Comparison of primary stability of implants installed by two different methods in D3 and D4 bone types: An in vitro study
Vinod Bandela1, Bharathi Munagapati2, Jayashree Komala3, Ram B Basany3, Santosh R Patil4, Saraswathi Kanaparthi5
1 Faculty of Dentistry, Pacific Academy of Higher Education and Research University, Udaipur, Rajasthan, 313003, India
2 Department of Prosthodontics and Crown & Bridge, G. Pulla Reddy Dental College & Hospital, Kurnool, Andhra Pradesh, 518002, India
3 Department of Prosthodontics and Crown & Bridge, SVS Institute of Dental Sciences, Mahabubnagar, Telangana, 522660, India
4 Department of Oral Medicine and Radiology, New Horizon Dental College and Research Institute, Bilaspur, Chhattisgarh, 495001, India
5 Department of Pedodontics and Preventive Dentistry, St. Joseph Dental College and Hospital, Eluru, Andhra Pradesh, 534004, India
Dr. Vinod Bandela
Faculty of Dentistry, Pacific Academy of Higher Education and Research University, H.No:45/24–25 D8B, Sri Krishna Colony, Kurnool. Andhra Pradesh.
Source of Support: None, Conflict of Interest: None
Objective: The purpose of the study is to assess the method of implant insertion in D3 and D4 bones and influence of insertion torque for achieving better primary implant stability. Materials and Methods: A total of 32 specimens (wood blocks) simulating D4 and D3 bone were grouped into 1, 2, 3, and 4. In groups 1 and 3, the implant and abutment were placed by manual method while in groups 2 and 4 by motor-driven method. The osteotomy site was prepared as per the protocol for soft bone, and implants were placed till the implant platform was in flush with the surface of the block. After achieving a standard insertion torque of 40 N.cm, pullout test was carried out with a universal testing machine and results were analyzed by one-way analysis of variance. Results: An intergroup comparison of peak loads revealed an overall statistically significant difference (P < 0.0001) with a mean of 442.638 N, maximum in group 4 and least (202.963 N) in group 1. The mean elongation break was found to be maximum in group 3 samples (81.67600%) and less in group 4 (37.15113%). Intergroup comparison of Young’s modulus was statistically significant (P < 0.0001) with a mean value found to be minimum among group 1 samples (597.54750 MPa) and maximum in group 2 (1056.76463 MPa). An intergroup comparison of yield points was found to be maximum among group 4 samples (16.17238MPa) and least in group 1 (5.77438MPa). Conclusion: The D3 bone sample provided greater primary stability of implant than D4 bone samples, and the motor-driven implant seemed to have improved stability than that placed manually.