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Comparison of stability changes of various palatal implants
Poonam K Jayaprakash1, Jayaprakash Mugur Basavanna2, Rudra Pratap Singh Thakur3
1Department of Orthodontics and Dentofacial Orthopedics, Kothiwal Dental College and Research Center, Mora Mustaqueem, Moradabad, Uttar Pradesh, India.
Journal of Family Medicine and Primary Care
|February 29, 2020
Summary
Chemically modified sandblasted/acid-etched (modSLA) titanium palatal implants show enhanced stability during early bone healing compared to standard SLA surfaces. This modification promotes faster osseointegration and improved implant stability over 12 weeks.
Area of Science:
- Biomaterials Science
- Dental Implantology
- Orthodontics
Background:
- Palatal implants are crucial for orthodontic anchorage.
- Assessing implant stability is vital for successful osseointegration.
- Surface modifications can influence implant-osseointegration dynamics.
Purpose of the Study:
- To compare the early-stage stability of chemically modified sandblasted/acid-etched (modSLA) titanium palatal implants against standard sandblasted/acid-etched (SLA) implants.
- To evaluate the impact of surface treatment on bone healing and implant stability.
Main Methods:
- 40 adult subjects were randomly assigned to modSLA (test) or SLA (control) groups (n=20 each).
- Implant stability was measured weekly using resonance frequency analysis (RFA) for 12 weeks.
- Implant Stability Quotient (ISQ) values were recorded to quantify stability.
Main Results:
- Initial ISQ values were comparable between modSLA and SLA groups.
- Both groups showed initial stability fluctuations, with a general decreasing trend after 2 weeks.
- modSLA implants demonstrated an increasing ISQ trend from 4 weeks, reaching baseline levels by 6 weeks.
- SLA implants showed a trend change at 5 weeks, returning to baseline by 9 weeks.
- After 12 weeks, modSLA implants exhibited significantly higher ISQ values (78.68 ± 2.9) than SLA implants (75.5 ± 3.19).
Conclusions:
- Chemical modification of the SLA surface positively influences osseointegration.
- The modSLA surface promotes faster healing and enhanced implant stability.
- This surface modification holds significant potential for improving palatal implant outcomes.

