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Results : Relation between insertion torque and tactile, visual, and rescaled gray value measures of bone quality: a cross-sectional clinical study with short implants

Results : Relation between insertion torque and tactile, visual, and rescaled gray value measures of bone quality: a cross-sectional clinical study with short implants

author: Diego Fernandes Triches, Fernando Rizzo Alonso, Luis Andr Mezzomo, Danilo Renato Schneider, Eduardo Aydos Villarinho, Maria Ivet | publisher: drg. Andreas Tjandra, Sp. Perio, FISID

Descriptive statistics of the sample are shown in Table 1. For statistical analysis, some data were missing: one implant had mobility after surgery and was lost and four CT scans, containing 11 ROIs, were not used for bone quality analysis due to technical problems. As only one case was categorized as bone type 1 by CT visual or by tactile evaluation, the corresponding mean gray values were excluded for the ANOVA tests. Shapiro-Wilk tests showed that the data on mean gray values for all three ROIs and average values followed normal distributions.

Table 2 shows that insertion torque had significant correlation with all assessment methods of bone quality. A moderate association was found among all methods to assess bone quality, except for CT visual and intra-surgical tactile evaluation.

There was a significant difference in rescaled mean gray values (average) as a function of arch (mandible greater than maxilla), dental region (premolar greater than molar), insertion torque (greater in higher torque, > 35 N cm, than in low torques, < 15 N cm), and bone quality (type) as categorized by tactile evaluation (bone types 2 and 3 greater than type 4) and CT visual assessment (bone type 2 greater than types 3 and 4) (Table 3).

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