Comparative Evaluation of Implant Stability, Insertion Torque, and Implant Macrogeometry in Different Bone Densities Using Resonance Frequency Analysis.

AIM AND OBJECTIVE: Evaluation and comparison of insertion torque (IT) and the implant stability of two different implant macrogeometry in different bone densities using resonance frequency analysis. MATERIALS AND METHODS: A total of 48 implants (with two implant types having regular and novel macrogeometry) were classified into 4 groups with 12 samples in each group. Group A regular implant without surface treatment, group B regular implant with surface treating, group C novel implant deprived of surface treating, and group D was new dental implant with surface treatment were used. Implant stability quotient (ISQ), implant IT, removal torque (RT) percentage, and torque reduction percentage were calculated. RESULTS: The mean ± SD ISQ value of bone 1 in group A was 56.7 ± 3.2, in group B was 58.6 ± 2.4, in group C was 57.1 ± 3.5, and in group D was 59.3 ± 2.9. In bone 2, the value was 57.8 ± 1.4, 59.5 ± 1.5, 58.2 ± 2.6, and 59.5 ± 2.4 among A, B, C, and D groups correspondingly. In bone 3, it was 59.4 ± 2.4, 60.3 ± 2.3, 60.4 ± 2.8, and 62.7 ± 2.5 among A, B, C, and D groups correspondingly. In bone 4, it was 67.2 ± 3.4, 69.5 ± 2.7, 68.7 ± 2.4, and 69.4 ± 2.3 among A, B, C, and D groups correspondingly. There was a substantial difference in IT and nonsignificant difference in RT in different groups. CONCLUSION: There was a low IT value with new implant macrogeometry as compared to regular implant macrogeometry. There was absence of association between IT and implant stability. CLINICAL SIGNIFICANCE: Calculation of torque insertion score helps in implant placement. Higher bone density scores produce a higher option of decreasing the initial torque. Low IT of new implant types is useful to reduce failure.

Comparative evaluation of the compressive, tensile, and flexural strengths of paracore®, flourocore®2+, and multicore® resin-based core build-up materials - An in vitro study.

Aims: The study was aimed to evaluate and compare the compressive, diametral tensile, and flexural strengths of three different commercial resin based core materials and to single out the best resin-based core build-up material with respect to their physical properties among ParaCore® (Coltene Whaledent, USA), FlouroCore® 2+ (Dentsply International, USA), MultiCore® (Ivoclar Vivadent, Liechtenstein) with Miracle Mix® (GC America) core used as control. Materials and Methods: One hundred and twenty samples were prepared, of which forty samples (10 of each material) were prepared in cylindrical stainless steel molds (height 6 mm, diameter 4 mm) for compressive strength measurements. Other forty samples (10 of each material) were prepared in cylindrical molds (diameter 6 mm, height 2 mm) for diametral tensile strength measurements. Forty samples (10 of each material) were prepared in stainless steel molds cuboidal in shape (length 25 mm, thickness 2 mm, and width 2 mm) for flexural strength measurements. The samples were tested on a Universal testing machine (Instron Machine 3366, made in the USA). Statistical Analysis Used: One-way analysis of variance was performed to determine any statistically significant differences (P < 0.05) among the resin-based core build-up materials with respect to their three respective strengths. Further, the statistical comparison was made among the four materials using Student's t-test at a significance level of 5%. Results: Based on the results obtained it can be summarized that the ParaCore is the strongest material among all the four materials, followed by MultiCore, FlouroCore2+, and Miracle Mix. The Miracle mix is the weakest among all the materials owing to its inferior strength values. Conclusion: The results of the present study imply that, in consideration of their superior strength values, resin-based core build-up materials, ParaCore, MultiCore, and FlouroCore2+ should be a preferred for use as core build-up material over Miracle Mix in specific clinical situations, in the same order of preference.