Clinical analysis of the influence of surface roughness in the primary stability and osseointegration of dental implants: study in humans

In past decades, the success rates of the first dental implant treatments were low (75%). Nowadays, oral rehabilitation with titanium dental implants has a high success rate (95%–98%). The success rate significantly increases due to increased scientific knowledge about osseointegration, changes in surgical techniques, and the development of implant surface treatments. Despite the high success rate of implants, there are no protocols to define the time for the prosthesis to be installed, the insertion torque, and the prosthesis loaded after surgery. This work compares a new dental implant’s primary (mechanical) and secondary (osseointegration) stability. Dental implants with micro- and nano-roughness surfaces were placed in 24 patients with a minimum of 35 N·cm and a maximum of 60 N·cm. Primary stability was quantified with a torque wrench and an Ostell Mentor Device. The secondary stability 45 and 60 days after surgery was measured with Ostell. The results showed no statistical difference in secondary stability at 45 and 60 days postoperatively among implants. The success rate of dental implants can be associated with the surface morphology with micro- and nano-roughness, the insertion torque value, and the shape of the implant threads. When the manufacturer’s guidelines are followed, it is possible to prosthetically rehabilitate the patient with an implant 45 days after surgery.