Avaliação da microestrutura óssea de sítios implantares e fatores relacionados às alterações no nível ósseo marginal e estabilidade de implantes dentários: estudo clínico prospectivo
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2013-07-15
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Universidade Federal de Goiás
Resumo
Bone characteristics influence surgical/prosthetic planning of implant treatment, but it is not clear their influence on longitudinal outcomes. This study aimed to investigate the association between jawbone microstructure and changes on marginal bone level (MBL) and implant stability (IS) after loading, in a 1-year follow-up. Forty-one volunteers received 97 dental implants, installed in bone sites classified from 1 to 4, according to Leckholm & Zarb (1985). Cortical bone thickness was measured on computed tomography images. Histomorphometric and microtomographic analyses were performed in bone specimens obtained by using a trephine bur, at first drilling. Peak insertion torque (PIT) and implant stability quotient (ISQ) measured by resonance frequency analysis (RFA) were registered at implant insertion. Periapical radiographs were standardized to measure the MBL, and were taken at three moments, when the ISQ was also measured: at uncovering stage, at loading and at 1-year follow-up. Agreement analysis between histomorphometry and microcomputed tomography (microCT) showed that these methods are complementary, but not interchangeably. Association tests revealed that ISQ changes were not affected by MBL changes. Bone type 4 (according L&Z) presented higher changes on ISQ, especially during osseointegration. Microstructure parameters (histomorphometric and microCT parameters) and cortical thickness did not influence ISQ changes and MBL changes. These results suggest that bone characteristics influence primary implant stability, but do not predict implant success after osseointegration.
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DIAS, Danilo Rocha. Avaliação da microestrutura óssea de sítios implantares e fatores relacionados às alterações no nível ósseo marginal e estabilidade de implantes dentários: estudo clínico prospectivo. 2013. 104 f. Tese (Doutorado em Ciências da Saúde), Universidade Federal de Goiás, Goiânia, 2013.