Evaluation of insertion torque and implant stability using the osstell device according to connection method and practitioner variability

Fariz Selimli

Makale detayları

Evaluation of insertion torque and implant stability using the osstell device according to connection method and practitioner variability

Yazarlar:

Fariz Selimli

Yayıncı:

Cukurova University

Ana Başlıklar:

Cerrahi (Diğer)

Dergi:

Cukurova Medical Journal Vol.50 Issue 2, pp.443-448

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001351473

pISSN:

2602-3032

Anahtar kelimeler:

Özet:

 Purpose: This study aimed to evaluate the effects of SmartPeg connection methods and practitioner-related variability on insertion torque and implant stability measurements using the Osstell device. Materials and Methods: Four oral and maxillofacial surgeons each placed 40 implants into bovine femur bone blocks with D1 bone quality. The study was conducted at the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hatay Mustafa Kemal University Hatay, Türkiye. SmartPeg insertion torque was measured using a digital torque wrench. Resonance Frequency Analysis RFA was performed immediately after SmartPeg placement. Data were analyzed using ANOVA and Intraclass Correlation Coefficient ICC. Results: The mean insertion torque values were 69.88  2.11 Ncm for the group with lower applied torque, 81.66  1.43 Ncm for the group with higher manual torque, and 80.88  1.55 Ncm for the standardized angulated adapter group. Statistically significant differences were observed among the groups. The highest intergroup consistency was recorded between the manual high-torque group and the angulated adapter group ICC  0.655, 95 CI: 0.0450.955, p  0.026. Additionally, ISQ values showed a positive correlation with torque consistency, suggesting that uniform application methods may enhance measurement reliability. Conclusion: Practitioner-related variability affects SmartPeg insertion torque and subsequent ISQ measurements. The use of a standardized connection method, such as an angulated adapter applying fixed torque, may improve the reliability and reproducibility of RFA-based implant stability assessments.

 Purpose: This study aimed to evaluate the effects of SmartPeg connection methods and practitioner-related variability on insertion torque and implant stability measurements using the Osstell device. Materials and Methods: Four oral and maxillofacial surgeons each placed 40 implants into bovine femur bone blocks with D1 bone quality. The study was conducted at the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hatay Mustafa Kemal University Hatay, Türkiye. SmartPeg insertion torque was measured using a digital torque wrench. Resonance Frequency Analysis RFA was performed immediately after SmartPeg placement. Data were analyzed using ANOVA and Intraclass Correlation Coefficient ICC. Results: The mean insertion torque values were 69.88  2.11 Ncm for the group with lower applied torque, 81.66  1.43 Ncm for the group with higher manual torque, and 80.88  1.55 Ncm for the standardized angulated adapter group. Statistically significant differences were observed among the groups. The highest intergroup consistency was recorded between the manual high-torque group and the angulated adapter group ICC  0.655, 95 CI: 0.0450.955, p  0.026. Additionally, ISQ values showed a positive correlation with torque consistency, suggesting that uniform application methods may enhance measurement reliability. Conclusion: Practitioner-related variability affects SmartPeg insertion torque and subsequent ISQ measurements. The use of a standardized connection method, such as an angulated adapter applying fixed torque, may improve the reliability and reproducibility of RFA-based implant stability assessments.

 Purpose: This study aimed to evaluate the effects of SmartPeg connection methods and practitioner-related variability on insertion torque and implant stability measurements using the Osstell device. Materials and Methods: Four oral and maxillofacial surgeons each placed 40 implants into bovine femur bone blocks with D1 bone quality. The study was conducted at the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hatay Mustafa Kemal University Hatay, Türkiye. SmartPeg insertion torque was measured using a digital torque wrench. Resonance Frequency Analysis RFA was performed immediately after SmartPeg placement. Data were analyzed using ANOVA and Intraclass Correlation Coefficient ICC. Results: The mean insertion torque values were 69.88  2.11 Ncm for the group with lower applied torque, 81.66  1.43 Ncm for the group with higher manual torque, and 80.88  1.55 Ncm for the standardized angulated adapter group. Statistically significant differences were observed among the groups. The highest intergroup consistency was recorded between the manual high-torque group and the angulated adapter group ICC  0.655, 95 CI: 0.0450.955, p  0.026. Additionally, ISQ values showed a positive correlation with torque consistency, suggesting that uniform application methods may enhance measurement reliability. Conclusion: Practitioner-related variability affects SmartPeg insertion torque and subsequent ISQ measurements. The use of a standardized connection method, such as an angulated adapter applying fixed torque, may improve the reliability and reproducibility of RFA-based implant stability assessments.

 Amaç: Bu çalışma, SmartPeg bağlantı yöntemlerinin ve uygulayıcıya bağlı değişkenliğin, Osstell cihazı kullanılarak yapılan yerleştirme torku ve implant stabilitesi ölçümleri üzerindeki etkilerini değerlendirmeyi amaçlamaktadır. Gereç ve Yöntem: Dört ağız, diş ve çene cerrahı, D1 kemik kalitesine sahip sığır femur kemik bloklarına, her biri 40 implant yerleştirmiştir. Çalışma, Hatay Mustafa Kemal Üniversitesi Diş Hekimliği Fakültesi, Ağız Diş ve Çene Cerrahisi Anabilim Dalında yürütülmüştür. SmartPeg yerleştirme torku dijital tork anahtarıyla ölçülmüştür. SmartPeg bağlantısından hemen sonra rezonans frekans analizi RFA gerçekleştirilmiştir. Veriler, ANOVA ve iç sınıf korelasyon katsayısı ICC ile analiz edilmiştir. Bulgular: Ortalama yerleştirme torku, düşük tork uygulayan grupta 69.88  2.11 Ncm, yüksek tork uygulayan grupta 81.66  1.43 Ncm, standart açı adaptörlü grupta ise 80.88  1.55 Ncm olarak bulunmuştur. Gruplar arasında istatistiksel olarak anlamlı fark saptanmıştır. En yüksek grup içi tutarlılık, yüksek manuel tork grubu ile açı adaptörlü grup arasında kaydedilmiştir ICC  0.655, 95 GA: 0.0450.955, p  0.026. Ayrıca, ISQ değerlerinin tork tutarlılığı ile pozitif korelasyon gösterdiği gözlemlenmiştir; bu durum, standart bağlantı yöntemlerinin ölçüm güvenilirliğini artırabileceğini göstermektedir. Sonuç: Uygulayıcı kaynaklı değişkenlik, SmartPeg yerleştirme torkunu ve buna bağlı olarak ISQ ölçümlerini etkileyebilmektedir. Sabit tork uygulayan açı adaptörü gibi standart bağlantı yöntemlerinin kullanımı, RFA temelli implant stabilite değerlendirmelerinde tekrarlanabilirlik ve güvenilirliği artırabilir.

Makale detayları

Evaluation of insertion torque and implant stability using the osstell device according to connection method and practitioner variability

Yazarlar:

Fariz Selimli

Yayıncı:

Cukurova University

Ana Başlıklar:

Cerrahi (Diğer)

Dergi:

Cukurova Medical Journal Vol.50 Issue 2, pp.443-448

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001351473

pISSN:

2602-3032

Implant stability

insertion torque

resonance frequency analysis

practitioner variability

SmartPegİmplant stabilitesi

yerleştirme torku

rezonans frekansı analizi

uygulayıcı farklılığı

SmartPeg

Sayı

Makale detayları

Yazarlar: Fariz Selimli

Yayıncı: Cukurova University

Ana Başlıklar: Cerrahi (Diğer)

Dergi: Cukurova Medical Journal Vol.50 Issue 2, pp.443-448

Belge Tipi: Makale

Yayın Tarihi: 6/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001351473

pISSN: 2602-3032

Sayı

Yazarlar:

Fariz Selimli

Yayıncı:

Cukurova University

Ana Başlıklar:

Cerrahi (Diğer)

Dergi:

Cukurova Medical Journal Vol.50 Issue 2, pp.443-448

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001351473

pISSN:

2602-3032