Methods : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region [1]
This prospective study was conducted jointly by Tokyo Dental College (Tokyo, Japan) and Fukuoka Dental College (Fukuoka, Japan) from January to December 2015. All study protocols were conducted in accordance with the Declaration of Helsinki [21] and were approved by the ethics committees of Tokyo Dental College (approval #416) and Fukuoka Dental College (approval #213).
Participants comprised patients at Tokyo Dental College Hospital or Fukuoka Dental College Hospital who were ≥ 20 years old, desired implant treatment in the posterior region, and consented to the details of the study protocols. The participants of this study were selected without randomization.
In this study, implant treatment was performed on 33 tooth extracted sites. The reasons for tooth extraction were periodontal diseases (14), caries (12), root fractures (7), and teeth had already been extracted (8). Tooth extraction was carried out with normal technique without socket preservation method. All participants were followed up for more than 4 months after tooth extraction and X-ray examined with multi-slice CT (MSCT) or cone beam CT (CBCT). Consequently, it was confirmed that sufficient bone mass exists to insert the implant body without bone augmentation in all treatment site. CT imaging equipment was different for each facility.
Exclusion criteria were untreated systemic disease, diabetes, cardiovascular disease, osteoporosis, mental disorder, alcohol- or drug dependence, or smoking habit; failure to follow treatment directions; presence of severe periodontal disease, shedding disorder, trismus, malocclusion, or bruxism in the oral cavity; or failure of implant treatment.
The implant body used in this study was the Genesio® Plus implant with Aanchor surface (GC, Tokyo Japan). The implant body had been processed to create a rough surface by sandblasting and acid etching (Fig. 1). The implant body for the treatment of each participant was selected from two diameters (3.8 or 4.4 mm) and three lengths (8.0, 10.0, or 12.0 mm). The treatment area and the implant size used in this study are shown in Table 1.
Serial posts:
- Abstract : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region
- Background : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region [1]
- Background : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region [2]
- Methods : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region [1]
- Methods : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region [2]
- Methods : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region [3]
- Results : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region [1]
- Results : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region [2]
- Discussion : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region [1]
- Discussion : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region [2]
- Discussion : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region [3]
- Discussion : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region [4]
- Discussion : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region [5]
- Conclusions : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region
- Abbreviations : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region
- References : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region [1]
- References : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region [2]
- References : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region [3]
- References : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region [4]
- Author information : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region [1]
- Author information : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region [2]
- Ethics declarations : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region
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- About this article : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region
- Table 1 Treatment area and size of implant body : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region
- Table 2 Result of IT and ISQ : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implants in the posterior region
- Fig. 1. Genesio® Plus implant with Aanchor surface. Scheme of the dental implant body for the Genesio® Plus implants with Aanchor surface used. a Overview picture of Genesio® Plus implants with Aanchor surface. b Image from scanning electron microscopy. Both pictures were provided by GC Corporation. To obtain osseointegration from an early stage, the dental implant body was treated with sandblasting and acid etching from the neck to apex : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implant
- Fig. 2. The measurement of the voxel values. A case of bone quality diagnosis before treatment. Width and height of the bone were measured to select the proper size of the implant body. The selected implant body was simulated on the bone images as a symbol, and then the voxel value was calculated as described in the “Methods” section : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implant
- Fig. 3. The evaluation of the average ISQ. Time-lapse migration of average ISQ. Average ISQ of all specimens increased in a time-dependent manner (results indicated by a line). A significant difference was observed by 6 weeks after surgery : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implant
- Fig. 4. The classification of the insertion torque. All specimens classified into three groups according to insertion torque. Criteria for the classification are shown in the figure and in the “Methods” section : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implant
- Fig. 5. The comparison of ISQ values by the insertion torque. Time-lapse migration of ISQ values was compared with IT groups. Each IT group displayed similar migration. A significant difference in The ISQ was found in the low IT group after 8 weeks : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implant
- Fig. 6. The relationship between ISQ and insertion torque. Percentage of specimens showing ISQ ≥ 73 compared with groups by week. In all groups, a period of rapidly increasing percentages was observed (8–12 weeks in the low IT group, 4–6 weeks in the medium and high IT groups). In the medium and high IT Group, a statistically significant difference was observed between ISQ ≥ 73 and ISQ < 72 (P < 0.05) : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implant
- Fig. 7. The average voxel value between the maxilla and mandible. There was no difference between the maxilla (430.9 ± 211.6) and the mandible (475.6 ± 211.5) in the average voxel value. Also, no difference was found in each part : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implant
- Fig. 8. The relationship between average voxel value and insertion torque (averaged over the entire treatment area). The comparison of average voxel value among IT groups. Average voxel value was 384.0 ± 154.6 in the low IT group, 387.7 ± 147.7 in the medium IT group, and 619.2 ± 200.4 in the high IT group : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implant
- Fig. 9. The comparison of two groups at average voxel values for each part. The comparison of voxel values by insertion torque. All specimens were classified into two groups by insertion torque < 40 and ≥ 40. The < 40 group represents a combination of the low and medium IT groups : Prospective multicenter non-randomized controlled study on intraosseous stability and healing period for dental implant