Evaluation of Stability Changes in Tapered and Parallel Wall Implants: A Human Clinical Trial

Abstract

Objective: To determine the pattern of stability changes as a reflection of early
healing around single-stage roughened-surface implants in humans utilizing resonance
frequency analysis (RFA).
Materials and Methods: Hundred twenty-five patients who demanded dental
implants were treated with two different implant (Nobel Biocare ReplaceTM and
StrummanTM ITI) systems. Bone type was classified into four groups. RFA was
used for direct measurement of implant stability on the day of implant placement
and consecutively at 14, 30 and 60 days after placement. The data were analyzed
with Student t test and regression analysis.
Results: Three-hundred four roughened surface implants placed in the maxilla
and mandible were evaluated. In ReplaceTM implants the lowest mean stability
measurement was at 30 days for all bone types and the stability did not change
significantly in any of the bone types (p>0.05). ITITM implants demonstrated the
lowest stability at 60 days for type 1 and 30 days and baseline for type 2, 3 and 4
bones. In addition, there was significant differences in implant stability between
bone types 1 and 4 (P<0.001), 2 and 3 (p<0.05) , and bone types 3 and 4
(P=0.07) at all aforementioned times in ITITM implants. In ReplaceTM implants,
regarding the implant diameter, contrary to ITI implants, no significant stability
changes were detected (p>0.05). No significant difference was observed regarding
gender, age and lengths in both systems.
Conclusion: In comparison to ITITM implants, ReplaceTM implants revealed no
significant difference in the pattern of stability changes among different bone
types.