RESEARCH OF OSTEOINTEGRATION OF BICORTICALY FIXED IN SMALL DIAMETER IMPLANTS BY METHOD OF RESONANCE FREQUENCY ANALYSIS

  • I.V. Pavlish Higher State Educational Establishment of Ukraine “Ukrainian Medical Stomatological Academy”
  • V.M. Dvornyk Higher State Educational Establishment of Ukraine “Ukrainian Medical Stomatological Academy”
Keywords: Implant Stability Quotient, resonance frequency analysis, bicortically fixed implants, immediate loading, bone tissue deficient.

Abstract

The question of application of low-invasive technics of dental implantation appears especially topical at the terms of deficiency of bone tissue. One of going near the decision of this problem, in particular in the lateral departments of lower jaw, there are bicortically fixed in small diameter implants around mandibular nerve. An achievement and maintenance of stability of implants are determined by the condition of successful clinical result of implantation.

The aim of this research is to study osteointegration of bicortically fixed in small diameter implants in the lateral areas of lower jaw at the terms of bone tissue deficiency by measuring of their stability with the method of resonance frequency analysis.

In our research Osstel ISQ device productions made in Switzerland, that answers the requirements of standards of EN 60601-1 and ISO 9686 and 15223 was used. The group of 16 patients with the complete and partial loss of teeth on a lower jaw with the deficient of bone tissue in lateral departments aged from 34 to 72 was investigated. 98 Art Implants of Simplex line (Ukraine) with the sizes of endoosseal part in 2,8 mm of diameter and 10-14 mm of length was set. All implants were set bicorticaly around lower alveolar nerve with usage the surgical template made by original methodology. Measuring of Implant Stability Quotient (ISQ) was conducted directly after insertion to the implant, after 3 months and 1 year.

The dynamics of ISQ depending on primary implant stability were divided into three groups.

Conclusions. Determination of ISQ by the method of resonance frequency analysis is an objective index that represents the process of osteointegration of bicortically fixed implants in the lateral departments of lower jaw at the terms deficient of bone tissue. The dynamics of ISQ index change during integration in implants with different primary stability is variable. During integration there is a gradual and more substantial increase of middle ISQ index in implants with low primary stability includes 33,1%. In implants with middle primary stability the ISQ index increases to 17,4% during first-year. In implants with high primary stability there is reduce of middle ISQ index in 3 months on 8,7% by its next increase on 12,2%. Extremely dangerous for integration of implant with immediate loading is possible to count the ISQ index less than 33%.

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References

1. Доброволски Олег. Аспекты миниинвазивной хирургии в дентальной имплантологии: дис. … канд. мед. наук / Олег Доброволски. –Кишинэу, 2010.- 148 с.

2. Павліш І.В. Методика виготовлення хірургічного шаблону для встановлення дентальних імплантатів / І.В. Павліш // Вопросы экспериментальной и клинической стоматологии: сб. научных трудов.- Харьков, 2015.- Вып. 11, ч. 2.- С.166-170.

3. Математичне обґрунтування бікортикальної імплантації в бічних відділах нижньої щелепи за умови дефіциту кісткової тканини / [Павліш І.В., Дворник В.М., Фенко Г.О., Добровольський О.В.] // Вісник проблем біології та медицини. – 2014. – Вип.2, т. 2 (108).- С. 62-69.

4. Пат. 103567 Україна, МПК А61С 13/36 (2006. 01). Скан-шаблон / Павліш І.В., Рябушко Н.О.; заявник і власник Вищий державний навчальний заклад України «Українська медична стоматологічна академія». - № u 2015 05384; заяв. 02.06.15; опубл. 25.12.15, Бюл. № 24.

5. Biomechanical aspects of initial intraosseus stability and implant design: a quantitative micro-morphometric analysis / [Akca K., Chang T.L., Tekdemir I., Fanuscu M.I.] // Clin. Oral. Implants Res. – 2006.-Vol. 17.- Р. 465-472.

6. Albrektsson T. Current interpretation of the osteointegrated response: clinical significance / Albrektsson T., Zarb G.A. // Int. J. Prosthodont.- 1993.- Vol. 6.- Р. 95-105.

7. Comparative histimorphometry and resonance friquensy analysis of implants with moderately rough surfaces in a loaded animal model / [Al-Nawas B., Groetz K.A., Duschner H., Wagner W.] // Clin. Oral. Implants Res. – 2007.- Vol.18.- Р.1-8.

8. Aparicio C. Validity and clinical significance of biomechanical testing of implant/bone interface / Aparicio C., Lang N.P., Rangert B. // Clin. Oral. Implants Res. – 2006.- Vol.17.- Р. 2-7.

9. Attard N.J. Immediate and early implant loading protocols: a literature review of clinical studies / Attard N.J., Zarb G.A. // J. Prosthet. Dent. – 2005.- Vol.94.- Р. 242-258.

10. Campelo L.D. Безлоскутная имплантационная хирургия. 10-летний ретроспективный клинический анализ / Campelo L.D, Camara J.R. // Int. J. Oral. Maxil1ofac. Implants.- 2002.- Vol.17.- Р.271-276.

11. Biological factors contributing to failures of osseointegrated oral implants. I. Success criteria and epidemiology / [Esposito M., Hirsch J.M., Lekholm U., Thomsen P.] // Eur. J. Oral Sci.- 1998.- Vol.106.- Р. 721-764.

12. Ivanoff C.J. Reintegration of mobilized titanium implants. An experimental study in rabbit tibia / Ivanoff C.J., Sennerby L., Lekholm U. // Int. J. Oral. Maxillofac. Surg. – 1997.- Vol. 26.- Р. 310-315.

13. Meredith N. Quantitative determination of the stability of the implant-tissue interface using resonance frequency analysis / Meredith N., Alleyne D., Cawley P. // Clin. Oral. Implants Res. – 1996. - Vol. 7.- Р. 261-267.

14. Ostman P.O. Immediate / early loading of dental implants. Clinical documentation and presentation of treatment concept / P.O. Ostman //Periodontol 2000.- 2008. - Vol.47.- Р. 90-112.

15. Roberts W.E. Fundamental principles of bone physiology, metabolism, and loading. In: Naert I., van Steenberghe D., Worthington P., eds. Osseointegration in Oral Rehabilitation. - Chicago : Quintessence, 1993.- Р.157-170.

16. Sennerby L. Measuring of implant stability by resonance frequency analysis: biological and biomechanical aspects and clinical significance / Sennerby L., Meredith N. // Periodontol 2000.- 2008.- Vol. 47.- Р. 51-66.
Published
2018-03-21
How to Cite
Pavlish, I., & Dvornyk, V. (2018). RESEARCH OF OSTEOINTEGRATION OF BICORTICALY FIXED IN SMALL DIAMETER IMPLANTS BY METHOD OF RESONANCE FREQUENCY ANALYSIS. Ukrainian Dental Almanac, (1), 79-82. Retrieved from https://dental-almanac.org/index.php/journal/article/view/248
Section
IMPLANTOLOGY