SynthesisThe International journal of oral & maxillofacial implants
Relationship Between Primary/Mechanical and Secondary/Biological Implant Stability.
Synthesis in The International journal of oral & maxillofacial implants. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 78 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Accuracy and Clinical Outcomes of Titanium-zirconium One-piece Mini Implants Using a Partially-guided Surgery for Maxillary Overdentures: a Pilot Prospective Clinical Study
Mix of Demineralized Freeze-Dried Bone Allograft and Deproteinized Bovine Bone Mineral: a Possible Solution for Alveolar Ridge Preservation?
Effect of Early Loading on Ultraviolet Photofunctionalized Dental Implants: A Randomized Controlled Triple-Blind Split-Mouth Clinical Trial
Reducing the Time Interval for Implant Placement After Extraction Socket Preservation Using BIOTECK Materials and OITECH Implant System: A Randomized Controlled Clinical Study
Who cites it
78 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Resonance Frequency Analysis and Clinical Outcomes in Implant Dentistry: A Systematic Review and Meta-Analysis.Clinical implant dentistry and related research · 2026Pooled it
- Do Super-hydrophilic Surfaces Affect Implant Primary Stability in the Early Healing Phase of Osseointegration? A Systematic Review with Metanalysis.Oral health & preventive dentistry · 2025Pooled it
- Implant Survival in Patients with Chronic Kidney Disease: A Case Report and Systematic Review of the Literature.International journal of environmental research and public health · 2023Pooled it
- Management of Schneiderian membrane perforations during maxillary sinus floor augmentation with lateral approach in relation to subsequent implant survival rates: a systematic review and meta-analysis.International journal of implant dentistry · 2021Pooled it
- Autogenous bone grafting does not enhance bone repair in maxillary sinuses grafted with β-tricalcium phosphate: a split-mouth randomized controlled trial.Clinical oral investigations · 2026Trial
- Virtual bone-implant contact surface effect on implant stability in fresh extraction and healed sites: a pilot randomised clinical trial.Scientific reports · 2026Trial
- May dental implant macro and microgeometry modifications influence peri-implant bone repair in smokers? A randomized clinical trial.BMC oral health · 2024Trial
- Analysis of osseointegration of implants with macrogeometries with healing chambers: a randomized clinical trial.BMC oral health · 2024Trial
- Randomized clinical study of injectable dextrin-based hydrogel as a carrier of a synthetic bone substitute.Clinical oral investigations · 2023Trial
- Changes in implant stability using different site preparation techniques: Osseodensification drills versus piezoelectric surgery. A multi-center prospective randomized controlled clinical trial.Clinical implant dentistry and related research · 2023Trial
- Photobiomodulation in dental implant stability and post-surgical healing and inflammation. A randomised double-blind study.Clinical oral implants research · 2023Trial
- Patient-Clustered Analysis of Recorded Insertion Torque in 101 MultiNeO Titanium Dental Implant Placements: An Exploratory Retrospective Cohort Study.Materials (Basel, Switzerland) · 2026Article
- Influence of Implant-Specific Characteristics on Insertion Torque and Primary Stability: An Ex Vivo Comparison of Two Implant Systems with a Shared Macrodesign.Dentistry journal · 2026Article
- Effect of Altered Cervical Thread Pitch on the Primary Stability of Dental Implants.Journal of clinical medicine · 2026Article
- In silico study of a bilayer titanium dental implant with a porous titanium and hydroxyapatite composite outer layer for enhanced osseointegration.Scientific reports · 2026Article
- In vitro evaluation of different implant systems and their influence on primary stability.Scientific reports · 2026Article
- Early Osseous Proliferation in Spiraled Healing Chambers Resulted After the Insertion of Titanium Implants in Cortical Bone of a Rabbit.Medicina (Kaunas, Lithuania) · 2025Article
- Comparative analysis of novel damping capacity analysis devices for assessing implant stability in clinical practice.Journal of periodontal & implant science · 2025Article
- Clinical Performance of Immediately Restored, Surface Modified Two-Piece Zirconia Implants. A Prospective Case Series.Clinical oral implants research · 2025Article
- Comparing the Effect of Osseodensification Versus Conventional Drilling Technique on Implant Stability and Bone Width in the Alveolar Ridge Split Procedure: A Retrospective Study.Journal of clinical medicine · 2025Article
18 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
purposeThis systematic review was prepared as part of the Academy of Osseointegration (AO) 2018 Summit, held August 8-10 in Oak Brook Hills, Illinois, to assess the relationship between the primary (mechanical) and secondary (biological) implant stability. MATERIALS AND
methodsElectronic and manual searches were conducted by two independent examiners in order to address the following issues. Meta-regression analyses explored the relationship between primary stability, as measured by insertion torque (IT) and implant stability quotient (ISQ), and secondary stability, by means of survival and peri-implant marginal bone loss (MBL).
resultsOverall, 37 articles were included for quantitative assessment. Of these, 17 reported on implant stability using only resonance frequncy analysis (RFA), 11 used only IT data, 7 used a combination of RFA and IT, and 2 used only the Periotest. The following findings were reached: ·Relationship between primary and secondary implant stability: Strong positive statistically significant relationship (P < .001). ·Relationship between primary stability by means of ISQ and implant survival: No statistically significant relationship (P = .4). ·Relationship between IT and implant survival: No statistically significant relationship (P = .2). ·Relationship between primary stability by means of ISQ unit and MBL: No statistically significant relationship (P = .9). ·Relationship between IT and MBL: Positive statistically significant relationship (P = .02). ·Accuracy of methods and devices to assess implant stability: Insufficient data to address this issue.
conclusionData suggest that primary/mechanical stability leads to more efficient achievement of secondary/biological stability, but the achievement of high primary stability might be detrimental for bone level stability. While current methods/devices for tracking implant stability over time can be clinically useful, a robust connection between existing stability metrics with implant survival remains inconclusive.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.