{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T01:14:21Z","timestamp":1790990061532,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,6,5]],"date-time":"2015-06-05T00:00:00Z","timestamp":1433462400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Department of Surgery, Medical, Molecular and Critical Area Pathology, University of Pisa"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Implant Dent Rel Res"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The insertion torque value has been extensively used as an indicator for implant primary stability, which is considered a determining parameter for the implants success.<\/jats:p><\/jats:sec><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The primary goal of the present randomized clinical trial was to evaluate and compare the clinical outcome for implants placed with high insertion torque (between 50\u2009Ncm and 100\u2009Ncm) and regular insertion torque (within 50\u2009Ncm) in healed ridges.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Partially edentulous patients, missing one or more mandibular or maxillary teeth, having an adequate amount of bone, requiring implant placement, were randomized to receive Blossom <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> implants with regular insertion torque (&lt;50\u2009Ncm) or <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> implants with high insertion torque (\u226550\u2009Ncm). Implants were left to heal submerged for 3 months. Implants were restored with individualized abutments and cemented metal\u2010ceramic crowns. Acquired measurements were: insertion torque values (<jats:styled-content style=\"fixed-case\">IT<\/jats:styled-content>), thickness of buccal bone plate after implant osteotomy preparation (<jats:styled-content style=\"fixed-case\">BBT<\/jats:styled-content>), marginal bone level (<jats:styled-content style=\"fixed-case\">MBL<\/jats:styled-content>), and facial soft tissue level (<jats:styled-content style=\"fixed-case\">FST<\/jats:styled-content>). All patients were followed 12 months after implant placement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred sixteen implants were placed in one hundred sixteen patients and enrolled for the study. Fifty\u2010eight implants were randomly allocated in <jats:italic>regular<\/jats:italic>\u2010<jats:styled-content style=\"fixed-case\">IT<\/jats:styled-content> and <jats:italic>high<\/jats:italic>\u2010<jats:styled-content style=\"fixed-case\">IT<\/jats:styled-content> groups with a mean insertion torque ranging from 20\u2009Ncm to 50\u2009Ncm and from 50\u2009Ncm to 100\u2009Ncm, respectively. Three implants failed, and another five implants showed at the 12\u2010month evaluation a marginal bone loss (\u0394<jats:styled-content style=\"fixed-case\">MBL<\/jats:styled-content>) greater than 1.5\u2009mm, being considered unsuccessful.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The findings suggested that implants inserted with <jats:italic>high<\/jats:italic>\u2010<jats:styled-content style=\"fixed-case\">IT<\/jats:styled-content> (\u226550\u2009Ncm) in healed bone ridges showed more peri\u2010implant bone remodeling and buccal soft tissue recession than implants inserted with a <jats:italic>regular<\/jats:italic>\u2010<jats:styled-content style=\"fixed-case\">IT<\/jats:styled-content> (&lt;50\u2009Ncm). Moreover, sites with a thick buccal bone wall (\u22651\u2009mm) \u2013 after implant osteotomy site preparation \u2013 seemed to be less prone to buccal soft tissue recession after 12 months than sites with a thin buccal bone wall (&lt;1\u2009mm).<\/jats:p><\/jats:sec>","DOI":"10.1111\/cid.12337","type":"journal-article","created":{"date-parts":[[2015,6,5]],"date-time":"2015-06-05T06:58:07Z","timestamp":1433487487000},"page":"588-600","source":"Crossref","is-referenced-by-count":82,"title":["The Effect of Insertion Torque on the Clinical Outcome of Single Implants: A Randomized Clinical Trial"],"prefix":"10.1111","volume":"18","author":[{"given":"Antonio","family":"Barone","sequence":"first","affiliation":[{"name":"Department of Surgical, Medical, Molecular and Critical Area Pathology University of Pisa  Pisa Italy"},{"name":"Tuscan Dental Institute Versilia General Hospital  Lido di Camaiore (LU) Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fortunato","family":"Alfonsi","sequence":"additional","affiliation":[{"name":"Tuscan Dental Institute Versilia General Hospital  Lido di Camaiore (LU) Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giacomo","family":"Derchi","sequence":"additional","affiliation":[{"name":"Department of Surgical, Medical, Molecular and Critical Area Pathology University of Pisa  Pisa Italy"},{"name":"Tuscan Dental Institute Versilia General Hospital  Lido di Camaiore (LU) Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Tonelli","sequence":"additional","affiliation":[{"name":"Department of Surgical and Translational Medicine University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Toti","sequence":"additional","affiliation":[{"name":"Department of Surgical, Medical, Molecular and Critical Area Pathology 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