Abstract:

BACKGROUND: Implant stability is the basic requirement of osseointegration and also one of important parameters to judge whether the implant is implanted successfully. Generally, the implant stability is closed related to bone quality (bone hardness and bone density) in the implant zone, implant shape, diameter and length.
OBJECTIVE: To continuously monitor the changing trend of implant stability during early healing period due to the utilization of osteotome technique by resonance frequency analysis. 
METHODS: Twenty patients with class IV defects in the posterior maxilla who underwent implant restoration (4.8 mm×12 mm) from 2010 to 2011 at the Department of Stomatology, the 521 Hospital of China North Industries Group Corporation were recruited. Resonance frequency analysis was used to measure the implant stability at implant insertion, 1, 2, 3, 4, 6, 8 and 12 weeks postoperatively.
RESULTS AND CONCLUSION: All the implants achieved osseintegration uneventfully within 12 weeks. At implant installation, the mean implant stability quotient value was 69.66±4.75. An increase trend in implant stability quotient values was visible within 1 week, and the implant stability quotient value reached the peaked at 1 week, and then decreased to the lowest point at 2 weeks, which were significantly different from that at implant installation (P < 0.05). In the secondary stability phase, the increasing slope of implant stability quotient values reached a plateau by the 8th week. The resonance frequency analysis can estimate the quantitative change of implant stability after applying the osteotome technique, and the osteotome technique can promote the implant initial stability.

Key words: Dental Implants, Denture Retention, Synostosis, Dental Implantation, Endosseous