Objektīva un neinvazīva implantu stabilitātes noteikšana un pielietošana praksē
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Date
2021
Authors
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Implanta stabilitāte ir pamats veiksmīgam ārstēšanas plānam, lai aizvietotu trūkstošos zobus, atjaunotu estētiku un funkciju. Implanta stabilitāte iedalās primārajā un sekundārajā stabilitātē, primārā stabilitāte ir mehāniska implanta enkurēšanās alveolārajā kaulā, sekundārā stabilitāte veidojas implantam osseointegrējoties, caur dzīšanas un remodelācijas procesiem. Lai ārstēšanas plāns būtu paredzamāks un implanta veiksmīgums būtu augstāks, ir svarīgi noteikt implanta stabilitāti. Visbiežāk tā tiek izteikta implanta stabilitātes koeficientā jeb ISQ, ko ietekmē dažādi fakotri, galvenokārt – implanta atrašanās vieta, implanta dimensijas un virsma, kaula kvalitāte, ķirurģiskā pieeja u.c. Populārākās metodes neinvazīvai, objektīvai implanta stabilitātes noteikšanai ir rezonanses frekvences analīze un ievietošanas griezes momenta mērījums. Precīzākie rezultāti tiek iegūti kombinējot šīs metodes.
Implant stability is the basis of a successful treatment plan to replace missing teeth, also to restore function and esthetics. Implant stability can be classified in primary and secondary stability. Primary being a mechanical implant anchorage in the alveolar bone. Secondary stability is created through a process called osseointegration by bone healing and remodeling around the implant. It is paramount to assess implant stability for a more predictable treatment plan and higher survival for the dental implant. The main unit of measurment for that is the implant stability quotient or in short – ISQ. The main factors that influence the value of ISQ are – implant location, implant dimensions and surface, bone quality, surgical approach etc. The more popular objective, non-invasive methods of assessing implant stability are resonance frequency analysis and insertion torque. Most accurate results can be achieved by combining the two.
Implant stability is the basis of a successful treatment plan to replace missing teeth, also to restore function and esthetics. Implant stability can be classified in primary and secondary stability. Primary being a mechanical implant anchorage in the alveolar bone. Secondary stability is created through a process called osseointegration by bone healing and remodeling around the implant. It is paramount to assess implant stability for a more predictable treatment plan and higher survival for the dental implant. The main unit of measurment for that is the implant stability quotient or in short – ISQ. The main factors that influence the value of ISQ are – implant location, implant dimensions and surface, bone quality, surgical approach etc. The more popular objective, non-invasive methods of assessing implant stability are resonance frequency analysis and insertion torque. Most accurate results can be achieved by combining the two.
Description
Zobārstniecība
Dentistry
Veselības aprūpe
Health Care
Dentistry
Veselības aprūpe
Health Care
Keywords
Primārā stabilitāte, osseointegrācija, sekundārā stabilitāte, implanta stabilitātes koeficients, ievietošanas griezes moments, rezonanses frekvences analīze., Primary stability, osseointegration, secondary stability, implant stability quotient, insertion torque, resonance frequency analysis.