J Korean Acad Periodontol.  2005 Sep;35(3):789-798. 10.5051/jkape.2005.35.3.789.

The effect of osteotome technique on primary implant stability according to implant fixture diameter

• Kim SH
• Lee JK
• Park CJ

• KMID: 1711777
• DOI: http://doi.org/10.5051/jkape.2005.35.3.789

Abstract

Primary stability is a fundamental criteria of implant success. There has been various trials to increase initial stability and bone to implant contact. The objective of osteotome technique is to preserve all the existing bone by minimizing or even eliminating the drilling sequence of the surgical protocol. The bone layer adjacent to the osteotomy site is progressively compacted with various bone condensers(osteotomes) this will result in a denser bone to implant contact. This improved bone density helps to optimize primary implant stability in low density bone. The use of wide implant is one of methods to increse primary stability. They can be used in special situations in which they can increase the surface area available for implant anchorage and improve their primary stability The aim of this study was to evaluate the influence of the osteotome technique and implant width on primary stability. Osteotome technique was compared with conventional drilling method by resonance frequency measurments according to the implant fixtures diameter. The results were as follows: 1. The average of ISQ value was sightly higher in osteotome technique, but there was not statistically significant in regular and narrow implant(p<0.05). 2. Either osteotome technique or conventional technique, ISQ value was significantly higer as increasing of implant diameter(p<0.05). 3. ISQ value of drilling technique was higer than those of osteotome technique in wide implant. It was assumed to be caused by difference in final preparation diameter.

Keyword

osteotome technique; primary stability; implant fixture diameter