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Relationship and changes of primary and secondary stability in Dental Implants : A Review

Reza Miri, Alireza Shirzadeh, Hamed Kermani, Amin Khajavi

Abstract


Background: The most important criteria for a successful implant are obtaining and securing the stability of the implant. Various implant systems reach different levels of stability depending on their designs and their arrangement in the bone. Clinical findings suggest that stability of the implant is largely responsible for the success of the implant treatment. Implant stability is categorized into two phases: Initial stability (which is a mechanical phenomenon) and secondary stability (which is a biological phenomenon created by osteointegration). Aim: This paper scrutinizes and critically compares the results of different studies on the changes in stability and the correlation between initial and secondary stability. While most studies suggest a correlation between bone density and implant stability, some researches suggest the opposite. These discrepancies in results are most likely because of the differences in the methods used in these studies. For instance, the method of assessing bone quality is different across these studies. The term “bone quality” is not usually well-explained in papers. Moreover, the aforementioned studies have adopted different methods for measuring initial stability. In addition, the inconsistent results of these studies could be the result of using different tools. It was conventionally believed that the stability of the implant increases during the healing process. Conclusion: Recent studies suggest that implant stability during the healing process only increases for implants with low initial stabilities. Clinical Significance: Loss of stability during the healing can be observed in implants with high initial stabilities.

Keywords


Implant; primary; secondary; stability

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References


Adell R, Lekholm U, Rockler B, Brånemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 1981;10:387-416.

Esposito M, Hirsch JM, Lekholm U, Thomsen P. Biological factors contributing to failures of osseointegrated oral implants. (I). Success criteria and epidemiology. Eur J Oral Sci 1998;106:527-51.

Jemt T, Lekholm U, Adell R. Osseointegrated implants in the treatment of partially edentulous patients: A preliminary study on 876 consecutively placed fixtures. Int J Oral Maxillofac Implants 1989;4:211-7.

Tanaka T, Sakurai T, Kashima I. Structuring of parameters for assessing vertebral bone strength by star volume analysis using a morphological filter. J Bone Miner Metab 2001;19:150-8.

Lopes R, Betrouni N. Fractal and multifractal analysis: A review. Med Image Anal 2009;13:634-49.

Buser D, von Arx T, ten Bruggenkate C, Weingart D. Basic surgical principles with ITI implants. Clin Oral Implants Res 2000;11 Suppl 1:59

Branemark PI, Zarb GA, Albrektsson T. Tissue Integrated Prosthesis. 4th ed. Chicago: Quintessence Publishing Co. 1990. p. 11.

Misch CE. Contemporary Implant Dentistry. 1st ed. St. Louis: Mosby Elsevier; 1990. p. 1058.

Sennerby L, Roos J. Surgical determinants of clinical success of osseointegrated oral implants: A review of the literature. Int J Prosthodont 1998;11:408-20.

Atsumi M, Park SH, Wang HL. Methods used to assess implant stability: Current status. Int J Oral Maxillofac Implants 2007;22:743-54.

Simunek A, Strnad J, Kopecka D, Brazda T, Pilathadka S, Chauhan R, et al. Changes in stability after healing of immediately loaded dental implants. Int J Oral Maxillofac Implants 2010;25:1085-92.

Zhou W, Han C, Yunming L, Li D, Song Y, Zhao Y. Is the osseointegration of immediately and delayed loaded implants the same? - Comparison of the implant stability during a 3-month healing period in a prospective study. Clin Oral Implants Res 2009;20:1360-6.

Marquezan M, Osório 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.

Bergkvist G, Koh KJ, Sahlholm S, Klintström E, Lindh C. Bone density at implant sites and its relationship to assessment of bone quality and treatment outcome. Int J Oral Maxillofac Implants 2010;25:321-8.

Molly L. Bone density and primary stability in implant therapy. Clin Oral Implants Res 2006;17 Suppl 2:124-35.

Lekholm U, Zarb GA. Patient selection and preparation. In: Branemark PI, Zarb GA, Albrektsson T, editors. Tissue Integrated Prostheses: Osseointegration in Clinical Dentistry. Chicago: Quintessence Publishing Company; 1985. p. 199-209.

Todisco M, Trisi P. Bone mineral density and bone histomorphometry are statistically related. Int J Oral Maxillofac Implants 2005;20:898-904.

Shapurian T, Damoulis PD, Reiser GM, Griffin TJ, Rand WM. Quantitative evaluation of bone density using the Hounsfield index. Int J Oral Maxillofac Implants 2006;21:290-7.

Turkyilmaz I, Tözüm TF, Tumer C, Ozbek EN. Assessment of correlation between computerized tomography values of the bone, and maximum torque and resonance frequency values at dental implant placement. J Oral Rehabil 2006;33:881-8.

Pagliani L, Motroni A, Nappo A, Sennerby L. Short communication: Use of a diagnostic software to predict bone density and implant stability in preoperative CTs. Clin Implant Dent Relat Res 2012;14:553-7.

Merheb J, Van Assche N, Coucke W, Jacobs R, Naert I, Quirynen M. Relationship between cortical bone thickness or computerized tomography-derived bone density values and implant stability. Clin Oral Implants Res 2010;21:612-7.

Friberg B, Sennerby L, Meredith N, Lekholm U. A comparison between cutting torque and resonance frequency measurements of maxillary implants. A 20-month clinical study. Int J Oral Maxillofac Surg 1999;28:297-303.

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.

Simunek A, Kopecka D, Brazda T, Strnad I, Capek L, Slezak R. Development of implant stability during early healing of immediately loaded implants. Int J Oral Maxillofac Implants 2012;27:619-27.

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

Rozé J, Babu S, Saffarzadeh A, Gayet-Delacroix M, Hoornaert A, Layrolle P. Correlating implant stability to bone structure. Clin Oral Implants Res 2009;20:1140-5.

Rasmusson L, Kahnberg KE, Tan A. Effects of implant design and surface on bone regeneration and implant stability: An experimental study in the dog mandible. Clin Implant Dent Relat Res 2001;3:2-8.

Sim CP, Lang NP. Factors influencing resonance frequency analysis assessed by osstell mentor during implant tissue integration: I. Instrument positioning, bone structure, implant length. Clin Oral Implants Res 2010;21:598-604.

Karl M, Graef F, Heckmann S, Krafft T. Parameters of resonance frequency measurement values: A retrospective study of 385 ITI dental implants. Clin Oral Implants Res 2008;19:214-8.

Oates TW, Valderrama P, Bischof M, Nedir R, Jones A, Simpson J, et al. Enhanced implant stability with a chemically modified SLA surface: A randomized pilot study. Int J Oral Maxillofac Implants 2007;22:755-60.

Himmlova L, Dostalova T, Kacovsky A, Konvickova S. Influence of implant length and diameter on stress distribution: A finite element analysis. J Prosthet Dent 2004;91:20-5.

Strnad J, Urban K, Povysil C, Strnad Z. Secondary stability assessment of titanium implants with an alkali-etched surface: A resonance frequency analysis study in beagle dogs. Int J Oral Maxillofac Implants 2008;23:502-12.

Ellingsen JE, Johansson CB, Wennerberg A, Holmén A. Improved retention and bone-tolmplant contact with fluoride-modified titanium implants. Int J Oral Maxillofac Implants 2004;19:659-66.

Protivínský J, Appleford M, Strnad J, Helebrant A, Ong JL. Effect of chemically modified titanium surfaces on protein adsorption and osteoblast precursor cell behavior. Int J Oral Maxillofac Implants 2007;22:542-50.

Geckili O, Bilhan H, Bilgin T. A 24-week prospective study comparing the stability of titanium dioxide grit-blasted dental implants with and without fluoride treatment. Int J Oral Maxillofac Implants 2009;24:684-8.

Valderrama P, Jones AA, Wilson TG Jr, Higginbottom F, Schoolfield JD, Jung RE, et al. Bone changes around early loaded chemically modified sandblasted and acid-etched surfaced implants with and without a machined collar: A radiographic and resonance frequency analysis in the canine mandible. Int J Oral Maxillofac Implants 2010;25:548-57.

Lai HC, Zhang ZY, Wang F, Zhuang LF, Liu X. Resonance frequency analysis of stability on ITI implants with osteoblast sinus floor elevation technique without grafting: A 5 month prospective study. Clin Oral Implants Res 2008;19:469-75.

Abrahamsson I, Linder E, Lang NP. Implant stability in relation to osseointegration: An experimental study in the Labrador dog. Clin Oral Implants Res 2009;20:313-8.

West JD, Oates TW. Identification of stability changes for immediately placed dental implants. Int J Oral Maxillofac Implants 2007;22:623-30.

Balashi SF, Allen FD, Wolfinger GJ, Blashi TJ. A resonancefrequency analysis assessment of maxillary and mandibular immediatly loaded implants. Int J Oral Maxillofac Implants 2005;20:584-94.

Turkyilmaz I, McGlumphy EA. Influence of bone density on implant stability parameters and implant success: A retrospective clinical study. BMC Oral Health 2008;8:32.

da Cunha HA, Francischone CE, Filho HN, de Oliveira RC. A comparison between cutting torque and resonance frequency in the assessment of primary stability and final torque capacity of standard and TiUnite single-tooth implants under immediate loading. Int J Oral Maxillofac Implants 2004;19:578-85.

Seong WJ, Holte JE, Holtan JR, Olin PS, Hodges JS, Ko CC. Initial stability measurement of dental implants placed in different anatomical regions of fresh human cadaver jawbone. J Prosthet Dent 2008;99:425-34.

Cornelini R, Cangini F, Covani U, Barone A, Buser D. Immediate loading of implants with 3-unit fixed partial dentures: A 12-month clinical study. Int J Oral Maxillofac Implants 2006;21:914-8.

Cehreli MC, Karasoy D, Akca K, Eckert SE. Meta-analysis of methods used to assess implant stability. Int J Oral Maxillofac Implants 2009;24:1015-32.

Schätzle M, Männchen R, Balbach U, Hämmerle CH, Toutenburg H, Jung RE. Stability change of chemically modified sandblasted/acid-etched titanium palatal implants. A randomized-controlled clinical trial. Clin Oral Implants Res 2009;20:489-95.

Degidi M, Daprile G, Piattelli A. Determination of primary stability: A comparison of the surgeon’s perception and objective measurements. Int J Oral Maxillofac Implants 2010;25:558-61.

Kahraman S, Bal BT, Asar NV, Turkyilmaz I, Tözüm TF. Clinical study on the insertion torque and wireless resonance frequency analysis in the assessment of torque capacity and stability of self-tapping dental implants. J Oral Rehabil 2009;36:755-61.

Ohta K, Takechi M, Minami M, Shigeishi H, Hiraoka M, Nishimura M, et al. Influence of factors related to implant stability detected by wireless resonance frequency analysis device. J Oral Rehabil 2010;37:131-7.

Martinez H, Davarpanah M, Missika P, Celletti R, Lazzara R. Optimal implant stabilization in low density bone. Clin Oral Implants Res 2001;12:423-32.

Farré-Pagés N, Augé-Castro ML, Alaejos-Algarra F, Mareque- Bueno J, Ferrés-Padró E, Hernández-Alfaro F. Relation between bone density and primary implant stability. Med Oral Patol Oral Cir Bucal 2011;16:e62-7.

Ikumi N, Tsutsumi S. Assessment of correlation between computerized tomography values of the bone and cutting torque values at implant placement: A clinical study. Int J Oral Maxillofac Implants 2005;20:253-60.

Friberg B, Jisander S, Widmark G, Lundgren A, Ivanoff CJ, Sennerby L, et al. One-year prospective three-center study comparing the outcome of a “soft bone implant” (prototype Mk IV) and the standard Brånemark implant. Clin Implant Dent Relat Res 2003;5:71-7.

Beer A, Gahleitner A, Holm A, Tschabitscher M, Homolka P. Correlation of insertion torques with bone mineral density from dental quantitative CT in the mandible. Clin Oral Implants Res 2003;14:616-20.


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