Main Article Content

Abstract

RÉSUMÉ
Objectifs. Notre étude avait pour but d’analyser l’influence du sexe et de l’âge des patients, de la longueur et du diamètre des implants sur la stabilité secondaire. Patients et méthodes. Il s’agit d’une étude de cohorte monocentrique. Les variables de l’étude étaient : le sexe et l’âge des patients, la longueur et le diamètre implantaire, l’implant stability quotient (ISQ). Les patients ont bénéficié chacun de la pose d’un implant soit au maxillaire soit à la mandibule. Les implants de marque Straumann SLA de diamètre soit 4,1 mm, soit 4,8 mm et de longueur soit 8 mm soit 10 mm étaient posés. La mesure de l’ISQ était effectuée à la 10ème semaine post opératoire à l’aide de l’appareil Osstell. L’analyse de corrélation de Pearson était réalisée entre les variables âge, longueur, diamètre et ISQ. La comparaison des moyennes de l’ISQ chez les hommes et chez les femmes a été réalisée par le test de Student. Résultats. L’analyse de corrélation de Pearson n’a pas montré de corrélation statistiquement significative entre l’ISQ et l’âge des patients (r=0.2), entre l’ISQ et la longueur (r=- 0.01) et entre l’ISQ et diamètre de l’implant (r=0.06). La moyenne de l’ISQ n’était pas statistiquement significative entre les hommes et les femmes avec p valeur à 0.948. Conclusion. Cette étude n’a montré aucune influence de l’âge et du sexe des patients, de la longueur et le diamètre implantaire sur la stabilité secondaire. La microarchitecture trabéculaire et la surface implantaire joueraient un rôle capital dans l’atteinte et la maintenance de la stabilité secondaire (ostéo-intégration).
ABSTRACT
Objective. To analyze the influence of the age and gender of the patients, the length and diameter of implants on secondary stability. Patients and methods. This was a single-center cohort study. The study variables were the age and gender of the patients, the length and diameter of implants, (implant stability quotient) ISQ. Each patient benefited from the placement of an implant in either the maxilla or the mandible. Straumann SLA brand implants with a diameter of either 4.1 mm or 4.8 mm and length of either 8 mm or 10 mm were placed. The ISQ measurement was carried out at the 10th post operative week using the Osstell device. Pearson’s correlation analysis was performed between the variables age, length, diameter and ISQ. The comparison of means between ISQ and men and women was carried out by the Student t-test. Results. Pearson’s correlation analysis did not show a statistically significant correlation between ISQ and patient age (r= 0.2), between ISQ and the length (r= -0.01) and diameter of the implant (r= 0.06). The mean of ISQ was not statistically significant between men and women with p value at 0.948. Conclusion. The study showed no influence of the age and the gender of the patients, the length and diameter of implants on secondary stability. The trabecular microarchitecture and the implant surface would play a capital role in the achievement and maintenance of secondary stability (osseointegration).

Keywords

Longueur Diamètre Implant dentaire Age Sexe Ostéo-intégration ISQ Length Diameter Dental implant Age gender Osseointegration ISQ

Article Details

How to Cite
Sokolo Richard, Molimard Thierry, Songo Florent, Situakibanza Hippolyte, Situakibanza Hippolyte, Matanda Richard, Mokassa Luc, & Thomas Thierry. (2022). Influence des Paramètres Démographiques et Géométriques Implantaires sur l’Ostéo-intégration des Implants Dentaires: Facteurs influençant l’ostéo-intégration des implants dentaires. HEALTH SCIENCES AND DISEASE, 23(5). https://doi.org/10.5281/hsd.v23i5.3595

References

  1. Huang H, Wu G, Hunziker E. The clinical significance of implant stability quotient (ISQ) measurements: A literature review. J Oral Biol Craniofac Res 2020;10(4):629-638.
  2. Anwar B. Bataineh, Ala M. Al-dakes. The influence of length of implant on primary stability: An in vitro study using resonance frequency analysis. J Clin Exp Dent 2017;9(1):1-6.
  3. Grassi S, Piattelli A, Ferrari DS, Figueiredo LC, Feres M, Iezzi G. Histologic evaluation of human bone integration on machined and sandblasted acid-etched titanium surfaces in type IV bone. J Oral Implantol. 2007;33:8-12.
  4. Farré-Pagès N, Augé-Castro ML, Alaejos-Algarra F, Mareque-Bueno J, Ferrés-Prado E, Hernandez-Alfaro F. Relation between bone density and primary implant stability. Med Oral Patol Oral Cir Bucal 2011;16:62-7.
  5. Brånemark PI, Hansson BO, Adell R, Breine U, Lindströn J, Hallen O and al. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10 year period. Scand J Plast Reconstr Surg Suppl 1977;16:130-132.
  6. Hamidreza Barikani, Shadab Rashtak, Soolmaz Akbari, Samareh Badri, Niloufar Daneshparvar, Amirreza Rokn. The effect of implant length and diameter on the primary stability in different bone types. J Dent (Tehran) 2013;10(5):449-455.
  7. Javed F, Romanos GE. The role of primary stability for successful immediate loading implants. A literature review. J Dent 2010;38(8):612-20.
  8. Bilhan H, Geckili O, Mumcu E, Bozdag E, Sumbuloglu E, Kutay O. Influence of surgical technique, implant shape and diameter on the primary stability in cancellous bone. L Oral Rehabil 2010;37(12):900-7.
  9. Miguel Gomez-Polo, Rocio Ortega, Cristina Gomez-Polo, Cristina Martin, Alicia Celemin, Jaime del Rio. Does length, diameter, or bone quality affect primary and secondary stability in self-tapping dental implants? J Oral Maxillofac Surg 2016;74:1344-1356.
  10. Guler AU, Sumer M, Duran I, Sandikci EO, Telcioglu NT. Resonance frequency analysis of 208 Straumann dental implants during the healing period. J Oral Implantol 2013;39:161-167.
  11. Sennerby l, Roos j. Surgical determinants of clinical success of osseointegrated oral implants: a review of literature. Int J Prosthodont 1998;11:408-420.
  12. Bafijari D,Benedetti A, Stamatoski A, Bafijari F, Susak Z, Veljanovski D. Influence of resonance frequency analysis(RFA) measurements for successful osseointegration of dental implants during the healing period and its impact on implant assessed by Osstell Mentor Device. Open Access Maced J Med SCI 2019;7(23):4110-4115.
  13. Meredith N. Assessment of implant stability as a prognostic determinant. Int J Prosthodont 1998;11(5):491-501.
  14. Albrektsson T, Branemark PI, Hansson HA, Lindström J. Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand 1981;52(2):155-70.
  15. Quesada-Garcia MP, Prados-Sanchez E, Olmedo-Gaya MV, Munoz-SotonE, Vallecillo-Capilla M, Bravo M. dental implant stability is influenced by implant diameter and localization and by the use of plasma rich in growth factors. J Oral Maxillofac Surg 2012;70:2761-2767.
  16. Minkin C, Marinho VC. Role of the osteoclast at the bone-implant interface. Adv Dent Res 1999;13:49-56
  17. Chappard D. Modelage et remodelage au cours de l’ostéo-intégration. Rev Stomatol Chir Maxillofac Chir Oral 2013;114 :159-165.
  18. Szmukler-Moncler S, Davarpanah M, Bernard JP, Jakubowicz-Kohen B, Khoury PM. Physiologie des tissus durs et mous. Dans: Davarpanah M, Szmukler-Moncler S, Rajzbaum PH, Davarpanah K, Demurashvili G, eds. Manuel d’implantologie clinique. Concepts, intégration des protocoles et esquisse de nouveaux paradigmes.Wolters Kluver :Cdp ;2012.p.23-55.
  19. Bernard JP, Szmukler-Moncler S,Pessotto S, Vasquez L, Belser UC. The anchorage of Branemark and ITI implants of different lengths.I. An experimental study in the canine mandible. Clin Oral Implants Res 2003;14:593-600.
  20. Watzak G, Zechner W, Ulm C, Tangl S, Tepper G. Histologic and histomorphometric analysis of three types of dental implants following 18 months of occlusal loading: a preliminary study in baboons. Clin Oral Implant Res 2005;16:408-416.
  21. Vollmer A, Saravi B, Lang G, Adolphs N, Hazard D, Giers V, Stoll P. Factors influencing primary and secondary implant stability- A retrospective cohort study with 582 implants in 272 patients. Appl Sci 2020;10(22),p.8084
  22. Becker W, Hujoel P, Becker BE,Wohrle P. Dental implants in an aged population: evaluation of periodontal health, bone loss, implant survival, and quality of live. Clin Implant Dent Relat Res 2016;18:473-479.
  23. Moy PK, Medina D, Shetty V, Aghaloo TL. Dental implant failure rates and associated risk factors. Int J Oral Maxillofac Implants 2005;20:569-577.
  24. Otman PO, Hellman M, Wendelhang I, Sennerby L. Resonance frequency analysis measurements of implants at placement surgery. Int J Prosthodont 2006;19(1):77-83.
  25. Boronat Lopez A, Balaguer Martinez J, Lamas Pelayo J, Carrillo Garcia C, Penarrocha Diago M. Resonance frequency analysis of dental implant stability during the healing period. Med Oral Patol Oral Cir Bucal 2008;13(4):244-247.
  26. Zix J, Kessler-Liechti G, Mericske-Stem R. Stability measurements of 1-stage implants in the maxilla by means of resonance frequency analysis: a pilot study. Int J Oral Maxillofac Implants 2005;20:747-752.
  27. Merheb J, Vercruyssen M, Coucke W, Quirynen M. Relationship of implant stability and bone density derived from computerized tomography images . Clin Implant Dent Relat Res 2018;20:50-57.
  28. Balleri P, Cozzolino A, Ghelli L, Momicchioli G, Varriale A. Stability measurements of osseointegrated implants using Osstell in partially edentulous jaws after 1 year of loading: a pilot study. Clin Implant Dent Relat Res 2002;4:128-132.
  29. Winter W, Möhrle S, Holst S, et al/ Parameters of implant stability measurements based on resonance frequency and damping capacity: a comparative finite elements analysis. Int J Oral Maxillofac Implants 2010;25:532-538.
  30. Sim Cp, Lang Np. Factors influencing resonance frequency analysis assessed by Osstell mentor during implant tissue integration: I. Instrument positioning, bone structure, implant length. Clin Oral implants Res 2010;21:598-604.
  31. Hans J, Lulic M, Lang NP. Factors influencing resonance frequency analysis assessed by Osstell mentor during implant tissue integration: II. Implant surface modifications and implant diameter. Clin Oral Implants Res 2010 Jun;21(6):605-11.
  32. Ohta K, Takechi M, Minami M, et al : Influence of factors related to implant stability detected by wireless resonance frequency analysis device. J Oral Rehabil 2010;37:131-137.
  33. Bischof M, Nedir R, Szmukler-Moncler s, Bernard JP, Samson J. Implant stability measurement of delayed and immediately loaded implants during healing. Clin Oral Implants Res. 2004;15(5):529-539.
  34. Aragones JM, Suarez A, Brugal VA, Gomez M. Frequency values and their relationship with the diameter of dental implants. Prospective study of 559 implants. Implant dentistry 2019;28(3):279-288.
  35. Gonzalez-Garcia R, Monje F, Moreno-Garcia C. Predictability of the resonance frequency analysis in the survival of dental implants placed in the anterior non-atrophied edentulous mandible. Med Oral Patol Oral Cir Bucal 2011;16:664-9.
  36. Kim YH, Choi NR, Kim YD. The factors that influence postoperative stability of the dental implants in posterior edentulous maxilla. Maxillofac Plast Reconstr Surg 2017;39:2-6.
  37. Raghavendra S, Wood MC, Taylor TD. Early wound healing around endosseous implants: a review of the literature. Int J Oral Maxillofac Implants 2005;20(3):425-431.
  38. Fanuscu MI, Chang TL. Three-dimensionnal morphometric analysis of human cadaver bone: microstructural data from maxilla and mandible. Clin Oral Implants Res 2004;15:213-218.