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Implant insertional torque values predict outcomes.

Lee R Walker1, Gary A Morris, Paul J Novotny

  • 1Health Services, Mayo Clinic, Rochester, MN, USA.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|March 15, 2011
PubMed
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Higher insertional torque values (ITVs) during dental implant placement correlate with improved implant survival rates and shorter healing times. This provides valuable real-time surgical feedback for better patient outcomes.

Area of Science:

  • Dental Implantology
  • Biomaterials Science

Background:

  • Immediate implant placement into extraction sockets is a common procedure.
  • Assessing implant stability at placement is crucial for predicting success.

Purpose of the Study:

  • To investigate the relationship between insertional torque values (ITVs) and dental implant healing times.
  • To determine the correlation between ITVs and cumulative survival rates of dental implants.

Main Methods:

  • Retrospective analysis of 174 Osseotite dental implants placed immediately into molar extraction sites.
  • Insertional torque values (ITVs) were recorded during implant placement.
  • Implants were categorized into low, medium, and high ITV groups, with follow-up ranging from 2 to 4.8 years.

Main Results:

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  • A 3% implant removal rate occurred at placement due to instability.
  • Cumulative survival rates were significantly higher for high ITV group (96%) compared to medium (90%) and low (86%) ITV groups (P = .0302).
  • Higher ITVs were associated with reduced need for extended healing periods.

Conclusions:

  • Insertional torque values (ITVs) offer valuable real-time feedback during dental implant surgery.
  • ITVs aid surgeons in predicting implant survival and optimizing healing times.
  • Higher ITVs are linked to better long-term implant success and efficiency.