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Implant stability changes over time following implant placement in elderly patients: a prospective study

Clin Oral Implants Res. 2023 Mar 15. doi: 10.1111/clr.14064. Online ahead of print.

ABSTRACT

OBJECTIVES: This study aimed to evaluate the effect of aging on the changes in implant stability over time following implant placement.

MATERIAL AND METHODS: A total of 104 patients in four age ranges (group 1: <60 years, group 2: 61-70 years, group 3: 71-80 years, and group 4: >80 years) were included. Bone level-tapered implants were placed without implementing any bone augmentation procedure. The final torque value displayed on the implant engine during implant insertion was recorded. Cone-beam computed tomography (CBCT) was performed immediately after surgery to analyze the bone quality around the implant. Implant stability was measured immediately after surgery and 2, 4, and 8 weeks after surgery.

RESULTS: In the CBCT image, higher grayscale values were observed in the order of group 1, group 2, and groups 3/4, with statistical significance (p<0.05). There was no significant difference in the insertion torque values between age groups (p≥0.05). Groups 1 and 2 showed lower implant stability values after 2 and 4 weeks compared to immediately and 8 weeks after surgery (p<0.05); however, groups 3 and 4 showed no significant difference between the results measured at different timepoints (p≥0.05).

CONCLUSIONS: Implant treatment in elderly patients is successful showing a settled implant stability over time following implant placement when the implant is appropriately engaged in the alveolar bone in the absence of bone augmentation.

PMID:36920314 | DOI:10.1111/clr.14064

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