Abstract
Objectives
The purpose of this study was to determine the correlation between the peak insertion torque value (ITV) of a dental implant and the bone–implant contact percentage (BIC%).
Material and methods
Dental implants were inserted into specimens comprising a 2-mm-thick artificial cortical shell representing cortical bone and artificial foam bone representing cancellous bone with four densities (groups 1 to 4—0.32, 0.20, 0.16, and 0.12 g/cm3). Each specimen with an inserted implant was subjected to micro-computed tomography (micro-CT) scanning, from which the 3D BIC% values were calculated. Pearson’s correlation coefficients (r) between the ITV and BIC% were calculated.
Results
The ITVs in groups 1 to 4 were 56.2 ± 4.6 (mean±standard deviation), 45.6 ± 0.9, 43.3 ± 4.3, and 38.5 ± 3.4 N cm, respectively, and the corresponding BIC% values were 41.5 ± 0.5%, 39.0 ± 1.0%, 30.8 ± 1.1%, and 26.2 ± 1.6%. Pearson’s correlation coefficient between the ITV and BIC% was r = 0.797 (P < 0.0001).
Conclusion
The initial implant stability, quantified as the ITV, was strongly positively correlated with the 3D BIC% obtained from micro-CT images.
Clinical relevance
The ITV of a dental implant can be used to predict the initial BIC%; this information may provide the clinician with important information on the optimal loading time.
Similar content being viewed by others
References
Huang HL, Chang YY, Lin DJ, Li YF, Chen KT, Hsu JT (2011) Initial stability and bone strain evaluation of the immediately loaded dental implant: an in vitro model study. Clin Oral Implants Res 22(7):691–698
Huang HL, Fuh LJ, Tu MG, Hsu JT (2010) Effects of elasticity and structure of trabecular bone on the primary stability of dental implants. J Med Biol Eng 30:85–89
Chiapasco M, Gatti C, Rossi E, Haefliger W, Markwalder TH (1997) Implant-retained mandibular overdentures with immediate loading. A retrospective multicenter study on 226 consecutive cases. Clin Oral Implants Res 8:48–57
Ganeles J, Wismeijer D (2004) Early and immediately restored and loaded dental implants for single-tooth and partial-arch applications. Int J Oral Maxillofac Implants 19(Suppl):92–102
Sevimay M, Turhan F, Kilicarslan MA, Eskitascioglu G (2005) Three-dimensional finite element analysis of the effect of different bone quality on stress distribution in an implant-supported crown. J Prosthet Dent 93:227–234
Hsu JT, Fuh LJ, Lin DJ, Shen YW, Huang HL (2009) Bone strain and interfacial sliding analyses of platform switching and implant diameter on an immediately loaded implant: experimental and three-dimensional finite element analyses. J Periodontol 80:1125–1132
Rabel A, Kohler SG, Schmidt-Westhausen AM (2007) Clinical study on the primary stability of two dental implant systems with resonance frequency analysis. Clin Oral Investig 11:257–265
Jun SH, Chang BM, Weber HP, Kwon JJ (2010) Comparison of initial stability parameters and histomorphometric analysis of implants inserted into extraction sockets: human fresh cadaver study. Int J Oral Maxillofac Implants 25:985–990
Meredith N, Shagaldi F, Alleyne D, Sennerby L, Cawley P (1997) The application of resonance frequency measurements to study the stability of titanium implants during healing in the rabbit tibia. Clin Oral Implants Res 8:234–243
Turkyilmaz I, Tumer C, Ozbek EN, Tozum TF (2007) Relations between the bone density values from computerized tomography, and implant stability parameters: a clinical study of 230 regular platform implants. J Clin Periodontol 34:716–722
Akkocaoglu M, Uysal S, Tekdemir I, Akca K, Cehreli MC (2005) Implant design and intraosseous stability of immediately placed implants: a human cadaver study. Clin Oral Implants Res 16:202–209
Aparicio C, Perales P, Rangert B (2001) Tilted implants as an alternative to maxillary sinus grafting: a clinical, radiologic, and periotest study. Clin Implant Dent Relat Res 3:39–49
Berthold C, Holst S, Schmitt J, Goellner M, Petschelt A (2010) An evaluation of the Periotest method as a tool for monitoring tooth mobility in dental traumatology. Dent Traumatol 26:120–128
Lachmann S, Laval JY, Jager B, Axmann D, Gomez-Roman G, Groten M, Weber H (2006) Resonance frequency analysis and damping capacity assessment. Part 2: peri-implant bone loss follow-up. An in vitro study with the Periotest and Osstell instruments. Clin Oral Implants Res 17:80–84
Noguerol B, Munoz R, Mesa F, de Dios LJ, O'Valle F (2006) Early implant failure. Prognostic capacity of Periotest: retrospective study of a large sample. Clin Oral Implants Res 17:459–464
Degidi M, Perrotti V, Strocchi R, Piattelli A, Iezzi G (2009) Is insertion torque correlated to bone–implant contact percentage in the early healing period? A histological and histomorphometrical evaluation of 17 human-retrieved dental implants. Clin Oral Implants Res 20:778–781
Nkenke E, Hahn M, Weinzierl K, Radespiel-Troger M, Neukam FW, Engelke K (2003) Implant stability and histomorphometry: a correlation study in human cadavers using stepped cylinder implants. Clin Oral Implants Res 14:601–609
Trisi P, Perfetti G, Baldoni E, Berardi D, Colagiovanni M, Scogna G, Pellico VS (2009) Implant micromotion is related to peak insertion torque and bone density. Clin Oral Implants Res 20:467–471
Turkyilmaz I, Aksoy U, McGlumphy EA (2008) Two alternative surgical techniques for enhancing primary implant stability in the posterior maxilla: a clinical study including bone density, insertion torque, and resonance frequency analysis data. Clin Implant Dent Relat Res 10:231–237
Ito Y, Sato D, Yoneda S, Ito D, Kondo H, Kasugai S (2008) Relevance of resonance frequency analysis to evaluate dental implant stability: simulation and histomorphometrical animal experiments. Clin Oral Implants Res 19:9–14
Gedrange T, Hietschold V, Mai R, Wolf P, Nicklisch M, Harzer W (2005) An evaluation of resonance frequency analysis for the determination of the primary stability of orthodontic palatal implants. A study in human cadavers. Clin Oral Implants Res 16:425–431
Rebaudi A, Koller B, Laib A, Trisi P (2004) Microcomputed tomographic analysis of the peri-implant bone. Int J Periodontics Restor Dent 24:316–325
Ueda M, Matsuki M, Jacobsson M, Tjellstrom A (1991) Relationship between insertion torque and removal torque analyzed in fresh temporal bone. Int J Oral Maxillofac Implants 6:442–447
Orlando B, Barone A, Giorno TM, Giacomelli L, Tonelli P, Covani U (2010) Insertion torque in different bone models with different screw pitch: an in vitro study. Int J Oral Maxillofac Implants 25:883–887
Ottoni JM, Oliveira ZF, Mansini R, Cabral AM (2005) Correlation between placement torque and survival of single-tooth implants. Int J Oral Maxillofac Implants 20:769–776
Akca K, Chang TL, Tekdemir I, Fanuscu MI (2006) Biomechanical aspects of initial intraosseous stability and implant design: a quantitative micro-morphometric analysis. Clin Oral Implants Res 17:465–472
Misch CE, Qu Z, Bidez MW (1999) Mechanical properties of trabecular bone in the human mandible: implications for dental implant treatment planning and surgical placement. J Oral Maxillofac Surg 57:700–706
Fuh LJ, Huang HL, Chen CS, Fu KL, Shen YW, Tu MG, Shen WC, Hsu JT (2010) Variations in bone density at dental implant sites in different regions of the jawbone. J Oral Rehabil 37:346–351
Seong WJ, Kim UK, Swift JQ, Hodges JS, Ko CC (2009) Correlations between physical properties of jawbone and dental implant initial stability. J Prosthet Dent 101:306–318
Tada S, Stegaroiu R, Kitamura E, Miyakawa O, Kusakari H (2003) Influence of implant design and bone quality on stress/strain distribution in bone around implants: a 3-dimensional finite element analysis. Int J Oral Maxillofac Implants 18:357–368
Cha JY, Lim JK, Song JW, Sato D, Kenmotsu M, Inoue T, Park YC (2009) Influence of the length of the loading period after placement of orthodontic mini-implants on changes in bone histomorphology: microcomputed tomographic and histologic analysis. Int J Oral Maxillofac Implants 24:842–849
American Society for Testing and Materials (2008) ASTM F1839-08 standard specification for rigid polyurethane foam for use as a standard material for testing orthopedic devices and instruments. American Society for Testing and Materials, West Conshohocken
Acknowledgments
This research was supported by China Medical University, Taiwan (grant number CMU 99-COL-43).
Conflict of interest
None of the authors of this study has any financial and personal relationships with other people or organizations that could have inappropriately influenced this study.
Author information
Authors and Affiliations
Corresponding author
Additional information
Cheng Liu and Michael Yuan-Chien Chen contributed equally to this work
Rights and permissions
About this article
Cite this article
Liu, C., Tsai, MT., Huang, HL. et al. Relation between insertion torque and bone–implant contact percentage: an artificial bone study. Clin Oral Invest 16, 1679–1684 (2012). https://doi.org/10.1007/s00784-011-0658-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00784-011-0658-0