4.7 Article

Comparison of Implant Stability between Regenerated and Non-Regenerated Bone. A Prospective Cohort Study

Journal

JOURNAL OF CLINICAL MEDICINE
Volume 10, Issue 15, Pages -

Publisher

MDPI
DOI: 10.3390/jcm10153220

Keywords

bone quality; bone regeneration; dental implants; implant stability; osseointegration; resonance frequency analysis (RFA); xenograft

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This study compared the primary and secondary stability of implants placed in regenerated bone and native bone, finding that implants in regenerated bone had significantly lower stability compared to those in native bone. However, implants in regenerated bone still showed adequate primary and secondary stability for prosthetic loading. Bone quality influences the primary but not secondary stability of implants.
Implant stability is one of the main indicators of successful osseointegration. Although it has been measured in numerous studies, there has been little research on implant stability in regenerated bone. The study compares primary and secondary stability between implants placed in regenerated versus native bone and evaluates the influence of bone quality on the results. Sixty implants were placed in 31 patients: 30 implants inserted in native bone (non-regenerated) after a healing period of at least 6 months post-exodontia and 30 inserted in regenerated bone at 6 months after grafting with xenograft. Resonance frequency analysis (RFA) was used to obtain implant stability quotient (ISQ) values at baseline (implant placement), 8 weeks, and 12 weeks. Statistically significant differences were found between implants placed in regenerated bone and those placed in native bone at all measurement time points (p < 0.05). ISQ values were significantly influenced by bone quality at baseline (p < 0.05) but not at 8 or 12 weeks. Greater stability was obtained in implants placed in native bone; however, those placed in regenerated bone showed adequate primary and secondary stability for prosthetic loading. Bone quality influences the primary but not secondary stability of the implants in both native and regenerated bone.

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