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Updated: Jul 24, 2025

An Improved Mechanical Testing Method to Assess Bone-implant Anchorage
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Implant stability and marginal bone level changes: A 2-year prospective pilot study.

Po-Sung Fu1,2, Ting-Hsun Lan1,3, Pei-Ling Lai1,3

  • 1School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.

Journal of Dental Sciences
|July 5, 2023
PubMed
Summary

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Bone density and insertion torque significantly impact marginal bone loss around dental implants. Higher bone density and insertion torque correlate with better primary implant stability, crucial for long-term osseointegration.

Area of Science:

  • Dental Implantology
  • Osseointegration Research
  • Biomaterials Science

Background:

  • Implant stability is critical for successful osseointegration.
  • Marginal bone level is a key indicator of long-term dental implant success.
  • Understanding factors influencing implant stability and bone loss is essential.

Purpose of the Study:

  • To investigate the influence of patient and implant factors on insertion torque (IT) and primary implant stability quotient (ISQ).
  • To assess the impact of these factors, IT, and ISQ on marginal bone loss (MBL).

Main Methods:

  • Ninety patients received 156 dental implants for single crowns.
  • Insertion torque (IT) and primary implant stability quotient (ISQ) were measured during surgery.
  • Marginal bone loss (MBL) was evaluated radiographically over 24 months.
Keywords:
Bone densityImplant stabilityImplant stability quotient (ISQ)Insertion torque (IT)Marginal bone loss (MBL)

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Main Results:

  • Bone density significantly affected IT and primary ISQ.
  • Higher bone density and implant diameter positively correlated with IT and primary ISQ.
  • Bone density and IT significantly impacted marginal bone loss (MBL).

Conclusions:

  • Implant diameter influences IT and primary ISQ more than implant length.
  • Bone density is a major determinant of IT and primary ISQ.
  • Bone density and IT have a greater impact on MBL than primary ISQ.