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Sensitivity and Specificity of Stability Criteria for Immediately Loaded Splinted Maxillary Implants
Author(s) -
Wentaschek Stefan,
Scheller Herbert,
Schmidtmann Irene,
Hartmann Sinsa,
Weyhrauch Michael,
Weibrich Gernot,
Lehmann Karl Martin
Publication year - 2015
Publication title -
clinical implant dentistry and related research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.338
H-Index - 85
eISSN - 1708-8208
pISSN - 1523-0899
DOI - 10.1111/cid.12283
Subject(s) - resonance frequency analysis , osseointegration , implant stability quotient , medicine , dentistry , receiver operating characteristic , maxilla , dentures , implant , initial stability , orthodontics , surgery
Background To assess the suitability of dental implants for immediate loading, primary stability is usually evaluated intraoperatively. Purpose This retrospective study aimed to assess the suitability of three stability parameters – namely, insertion torque ( IT ), implant stability quotient ( ISQ ; measured by resonance frequency analysis), and Periotest ( PT ) values – as potential predictors for the risk of nonosseointegration of immediately loaded splinted implants. The stability parameters were routinely collected under immediate loading. Materials and Methods Nineteen patients with 11 edentulous and 8 partially edentulous maxillae were treated with 105 dental implants, which were immediately loaded using temporary fixed dentures. The IT results, PT values, and ISQ results were recorded. Receiver operating characteristic analysis was performed to assess the quality of each parameter as a diagnostic test. Results After a 3‐month observation period, 11 implants in four patients were not osseointegrated. The IT and ISQ ( IT 25.0 ± 12.5 Ncm and 8.4 ± 2.3 Ncm; PT −1.5 ± 3.0 and +2.7 ± 3.0; and ISQ 62.6 ± 6.7 and 54.7 ± 6.2) differed significantly between the osseointegrated and failed implants ( p < .005). The IT showed the greatest specificity at a sensitivity of 1 and the greatest area under the curve ( AUC ; 0.929), followed by the PT value ( AUC = 0.836) and ISQ ( AUC = 0.811). Conclusions Among the intraoperative parameters analyzed, IT showed the highest specificity at a high sensitivity of 1. Therefore, the IT can be considered the most valid prognostic factor for osseointegration of immediately loaded splinted dental implants.