Correlations between physical properties of jawbone and dental implant initial stability.
BACKGROUND
There is confusion in the literature about how physical properties of bone vary between maxillary and mandibular regions and which physical properties affect initial implant stability.


OBJECTIVE
The purpose of this study was to determine correlations between physical properties of bone and initial implant stability, and to determine how physical properties and initial stability vary among regions of jawbone.


METHODS
Four pairs of edentulous maxillae and mandibles were retrieved from fresh human cadavers. Six implants per pair were placed in different anatomical regions (maxillary anterior, right and left maxillary posterior, mandibular anterior, right and left mandibular posterior). Immediately after surgery, initial implant stability was measured with a resonance frequency device and a tapping device. Implant surgeries and initial stability measurements were performed within 72 hours of death. Elastic modulus (EM) and hardness were measured using nano-indentation. Composite apparent density (cAD) was measured using Archimedes' principle. Bone-implant contact percentage and cortical bone thickness were recorded histomorphometrically. Mixed linear models and univariate-correlation analyses were used (alpha=.05).


RESULTS
Generally, mandibular bone had higher initial implant stability and physical properties than maxillary bone. Initial implant stability was higher in the anterior region than in the posterior. EM was higher in the posterior region than in the anterior; the reverse was true for cAD.


CONCLUSIONS
Of the properties evaluated, cAD had the highest correlation with initial implant stability (r=0.82). Both physical properties of bone and initial implant stability differed between regions of jawbone.
Seong
Wook-Jin
WJ
Division of Prosthodontics, Department of Restorative Sciences, School of Dentistry, University of Minnesota, 9 - 470 Moos Tower, 515 Delaware St SE, Minneapolis, MN 55455, USA. seong001@umn.edu
Kim
Uk-Kyu
UK
Swift
James Q
JQ
Hodges
James S
JS
Ko
Ching-Chang
CC
D000369:Aged, 80 and over; D015519:Bone Density; D002102:Cadaver; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D017268:Dental Prosthesis Retention; D003799:Dental Stress Analysis; D055119:Elastic Modulus; D006244:Hardness; D006801:Humans; D007575:Jaw, Edentulous / Q000503:physiopathology*; D016014:Linear Models; D008297:Male; D008334:Mandible / Q000503:physiopathology*; D008437:Maxilla / Q000503:physiopathology*; D014732:Vibration
D015921:Dental Implants