Evaluation of Implant Stability According to Implant Placement Site and Duration in Elderly Patients: A Prospective Multi-Center Cohort Study

The aim of this prospective study is to investigate implant stability and the reliability of different measuring devices according to implant placement site and duration in patients aged over 65 years. The study evaluated 60 implants (diameter: 3.5/4.0/4.5/5.0 mm and length: 8.5/10.0/11.5 mm) in 60...

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Main Authors: Ji-Suk Shim, Moon-Young Kim, Se-Jun An, Eun-Sung Kang, Yu-Sung Choi
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/15/5087
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author Ji-Suk Shim
Moon-Young Kim
Se-Jun An
Eun-Sung Kang
Yu-Sung Choi
author_facet Ji-Suk Shim
Moon-Young Kim
Se-Jun An
Eun-Sung Kang
Yu-Sung Choi
author_sort Ji-Suk Shim
collection DOAJ
description The aim of this prospective study is to investigate implant stability and the reliability of different measuring devices according to implant placement site and duration in patients aged over 65 years. The study evaluated 60 implants (diameter: 3.5/4.0/4.5/5.0 mm and length: 8.5/10.0/11.5 mm) in 60 patients aged ≥ 65 years. The implant placement sites were divided into six evenly distributed sections (<i>n</i> = 10), i.e., maxillary right-posterior, A; maxillary anterior, B; maxillary left-posterior, C; mandibular right-posterior, D; mandibular anterior, E; mandibular left-posterior, F. Participants visited the hospital six times: implant surgery, 1V; stitch removal, 2V; 1-month follow-up, 3V; 2-month follow-up, 4V; before final restoration delivery, 5V; and after final restoration delivery, 6V. The implant stability was evaluated with the Osstell Mentor (ISQ), Periotest M (PTV), and Anycheck (IST). The mean values of ISQ, PTV, and IST were analyzed (α = 0.05). ISQ, PTV, and IST results of 4V and 5V were significantly higher than those of 1V (<i>p</i> < 0.05). The lowest ISQ results occurred in the E location at 4V and 5V (<i>p</i> < 0.05). In all mandibular locations, IST results of 6V were significantly higher than those of 1V, 2V, 3V, and 4V (<i>p</i> < 0.05). ISQ results were negatively correlated with PTV and positively correlated with IST, and PTV was negatively correlated with IST. By considering various factors affecting the stability of the implant, it is necessary to determine the appropriate implant load application time. This could help increase the implant success rate in elderly patients. And as a diagnostic device for implant stability and the evaluation of osseointegration in elderly patients, Anycheck was also able to prove its relative reliability compared to Osstell ISQ Mentor and Periotest M.
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spelling doaj.art-b814f27b6ea44c1dbf3d19e96d7b10062023-11-18T23:09:14ZengMDPI AGJournal of Clinical Medicine2077-03832023-08-011215508710.3390/jcm12155087Evaluation of Implant Stability According to Implant Placement Site and Duration in Elderly Patients: A Prospective Multi-Center Cohort StudyJi-Suk Shim0Moon-Young Kim1Se-Jun An2Eun-Sung Kang3Yu-Sung Choi4Department of Dentistry, Korea University Guro Hospital, Seoul 08308, Republic of KoreaDepartment of Oral and Maxillofacial Surgery, College of Dentistry, Dankook University, Cheonan 31116, Republic of KoreaDepartment of Prosthodontics, College of Dentistry, Dankook University, Cheonan 31116, Republic of KoreaDepartment of Oral and Maxillofacial Surgery, College of Dentistry, Dankook University, Cheonan 31116, Republic of KoreaDepartment of Prosthodontics, College of Dentistry, Dankook University, Cheonan 31116, Republic of KoreaThe aim of this prospective study is to investigate implant stability and the reliability of different measuring devices according to implant placement site and duration in patients aged over 65 years. The study evaluated 60 implants (diameter: 3.5/4.0/4.5/5.0 mm and length: 8.5/10.0/11.5 mm) in 60 patients aged ≥ 65 years. The implant placement sites were divided into six evenly distributed sections (<i>n</i> = 10), i.e., maxillary right-posterior, A; maxillary anterior, B; maxillary left-posterior, C; mandibular right-posterior, D; mandibular anterior, E; mandibular left-posterior, F. Participants visited the hospital six times: implant surgery, 1V; stitch removal, 2V; 1-month follow-up, 3V; 2-month follow-up, 4V; before final restoration delivery, 5V; and after final restoration delivery, 6V. The implant stability was evaluated with the Osstell Mentor (ISQ), Periotest M (PTV), and Anycheck (IST). The mean values of ISQ, PTV, and IST were analyzed (α = 0.05). ISQ, PTV, and IST results of 4V and 5V were significantly higher than those of 1V (<i>p</i> < 0.05). The lowest ISQ results occurred in the E location at 4V and 5V (<i>p</i> < 0.05). In all mandibular locations, IST results of 6V were significantly higher than those of 1V, 2V, 3V, and 4V (<i>p</i> < 0.05). ISQ results were negatively correlated with PTV and positively correlated with IST, and PTV was negatively correlated with IST. By considering various factors affecting the stability of the implant, it is necessary to determine the appropriate implant load application time. This could help increase the implant success rate in elderly patients. And as a diagnostic device for implant stability and the evaluation of osseointegration in elderly patients, Anycheck was also able to prove its relative reliability compared to Osstell ISQ Mentor and Periotest M.https://www.mdpi.com/2077-0383/12/15/5087implant stabilityimplant stability quotientPeriotest valueimplant stability testprospective studyelderly patient
spellingShingle Ji-Suk Shim
Moon-Young Kim
Se-Jun An
Eun-Sung Kang
Yu-Sung Choi
Evaluation of Implant Stability According to Implant Placement Site and Duration in Elderly Patients: A Prospective Multi-Center Cohort Study
Journal of Clinical Medicine
implant stability
implant stability quotient
Periotest value
implant stability test
prospective study
elderly patient
title Evaluation of Implant Stability According to Implant Placement Site and Duration in Elderly Patients: A Prospective Multi-Center Cohort Study
title_full Evaluation of Implant Stability According to Implant Placement Site and Duration in Elderly Patients: A Prospective Multi-Center Cohort Study
title_fullStr Evaluation of Implant Stability According to Implant Placement Site and Duration in Elderly Patients: A Prospective Multi-Center Cohort Study
title_full_unstemmed Evaluation of Implant Stability According to Implant Placement Site and Duration in Elderly Patients: A Prospective Multi-Center Cohort Study
title_short Evaluation of Implant Stability According to Implant Placement Site and Duration in Elderly Patients: A Prospective Multi-Center Cohort Study
title_sort evaluation of implant stability according to implant placement site and duration in elderly patients a prospective multi center cohort study
topic implant stability
implant stability quotient
Periotest value
implant stability test
prospective study
elderly patient
url https://www.mdpi.com/2077-0383/12/15/5087
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