRG, Part V: Factors influencing implant stability at placement and their influence on survival of Ankylos implants. J Oral Implantol. 2004;30:162–70.
    1. Boronat-López A, Peñarrocha-Diago M, Martínez-Cortissoz O, Mínguez-Martínez I. Resonance frequency analysis after the placement of 133 dental implants. Med Oral Patol Oral Cir Bucal. 2006;11:e272–6.
    1. Georgiopoulos B, Kalioras K, Provatidis C, Manda M, Koidis P. The effects of implant length and diameter prior to and after osseointegration: a 2-D finite element analysis. J Oral Implantol. 2007;33:243–56.
    1. Kotsovilis S, Fourmousis I, Karoussis IK, Bamia C. A systematic review and meta-analysis on the effect of implant length on the survival of rough-surface dental implants. J Periodontol. 2009;80:1700–18.
    1. Griffin TJ, Cheung WS. The use of short, wide implants in posterior areas with reduced bone height: a retrospective investigation. J Prosthet Dent. 2004;92:139–44.
    1. Kong L, Sun Y, Hu K, Li D, Hou R, Yang J. Bivariate evaluation of cylinder implant diameter and length: a three-dimensional finite element analysis. J Prosthodont. 2008;17:286–93.
    1. Meijer HJ, Kuiper JH, Starmans FJ, Bosman F. Stress distribution around dental implants: influence of superstructure, length of implants, and height of mandible. J Prosthet Dent. 1992;68:96–102.
    1. Li T, Kong L, Wang Y, Hu K, Song L, Liu B. Selection of optimal dental implant diameter and length in type IV bone: a three-dimensional finite element analysis. Int J Oral Maxillofac Surg. 2009;38:1077–83.
    1. Kong L, Gu Z, Li T, Wu J, Hu K, Liu Y. Biomechanical optimization of implant diameter and length for immediate loading: a nonlinear finite element analysis. Int J Prosthodont. 2009;22:607–15.
    1. Bahat O. Treatment planning and placement of implants in the posterior maxillae: report of 732 consecutive Nobelpharma implants. Int J Oral Maxillofac Implants. 1993;8:151–61.
    1. Miyamoto I, Tsuboi Y, Wada E, Suwa H, Iizuka T. Influence of cortical bone thickness and implant length on implant stability at the time of surgery--clinical, prospective, biomechanical, and imaging study. Bone. 2005;37:776–80.
    1. Misch CE, Steignga J, Barboza E, Misch-Dietsh F, Cianciola LJ, Kazor C. Short dental implants in posterior partial edentulism: a multicenter retrospective 6-year case series study. J Periodontol. 2006;77:1340–7.
    1. Lekholm U. Immediate/early loading of oral implants in compromised patients. Periodontol 2000. 2003;33:194–203.
    1. Renouard F, Nisand D. Impact of implant length and diameter on survival rates. Clin Oral Implants Res. 2006;17:35–51.
    1. Petrie CS, Williams JL. Comparative evaluation of implant designs: influence of diameter, length, and taper on strains in the alveolar crest. A three-dimensional finite-element analysis. Clin Oral Implants Res. 2005;16:486–94.
    1. Ottoni JM, Oliveira ZF, Mansini R, Cabral AM. Correlation between placement torque and survival of single-tooth implants. Int J Oral Maxillofac Implants. 2005;20:769–76.
    1. Cibirka RM, Nelson SK, Lang BR, Rueggeberg FA. Examination of the implant-abutment interface after fatigue testing. J Prosthet Dent. 2001;85:268–75.
    1. Boggan RS, Strong JT, Misch CE, Bidez MW. Influence of hex geometry and prosthetic table width on static and fatigue strength of dental implants. J Prosthet Dent. 1999;82:436–40.
    1. Gratton DG, Aquilino SA, Stanford CM. Micromotion and dynamic fatigue properties of the dental implant-abutment interface. J Prosthet Dent. 2001;85:47–52.
    1. Hitchon PW, Brenton MD, Coppes JK, From AM, Torner JC. Factors affecting the pullout strength of self-drilling and self-tapping anterior cervical screws. Spine (Phila Pa 1976) 2003;28:9–13.
    1. van Steenberghe D, Lekholm U, Bolender C, Folmer T, Henry P, Herrmann I. Applicability of osseointegrated oral implants in the rehabilitation of partial edentulism: a prospective multicenter study on 558 fixtures. Int J Oral Maxillofac Implants. 1990;5:272–81.
    1. Andrés-García R, Vives NG, Climent FH, Palacín AF, Santos VR, Climent MH. 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:e93–7.
    1. García-Vives N, Andrés-García R, Rios-Santos V, Fernández-Palacín A, Bullón-Fernández 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:e455–60.
    1. Misch CE. Divisions of available bone in implant dentistry. Int J Oral Implantol. 1990;7:9–17.

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