Development of an Angular Stiffness Sensor to Measure Dental Implant Stability In Vitro.

This investigation aims to develop an angular stiffness sensor intended for measuring dental implant stability in bone. The sensor hardware included a tiny eccentric motor and an accelerometer to measure a flex constant of an implant with its abutment. The sensor software included a mechanics-based model to convert the flex constant to angular stiffness at the implant/abutment junction to indicate the stability. The sensor's accuracy and effectiveness are demonstrated through use of Sawbones slab models that mimic a mandibular premolar section. The models include a Branemark Mk III implant inserted into Sawbones slabs of 5 different densities with a locator abutment. An incremental insertion torque was first recorded while the implant was placed in the Sawbones models. Then benchtop experiments were conducted to measure resonance frequencies and angular stiffness. Results indicated that angular stiffness increased with Sawbones density, showing high correlation with the measured resonance frequency (R=0.977) and the incremental insertion torque (R=0.959). Finally, accuracy of the angular stiffness sensor is calibrated in light of the resonance frequency. Angular stiffness scores 99% and 95% accuracy for Sawbones models mimicking medium cancellous bones with and without a cortical layer, respectively.