Advertisement

Effect of length, diameter, intraoral location on implant stability

      Objectives

      To quantitatively compare stability of dental implants with varying lengths, diameters, and intraoral locations.

      Study Design

      Retrospectively, 200 consecutive NobelReplace Tapered Groovy implants of varying lengths and diameters were evaluated via implant stability quotient readings at placement (T1) and follow-up (T2). Data were analyzed by analysis of variance and simple linear regression tests.

      Results

      Intraoral location was statistically significant at T1 and T2. Although implant diameter was not statistically significant, implant length resulted in T1 (P = .08) and T2 (P = .09), which may have a clinically relevant effect on implant stability. An overall implant survival rate of 98% was achieved. Gender and age did not seem to affect implant stability quotient values at placement, follow-up, or implant survival.

      Conclusions

      Intraoral location is an important factor in implant stability, with implants placed in the mandible being more stable than implants placed in the maxilla both at T1 and T2. Length may have a clinically relevant effect on implant stability.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      References

        • Zhou Y.
        • Jiang T.
        • Qian M.
        • et al.
        Roles of bone scintigraphy and resonance frequency analysis in evaluating osseointegration of endosseous implant.
        Biomaterials. 2008; 29: 461-474
        • O’Sullivan D.
        • Sennerby L.
        • Meredith N.
        Measurements comparing the initial stability of five designs of dental implants: a human cadaver study.
        Clin Implant Dent Relat Res. 2000; 2: 85-92
        • Albrektsson T.
        • Wennerberg A.
        Oral implant surfaces: Part 2—review focusing on clinical knowledge of different surfaces.
        Int J Prosthodont. 2004; 17: 544-564
        • Balleri P.
        • Cozzolino A.
        • Ghelli L.
        • Momicchioli G.
        • Varriale A.
        Stability measurements of osseointegrated implants using Osstell in partially edentulous jaws after 1 year of loading: a pilot study.
        Clin Implant Dent Relat Res. 2002; 4: 128-132
        • Horwitz J.
        • Zuabi O.
        • Peled M.
        Resonance frequency analysis in immediate loading of dental implants.
        Refuat Hapeh Vehashinayim. 2003; 20: 80-88
        • Horwitz J.
        • Zuabi O.
        • Peled M.
        Resonance frequency analysis in immediate loading of dental implants.
        Refuat Hapeh Vehashinayim. 2003; 20 (104 [in Hebrew]): 80-88
        • Winter W.
        • Mohrle S.
        • Holst S.
        • Karl M.
        Parameters of implant stability measurements based on resonance frequency and damping capacity: a comparative finite element analysis.
        Int J Oral Maxillofac Implants. 2010; 25: 532-539
        • Mesa F.
        • Munoz R.
        • Noguerol B.
        • de Dios Luna J.
        • Galindo P.
        • O'Valle F.
        Multivariate study of factors influencing primary dental implant stability.
        Clin Oral Implants Res. 2008; 19: 196-200
        • Tricio J.
        • Laohapand P.
        • van Steenberghe D.
        • Quirynen M.
        • Naert I.
        Mechanical state assessment of the implant-bone continuum: a better understanding of the Periotest method.
        Int J Oral Maxillofac Implants. 1995; 10: 43-49
        • Aparicio C.
        The use of the Periotest value as the initial success criteria of an implant: 8-year report.
        Int J Periodontics Restorative Dent. 1997; 17: 150-161
        • Teerlinck J.
        • Quirynen M.
        • Darius P.
        • van Steenberghe D.
        Periotest: an objective clinical diagnosis of bone apposition toward implants.
        Int J Oral Maxillofac Implants. 1991; 6: 55-61
        • Park K.J.
        • Kwon J.Y.
        • Kim S.K.
        • et al.
        The relationship between implant stability quotient values and implant insertion variables: a clinical study.
        J Oral Rehabil. 2012; 39: 151-159
        • Lang N.P.
        • Pun L.
        • Lau K.Y.
        • Li K.Y.
        • Wong M.C.
        A systematic review on survival and success rates of implants placed immediately into fresh extraction sockets after at least 1 year.
        Clin Oral Impl Res. 2012; 23: 39-66
        • Gupta R.K.
        • Padmanabhan T.V.
        Resonance frequency analysis.
        Indian J Dent Res. 2011; 22: 567-573
        • Aparicio C.
        • Lang N.P.
        • Rangert B.
        Validity and clinical significance of biomechanical testing of implant/bone interface.
        Clin Oral Implants Res. 2006; 17: 2-7
        • Meredith N.
        Assessment of implant stability as a prognostic determinant.
        Int J Prosthodont. 1998; 11: 491-501
        • Manz M.C.
        • Morris H.F.
        • Ochi S.
        An evaluation of the Periotest system. Part I: examiner reliability and repeatability of readings. Dental Implant Clinical Group (Planning Committee).
        Implant Dent. 1992; 1: 142-146
        • van Steenberghe D.
        • Tricio J.
        • Naert I.
        • Nys M.
        Damping characteristics of bone-to-implant interfaces. A clinical study with the Periotest device.
        Clin Oral Implants Res. 1995; 6: 31-39
        • Carr A.B.
        • Papazoglou E.
        • Larsen P.E.
        The relationship of Periotest values, biomaterial, and torque to failure in adult baboons.
        Int J Prosthodont. 1995; 8: 15-20
        • Derhami K.
        • Wolfaardt J.F.
        • Faulkner G.
        • Grace M.
        Assessment of the periotest device in baseline mobility measurements of craniofacial implants.
        Int J Oral Maxillofac Implants. 1995; 10: 221-229
        • 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
        • Huang H.M.
        • Chiu C.L.
        • Yeh C.Y.
        • Lin C.T.
        • Lin L.H.
        • Lee S.Y.
        Early detection of implant healing process using resonance frequency analysis.
        Clin Oral Implants Res. 2003; 14: 437-443
        • Mombelli A.
        • van Oosten M.A.
        • Schürch E.
        • Lang N.P.
        The microbiota associated with successful or failing osseointegrated titanium implants.
        Oral Microbiol Immunol. 1987; 2: 145-151
        • Sesma N.
        • Pannuti C.
        • Cardaropoli G.
        Retrospective clinical study of 988 dual acid-etched implants placed in grafted and native bone for single-tooth replacement.
        Int J Oral Maxillofac Implants. 2012; 27: 1243-1248
        • Alsaadi G.
        • Quirynen M.
        • Komarek A.
        • van Steenberghe D.
        Impact of local and systemic factors on the incidence of late oral implant loss.
        Clin Oral Implants Res. 2008; 19: 670-676
        • Himmlova L.
        • Dostalova T.
        • Kacovsky A.
        • Konvickova S.
        Influence of implant length and diameter on stress distribution: a finite element analysis.
        J Prosthet Dent. 2004; 91: 20-25
        • Baggi L.
        • Cappelloni I.
        • Di Girolamo M.
        • Maceri F.
        • Vairo G.
        The influence of implant diameter and length on stress distribution ofosseointegrated implants related to crestal bone geometry: a three-dimensional finite element analysis.
        J Prosthet Dent. 2008; 100: 422-431
        • Lee J.H.
        • Frias V.
        • Lee K.W.
        • Wright R.F.
        Effect of implant size and shape on implant success rates: a literature review.
        J Prosthet Dent. 2005; 94: 377-381
        • Lum L.B.
        A biomechanical rationale for the use of short implants.
        J Oral Implantol. 1991; 17: 126-131
        • Geng J.P.
        • Tan K.B.
        • Liu G.R.
        Application of finite element analysis in implant dentistry: a review of the literature.
        J Prosthet Dent. 2001; 85: 585-598
        • Misch C.E.
        Implant design considerations for the posterior regions of the mouth.
        Implant Dent. 1999; 8: 376-386
        • Fuster-Torres M.
        • Penarrocha Diago M.
        • Penarrocha Oltra D.
        • Penarrocha Diago M.
        Relationships between bone density values from cone beam computed tomography, mazimum insertion torque, and resonance frequency analysis at implant placement: a pilot study.
        J Oral Maxillofac Implants. 2011; 26: 1051-1056
        • Rokn A.
        • Ghahroudi R.
        • Mesgarzadeh A.
        • Miremadi A.
        • Yaghoobi S.
        Evaluation of stability changes in tapered and parallel wall implants: a human clinical trial.
        J Dent. 2011; 8: 186-200
        • Turkylmaz I.
        A comparison between insertion torque and resonance frequency in the assessment of torque capacity and primary stability of Branemark system implants.
        J Oral Rehab. 2006; 33: 754-759
        • Atieh M.A.
        • Alsabeeha N.H.
        • Payne A.G.
        Can resonance frequency analysis predict failure risk of immediately loaded implants?.
        Int J Prosthodont. 2012; 25: 326-339
        • Degidi M.
        • Giuseppe D.
        • Piattelli A.
        Influence of underpreparation on primary stability of implants inserted in poor quality bone sites: an in vitro study.
        J Oral Maxillofac Surg. 2015; 73: 1084-1088
        • Atieh M.A.
        • Alsabeeha N.H.M.
        • Payne A.G.T.
        • de Silva R.K.
        • Schwass D.S.
        • Duncan W.J.
        The prognostic accuracy of resonance frequency analysis in predicting failure risk of immediately restored implants.
        Clin Oral Implants Res. 2014; 25: 29-35
      1. The technique behind Osstell. Available at: http://www.osstell.com/clinical-guidelines/the-technique-behind-osstell/. Accessed April 2, 2016.