A STUDY ON THE CHANGE OF IMPLANT STABILITY USING RESONANCE FREQUENCY ANALYSIS

  • Park Chan-Jin (Department of Prosthodontics, College of Dentistry, Kangnung National University) ;
  • Kim Yung-Soo (Department of Prosthodontics, Graduate School, Seoul National University) ;
  • Kim Chang-Whe (Department of Prosthodontics, Graduate School, Seoul National University) ;
  • Cho Lee-Ra (Department of Prosthodontics, College of Dentistry, Kangnung National University) ;
  • Yi Yang-Jin (Department of Prosthodontics, College of Dentistry, Kangnung National University)
  • Published : 2003.06.01

Abstract

Statement of problem: Resonance frequency analysis (RFA) has been increasingly served as a non-invasive and objective method for clinical monitoring of implant stability. Many clinical studies must be required for standardized baseline data using RFA. Purpose: This study was performed to evaluate RFA value changes in two stage surgery group and one stage surgery group in patients. Material and method: Forty-seven mandibles in consecutively implant installed patients were selected for this study and 141 fixtures were installed. Ninety-three fixtures were double threaded, machined surface design ($Br{\aa}anemark^{(R)}$ MK III, Nobel Biocare AB, Goteborg, Sweden) and 48 fixtures were root form, threaded, HA-coated surface one ($Replace^{TM}$, Steri-Oss/Nobel Biocare AB, USA). Among those, each 10 fixture was installed in one stage group patients. ISQ values were measured using $Osstell^{TM}$ (Integration Diagnostics Ltd. Sweden) during fixture installation, at healing abutment connection and in the loading period for two stage surgery group patients and during at each 4, 6, 8, 10, 12week and in the loading phase for one stage surgery group patients and evaluated the changes according to the time and fixture type. Results: In two stage surgery group, mean and SO of ISQ values of machined surface implants were $76.85{\pm}3.74,\;75.76{\pm}5.04,\;75.73{\pm}4.41$ and those of HA-coated surface implant were $75.05{\pm}6.23,\;77.58{\pm}5.23,\;78.32{\pm}4.29$ during fixtures installation, at healing abutment connection and in the loading period, respectively. In one-stage surgery group, the ISQ values of machined surface and HA-coated surface implants decreased until 4 or 6 week and maintained at plateau for 1-3 week and increased to the loading period. Conclusions: Machined and HA-coated surface implants showed minimal ISQ changes with time if they were installed at the sites showing at least intact cortical plate and good bone qualities. And HA-coated implants had a tendency to show somewhat increased ISQ values with time.

Keywords

References

  1. Albrektsson T, Branemark PI, Hansson H, Lindstrom J. Osseointegrated titanium implants. Requirements for ensuring a longlasting direct boneto- implant anchorage in man. Acta Orthop Scan 1981;52:155-170 https://doi.org/10.3109/17453678108991776
  2. Adell R, Lekholm U, RockIer B, Branemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 1981;10:387-416 https://doi.org/10.1016/S0300-9785(81)80077-4
  3. Sennerby L, Roos J. Surgical determinants of clinical success of osseointegrated implants. A review of the literature. Int J Prosthodont 1998;11:408-420
  4. Albrektsson T, Sennerby L. State of the art in oral implants. J Clin Periodontol 1991;18:474-481 https://doi.org/10.1111/j.1600-051X.1991.tb02319.x
  5. Meredith N. Assessment of implant stability as a prognotic determinant. Int J Prosthodont 1998;11:491-501
  6. Sennerby L, Meredith N. Resonance Frequency Analysis: Measuring implant stability and osseointegration. Compendium 1998;19:493-502
  7. Park C. A study of the measurement of the implant stability using resonance requency analysis. PhD thesis, 2000, Dankook University, Korea
  8. $Osstell^{TM}$ resonance frequency analyser. Clinical Manual. Integration Diagnostics Ltd. S$\"{a}$vedalen, Sweden. 2002
  9. Lekholm U, Zarb GA. Patient selection and preparation, in Branemark PI, Zarb GA, Albrektsson T.(eds): Tissue-Integrated Prostheses : Osseointegration in Clinical Dentistry. Chicago:Quintessence, 1985:199-209
  10. Tal H. Spontaneous early exposure of submerged implants: I. Classification and clinical observations. J Periodontol 1999;70:213-219 https://doi.org/10.1902/jop.1999.70.2.213
  11. Tal H, Dayan D. Spontaneous early exposure of submerged implants: II. Histopathology and histomorphometry of non-perforated mucosa covering submerged implants. J Periodontol 2000;71:1224-1230 https://doi.org/10.1902/jop.2000.71.8.1224
  12. Tal H, Dayan D. Spontaneous early exposure of submerged implants: III. Histopathology of perforated mucosa covering submerged implants. J Periodontol 2000;71:1231-1235 https://doi.org/10.1902/jop.2000.71.8.1231
  13. Meredith N. On the clinical measurement of implant stability and osseointegration. PhD thesis, 1997, University of Gothenburg, Sweden
  14. Meredith N, Alleyne D, Cawley P. Quantitative determination of the stability of the implant-tissue interface using resonance frequency analysis. Clin Oral Impl Res 1996;7:261-267 https://doi.org/10.1034/j.1600-0501.1996.070308.x
  15. Meredith N, Book K, Friberg B, Jemt T, Sennerby L. Resonance frequency measurements of implant stability in-vivo: A cross sectional and longitudinal study of resonance frequency measurements on implants in the edentulous and partially dentate maxilla. Clin Oral Impl Res 1997;8:226-233 https://doi.org/10.1034/j.1600-0501.1997.080309.x
  16. Meredith N, Sagaldi F, Alleyne D, Sennerby L, Cawley P. The application of resonance frequency measurement to study the stability of titanium implants during healing in the rabbit tibia. Clin Oral Impl Res 1997;8:234-243 https://doi.org/10.1034/j.1600-0501.1997.080310.x
  17. Sennerby L, Friberg B, Linden B, Jemt T, Meredith N. A comparison of implant stability in mandibular and maxillary bone using RFA. European Commission Demonstration Project. Resonance Frequency Analysis Symposium. 2000, Gothenburg, Sweden
  18. Al-Nawas B, Groetz KA, Brahm R, Wagner W. Resonance-frequency-analysis in the healing and loading period of dental implants. IADR abstracts 2002;1027
  19. Park CJ. Stability measurement on the implants of mandibular molar area using $Osstell^{TM}$. J Korean Academy of Stomatognathic Function and Occlusion 2001;17:205-211
  20. Friberg B. On bone quality and implant stability measurements. PhD thesis. 1994, University of Gothenburg, Sweden
  21. Friberg B, Sennerby L, Roos J, Johansson P, Strid CG, Lekholm U. Evaluation of bone density using cutting resistance measurements and microradiography. : An in vitro study in pig ribs. Clin Oral Impl Res 1995;6:164-171 https://doi.org/10.1034/j.1600-0501.1995.060305.x
  22. Friberg B, Sennerby L, Roos J, Lekholm U. Identification of bone quality in conjunction with insertion of titanium implants. Clin Oral Impl Res 1995;6:213-219 https://doi.org/10.1034/j.1600-0501.1995.060403.x
  23. Johansson P, Strid KG. Assessment of bone quality from cutting resistance during implant surgery. Int J Oral Maxillofac Impl 1994;9:279-288
  24. Friberg B, Sennerby L, Meredith N, Lekholm U. A comparison between cutting torque and resonance frequency measurements of maxillary implants. A 20-month clinical study. Int J Oral Maxillofacial Surg 1999a;28:297-303 https://doi.org/10.1016/S0901-5027(99)80163-5
  25. Buser D, Mericske-Stern R, Bernard JP. Longterm evaluation of non-submerged ITI implants. Part 1:8-year life table analysis of a prospective multicenter study with 2359 implants. Clin Oral Impl Res 1997;8:161-172 https://doi.org/10.1034/j.1600-0501.1997.080302.x
  26. Buser D, Weber HP, Bragger U, Balsiger C. Tissue integration of one-stagem implants :3-year results of a longitudinal study with hollow-cylinder and hollow-screw implants. Int J Oral Maxillofac Impl 1991;6:405-412
  27. Becker W, Becker B, Isarelson H. One-step surgical placement of Branemark implants: A prospective multicenter clinical study. Int J Oral Maxillofac Impl 1997;12:454-462
  28. Ericsson I, Rainbow K, Glantz PO, Lindhe J, Nilner K. Clinical and radiographical features of submerged and nonsubmerged titanium implants. Clin Oral Impl Res 1994;5:185-189 https://doi.org/10.1034/j.1600-0501.1994.050310.x
  29. Ericsson I, Rainbow K, Nilner K, Petersson A. Some clinical and radiographical features of submerged and non-submerged titanium implants. A 5-year follow-up study. Clin Oral Impl Res 1997;8:422-426 https://doi.org/10.1034/j.1600-0501.1997.080509.x
  30. Friberg B, Sennerby L, Linden B, Grondahl K, Lekholm U. Stability measurements of one-stage Br${\aa}$nemark implants during healing in mandibles. A clinical resonance frequency study. Int J Oral Maxillofac Surg 1999b;28:266-272 https://doi.org/10.1016/S0901-5027(99)80156-8
  31. Park CJ. In vitro comparative study between ISQ and Peritcst $^\circledR$ values on the implant stability measurements according to the increased effective implant length. J Korean Academy of Prosthodontics 2001;39:625-635
  32. Toljanic J, Banakis M, Willes L, Graham L. Soft tissue exposure of endosseous implants between stage I and stage II surgery as a potential indicator of early crestal bone loss. Int J Oral Maxillofac Impl 1999;14:436-441