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Comparison of implant stability measurements between a resonance frequency analysis device and a modified damping capacity analysis device: an in vitro study

  • Lee, Jungwon (Department of Periodontics, One-Stop Specialty Center, Seoul National University Dental Hospital) ;
  • Pyo, Se-Wook (Department of Dentistry, Ajou University School of Medicine) ;
  • Cho, Hyun-Jae (Department of Preventive Dentistry & Public Oral Health, Seoul National University School of Dentistry) ;
  • An, Jung-Sub (Department of Orthodontics, Seoul National University Dental Hospital) ;
  • Lee, Jae-Hyun (Department of Prosthodontics, One-Stop Specialty Center, Seoul National University Dental Hospital) ;
  • Koo, Ki-Tae (Department of Periodontology and Dental Research Institute, Seoul National University School of Dentistry) ;
  • Lee, Yong-Moo (Department of Periodontology and Dental Research Institute, Seoul National University School of Dentistry)
  • Received : 2019.05.18
  • Accepted : 2020.02.14
  • Published : 2020.02.28

Abstract

Purpose: A stability-measuring device that utilizes damping capacity analysis (DCA) has recently been introduced in the field of dental implantology. This study aimed to evaluate the sensitivity and reliability of this device by measuring the implant stability of ex vivo samples in comparison with a resonance frequency analysis (RFA) device. Methods: Six implant beds were prepared in porcine ribs using 3 different drilling protocols to simulate various implant stability conditions. Thirty-six pork ribs and 216 bone-level implants measuring 10 mm in height were used. The implant beds were prepared using 1 of the following 3 drilling protocols: 10-mm drilling depth with a 3.5-mm-diameter twist drill, 5-mm drilling depth with a 4.0-mm-diameter twist drill, and 10-mm drilling depth with a 4.0-mm-diameter twist drill. The first 108 implants were external-connection implants 4.0 mm in diameter, while the other 108 implants were internal-connection implants 4.3 mm in diameter. The peak insertion torque (PIT) during implant placement, the stability values obtained with DCA and RFA devices after implant placement, and the peak removal torque (PRT) during implant removal were measured. Results: The intraclass correlation coefficients (ICCs) of the implant stability quotient (ISQ) results obtained using the RFA device at the medial, distal, ventral, and dorsal points were 0.997, 0.994, 0.994, and 0.998, respectively. The ICCs of the implant stability test (IST) results obtained using the DCA device at the corresponding locations were 0.972, 0.975, 0.974, and 0.976, respectively. Logarithmic relationships between PIT and IST, PIT and ISQ, PRT and IST, and PRT and ISQ were observed. The mean absolute difference between the ISQ and IST values on a Bland-Altman plot was -6.76 (-25.05 to 11.53, P<0.05). Conclusions: Within the limits of ex vivo studies, measurements made using the RFA and DCA devices were found to be correlated under a variety of stability conditions.

Keywords

References

  1. Oh JS, Kim SG, Lim SC, Ong JL. A comparative study of two noninvasive techniques to evaluate implant stability: Periotest and Osstell Mentor. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:513-8. https://doi.org/10.1016/j.tripleo.2008.08.026
  2. Zix J, Hug S, Kessler-Liechti G, Mericske-Stern R. Measurement of dental implant stability by resonance frequency analysis and damping capacity assessment: comparison of both techniques in a clinical trial. Int J Oral Maxillofac Implants 2008;23:525-30.
  3. Becker W, Hujoel P, Becker BE. Resonance frequency analysis: comparing two clinical instruments. Clin Implant Dent Relat Res 2018;20:308-12. https://doi.org/10.1111/cid.12598
  4. Jaramillo R, Santos R, Lazaro P, Romero M, Rios-Santos JV, Bullon P, et al. Comparative analysis of 2 resonance frequency measurement devices: Osstell Mentor and Osstell ISQ. Implant Dent 2014;23:351-6. https://doi.org/10.1097/ID.0000000000000072
  5. Lages FS, Douglas-de Oliveira DW, Costa FO. Relationship between implant stability measurements obtained by insertion torque and resonance frequency analysis: a systematic review. Clin Implant Dent Relat Res 2018;20:26-33. https://doi.org/10.1111/cid.12565
  6. Choi HH, Chung CH, Kim SG, Son MK. Reliability of 2 implant stability measuring methods in assessment of various periimplant bone loss: an in vitro study with the Periotest and Osstell Mentor. Implant Dent 2014;23:51-6. https://doi.org/10.1097/ID.0000000000000000
  7. Bilhan H, Cilingir A, Bural C, Bilmenoglu C, Sakar O, Geckili O. The evaluation of the reliability of Periotest for implant stability measurements: an in vitro study. J Oral Implantol 2015;41:e90-5. https://doi.org/10.1563/AAID-JOI-D-13-00303
  8. Lekholm U, Zarb GA. Patient selection and preparation. In: Branemark PI, Zarb GA, Albrektsson T, editors. Tissue-integrated prostheses: osseointegration in clinical dentistry. Chicago (IL): Quintessence; 1985. p.199-209.
  9. 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;7:261-7. https://doi.org/10.1034/j.1600-0501.1996.070308.x
  10. Brizuela-Velasco A, Alvarez-Arenal A, Gil-Mur FJ, Herrero-Climent M, Chavarri-Prado D, Chento-Valiente Y, et al. Relationship between insertion torque and resonance frequency measurements, performed by resonance frequency analysis, in micromobility of dental implants: an in vitro study. Implant Dent 2015;24:607-11. https://doi.org/10.1097/ID.0000000000000318
  11. Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med 2016;15:155-63. https://doi.org/10.1016/j.jcm.2016.02.012
  12. Lee J, Lim JH, Lee J, Kim S, Koo KT, Seol YJ, et al. Efficacy of sonic-powered toothbrushes for plaque removal in patients with peri-implant mucositis. J Periodontal Implant Sci 2015;45:56-61. https://doi.org/10.5051/jpis.2015.45.2.56
  13. Geckili O, Bilhan H, Cilingir A, Mumcu E, Bural C. A comparative in vitro evaluation of two different magnetic devices detecting the stability of osseo-integrated implants. J Periodontal Res 2012;47:508-13. https://doi.org/10.1111/j.1600-0765.2011.01462.x
  14. Atsumi M, Park SH, Wang HL. Methods used to assess implant stability: current status. Int J Oral Maxillofac Implants 2007;22:743-54.
  15. Acil Y, Sievers J, Gulses A, Ayna M, Wiltfang J, Terheyden H. Correlation between resonance frequency, insertion torque and bone-implant contact in self-cutting threaded implants. Odontology 2017;105:347-53. https://doi.org/10.1007/s10266-016-0265-2
  16. Han HC, Lim HC, Hong JY, Ahn SJ, Han JY, Shin SI, et al. Primary implant stability in a bone model simulating clinical situations for the posterior maxilla: an in vitro study. J Periodontal Implant Sci 2016;46:254-65. https://doi.org/10.5051/jpis.2016.46.4.254
  17. Santamaria-Arrieta G, Brizuela-Velasco A, Fernandez-Gonzalez FJ, Chavarri-Prado D, Chento-Valiente Y, Solaberrieta E, et al. Biomechanical evaluation of oversized drilling technique on primary implant stability measured by insertion torque and resonance frequency analysis. J Clin Exp Dent 2016;8:e307-11.
  18. Turkyilmaz I, Sennerby L, Yilmaz B, Bilecenoglu B, Ozbek EN. Influence of defect depth on resonance frequency analysis and insertion torque values for implants placed in fresh extraction sockets: a human cadaver study. Clin Implant Dent Relat Res 2009;11:52-8. https://doi.org/10.1111/j.1708-8208.2008.00095.x
  19. Lachmann S, Laval JY, Jager B, Axmann D, Gomez-Roman G, Groten M, et al. Resonance frequency analysis and damping capacity assessment. Part 2: peri-implant bone loss follow-up. An in vitro study with the Periotest and Osstell instruments. Clin Oral Implants Res 2006;17:80-4. https://doi.org/10.1111/j.1600-0501.2005.01174.x
  20. 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;33:824-30. https://doi.org/10.11607/jomi.6285
  21. Lachmann S, Jager B, Axmann D, Gomez-Roman G, Groten M, Weber H. Resonance frequency analysis and damping capacity assessment. Part I: an in vitro study on measurement reliability and a method of comparison in the determination of primary dental implant stability. Clin Oral Implants Res 2006;17:75-9. https://doi.org/10.1111/j.1600-0501.2005.01173.x
  22. Marquezan M, Osorio A, Sant'Anna E, Souza MM, Maia L. Does bone mineral density influence the primary stability of dental implants? A systematic review. Clin Oral Implants Res 2012;23:767-74. https://doi.org/10.1111/j.1600-0501.2011.02228.x

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