Factors Affecting Implant Mobility at Placement and Integration of Mobile Implants at Uncovering.

Autor: Orenstein, Ira H., Tarnow, Dennis P., Morris, Harold F., Ochi, Shigeru
Předmět:
Zdroj: Journal of Periodontology; Dec1998, Vol. 69 Issue 12, p1404-1412, 9p, 11 Charts, 3 Graphs
Abstrakt: THIS STUDY EXAMINED 1) FACTORS that contributed to implant stability at placement and 2) the likelihood for as implant that was mobile at placement to osseointegrate. Eighty-one (3.1%) of 2,641 implants placed by the Dental Implant Clinical Research Group between 1991 and 1995 were found to be mobile at placement. Seventy-six (93.8%) of the 81 mobile implants were integrated at uncovering compared to 97.5% for the 2,560 immobile implants. Variables that influenced mobility at placement included patient age, implant design and material, anterior-posterior jaw location, bone density, and use of a bone tap. Hydroxyapatite (HA)-coated implants were slightly more likely to be mobile at placement (P = 0.324) than non-hydroxypatite (HA)-coated implants. Of the 54 HA-coated implants that were mobile at placement, all (100%) integrated, while only 17 (81.5%) of the 22 mobile non-HA-coated implants integrated (P = 0.003). Mean electronic mobility testing device values (PTVs) at uncovering for all implants mobile or immobile at placement that integrated were -2.9 and -3.6 respectively. PTVs for HA-coated implants that were mobile (-3.5 PTV) or immobile (-4.0 PTV) at placement differed by 0.5 PTV, whereas non-HA-coated implants exhibited a greater difference of 1.2 PTVs at uncovering. HA-coated implants, regardless of mobility at placement, integrated more frequently and exhibited greater stability than non HA-coated implants. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index