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Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial

versão impressa ISSN 1646-2890versão On-line ISSN 1647-6700

Resumo

MOREIRA, André et al. Influence of implant design, length, diameter, and anatomic region on implant stability: a randomized clinical trial. Rev Port Estomatol Med Dent Cir Maxilofac [online]. 2021, vol.62, n.1, pp.9-15.  Epub 31-Mar-2021. ISSN 1646-2890.  https://doi.org/10.24873/j.rpemd.2021.03.822.

Objectives:

To evaluate the influence of implant geometry and anatomical region on implant stability.

Methods:

A randomized controlled clinical trial was conducted on 45 patients, in whom a total of 79 implants were placed: 40 MIS C1 Implants and 39 MIS Seven Implants. The implant stability quotient was measured using resonance frequency analysis immediately after implant placement and 8 weeks later with an Osstell Mentor device.

Results:

76 implants were analyzed. The implant stability quotient was statistically significantly higher for secondary stability than primary stability (68.7}8,6 vs. 65.2}10.3, respectively, p=0.023). Considering primary stability, no statistical differences were found between the implant lengths 8.0 mm, 10.0 mm, 11.0 mm, and 11.5 mm (67.9}7.6, 63.9}10, 57.2}11.1, and 66.4}11.3, respectively, p=0.312). The same was observed for secondary stability (68.4}9.4, 67.9}9.3, 74.7}1.5, and 69.2}7.9, respectively, p=0.504). Also, there were no statistically significant differences between the implant diameters 3.75 mm and 4.20 mm concerning primary stability (64.3}8.7 and 66.1}11.7 respectively, p=0.445) or secondary stability (68.8}8.2 and 68.7}9.1 respectively, p=0.930). Regarding implant design, a statistically significant difference was found only for secondary stability, favoring MIS Seven implants (p=0.048). The intraoral location was statistically significant for both primary and secondary stability, as these were higher on the anterior maxilla than the posterior maxilla and mandible (p<0.05).

Conclusions:

The diameter and length of the implants studied did not influence their stability. Implant design may influence secondary stability, whereas intraoral location has a relevant effect on primary and secondary stability.

Palavras-chave : Implant design; Implant diameter; Implant length; Implant stability; Osseointegration; Resonance frequency analysis.

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