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Determining primary stability for adhesively stabilized dental implants.

Ole Zoffmann Andersen1,2, Benjamin Bellón2,3, Maryam Lamkaouchi4

  • 1Department of Periodontology, University of Bern, Frieburgstrasse 7, 3010, Bern, Switzerland.

Clinical Oral Investigations
|June 3, 2023
PubMed
Summary
This summary is machine-generated.

A novel calcium phosphate-based adhesive cement shows potential for enhancing primary dental implant stability, particularly in challenging bone conditions. Implant diameter and surface area were key factors influencing stability, with removal torque values exceeding immediate loading thresholds.

Keywords:
BioadhesiveDental implantIn vitroPrimary stabilityRemoval torque

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Area of Science:

  • Biomaterials Science
  • Dental Implantology
  • Orthopedic Biomechanics

Background:

  • Primary dental implant stability is crucial for successful osseointegration and immediate loading protocols.
  • Achieving adequate primary stability can be challenging in compromised bone quality or oversized osteotomies.
  • Current methods rely on bone quality, surgical technique, and implant design, but novel adjuncts are being explored.

Purpose of the Study:

  • To evaluate the efficacy of a calcium phosphate-based adhesive cement in stabilizing dental implants within oversized osteotomies.
  • To investigate the influence of implant design features (diameter, surface area, thread design) and cement properties (gap size, curing time) on primary implant stability.
  • To determine if removal torque measurements can serve as a reliable surrogate for primary implant stability in this context.

Main Methods:

  • Dental implants were stabilized in oversized osteotomies using a calcium phosphate-based adhesive cement.
  • Implant removal torque was measured as a surrogate for primary stability.
  • Factors analyzed included implant diameter, surface area, thread design, cement gap size, and curing time.

Main Results:

  • Removal torque values increased proportionally with implant surface area and diameter.
  • Cement gap size did not significantly affect median removal torque but increased data variability.
  • All measured removal torque values surpassed the 32 Ncm threshold recommended for immediate loading.

Conclusions:

  • The adhesive cement demonstrates potential for enhancing primary implant stability across various dental implant designs.
  • Implant surface area and diameter were identified as the primary determinants of removal torque.
  • Removal torque is a reliable surrogate for assessing primary implant stability in pre-clinical and bench settings, especially when insertion torque is not feasible.