Predicting primary stability of orthodontic mini-implants, according to position, screw-size, and bone quality, in the maxilla of aged patients: a cadaveric study.
bone density
cone beam computed tomography
cortical thickness
resonance frequency analysis
Journal
European journal of oral sciences
ISSN: 1600-0722
Titre abrégé: Eur J Oral Sci
Pays: England
ID NLM: 9504563
Informations de publication
Date de publication:
10 2019
10 2019
Historique:
accepted:
07
06
2019
pubmed:
26
9
2019
medline:
4
7
2020
entrez:
26
9
2019
Statut:
ppublish
Résumé
This study aimed to evaluate the effect of implant size and bone condition on primary stability of orthodontic mini-implants with a view to predict the primary stability before insertion. Four-hundred and forty mini-implants of two different diameters (2.0 and 2.3 mm) and lengths (7 and 12 mm) were inserted at 11 different positions in human cadaver maxillae. Before placement of mini-implants, cone beam computed tomography (CBCT) scans were performed to measure bone density and cortical thickness and, after mini-implant placement, implant stability quotient (ISQ) values were determined by resonance frequency analysis and cofactors were analyzed to determine their influence on the primary stability. Additionally, an equation was developed to predict the expected stability based on implant size and bone quality. Bone density varied between 433 (SD 122) and 587 (SD 249) Hounsfield units (HU), and cortical thickness varied between 0.49 (SD 0.42) and 0.98 (SD 0.60) mm. The lowest ISQ value, of 15.50 (SD 7.29) (bone density: 531 (SD 219) HU; cortical thickness: 0.65 (SD 0.58) mm), was found for a mini-implant of 2.0 × 7 mm and the highest ISQ value, of 46.30 (SD 8.69) (bone density: 587 (SD 249) HU; cortical thickness: 0.98 (SD 0.60) mm), was found for a mini-implant of 2.3 × 11 mm. Statistically significant influences of the cofactors on primary stability were demonstrated. To visualize the predictive power of the model, the observed values versus the predicted values of primary stability were compared and the model fit was represented by residual plots. The expected primary stability can be estimated by a linear regression model comprising the radiologically determined bone density, cortical thickness, implant length and diameter, and placement position.
Substances chimiques
Dental Implants
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
462-471Informations de copyright
© 2019 Eur J Oral Sci.
Références
Block MS, Hoffman DR. A new device for absolute anchorage for orthodontics. Am J Orthod Dentofacial Orthop 1995; 107: 251-258.
Melsen B, Petersen JK, Costa A. Zygoma ligatures: an alternative form of maxillary anchorage. J Clin Orthod 1998; 32: 154-158.
Kanomi R. Mini-implant for orthodontic anchorage. J Clin Orthod 1997; 31: 763-767.
Creekmore TD, Eklund MK. The possibility of skeletal anchorage. J Clin Orthod 1983; 17: 266-269.
Deguchi T, Takano-Yamamoto T, Kanomi R, Hartsfield JK Jr, Roberts WE, Garetto LP. The use of small titanium screws for orthodontic anchorage. J Dent Res 2003; 82: 377-381.
Schatzle M, Mannchen R, Zwahlen M, Lang NP. Survival and failure rates of orthodontic temporary anchorage devices: a systematic review. Clin Oral Implants Res 2009; 20: 1351-1359.
Venkateswaran S, Rao V, Krishnaswamy NR. En-masse retraction using skeletal anchorage in the tuberosity and retromolar region. J Clin Orthod 2011; 45: 268-273. quiz 288.
Erverdi N, Usumez S, Solak A, Koldas T. Noncompliance open-bite treatment with zygomatic anchorage. Angle Orthod 2007; 77: 986-990.
Musilli M, Marsico M, Romanucci A, Grampone F. Molar uprighting with mini screws: comparison among different systems and relative biomechanical analysis. Prog Orthod 2010; 11: 166-173.
Triaca A, Antonini M, Wintermantel E. Ein neues titanflachschrauben-implantat zur orthodontischen verankerung am anterioren gaumen. Informationen aus Orthodontie und Kieferorthopädie 1992; 24: 251-257.
Wehrbein H, Merz BR, Diedrich P, Glatzmaier J. The use of palatal implants for orthodontic anchorage. Design and clinical application of the orthosystem. Clin Oral Implants Res 1996; 7: 410-416.
Wehrbein H, Glatzmaier J, Mundwiller U, Diedrich P. The Orthosystem-a new implant system for orthodontic anchorage in the palate. J Orofac Orthop 1996; 57: 142-153.
Lee JS, Kim DH, Park YC, Kyung SH, Kim TK. The efficient use of midpalatal miniscrew implants. Angle Orthod 2004; 74: 711-714.
Nienkemper M, Wilmes B, Pauls A, Drescher D. Multipurpose use of orthodontic mini-implants to achieve different treatment goals. J Orofac Orthop 2012; 73: 467-476.
Kim HJ, Yun HS, Park HD, Kim DH, Park YC. Soft-tissue and cortical-bone thickness at orthodontic implant sites. Am J Orthod Dentofacial Orthop 2006; 130: 177-182.
Poon YC, Chang HP, Tseng YC, Chou ST, Cheng JH, Liu PH, Pan CY. Palatal bone thickness and associated factors in adult miniscrew placements: A cone-beam computed tomography study. Kaohsiung J Med Sci 2015; 31: 265-270.
Wilmes B, Drescher D. Impact of insertion depth and predrilling diameter on primary stability of orthodontic mini-implants. Angle Orthod 2009; 79: 609-614.
Wilmes B, Su YY, Drescher D. Insertion angle impact on primary stability of orthodontic mini-implants. Angle Orthod 2008; 78: 1065-1070.
Wilmes B, Ottenstreuer S, Su YY, Drescher D. Impact of implant design on primary stability of orthodontic mini-implants. J Orofac Orthop 2008; 69: 42-50.
Wilmes B, Rademacher C, Olthoff G, Drescher D. Parameters affecting primary stability of orthodontic mini-implants. J Orofac Orthop 2006; 67: 162-174.
Wilmes B, Drescher D. Impact of bone quality, implant type, and implantation site preparation on insertion torques of mini-implants used for orthodontic anchorage. Int J Oral Maxillofac Surg 2011; 40: 697-703.
da Cunha AC, Marquezan M, Lima I, Lopes RT, Nojima LI, Sant'Anna EF. Influence of bone architecture on the primary stability of different mini-implant designs. Am J Orthod Dentofacial Orthop 2015; 147: 45-51.
Suzuki EY, Suzuki B. Placement and removal torque values of orthodontic miniscrew implants. Am J Orthod Dentofacial Orthop 2011; 139: 669-678.
Nienkemper M, Wilmes B, Panayotidis A, Pauls A, Golubovic V, Schwarz F, Drescher D. Measurement of mini-implant stability using resonance frequency analysis. Angle Orthod 2013; 83: 230-238.
Nienkemper M, Pauls A, Ludwig B, Drescher D. Stability of paramedian inserted palatal mini-implants at the initial healing period: a controlled clinical study. Clin Oral Implants Res 2015; 26: 870-875.
Nienkemper M, Wilmes B, Pauls A, Drescher D. Mini-implant stability at the initial healing period: a clinical pilot study. Angle Orthod 2014; 84: 127-133.
Gedrange T, Hietschold V, Mai R, Wolf P, Nicklisch M, Harzer W. 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 2005; 16: 425-431.
Zuger J, Pandis N, Wallkamm B, Grossen J, Katsaros C. Success rate of paramedian palatal implants in adolescent and adult orthodontic patients: a retrospective cohort study. Eur J Orthod 2014; 36: 22-25.
Hourfar J, Kanavakis G, Bister D, Schatzle M, Awad L, Nienkemper M, Goldbecher C, Ludwig B. Three dimensional anatomical exploration of the anterior hard palate at the level of the third ruga for the placement of mini-implants-a cone-beam CT study. Eur J Orthod 2015; 37: 589-595.
Hölzle F, Franz EP, Lehmbrock J, Weihe S, Teistra C, Deppe H, Wolff KD. Thiel embalming technique: a valuable method for teaching oral surgery and implantology. Clin Implant Dent Relat Res 2012; 14: 121-126.
Lages FS, Douglas-de Oliveira DW, Costa FO. Relationship between implant stability measurements obtained by insertion torque and resonance frequency analysis: a systematic review. Clin Implant Dent Relat Res 2018; 20: 26-33.
Pauwels R, Jacobs R, Singer SR, Mupparapu M. CBCT-based bone quality assessment: are Hounsfield units applicable? Dentomaxillofac Radiol 2015; 44: 20140238.
Razi T, Niknami M, Alavi Ghazani F. Relationship between Hounsfield Unit in CT Scan and Gray Scale in CBCT. J Dent Res Dent Clin Dent Prospects 2014; 8: 107-110.
Sennerby L, Andersson P, Pagliani L, Giani C, Moretti G, Molinari M, Motroni A. Evaluation of a novel cone beam computed tomography scanner for bone density examinations in preoperative 3D reconstructions and correlation with primary implant stability. Clin Implant Dent Relat Res 2015; 17: 844-853.
Fuster-Torres MA, Penarrocha-Diago M, Penarrocha-Oltra D, Penarrocha-Diago M. Relationships between bone density values from cone beam computed tomography, maximum insertion torque, and resonance frequency analysis at implant placement: a pilot study. Int J Oral Maxillofac Implants 2011; 26: 1051-1056.
Lee S, Gantes B, Riggs M, Crigger M. Bone density assessments of dental implant sites: 3. Bone quality evaluation during osteotomy and implant placement. Int J Oral Maxillofac Implants 2007; 22: 208-212.
Song YD, Jun SH, Kwon JJ. Correlation between bone quality evaluated by cone-beam computerized tomography and implant primary stability. Int J Oral Maxillofac Implants 2009; 24: 59-64.
Tatli U, Salimov F, Kurkcu M, Akoglan M, Kurtoglu C. Does cone beam computed tomography-derived bone density give predictable data about stability changes of immediately loaded implants?: a 1-year resonance frequency follow-up study. J Craniofac Surg 2014; 25: e293-e299.
Aranyarachkul P, Caruso J, Gantes B, Schulz E, Riggs M, Dus I, Yamada JM, Bone Crigger M. density assessments of dental implant sites: 2. Quantitative cone-beam computerized tomography. Int J Oral Maxillofac Implants 2005; 20: 416-424.
Brosh T, Yekaterina BE, Pilo R, Shpack N, Geron S. Can cone beam CT predict the hardness of interradicular cortical bone? Head Face Med 2014; 10: 12.
Silvestrini Biavati A, Tecco S, Migliorati M, Festa F, Panza G, Marzo G, Gherlone E, Tete S. Three-dimensional tomographic mapping related to primary stability and structural miniscrew characteristics. Orthod Craniofac Res 2011; 14: 88-99.
Marquezan M, Souza MM, Araujo MT, Nojima LI, Nojima Mda C. Is miniscrew primary stability influenced by bone density? Braz Oral Res 2011; 25: 427-432.
Marquezan M, Lima I, Lopes RT, Sant'Anna EF, de Souza MM. Is trabecular bone related to primary stability of miniscrews? Angle Orthod 2014; 84: 500-507.