The developing patterns of calibrated implant stability quotients of posterior implants

BACKGROUND/PURPOSE: Many surgical protocols were modified to improve implant stability. However, the conclusions of applying osteotome condensation technique could enhance implant stability were controversial. The evaluated implant stability quotients (ISQ) were calibrated to differentiate the implant stability improvement that applied by varied surgical techniques and the bone quality at recipient sites. Therefore, this study examine the developing patterns of calibrated ISQ values induced by osteotome bone condensation and conventional drilling technique at the posterior ridges. MATERIALS AND METHODS: The ISQ values of 4.1/4.8-mm diameter implants were calibrated by 3.3-mm diameter implants (ISQ(b)). Osteotome condensation technique was applied on the sites with ISQ(b) ≤ 65 while those with ISQ(b) > 65 were treated with conventional drilling technique. The implant ISQ values at Week 0, 1, 2, 3, 4, 6, 8, 10, 12 were recorded. The detected and calibrated ISQ values were statistically analyzed. RESULTS: Maxillary 14 implants and mandibular 16 implants using osteotome technique, maxillary 15 implants and mandibular 16 implants with conventional drilling technique were studied. Both techniques showed a generally similar ISQ developing pattern at both arches. Without calibration, significantly less ISQ values were noted for the osteotome technique of posterior maxilla at initial four weeks; subsequently, both techniques presented a comparable ISQ developing pattern. Osteotome technique demonstrated a greater ISQ increase after calibration on both arches (p < 0.05). All implants reached an ISQ stability plateau between Week 8 and 10. CONCLUSION: With calibration, osteotome condensation technique could enhance greater primary and secondary implant stability for both arches.