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. 2021 Jan-Mar;21(1):74-80.
doi: 10.4103/jips.jips_297_20.

A randomized clinical study to compare implant stability and bone loss using early loading protocol in two implant systems with different design

Rani Ranabhatt  1 , Kamleshwar Singh  1 , Ramashanker Siddharth  1 , Shuchi Tripathi  1 , Deeksha Arya  1
Affiliations

A randomized clinical study to compare implant stability and bone loss using early loading protocol in two implant systems with different design

Rani Ranabhatt et al. J Indian Prosthodont Soc. 2021 Jan-Mar.

Abstract

Aims: The study compared changes in implant stability and bone loss of implants with different designs using early loading at 6 weeks.

Setting and design: In vivo-comparative study.

Materials and methods: Forty subjects were selected and divided randomly by sealed envelope method in Group X and Group A for early loading for missing single posterior tooth in mandible. Implants in Group X had flared crest module and buttress thread design, whereas implants in Group A had parallel crest module and V-shaped thread design. All subjects were evaluated by Ostell for implant stability at the interval of baseline, 6 weeks, 3 months, and 6 months. ImageJ software was used for measurement of crestal bone loss in intraoral periapical radiographs at the interval of 6 weeks, 3 months, and 6 months.

Statistical analysis used: Unpaired t test, repeated ANOVA, Tukey post hoc test.

Results: The mean bone loss values of Group X at predetermined interval were 1.51 ± 0.20 mm, 2.11 ± 0.21 mm and 2.13 ± 0.21 mm. The mean bone loss values of Group A were 1.79 ± 0.16 mm, 2.92 ± 0.23 mm and 2.95 ± 0.23 mm. The mean bone loss was statistical significant (P < 0.05) at 6 weeks, 3 months and 6 months. It was highly significant in Group A at 6 months (P < 0.001).

Conclusions: It was concluded that Group X implants design showed better implant stability and less bone loss when compared to Group A implants design.

Keywords: Crestal bone loss; design; early loading; resonance frequency analyzer.

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Conflict of interest statement

None

Figures

Flow Chart 1
Flow Chart 1
CONSORT 2010 flow chart
Figure 1
Figure 1
Preoperative assessment of bone by cone beam computed tomography
Figure 2
Figure 2
Preoperative of Group X
Figure 3
Figure 3
Postoperative of Group X
Figure 4
Figure 4
Preoperative of Group A
Figure 5
Figure 5
Postoperative of Group A
Figure 6
Figure 6
Resonance frequency analyzer
Figure 7
Figure 7
Bone loss calculated by linear measurements of implant and crestal bone from the implant-abutment junction as a reference using ImageJ software. ((a and b) shows bone loss measurement in Group X; (c and d) shows bone loss measurement in Group A)
See this image and copyright information in PMC

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