To see relation between insertion torque and implant stability quotient in dental implants at different bone types or densities.

Not yet recruiting

Conditions: patient who want replacement of missing teeth using implants
Disorder of gingiva and edentulousalveolar ridge, unspecified,

Registration Number: CTRI/2023/07/055623

Lead Sponsor: Dr Ankita Ghansham Todsam

Brief Summary: Dental implants are currently accepted as a most predictable treatment option for the rehabilitation of both partial or total edentulous patients. During the early phases of healing, dental implants should be protected from detrimental micromovements which, according to the literature, should not exceed values ranging from 50 and 150 Î¼m to avoid risks for the osseointegration. When exceeding this threshold, there is a concrete possibility that the bone implant interface could be colonized by fibroblasts from the overlying connective tissue, with consequent implant encapsulation in fibrous tissue and clinical failure.

Numerous noninvasive methods have been proposed to evaluate implant stability, but the most widespread techniques are implant insertion torque measurement (IT) and resonance frequency analysis (RFA).

Till date, insertion torque value (ITV) and implant stability quotient (ISQ) obtained by the Osstell instrument are common clinical methods to assess the initial stability of an implant for a predictable loading procedure. Primary stability is described as the result of bone compression during implantation. Good primary stability is essential for the prevention of implant micro-movements and in order for bone remodeling and osseointegration around the implant to be achieved.

Secondary stability is referred to as biological stability that develops as a consequence of the formation and remodeling of alveolar bone on the implant surface .

There are three protocols for implant loading:

(1) immediate loading, prosthesis may be placed in occlusion up to 72 hours after implant placement.

(2) early loading, prosthesis may be placed in occlusion between 1 week and 2 months after implant placement.

(3) delayed loading, prosthesis may be placed in occlusion from 3 to 8 months after implant placement.

Insertion torque was developed by Johansson and Strid and improved by Frieberg in the 1990s.According to Baldi et al, the insertion torque is applied with a torque wrench, and it is the measure of the frictional resistance encountered by the implant while moving forward apically through a rotatory movement on its axis. Thus, this method provides information about bone quality at the implant placement site and implant primary stability. The RFA was developed in the late 1990s by Meredith.

The RFA methodology is based on the quantitative assessment of implant micro deflection. According to Herrero-Climent et al, the RFA is a noninvasive diagnosis technique that uses a piezoelectric transducer, which emits a sinusoidal signal within a specific frequency, resulting in implant vibration. The implant resistance to vibration is measured by the device and transformed into the implant stability quotient (ISQ, within a 0â€“100 scale; 100 being maximum implant stability). Clinically, RFA has been used to assess the implant primary stability and stability over time. Therefore, the RFA allows to check and identify the risk of failure of an implant before it occurs.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 35

Inclusion Criteria

Patients willing to participate in the study.
Patients over 18 years of age.
Patients with edentulous or partially edentulous arch.
Patients who have an alveolar ridge with sufficient vertical and horizontal dimensions.
(not requiring bone graft) 5.
Patients with good oral health and free of periodontal diseases (bone and gingival tissues must be healthy).
Absence of periapical lesion around the apex of the tooth.
Jaw regions with bone density (D1-D4 bone density) based on CBCT findings.
Patients who will be well motivated for the dental implant therapy and will be available for the follow-up visits.

Exclusion Criteria

Patients with Metabolic bone disease.
Patients undergone radiotherapy in the head/neck region in the last 24 months.
Alcohol or drug abuse.
Pregnant and lactating female patients.
Any drug that compromise the healing of bone like corticosteroids or Bisphosphonates.
Patients with history of any uncontrolled systemic disease or local condition that compromises the bone healing potential such as heavy smoking , uncontrolled diabetes mellitus, immunocompromised patient, uncontrolled bleeding disorder.
Patients with serious psychiatric or psychological problems.
patient who needed immediate or early loading.

Study & Design

Study Type: Observational

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To assess correlation between insertion torque & implant stability quotient.	at the time of placement of implant(initial) & three months after (final)

Secondary Outcome Measures

Name	Time	Method
To assess correlation between insertion torque & bone density.	To assess correlation between implant stability quotient & bone density

Trial Locations

Locations (1): Terna Dental college and Hospital
🇮🇳
Thane, MAHARASHTRA, India
Terna Dental college and Hospital
🇮🇳Thane, MAHARASHTRA, India
Dr Ankita Ghanshyam todsam
Principal investigator
09404306345
ankita.todsam@gmail.com