Primary Stability of Trabecular Metal Implant in Comparison to Fully Threaded Implants: In Vitro Study Simulating Immediate Implant Placement

Abstract

The aim of this study was to evaluate primary stability of 3.7-mm diameter porous tantalum Trabecular Metal (TM) implant, and compare it to fully threaded implants, in the in vitro model of immediate implant placement in the anterior maxilla. A total of 60 implants were placed into bovine ribs using surgical guides. Implants were divided in 3 groups of 20 according to the design: TM, Tapered Screw-Vent (TSV), and NobelReplace. To simulate immediate placement in anterior maxilla, implants were placed under a sharp angle toward the ribs, not fully submerged. Placement angle of 20.7° was calculated after analysis of 148 virtually planned implants on cone beam computerized tomography scans of 40 patients. No statistically significant difference in implant stability quotient (ISQ) was found between TM (65.8 ± 2.6), TSV (64.7 ± 2.7), and NobelReplace (64.6 ± 2.7). TSV implants achieved higher insertion torque (37.0 ± 4.8 Ncm) than TM (32.9 ± 5.2 Ncm) and NobelReplace (23.2 ± 3.3 Ncm). TSV had the shortest insertion time of 13.5 ± 1.0 seconds, compared to 15.2 ± 1.2 seconds for TM, and 19.7 ± 1.7 seconds for NobelReplace. Pearson correlation analysis showed significantly correlated insertion torque and ISQ values for TM group (P = .011, r = .56), a nonsignificant correlation was found for TSV and NobelReplace. The results of the present study indicate that TM implant can achieve good primary implant stability in insertion torque and resonance frequency analysis.