The effect of autoclave sterilization and reuse of Smartpeg(TM) on the implant stability quotient (ISQ) measurement

Kang, In Ho; Kim, Myung Joo; Lim, Young Jun; Kim, Chang Whe

Abstract

STATEMENT OF PROBLEM: Resonance frequency analysis is evaluated as the non-invasive and objective method for the evaluation of implant stability and has been increasingly used. It is necessary to evaluate the factors affect the ISQ measurement stability. PURPOSE: This study was performed to evaluate the effect of the autoclave sterilization and reuse of Smartpeg(TM) on ISQ measurement. MATERIAL AND METHODs: SmartPeg(TM) (Integration Diagnostics Ltd., Goteborg, Sweden) of autoclave group (A) was autoclave sterilized 9 times and Smartpeg(TM) of reuse group (R) was reused 9 times. Ten SmartPeg(TM)s were allocated to each group and after each autoclave sterilization and reuse, implant stability quotient (ISQ) values were measured 3 times from the two directions a and b at a right angle. Osstell(TM) mentor (Integration Diagnostics Ltd., Goteborg, Sweden) was used and type 1 (article no. 100353) Smartpeg(TM) was selected according to SmartpegTM reference list. Osstem Implant US II fixture (Osstem Co., Seoul, Korea) in 4.0 mm x 11.5 mm was embedded in the self-curing acrylic resin (Orthojet(R), Lang Dental, U.S.A.). Data was statistically analyzed by one-way ANOVA (alpha= .05) and scheffe test was done where a significant difference exist. Correlation test was also done between ISQ value and the number of autoclave sterilization or reuse.
RESULTS
1. In autoclave group, the means and sd. of ISQ value before autoclave sterilization were 84.97 +/-0.41, 84.93+/-0.74 at direction a and b. There was significant differences between autoclave groups at direction a and b (P=.000). 2. In reuse group, the means and sd. of ISQ value before reuse were 85.40+/-0.62, 85.50+/-0.57 at direction a and b. There was no significant difference between reuse groups at direction a and b (P>.05). 3. There was a weak positive correlation between the number of reuse and ISQ value at direction a and b (gamma=.207 and .246, P<.01).
CONCLUSION
Within the limitations of this study, the following CONCLUSIONs were drawn. Till ninth reuse of Smartpeg(TM), the ISQ measurement stability did not be affected. After twice autoclave sterilization of Smartpeg(TM), the ISQ measurement stability was affected.