Initial Stability of Two Dental Implant Systems: Influence of Buccolingual Width and Probe Orientation on Resonance Frequency Measurements

Abstract

Although many factors seem to have an impact on the resonance frequency (RF) values of implants, there is a lack of evidence about some other parameters, which may have an influence on implant stability. The aims of the study were to determine whether initial stability of a dental implant differs when the buccolingual width of the bone changes, to determine whether different orientations affect the RF measurements in the RF device, and to investigate two dental implants with different morphologies with regard to their initial stability. Two implant systems (Tidal Spiral Dental Implant Systems, Huntsville, AL, USA, and MIS Seven, MIS Implants Technologies Ltd., Shlomi, Israel) with diameters of 3.75 mm and 4.2 mm and with a length of 13 mm were used. Following the insertion of implants, buccolingual thinning of the models was performed in 2-mm increments ranging between 0 and 8 mm. A statistically significant decrease for implant stability quotient (ISQ) values was noticed for both diameters and both systems for all dimensional time points of the blocks (p < .05). The second system (more number of threads) resulted with higher ISQ values for both diameters than the first system (lower number of threads) (p < .001). The orientation of the probe influenced the measurements, where a standard orientation is advisable for the magnetic RF device. Different implant surface geometries seem to behave in different patterns in terms of initial stability. Dimensional changes in buccolingual direction seem to have an impact on the initial stability, where wider implants also presented higher ISQ values than narrow ones.