Abstract

BackgroundThe aim of this study was to investigate the clinicians’ experience on maintaining the primary stability of implants with aggressive threads belonging to a novel dental implant system.Material and MethodsThree hundred implants with aggressive threads were inserted in fresh bovine ribs mimicking Type IV bone by five clinicians which were classified according to their previous experience of total number of implant insertion. An independent examiner measured the primary stability of all implants after insertion by using resonance frequency analysis (RFA), electronic percussive testing (EPT) and removal torque methods.ResultsNo significant differences were detected between the stability values measured by the clinicians (p< 0.05) except the Periotest values (PTVs) of the non-experienced clinician. PTVs of the non-experienced clinician were significantly higher than the PTVs of the expert and good clinicians (p >0.05). Significantly higher stability values were detected in the secondary insertion of the non-experienced clinician as compared to her initial insertion values (p >0.05). No significant differences were detected between the first and second measurements of the other clinicians (p< 0.05).ConclusionsWithin the limitations of this ex-vivo study, it may be concluded that experience does not play an important role in maintaining the stability of implants with aggressive threads. Key words:Implantology, experimental design, osseointegration.

Highlights

  • Treatment of any kind of edentulism with dental implants have emerged to be a predictable option in dentistry

  • For achieving a successful implant treatment, dental implants should integrate to the surrounding bone which has been termed as osseointegration [1]

  • A total of 300 implants were inserted into the selected bovine bone ribs with a safe distance to each other by 5 different clinicians categorized based upon their clinical expertise on dental implant insertion as follows: 1. Expert: Clinician having an experience of more than 2000 implants 2

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Summary

Introduction

Treatment of any kind of edentulism with dental implants have emerged to be a predictable option in dentistry. For achieving a successful implant treatment, dental implants should integrate to the surrounding bone which has been termed as osseointegration [1]. To accomplish osseointegration, it has been well documented in the literature that implants should be adequately stabile in the bone both after the surgery and during the healing period [2,3,4,5]. Implant stability has been recently defined by Trisi and collegues [6] as “the value of relative micromotion between the implant and the surrounding bone.” Avoiding this micromotion and maintaining the stability immediately after surgery which is so-called as initial or primary stability depends on several factors such as the quality and quantity of the surrounding bone, the surgical technique used and the implant design [7,8,9]. The present ex-vivo study was conducted to investigate this effect on a novel dental implant system

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