ArticleJournal of International Society of Preventive & Community Dentistry
Influence of Insertion Torque on Marginal Bone Loss in Immediate Definitive Loading of Dental Implants: A Prospective Study.
Article in Journal of International Society of Preventive & Community Dentistry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Aim: To evaluate the influence of insertion torque (IT) on marginal bone loss (MBL) in immediately loaded implants restored with definitive zirconia crowns. Methods: This prospective study included 26 adults receiving 48 implants placed using a flapless, digitally guided protocol. IT was categorized as moderate (40-50 Ncm) or high (55-70 Ncm). Standardized periapical radiographs were obtained at baseline and 12 months. MBL was measured mesially and distally after radiographic calibration. Nonparametric statistics and linear regression were used to assess associations. Results: All implants remained functional at 12 months (100% survival). The high‑torque group showed a significantly greater MBL than the moderate‑torque group (0.406 ± 0.25 mm vs. 0.056 ± 0.20 mm; median 0.40 mm [interquartile range (IQR): 0.20-0.75] vs. 0.00 mm [IQR: 0.00-0.10]; Conclusions: Higher IT values were associated with a statistically greater MBL, although overall bone loss remained clinically minimal. Immediate definitive loading with controlled torque appears reliable and biologically stable.
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