Background : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study [2]
Osteocalcin (OC) is the most plentiful noncollagenous protein of the bone matrix. It is secreted from odontoblasts, osteocytes, and osteoblasts, in order to bind hydroxyapatite and calcium during matrix mineralization [7]. It is one of the serological markers in the bone formation process. Numerous studies have shown increased OC levels in bone formation. However, increased OC level relates more to osteoid formation than matrix mineralization during bone formation [8–10]. Alkaline phosphatase (ALP) is a membrane-bound glycoprotein. Its function is catalyzing the hydrolysis of phosphate monoesters at a basic pH level. Bone-specific alkaline phosphatase (BALP) is known to be involved in bone calcification. It is secreted by osteoblasts to provide a high phosphate concentration at the osteoblast cell surface during bone mineralization [11].
The measurement of implant stability is based on the clinical, histological, biomechanical, and biochemical approaches. The resonance frequency analysis (RFA), a noninvasive clinical implant stability measurement, has been used in many studies. Meta-analysis of 47 studies has revealed a statistically significant correlation between RFA and insertion torque [12]. Numerous clinical studies have used the resonance frequency analysis technique on various implant designs to determine implant stability during the osseointegration period [13–20]. Evaluation of peri-implant crevicular fluid (PICF), a noninvasive, clinical, biochemical approach has been used to assess and to predict the peri-implant tissue loss [21, 22].
The purposes of this study were to examine the correlation between the stability of dental implants and bone formation markers during the healing period and to monitor the stability of dental implants during a 3-month period using the resonance frequency analysis method. The null hypothesis of the study is no correlation between the stability of dental implant and bone formation markers. Due to the three-thread-design of the implants, the authors also aim to measure the average implant stability quotient using RFA during the healing period.
Serial posts:
- Background : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study [1]
- Background : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study [2]
- Methods : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study [1]
- Methods : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study [2]
- Methods : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study [3]
- Methods : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study [4]
- Results : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study [1]
- Results : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study [2]
- Discussion : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study [2]
- Discussion : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study [3]
- Conclusions : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study
- References : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study [1]
- References : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study [2]
- References : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study [3]
- References : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study [4]
- Acknowledgements : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study
- Author information : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study
- Rights and permissions : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study
- About this article : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study
- Table 1 Inclusion and exclusion criteria : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study
- Table 2 Profile of patients : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study
- Table 3 ISQ values according to gender and bone quality : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study
- Table 4 Crevicular fluid volume : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study
- Table 5 Crevicular fluid ALP and OC levels : Relation between the stability of dental implants and two biological markers during the healing period: a prospective clinical study
- Fig. 1. Timeline of the clinical study. I—implant site, T—contralateral posterior mandibular nonsurgical tooth : Relation between the stability of dental implant
- Fig. 2. Change in the mean ISQ values over time. There was a statistically significant decrease in the mean ISQ values between 1 and 3 weeks (P < 0.05). The ISQ values recovered to the initial ISQ values at 4 weeks and slight increased at 6, 8, 10, and 12 weeks : Relation between the stability of dental implant
- Fig. 3. Change in the median values of the GCF (control group) and PICF (test group) volume over time. In the test group, the PICF volume continuously decreased with time (a). There were no significant differences in the median values of the crevicular fluid volume in either the control group or the test groups at any measurement (b) : Relation between the stability of dental implant
- Fig. 4. Change in the median values of the ALP level over time. In the test group, the ALP level decreased at 1–4 weeks and then increased at 6, 8, 10, and 12 weeks. There was no statistically significant difference in the ALP level in either the control or the test groups at any measurement : Relation between the stability of dental implant
- Fig. 5. Change in the median values of the OC level over time. In the test group, the OC level continuously increased with time. There was a statistically significant increase in the OC level at 6, 8, 10, and 12 weeks when compared with 1 week (P < 0.05) : Relation between the stability of dental implant
- Fig. 6. There were weakly significant and positive correlations between the ALP or OC levels and ISQ values at all measurements from week 1 to week 12. At the implant site, the ALP levels in nM/μg protein (a) or the OC levels in pg/μg protein (b) were associated with ISQ values : Relation between the stability of dental implant
- Fig. 7. Comparison between the trend of the biomarker levels and the trend of the ISQ values over time : Relation between the stability of dental implant
- Fig. 8. There were moderately significant and positive correlations between the ALP levels and OC levels at all measurements from week 1 to week 12. The OC levels in pg/μg protein were associated with the ALP levels in nM/μg protein at the implant site (a), control site (b), and pooled samples of the control and implant sites (c) : Relation between the stability of dental implant