Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Effects of High Insertion Torques (≥75ncm) in Secondary Stability of Implants Placed under the “All-on-Four Concept”: A Case Series

Version 1 : Received: 21 January 2024 / Approved: 22 January 2024 / Online: 22 January 2024 (10:11:33 CET)

How to cite: Coppedê, A.; De Mayo, T.; Bassani, R.; Olivio, I.R.; Figueiredo, D.D.R.; Formiga, M.D.C.; Shibli, J.A. Effects of High Insertion Torques (≥75ncm) in Secondary Stability of Implants Placed under the “All-on-Four Concept”: A Case Series. Preprints 2024, 2024011539. https://doi.org/10.20944/preprints202401.1539.v1 Coppedê, A.; De Mayo, T.; Bassani, R.; Olivio, I.R.; Figueiredo, D.D.R.; Formiga, M.D.C.; Shibli, J.A. Effects of High Insertion Torques (≥75ncm) in Secondary Stability of Implants Placed under the “All-on-Four Concept”: A Case Series. Preprints 2024, 2024011539. https://doi.org/10.20944/preprints202401.1539.v1

Abstract

High insertion torques increase the primary stability of dental implants, which might be beneficial for immediate loading protocols, but may lead to local ischemia and necrosis of the bone-implant interface. This study compared the outcomes of implants placed with low (<45Ncm), conventional(45-70Ncm), and high (≥75Ncm) insertion torques in All-on-4 concept cases with up to 2-year follow-up. Patients included in this study presented edentulous or partially dentate arches with an indication for full-arch rehabilitation. Implants were installed following the All on four protocol and were divided into 3 groups: Low, Conventional, and High torque, and were followed periodically for 2 years with ISQ measurements. The results showed no significant differences in success rates between the three groups. This suggests that high insertion torques may maintain higher primary stability values for immediately loaded implants during the healing period. Further studies are necessary to confirm these findings.

Keywords

Dental implants; primary stability; insertion torques; tilted implants

Subject

Public Health and Healthcare, Public Health and Health Services

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