Display options
Cite
Goswami MM, Kumar M, Vats A, et al. Evaluation of dental implant insertion torque using a manual ratchet. Med J Armed Forces India. 2013;71:S327-32doi: 10.1016/j.mjafi.2013.07.010.
Goswami, M. M., Kumar, M., Vats, A., & Bansal, A. S. (2015). Evaluation of dental implant insertion torque using a manual ratchet. Medical journal, Armed Forces India, 71S327-32. https://doi.org/10.1016/j.mjafi.2013.07.010
Goswami, M M, et al. "Evaluation of dental implant insertion torque using a manual ratchet." Medical journal, Armed Forces India vol. 71 (2015): S327-32. doi: https://doi.org/10.1016/j.mjafi.2013.07.010
Goswami MM, Kumar M, Vats A, Bansal AS. Evaluation of dental implant insertion torque using a manual ratchet. Med J Armed Forces India. 2015 Dec;71:S327-32. doi: 10.1016/j.mjafi.2013.07.010. Epub 2013 Sep 24. PMID: 26843747; PMCID: PMC4705154.
Copy Download .nbib Format: NLM
Share it on

Med J Armed Forces India. 2015 Dec;71:S327-32. doi: 10.1016/j.mjafi.2013.07.010. Epub 2013 Sep 24.

Evaluation of dental implant insertion torque using a manual ratchet.

Medical journal, Armed Forces India

M M Goswami, Mukul Kumar, Abhinav Vats, A S Bansal

Affiliations

  1. Dental Officer & Classified Specialist (Prosthodontics), Armed Forces Dental Clinic, Tyagraj Marg, New Delhi 110011, India.
  2. Commanding Officer, Medical Dental Center, Meerut 900468, C/O 56 APO, India.
  3. Dental Officer, 331 Field Hospital, C/O 56 APO, India.
  4. Associate Professor (Community Medicine), Adesh Institute of Medical Sciences & Research, Bhatinda, Punjab, India.

PMID: 26843747 PMCID: PMC4705154 DOI: 10.1016/j.mjafi.2013.07.010

Abstract

BACKGROUND: Dental implant insertion torque is crucial for the success of the implant and the prosthesis. This in-vivo study was undertaken to determine the average insertion torque being applied to the dental implant while surgically placing it with a non-calibrated manual ratchet.

METHODS: Three dental surgeons placed a total of 45 dental implants (Touareg, ADIN, Afula, Israel) in 42 selected patients. Each surgeon placed 15 implants. Standardised protocols were followed to prepare the site to place the dental implant. Each implant was placed using a manual non-calibrated implant ratchet first. Once the implant was nearly placed, a manual calibrated torque gauge ratchet was used to place the implant in its final position and at that instance, the maximum final torque applied was noted on the torque gauge scale.

RESULTS: The mean dental implant insertion torque applied by three surgeons using a non-calibrated manual ratchet was estimated to be 63.26 Ncm with a standard error of 6.80 i.e. (63.26 + 6.8), which was significantly higher than the baseline of 35 Ncm (p < 0.0001). The mean dental implant torque applied by Surgeon 1, 2 and 3, respectively, was 65.93 Ncm, 62.60 Ncm and 62.13 Ncm and this difference amongst them was found to be statistically insignificant (p > 0.05) and each of them had reached more than the baseline level of 35 Ncm individually and significantly (p < 0.0001).

CONCLUSION: Without the use of torque measuring devices, an average surgeon may achieve an average insertion torque of 63.26 + 6.8 Ncm.

Keywords: Dental implant; Insertion torque; Primary stability

References

  1. Clin Oral Implants Res. 2004 Aug;15(4):474-80 - PubMed
  2. Int J Oral Maxillofac Implants. 2009 Nov-Dec;24(6):1015-32 - PubMed
  3. Clin Oral Implants Res. 2012 Jan;23(1):113-8 - PubMed
  4. J Oral Maxillofac Surg. 2012 Jan;70(1):e43-50 - PubMed
  5. Int J Oral Maxillofac Implants. 2004 Jul-Aug;19(4):578-85 - PubMed
  6. Braz Dent J. 2010;21(6):508-14 - PubMed
  7. Clin Implant Dent Relat Res. 2000;2(2):85-92 - PubMed
  8. Periodontol 2000. 2008;47:15-26 - PubMed
  9. Int J Oral Maxillofac Implants. 2005 Sep-Oct;20(5):769-76 - PubMed
  10. Scand J Plast Reconstr Surg Suppl. 1977;16:1-132 - PubMed
  11. J Biomech. 2010 Mar 22;43(5):961-8 - PubMed
  12. Implant Dent. 2011 Jun;20(3):182-91 - PubMed
  13. FASEB J. 1999;13 Suppl:S101-12 - PubMed
  14. Int J Oral Maxillofac Implants. 2007 May-Jun;22(3):423-9 - PubMed
  15. Int J Oral Maxillofac Implants. 2011 Jul-Aug;26(4):837-49 - PubMed
  16. Clin Oral Implants Res. 2010 Aug;21(8):877-84 - PubMed
  17. J Periodontol. 2006 Feb;77(2):152-60 - PubMed
  18. BMC Oral Health. 2008 Nov 24;8:32 - PubMed

Publication Types