COMPARATIVE STUDY OF THE EFFECT OF THE MICRORELIEF OF THE SURFACE OF DENTAL IMPLANTS ON ITS PRIMARY STABILITY IN VARIOUS TYPES OF BONE TISSUE
Abstract and keywords
Abstract (English):
The relevance. Dental implants are widely used in dentistry to restore the dentition. The primary stability of the implant plays a key role in the successful osseointegration and long-term functionality of the implant. The study of the effect of the microrelief of the implant surface on their primary stability of bone tissue is of great practical importance, as it can help determine the optimal characteristics of the implant surface to achieve the best results during its installation. The aim is to evaluate the effect of the micro-roughness of the surface of dental implants on the torque and their primary stability. Materials and methods. The study included the use of 223 dental implants with a diameter of 4.0 mm, a length of 10 mm with the same geometry. The studied samples corresponded to the geometry of the IRIS LIKO-M implant (LLC NPK Likostom, Russia). The implants were processed by 3 different methods and installed in polyurethane blocks imitating bone tissue of the second type D2. To determine the force (torque) during implant installation, a Venton M3 physiodispenser (China) was used; implant stability (ISQ) after installation was evaluated by a Penguin PFA device (Sweden). Statistical analysis of the data was carried out using the Kruskal–Wallis criterion and the posteriori Dunn criterion. The results of the study. The study showed that groups 2 (acid etching), 3 (laser treatment), 4 (control sample) have a normal distribution of torque and ISQ values, while group 1 (plasma electrolytic oxidation) does not correspond to a normal distribution. The Kruskal–Wallis test revealed statistically significant differences between the groups in terms of torque and stability (ISQ). Dunn's a posteriori test showed statistically significant differences in torque between groups 1 and 4, 2 and 4, 3 and 4, as well as statistically significant differences in ISQ between groups 2 and 4, 3 and 4. Conclusions. The surface characteristics of the implants do not have a statistically significant effect on the primary stability determined by the torque and ISQ indicators.

Keywords:
dental implants, microrelief, primary stability, torque, implant surface, immediate loading
References

1. Carr B.R., Jeon-Slaughter H., Neal T.W., Gulko J.A., Kolar N.C., Finn R.A. Low Insertional Torque and Early Dental Implant Failure // J Oral Maxillofac Surg. – 2022;80(6):1069-1077. doi:https://doi.org/10.1016/j.joms.2022.02.001.

2. Haseeb S.A., Rajendra K., Manual L., Kochhar A.S., Dubey D., Dang G.S. Comparative Evaluation of Implant Stability, Insertion Torque, and Implant Macrogeometry in Different Bone Densities Using Resonance Frequency Analysis // J Contemp Dent Pract. – 2021;22(6):665-668. PMID: 34393124.

3. Monje A., Ravidà A., Wang H.L., Helms J.A., Brunski J.B. Relationship Between Primary/Mechanical and Secondary/Biological Implant Stability // Int J Oral Maxillofac Implants. – 2019;34:s7-s23. doi:https://doi.org/10.11607/jomi.19suppl.g1.

4. Raz P., Meir H., Levartovsky S., Sebaoun A., Beitlitum I. Primary Implant Stability Analysis of Different Dental Implant Connections and Designs-An In Vitro Comparative Study // Materials (Basel). – 2022;15(9):3072. doi:https://doi.org/10.3390/ma15093072.

5. Gehrke S.A., Cortellari G.C., de Oliveira Fernandes G.V., Scarano A., Martins R.G., Cançado R.M., Mesquita A.M.M. Randomized Clinical Trial Comparing Insertion Torque and Implant Stability of Two Different Implant Macrogeometries in the Initial Periods of Osseointegration // Medicina (Kaunas). – 2023;59(1):168. doi:https://doi.org/10.3390/medicina59010168.

6. Falco A., Berardini M., Trisi P. Correlation Between Implant Geometry, Implant Surface, Insertion Torque, and Primary Stability: In Vitro Biomechanical Analysis // Int J Oral Maxillofac Implants. – 2018;33(4):824-830. doi:https://doi.org/10.11607/jomi.6285.

7. Atieh M.A., Baqain Z.H., Tawse-Smith A., Ma S., Almoselli M., Lin L., Alsabeeha N.H.M. The influence of insertion torque values on the failure and complication rates of dental implants: A systematic review and meta-analysis // Clin Implant Dent Relat Res. – 2021;23(3):341-360. doi:https://doi.org/10.1111/cid.12993.

8. Kotsakis G.A., Romanos G.E. Biological mechanisms underlying complications related to implant site preparation // Periodontol 2000. – 2022;88(1):52-63. doi:https://doi.org/10.1111/prd.12410.

9. Huang C.Y., Wu A.Y., Wu Y.L., Lin C.P., Lung H., Auyeung L. A Retrospective Analysis of Implants with Low Insertion Torque in Immediately Loaded Full-Arch Fixed Prostheses with Corresponding Occlusal Schemes // Int J Oral Maxillofac Implants. – 2022;37(3):485-493. doi:https://doi.org/10.11607/jomi.9274.

10. Walter A., de la Iglesia F., Winsauer H., Ploder O., Wendl B., Puigdollers Perez A. Evaluation of expansion forces of five pure bone-borne maxillary expander designs anchored with orthodontic mini-implants: An in vitro study // J Orthod. – 2023;50(4):335-343. doi:https://doi.org/10.1177/14653125231152502.

11. Liu Q., Yang J., Wang R., Yuan L., Yu K. Dental implant failure rates with low insertion torque with a nonsubmerged surgical approach: A retrospective clinical study // Clin Implant Dent Relat Res. – 2023;25(1):118-123. doi:https://doi.org/10.1111/cid.13159.

12. Lemos C.A.A., Verri F.R., de Oliveira Neto O.B., Cruz R.S., Luna Gomes J.M., da Silva Casado B.G., Pellizzer E.P. Clinical effect of the high insertion torque on dental implants: A systematic review and meta-analysis // J Prosthet Dent. – 2021;126(4):490-496. doi:https://doi.org/10.1016/j.prosdent.2020.06.012.

13. Ramesh R., Sasi A., Mohamed S.C., Joseph S.P. "Compression Necrosis" - A Cause of Concern for Early Implant Failure? Case Report and Review of Literature // Clin Cosmet Investig Dent. – 2024;16:43-52. doi:https://doi.org/10.2147/CCIDE.S453798.

14. Rodrigo D., Aracil L., Martin C., Sanz M. Diagnosis of implant stability and its impact on implant survival: a prospective case series study // Clin Oral Implants Res. – 2010;21(3):255-261. doi:https://doi.org/10.1111/j.1600-0501.2009.01820.x.

15. Wach T., Skorupska M., Trybek G. Are Torque-Induced Bone Texture Alterations Related to Early Marginal Jawbone Loss? // J Clin Med. – 2022;11(20):6158. doi:https://doi.org/10.3390/jcm11206158.

16. Roca-Millan E., González-Navarro B., Domínguez-Mínger J., Marí-Roig A., Jané-Salas E., López-López J. Implant insertion torque and marginal bone loss: A systematic review and meta-analysis // Int J Oral Implantol (Berl). – 2020;13(4):345-353. PMID: 33491366.

17. Kotsu M., Urbizo Velez J., Bengazi F. et al. Healing at implants installed from ~ 70- to < 10-Ncm insertion torques: an experimental study in dogs // Oral Maxillofac Surg. – 2021;25(1):55-64. doihttps://doi.org/10.1007/s10006-020-00890-3

18. Trisi P., Todisco M., Consolo U., Travaglini D. High versus low implant insertion torque: a histologic, histomorphometric, and biomechanical study in the sheep mandible // Int J Oral Maxillofac Implants. – 2011;26(4):837-849. https://pubmed.ncbi.nlm.nih.gov/21841994/

19. Greenstein G., Cavallaro J. Implant Insertion Torque: Its Role in Achieving Primary Stability of Restorable Dental Implants // Compend Contin Educ Dent. – 2017;38(2):88-96. https://pubmed.ncbi.nlm.nih.gov/28156122/

20. Balshi S.F., Wolfinger G.J., Balshi T.J. Analysis of 164 titanium oxide-surface implants in completely edentulous arches for fixed prosthesis anchorage using the pterygomaxillary region // Int J Oral Maxillofac Implants. – 2005;20(6):946-952. https://pubmed.ncbi.nlm.nih.gov/16392353/


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