COMPARISON OF IMMEDIATE VERSUS EARLY LOADED DENTAL IMPLANTS IN THE POSTERIOR MANDIBLE USING RESONANCE FREQUENCY ANALYSIS | ||||
Alexandria Dental Journal | ||||
Article 15, Volume 41, Issue 1, April 2016, Page 92-98 PDF (929.69 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/adjalexu.2016.59181 | ||||
![]() | ||||
Authors | ||||
Hanafy Tarek M.* ; Mohamed Nevein S.* ; Eldibany Riham M.* | ||||
D.S. Faculty of Dentistry, Alexandria University, Egypt. | ||||
Abstract | ||||
INTRODUCTION: The clinical measurement of implant stability and osseointegration is important to be able to assess success in implant dentistry. It is now possible to measure implant stability at any time during the course of implant treatment and loading. OBJECTIVE: This study was designed to compare the implant stability of both the immediately and the early loaded dental implants in the posterior mandible by resonance frequency analysis using Osstell ISQ. MATERIALS AND METHODS: Fourteen patients were included in this study (n=14). They were divided in two groups; group I (n=7) and group II (n=7). Group I: Seven patients having missing mandibular molars received an implant in the posterior mandible followed by immediate loading of provisional restoration (immediate loading). Group II: Seven patients having missing mandibular molars received an implant in the posterior mandible and the provisional restoration delivered one month post-insertion (early loading). All patients received dentium superline implant system with an SLA (sandblasted and acid etched) surface. Implant stability quotient (ISQ) was measured using resonance frequency analysis by the OsstellTM device (Osstell Mentor) wireless device. The implant stability was measured immediately post-operative and on intervals of 1, 3 and 6 months. RESULTS: The mean implant stability values in immediate and early loading immediately post-operatively was 69.0±10.71, 61.86±14.22 respectively. There was an increase after 3rd month to be 71.29±2.14, 75.86±3.18 respectively. The implant stability continued to increase after 6th month to be 71.29±4.61, 77.71±1.60 respectively. The increase in implant stability after 3rd and 6th month was statistically significant. CONCLUSION: The mean implant stability quotient (ISQ) increased throughout the follow-up period | ||||
Keywords | ||||
implant stability; immediate loading; resonance frequency analysis | ||||
References | ||||
1. Brånemark PI. Introduction to osseointegration. In: Brånemark PI, Zarb GA, Albrektsson T, (eds). Tissueintegrated prostheses: Osseointegration in clinical dentistry. 1st ed. 1985, Chicago: Quintessence Publ. Co. 11-71.
2. Berglundh T, Abrahamsson I, Lang NP, Lindhe J. De novo alveolar bone formation adjacent to endosseous implants. Clin Oral Implants Res 2003; 14: 251-62.
3. Misch CE, Wang HL, Misch CM, Sharawy M, Lemons J, Judy KW. Rationale for the application of immediate load in implant dentistry: Part I. I Implant Dent 2004; 13: 207-15.
4. Brånemark P-I, Hansson BO, Adell R, et al. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr 1977; 16: 1-132.
5. Adell R, Lekholm U, Rockler B, Brånemark P-I. A 15- year study of osseointegrated implants in the treatment at the edentulous jaw. Int J Oral Surg 1981; 10: 387-416.
6. Brånemark P-I, Engstrand P, Ohrnell L-O, Gröndahl K, Nilsson P, Hagberg K, et al. Brånemark Novum: A new treatment concept for rehabilitation of the edentulous mandible. Preliminary results from a prospective clinical follow-up study. Clin Implant Dent Relat Res 1999; 1: 2-16.
7. Schnitman PA, Wöhrle PS, Rubenstein JE, DaSilva JD, Wang NH. Ten-year results for Brånemark implants immediately loaded with fixed prostheses at implant placement. Int J Oral Maxillofac Implants 1997; 12: 495-503.
8. Tarnow DP, Emtiaz S, Classi A. Immediate loading of threaded implants at stage 1 surgery in edentulous arches: ten consecutive case reports with 1- to 5-year data. Int J Oral Maxillofac Implants 1997; 12: 319-24.
9. Chiapasco M, Gatti C, Rossi E, Haefliger W, Markwalder TH. Implant-retained mandibular overdentures with immediate loading. A retrospective multicenter study on 226 consecutive cases. Clin Oral Implants Res 1997; 8: 48-57.
10. Ericsson I, Randow K, Nilner K, Peterson A. Early functional loading of Brånemark dental implants: 5-year clinical follow-up study. Clin Implant Dent Relat Res 2000; 2: 70-7.
11. Gatti C, Haefliger W, CHiapasco M. Implant-retain mandibular overdentures with immediate loading: A prospective study of ITI implants. Int J Oral Maxillofac Implants 2000; 15: 383-388.
12. Wolfinger GJ, Balshi TJ, Rangert B. Immediate functional loading of Brånemark system implants in edentulous mandibles: clinical report of the results of developmental and simplified protocols. Int J Oral Maxillofac Implants 2003; 18: 250-257.
13. Schnitman P, Wohrle P, Rubenstein J. Immediate fixed prostheses supported by two-stage threaded implants. Methodology and results. J Oral Implantol 1990; 16: 96- 105.
14. 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.
15. Wennerberg A, Albrektsson T, Andersson B, Krol JJ. A histomorphometric and removal torque study of screwshaped titanium implants with three different surface topographies. Clin Oral Implants Res 1995; 6: 24-30.
16.Carlsson L, Albrektsson T, Berman C. Bone response to plasma-cleaned titanium implants. Int J Oral Maxillofac Implants 1989; 4: 199-204.
17. Olive J, Aparicio C. The periotest method as a measure of osseointegrated oral implant stability. Int J Oral Maxillofac Implants 1990; 5: 390-400.
18. Veltri M, Balleri P, Ferrari M. Influence of transducer orientation on Osstell stability measurements of osseointegrated implants. Clin Implant Dent Relat Res 2007; 9: 60-4.
19. Meredith N, Book K, Friberg B, Jemt T, Sennerby L. Resonance frequency measurements of implants stability in vivo. A cross-sectional and longitudinal study of resonance frequency measurements on implants in the edentulous and partially dentate maxilla. Clin Oral Implants Res 1997; 8: 226-33.
20. Zarb GA, Alberktsson T. Criteria for determining clinical success with osseointegrated dental implants. Cah Prothese 1990; 71: 19-26.
21. Atsumi M, Park SH, Wang HL. Methods used to assess implant stability: current status. Int J Oral Maxillofac Impalnts 2007; 22: 743-54.
22.Jaramillo R, Santos R, Lazaro P, Romero M, RiosSantos JV, Bullon P, et al. Comparative analysis of 2 resonance frequency measurement devices: Osstell Mentor and Osstell ISQ. J Implant Dent 2014; 23: 351- 6.
23. Östman PO, Hellman M, Sennerby L. Direct implant loading in the edentulous maxilla using a bone density – adapted surgical protocol and primary implant stability criteria for inclusion. Clin Implant Dent Relat Res 2005; 7: 560-9.
24. Östman PO, Hellman M, Sennerby L. Occlusal loading of implants in the partially edentate mandible: A prospective 1-year radiographic and 4-year clinical study. Int J Oral Maxillofac Implants 2008; 23: 315-22.
25. Mombelli A, van Oosten MAC, Schürch E Jr, Land NP. The microbiota associated with successful or failing osseointegrated titanium implants. Oral Microbiol Immunol 1987; 2: 145-51.
26. Manfredini D, Poggio CE, Lobbezoo F. Is Bruxism a risk factor for dental implants? A systematic review of the literature. Clin Implant Dent Relat Res 2014; 16: 460-9.
27.Cochran DL, Schenk RK, Lussi A, Higginbottom FL, Buser D. Bone response to unloaded and loaded titanium implants with a sandblasted and acid etched surface: A histometric study in the canine mandible. J Biomed Mater Res 1998; 40: 1-11.
28.Brunski JB. Biomechanical factors affecting the bonedental implant interface. Clin Mater 1992; 10: 153-201.
29. Davies JE. Mechanisms of endosseous integration. Int J Prosthodont 1998; 11: 391-401.
30. Sim CP, Lang NP. Factors influencing resonance frequency analysis assessed by osstellmentor during implant tissue integration: I. Instrument positioning, bone structure, implant length. Clin Oral Implants Res 2010; 21: 598-604.
31. Kessler-Liechti G, Zix J, Mericske-Stern R. Stability measurements of 1-stage implants in the edentulous mandible by means of resonance frequency analysis. Int J Oral Maxillofac Implants 2008; 23: 353-8.
32. Glauser R, Sennerby L, Meredith N, Rée A, Lundgren A, Gottlow J, et al. Resonance frequency analysis of implants subjected to immediate or early functional occlusal loading-successful vs. failing implants. Clin Oral Implants Res 2004; 15: 428-34.
33. Vanden Bogaerde L, Rangert B, Wendelhag I. Immediate/early function of Brånmark system Ti Unite implants in fresh extraction Sockets in maxillae and posterior mandibles. An 18-month prospective clinical study. Clin Implant Dent Relat Res 2005; 7(Suppl 1): 121-30.
34. Huwiler MA, Pjetursson BE, Bosshardt DD, Salv I GE, Lang NP. Resonance frequency analysis in relation to jawbone characteristics and during early healing of implant installation. Clin Oral Implants Res 2007; 18: 275-80.
35. Kim SJ, Kim MR, Rim JS, Chung SM, Shin SW. Comparison of implant stability after different implant surface treatments in dog bone. J Appl Oral Sci 2010; 18: 415-20.
36. Achilli A, Tura F, Euwe E. Immediate/early function with tapered implants supporting maxillary and mandibular posterior fixed partial dentures: Preliminary results of a prospective multicenter study. J Prosthet Dent 2007; 97(Suppl 6): S52-S8.
37. Ganeles J, Zöllner A, Jackowski J, Ten Bruggenkate C, Beagle J, Guerva F. Immediate and early loading of straumann implants with a chemically modified surface (SLActive) in the posterior mandible and maxilla: 1- year results from a prospective multicenter study. Clin Oral Implants Res 2008; 19: 1119-28.
38.Buchs AU, Levine L, Moy P. Preliminary report of immediately loaded altiva natural tooth replacement dental implants. Clin Implant Dent Relat Res 2001; 3: 97-106.
39. Abboud M, Koeck B, Stark H, Wahl G, Pailbn R. Immediate loading of single-tooth implants in the posterior region. Int J Oral Maxillofac Implants 2005; 20: 61-8. | ||||
Statistics Article View: 106 PDF Download: 371 |
||||