The relationship of implant stability quotient and insertion torque in dental implant stability

Abstract

Background: The insertion torque (IT) values and implant stability quotient (ISQ) values are the measurements most used to assess primary implant stability. This study aimed to assess the relationship between ISQ values and IT. Materials and methods: This study included 24 patients with a mean (SD) age of 47.9 (13.64) years (range 25-75 years). The patients received 42 dental implants (DI), 33 in the mandible and 9 in the maxilla. The DI were installed using the motorized method with 35 Ncm torque, When DI could not be inserted to the requisite depth by the motorized method, a hand ratchet was used and the IT was recorded as ˃ 35 Ncm. Implant stability was measured utilizing Osstell® ISQ. The secondary stability was measured after 16 weeks postoperatively.Results: The DI installed in mandible demonstrated significantly higher primary stability ISQ values than those installed in maxilla (P=0.0101). There was no such significant correlation linked between the secondary stability and the recipient jaw (P=0.2026). A non-significant correlation was found between the primary and secondary implant stability ISQ values and IT (P=0.2785 and 0.4194, respectively). No significant difference was reported regarding the IT relative to the recipient jaw of DI (P=0.1349).Conclusion: This study demonstrated that there was no relationship between the ISQ values and the IT, and that they should be used independently. DI installed in mandible demonstrated significantly higher primary stability ISQ values than those installed in maxilla. Also, there was a non-significant correlation of the secondary stability and IT with the recipient jaw.