Primary Implant Stability: A Crucial Pillar in Implantology

Authors

  • Grazina Fernandes MDS,Department of Prosthodontics, Goa Dental College and Hospital, Bambolim, Goa, India. Author
  • Meena A Aras Professor and Head, Department of Prosthodontics, Goa Dental College and Hospital, Bambolim, Goa, India. Author
  • Vidya Chitre Professor,Department of Prosthodontics, Goa Dental College and Hospital, Bambolim, Goa, India. Author
  • Ivy Coutinho Professor, Department of Prosthodontics, Goa Dental College and Hospital, Bambolim, Goa, India. Author
  • P Karthikeyan MDS,Department of Prosthodontics, Goa Dental College and Hospital, Bambolim, Goa, India. Author

Keywords:

Implant stability, primary stability, RFA, bone density, osseodensification

Abstract

A good implant integration and long-term favourable  clinical outcome are positively correlated with a secure  primary (mechanical) stability of the implant.  Consequently, in order to guarantee a successful  osseointegration, it is crucial to evaluate the initial stability  at various time points. This review explores the importance  of the primary and secondary implant stability and various  tools and instruments to measure the primary implant  stability, and also explains about factors affecting the  implant primary stability. Dental implant design and its  length, diameter, thread depth plays an important role in  obtaining the primary implant stability.This review  describes different ways to obtain primary stability in  compromised bone such aslow density bone and  regenerated bone. 

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References

1. Romanos, G.E. Present status of immediate loading of oral implants. J. Oral Implantol. 2004, 30, 189–197.

2. Sennerby, L.; Meredith, N. Implant stability measurements using resonance frequency analysis: Biological and biomechanical aspects and clinical implications. Periodontol. 2000 2008, 47, 51–66.

3. Attanasio, F.; Antonelli, A.; Brancaccio, Y.; Averta, F.; Figliuzzi, M.M.; Fortunato, L.; Giudice, M. Primary Stability of Three Different Osteotomy Techniques in Medullary Bone: An in Vitro Study. Dent. J. 2020, 8, 21

4. Quesada-García, M.P.; Prados-Sánchez, E.; Olmedo-Gaya, M.V.; Muñoz-Soto, E.; González-Rodríguez, M.P.; Valllecillo-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–e546.

5. Sakka S, Baroudi K, Nassani MZ. Factors associated with early and late failure of dental implants. J Investig Clin Dent. 2012;3(4):258–61.

6. Mustakim KR, et al. Guidance and rationale for the immediate implant placement in the maxillary molar. J Korean Assoc Oral Maxillofac Surg. 2023;49(1):30–42.

7. Guo CY, Matinlinna JP, Tang AT. Effects of surface charges on dental implants: past, present, and future. Int J Biomater. 2012;2012:381535.

8. Raghavendra S, Wood MC, Taylor TD. Early wound healing around endosseous implants: a review of the literature. Int J Oral Maxillofac Implants. May-Jun 2005;20(3):425–431.

9. Javed F, Ahmed HB, Crespi R, Romanos GE. Role of primary stability for successful osseointegration of dental implants: Factors of influence and evaluation. Interv Med Appl Sci. 2013 Dec;5(4):162-7. doi: 10.1556/IMAS.5.2013.4.3.

10. Degidi M, Daprile G, Piattelli A. Primary stability determination by means of insertion torque and RFA in a sample of 4,135 implants. Clin Implant Dent Relat Res 2012;14(4):501–507

11. Sarfaraz H, Johri S, Sucheta P, Rao S. Study to assess the relationship between insertion torque value and implant stability quotient and its influence on timing of functional implant loading. J Indian Prosthodont Soc 2018;18(2):139–146

12. Johansson P, Strid K. Assessment of bone quality from cutting resistance during implant surgery. Int J Oral Maxillofac Implants 1994;9:279–288

13. Herrero-Climent M, Santos-García R, Jaramillo-Santos R, et al. Assessment of Osstell ISQ’s reliability for implant stability measurement: a cross-sectional clinical study. Med Oral Patol Oral Cir Bucal 2013;18(6):e877–e882

14. Bandela V, Shetty N, Munagapati B, Basany RB, Kanaparthi S: Comparative evaluation of osseodensificationversus conventional osteotomy technique on dental implant primary stability: an ex vivo study. Cureus.2022, 14:e30843. 10.7759/cureus.30843

15. Lahens B, Lopez CD, Neiva RF, et al.: The effect of osseodensification drilling for endosteal implants withdifferent surface treatments: A study in sheep. J Biomed Mater Res B Appl Biomater. 2019, 107:615-23.10.1002/jbm.b.34154

16. Sultana A, Makkar S, Saxena D, Wadhawan A, Kusum CK: To compare the stability and crestal bone loss of implants placed using osseodensification and traditional drilling protocol: A clinicoradiographical study. J Indian Prosthodont Soc. 2020, 20:45-51. 10.4103/jips.jips_133_19

17. Elias CN, et al. Influence of implant shape, surface morphology, surgical technique and bone quality on the primary stability of dental implants. J Mech Behav Biomed Mater. 2012;16:169–80.

18. von See C. BionischeAnforderungenandasImplantatdesign moderner Systeme. zwp online. 2015.

19. Yamaguchi Y, et al. Effect of implant design on primary stability using torque time curves in artificial bone. Int J Implant Dent. 2015;1(1):21.

20. Righeso LAR, et al. PrimärstabilitätdentalerImplantate - Eine Übersichtsarbeit. Implantologie—Quintessence Publishing Deutschland, 2016: p. 261–268. 21. Han, J.; Lulic, M.; Lang, N.P. Factors influencing resonance frequency analysis assessed by OsstellTMmentorduring implant tissue integration: II. Implant surface modifications and implant diameter. Clin. OralImplants Res. 2010, 21, 605–611. 22. Baggi, L.; Cappelloni, I.; Di Girolamo, M.; Maceri, F.; Vairo, G. The influence of implant diameter and length on stress distribution of osseointegrated implants related to crestal bone geometry: A three-dimensional finite element analysis. J. Prosthet. Dent. 2008, 100, 422–431.

23. Stoilov M, Shafaghi R, Stark H, Marder M, Kraus D, Enkling N. Influence of Implant Macro-Design, -Length, and -Diameter on Primary Implant Stability Depending on Different Bone Qualities Using Standard Drilling Protocols-An In Vitro Analysis. J FunctBiomater. 2023 Sep 12;14(9):469. doi: 10.3390/jfb14090469.

24. Noaman AT, Bede SY. The Effect of Bone Density Measured by Cone Beam Computed Tomography and Implant Dimensions on the Stability of Dental Implants. J Craniofac Surg. 2022 Sep 1;33(6):e553-e557. doi: 10.1097/SCS.0000000000008429.

25. Aragoneses JM, Aragoneses J, Brugal VA, Gomez M, Suarez A. Relationship between Implant Length and Implant Stability of Single-Implant Restorations: A 12-Month Follow-Up Clinical Study. Medicina (Kaunas). 2020 May 27;56(6):263. doi: 10.3390/medicina56060263.

26. Al-Sabbagh M, Eldomiaty W, Khabbaz Y. Can osseointegration be achieved without primary stability? Dent Clin North Am. 2019;63(3):461–73. 27. Jain N, et al. Short Implants: New Horizon in Implant Dentistry. J Clin Diagn Res. 2016;10(9):ZE14-17.

28. Lee SY, et al. The effect of the thread depth on the mechanical properties of the dental implant. J Adv Prosthodont. 2015;7(2):115–21.

29. Ibrahim A, et al. Relationship between Implant Geometry and Primary Stability in Different Bony Defects and Variant Bone Densities: An In Vitro Study. Materials (Basel). 2020;13(19):4349.

30. Romanos G, et al. Comparison of histomorphometry and microradiography of different implant designs to assess primary implant stability. Clin Implant Dent Relat Res. 2020;22(3):373–9.

31. Wennerberg, A.; Albrektsson, T. Effects of titanium surface topography on bone integration: A systematic review. Clin. Oral Implant. Res. 2009, 20 (Suppl. S4), 172–184.

32. Feller, L.; Jadwat, Y.; Khammissa, R.A.G.; Meyerov, R.; Schechter, I.; Lemmer, J. Cellular responses evoked by different surface characteristics of intra osseous titanium implants. BioMed Res. Int. 2015, 2015, 171945.

33. Sennerby, L.; Meredith, N. Implant stability measurements using resonance frequency analysis: Biological and biomechanical aspects and clinical implication. Periodontology 2000 2008, 47, 51–66.

34. Stocchero, M.; Toia, M.; Cecchinato, D.; Becktor, J.P.; Coelho, P.G.; Jimbo, R. Biomechanical, biologic, and clinical outcomes of undersized implant surgical preparation: A systematic review. Int. J. Oral Maxillofac. Implants 2016, 31, 1247– 1263

35. Herrero-Climent, M.; Lopez-Jarana, P.; Lemos, B.F.; Gil, F.J.; Falcao, C.; Rios-Santos, J.V.; Rios, B. Relevant design aspects to improve the stability of titanium dental implants. Materials (Basel) 2020, 13, 1910.

36. Vallecillo-Rivas M, Reyes-Botella C, Vallecillo C, Lisbona-González MJ, Vallecillo Capilla M, Olmedo-Gaya MV. Comparison of Implant Stability between Regenerated and Non-Regenerated Bone. A Prospective Cohort Study. J Clin Med. 2021 Jul 21;10(15):3220. doi: 10.3390/jcm10153220.

37. Rodda A, Koduganti RR, Manne HK, Gullapelli P, Jaahnavi Devarampati L: Implant placement post maxillary sinus lift using osseodensification concept: a case report. Cureus. 2022, 14:e21756. 10.7759/cureus.21756

38. Oliveira PG, Bergamo ET, Neiva R, Bonfante EA, Witek L, Tovar N, Coelho PG: Osseodensification outperforms conventional implant subtractive instrumentation: a study in sheep. Mater Sci Eng C Mater Biol Appl. 2018, 90:300- 7. 10.1016/j.msec.2018.04.051

39. Padhye NM, Padhye AM, Bhatavadekar NB: Osseodensification -- a systematic review and qualitative analysis of published literature. J Oral Biol Craniofac Res. 2020, 10:375-80. 10.1016/j.jobcr.2019.10.002

40. Deli, G.; Petrone, V.; De Risi, V.; Tadic, D.; Zafiropoulos, G.-G. Longitudinal implant stability measurements based on resonance frequency analysis after placement in healed or regenerated bone. J. Oral Implant. 2014, 40, 438–447.

Published

2024-04-17

How to Cite

Primary Implant Stability: A Crucial Pillar in Implantology. (2024). Academia Journal of Medicine, 7(1), 24-34. https://medjournal.co.in/index.php/ajm/article/view/20