Prediction of Primary Dental Implant Stability Preoperatively Using CBCT of the Planned Implant Site.

Soaad Tolba Mohammed Tolba Badawi29 enrolled

Overview

This study aimed to assess whether preoperative characteristics of the implant site, such as bone density and alveolar ridge width, assessed using cone beam computed tomography (CBCT), are significantly associated with primary stability, as assessed by resonance frequency analysis (RFA) and final insertion torque value (ITV), and thereby investigate if it is feasible to predict primary stability preoperatively using this form of radiologic examination of the planned implant site. All patients underwent preoperative CBCT. The bone density and alveolar ridge width were assessed. The primary implant stability quotient (ISQ) values were assessed by a wireless magnetic-based Osstell ISQ RF Analyzer.

The quality and quantity of bone available for placing dental implants are key factors in the success of these implants. Implants placed in bone with insufficient quantity or poor quality have a higher risk of failure. As a result, evaluating the bone structure prior to implant placement surgery is essential for proper planning of the treatment.

Study Type

INTERVENTIONAL

Allocation

Purpose

DIAGNOSTIC

Masking

NONE

Enrollment

Conditions

Prediction of Primary Implant Stability From Bone Quality Obtained Prior to Implant Placement Using CBCT

Interventions

Preoperative CBCT for Bone Density and Ridge Width MeasurementDIAGNOSTIC_TEST

Participants in this arm underwent preoperative Cone Beam Computed Tomography (CBCT) scanning to evaluate bone density and alveolar ridge width. The CBCT scans provide high-resolution, 3D images, which was used to guide the planning and placement of dental implants. The primary goal of the intervention was to assess how well the measurements obtained from CBCT could predict the primary stability of the implants postoperatively.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients must be free from any systemic conditions that would contraindicate dental implant surgery. 2. Good oral hygiene. 3. Age above 18 years. 4. The planned implant site must have sufficient alveolar bone volume. Exclusion Criteria: 1. Patients who have undergone radiation therapy to the head and neck region within the last 12 months. 2. Uncontrolled diabetes. 3. Patients who underwent dental extractions or bone augmentation at the planned implant site during the last six months in order to guarantee uniform bone maturation. 4. Severe clenching or bruxism is present. 5. Acute infection at the planned implant site. 6. Implant sites requiring a procedure for bone gain.

Outcomes

Primary Outcomes

Primary Implant Stability Using Resonance Frequency Analysis (RFA)and final insertion torque value (ITV)

The primary outcome measure was the primary stability of the dental implants as determined by resonance frequency analysis (RFA) and final insertion torque value (ITV). The Implant Stability Quotient (ISQ) was measured immediately after the implant placement. ITV and ISQ values were corelated with the preoperative CBCT measurements of bone density and alveolar ridge width to evaluate the prognostic accuracy of CBCT in predicting primary implant stability.

Time frame: Measured immediately after implant placement