Assessment of Pain Associated With Insertion Torque and Correlation of Primary Implant Stability Measurement Methods

Ege University

Status: Completed

Conditions: Dental Implantation

Treatments: Procedure: Dental Implantation with high torque; Procedure: Dental Implantation with low torque

Study type: Interventional

Funder types: Other; Industry

Identifiers

NCT06176287

16-3.2/9

Details and patient eligibility

About

The objective of this observational study is to evaluate the primary stability of dental implants and the relationship between insertion torque and patients' pain levels assessed with the visual analogue scale (VAS)

Full description

Primary implant stability plays a key role in providing osseointegration. Higher insertion torque indicates higher primary stability. However, the effect of increased insertion torque on patient pain levels has not been clearly demonstrated. Several methods for measuring primary stability have been defined so far. Insertion torque, periotest measurements, and resonance frequency analysis are mostly preferred due to their ease of use and non-invasiveness.

The aim of the present study is to evaluate the relationship between insertion torque and patients' pain levels assessed with the visual analogue scale (VAS) and to assess the relationship between insertion torque, periotest measurements, and resonance frequency analysis.

Enrollment: 15 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• No contraindications for implant surgery;
• Bilateral single-tooth loss in the posterior mandible;
• Sufficient bone amount for implant diameter and height at the implant site;
• At least 3 months after tooth extraction at the implant site;

Exclusion Criteria

• History of chronic infection or pain at the implant site;
• History of radiotherapy to the head and neck region for any reason;
• Local or systemic causes of persistent anti-inflammatory or analgesic medication;
• Patients with suspicion of pregnancy.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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15 participants in 2 patient groups

High insertion torque group

Active Comparator group

Description:

Fifteen patients (eight females and seven males) with a single-tooth deficiency bilaterally in the molar region of the lower jaw were included in the study. Implant placement with high insertion torque was planned on one side of the jaw. The implant drills were applied as recommended by the company. To achieve high insertion torque, the single-use final drill from the implant box was not used in the high torque group.

Treatment:

Procedure: Dental Implantation with high torque

Low insertion torque group

Active Comparator group

Description:

Fifteen patients (eight females and seven males) with a single-tooth deficiency bilaterally in the molar region of the lower jaw were included in the study. Implant placement with low insertion torque was planned on the otherside of the jaw. The implant drills were applied as recommended by the company. To achieve low insertion torque, the single-use final drill was applied two times.

Treatment:

Procedure: Dental Implantation with low torque