THE INFLUENCING FACTORS OF $PERIOTEST^(R)$ VALUE AND IMPLANT STABILITY QUOTIENT

$Periotest^(R)$ Value와 Implant Stability Quotient에 영향을 미치는 요소

  • Yi Young-Ah (Department of Prosthodontics, College of Dentistry, Yonsei University) ;
  • Cha In-Ho (Department of Prosthodontics, College of Dentistry, Yonsei University) ;
  • Lee Ho-Yong (Department of Prosthodontics, College of Dentistry, Yonsei University) ;
  • Han Dong-Hoo (Department of Prosthodontics, College of Dentistry, Yonsei University)
  • 이영아 (연세대학교 치과대학 치과보철학교실) ;
  • 차인호 (연세대학교 치과대학 치과보철학교실) ;
  • 이호용 (연세대학교 치과대학 치과보철학교실) ;
  • 한동후 (연세대학교 치과대학 치과보철학교실)
  • Published : 2006.02.01

Abstract

Statement of problem: $Periotest^(R)\;and\;Osstell^{TM}$ were known as the most objective and quantitative mobility tests available for evaluating stability of implant in vivo. Although a correlation between PTV widely used and ISQ recently introduced exist, a PTV was corresponded to various ISQ. A correct evaluation of implant stability could be obtained only after one has a thorough understanding of the limitations of devices and factors that affect measurements. Purpose: The purpose of this study was to investigate the causes of variables in the values obtained with these two tests. Material and method: A total of 333 implants 134 $Br{\aa}nemark$, 5 Silhouette and 194 ITI implants were investigated. Result: 1. There was a correlation between PTV and ISQ (Spearman correlation =0.39, p<0.0001) 2. The factors that affected ISQ were diameter of implant future, location of implant and implant system (submerged type vs non-submerged type). 3. The factors that affected W were dimeter of implant future, location of implant, and elapsed time after implant placement. 4. There was no significant difference between different surface treatments of RBM, smooth surface and ti-unite on PTY and ISQ. 5. In radiographic finding, no saucerization or bone resorption has been detected in implants with ISQ values that were above the average level of each PTV. These higher values had higher bone densities around the implant fixture. Saucerization was observed in the most impants with ISQ values that were below the average level of each PTV. Conclusion: There was a correlation between ISQ and PTV. However, each measuring methods had factors influencing the measured values. PTV were less sensitive to marginal bone resorption and influenced with the striking point on an implant to the level of bone. With ISQ, the height of implant from bone level to transducer should be considered.

Keywords

References

  1. Branemark PI, Zarb G, Albreksson T. Tissue integrated prosthesis : Osseointegration in clinical dentistry. Quintessence 1995
  2. Zarb G. Albreksson T. Osseointegration : A requiem for the periodontal ligament? An editorial. Int J of Perio and Rest Dent 1995: 11 :88-91
  3. Albreksson T, Eriksson AR, Friberg B. Lekholm U, Lindahl I. Nevins M, et al. Histologic investigations on 33 retrieved Nobelpharma implant. Clinical Materials 1993:12:1-9 https://doi.org/10.1016/0267-6605(93)90021-X
  4. Albreksson T, Zarb G. Worthington P. Eriksson RA. The long-term efficacy of currently used dental implants: A review and proposed criteria of success. Int J of Oral and Maxillofacial Implants 1986: 1:11-25
  5. Caulier H. Naert I. Kalk W. The relationship of some histologic parameters. radiographic evaluations, and periotest measurements of oral implants: An experimental animal study. Int J Oral Maxillofac Implants 1997: 3: 380
  6. Schulte W. d Hoedt B, lukas D. Periotest for measuring periodontal characteristics- correlation with periodontal bone loss. J Periodont Res 1992
  7. Chavez H et al. Assessment of oral implant mobility. JPD 1993
  8. Ohlenbusch B, et al. The reliability of periotest values and peri-implant probing. In 5th International congress on preprosthetic surgery. 1993
  9. Teerlinck J. Perio test: An object clinical diagnosis of bone apposition toward implants. Int J Oral Maxillofac Implants 1991 :6: 55-61
  10. Olive J, Aparicio C. The periotest method as a measure of osseointegrated oral implant stability. Int J Oral Masillofac Implants 1990:5:390-400
  11. Faulkner MG, Lipsett AW, Wolfarddt JF. The use and abuse of the periotest for 2piece implant/abutment systems. Int J Oral Maxillofac Implant 2001
  12. Meredith N, Cawley P, Alleyne D. The application of modal vibration analysis to study bone healing in-vivo. Journal of Dental Research 1994:73:793
  13. Meredith N, Alleyne D, Cawley P. Quantitative determination of stability of the implant- tissue interface using resonance frequency analysis. Clin Oral Implants Res 1996:7:261-7 https://doi.org/10.1034/j.1600-0501.1996.070308.x
  14. Park JH, Han DH. A comparative study of Implant stability evaluation using clinical measurement of$ Periotest^{\circledR}$ and $Osstell^{TM}$. Yonsei graduate school, Seoul, 2004
  15. Nkenke E, Hahn M, Weinzierl K. Radespiel-Troger M, Neukam FW, Engelke K. Implant stability and hisomorphometry: a correlation study in human cadavers using stepped cylinder implants. Clin Oral Impl Res 2003:14:601-609 https://doi.org/10.1034/j.1600-0501.2003.00937.x
  16. Huang HM, Chiu CL, Yeh CY, Lin LH, Lee SY. Early detection of implant healing process using resonance frequency analysis. Clin Oral Implants Res 2003; 14:437-43 https://doi.org/10.1034/j.1600-0501.2003.00818.x
  17. Huang HM, Chiu CL, Yeh CY, Lee SY. Factors influencing the resonance frequency of dental implants. J Oral Maxillofac Surg 2003;61:1184-8 https://doi.org/10.1016/S0278-2391(03)00680-3
  18. Barewell RM, Oates TW, Meredith N, Cochran DL. Resonance frequency measurement of impalnt stability in vivo on impalnts with a sandblasted and acid-etched surface. Int J Oral Maxillofacial Implants 2003:18:641-51
  19. Meredith N, Book K, Friberg B, Jemt T, Sennerby L. Resonance frequncy measurements of implant stability in vivo. a cross -sectional and longitudinal study of resonance frequncy measurements on implants in the edentulous and partially dentate maxilla. Clin Oral Implants Res 1997:8:226-33 https://doi.org/10.1034/j.1600-0501.1997.080309.x
  20. Meredith N, Sennerby F, Alleyne D, Snnerby L, Cawley P. The appliction of resonance frequency measurements to study the stability of titanium implants during healing in the rabbit tibia. Clin Oral Implants Res 1997:8:234-243 https://doi.org/10.1034/j.1600-0501.1997.080310.x
  21. Albrektsson TO, Johansson CB, Sennerby L. Biological aspects of implant dentistry : osseointegration. Periodontol 1994:4: 58-73 https://doi.org/10.1111/j.1600-0757.1994.tb00006.x
  22. Van Steenberghe D. Dampping characteristics of bone-to-implant interfaces. Clin Oral Impl Res 1995;6:31-39 https://doi.org/10.1034/j.1600-0501.1995.060104.x