Avaliação da microestrutura óssea de sítios implantares e fatores relacionados às alterações no nível ósseo marginal e estabilidade de implantes dentários: estudo clínico prospectivo

• Ano de defesa: 2013
• Autor(a) principal: Dias, Danilo Rocha
• Orientador(a): Ribeiro-Rotta, Rejane Faria
• Banca de defesa: Ribeiro-Rotta, Rejane Faria, Leles, Cláudio Rodrigues, Costa, Luciane Ribeiro de Rezende Sucasas da, Leles, José Luiz Rodrigues, Sartori, Ivete Aparecida de Mattias
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Goiás
• Programa de Pós-Graduação: Programa de Pós-graduação em Ciências da Saúde (FM)
• Departamento: Faculdade de Medicina - FM (RG)
• País: Brasil
• Palavras-chave em Português: Qualidade óssea; Implante dentário; Falha em prótese dentária; Perda óssea alveolar
• Palavras-chave em Inglês: Bone quality; Dental implant; Dental prosthesis failure; Alveolar bone loss
• Área do conhecimento CNPq: CIENCIAS DA SAUDE::ODONTOLOGIA
• Link de acesso: http://repositorio.bc.ufg.br/tede/handle/tede/3796

Bone characteristics influence surgical/prosthetic planning of implant treatment, but it is not clear their influence on longitudinal outcomes. This study aimed to investigate the association between jawbone microstructure and changes on marginal bone level (MBL) and implant stability (IS) after loading, in a 1-year follow-up. Forty-one volunteers received 97 dental implants, installed in bone sites classified from 1 to 4, according to Leckholm & Zarb (1985). Cortical bone thickness was measured on computed tomography images. Histomorphometric and microtomographic analyses were performed in bone specimens obtained by using a trephine bur, at first drilling. Peak insertion torque (PIT) and implant stability quotient (ISQ) measured by resonance frequency analysis (RFA) were registered at implant insertion. Periapical radiographs were standardized to measure the MBL, and were taken at three moments, when the ISQ was also measured: at uncovering stage, at loading and at 1-year follow-up. Agreement analysis between histomorphometry and microcomputed tomography (microCT) showed that these methods are complementary, but not interchangeably. Association tests revealed that ISQ changes were not affected by MBL changes. Bone type 4 (according L&Z) presented higher changes on ISQ, especially during osseointegration. Microstructure parameters (histomorphometric and microCT parameters) and cortical thickness did not influence ISQ changes and MBL changes. These results suggest that bone characteristics influence primary implant stability, but do not predict implant success after osseointegration.