{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:44:36Z","timestamp":1792291476448,"version":"4.4.0"},"reference-count":55,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,1,23]],"date-time":"2018-01-23T00:00:00Z","timestamp":1516665600000},"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":[[2018,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Implant stability is commonly related to insertion torque. Recently, it has been suggested that higher insertion torque may lead to greater bone resorption.<\/jats:p><\/jats:sec><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The aim of the present randomized clinical study was to evaluate the role of different insertion torque values in terms of implant success, marginal bone loss, and facial soft tissues recession.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Patients requiring a single dental implant were recruited and randomized to receive one of two implants with the same macro\u2010geometry but different cutting designs. First group consists of a 90 degrees cutting groove know as self\u2010tapping implant, and the second group known as Blossom\u2122 cutting groove. (Intra\u2010Lock, Boca Raton, Florida). The insertion torque (IT) was assessed and two groups followed: high\u2010IT (\u226550 Ncm) group and regular\u2010IT (&lt;50 Ncm) group. After 3 months, all the implants were restored. At baseline, buccal bone thickness (BBT) was recorded. During the 3\u2010year survey, the following outcomes had been registered: implant failures and success, radiographic marginal bone level around dental implant (MBL) and facial soft tissue level (FSTL).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A hundred and sixteen implants were placed in healed sites. The overall survival rate after 3 years was 96.5%. The Cumulative Success Rate was 91.3% for the High IT group and 98.2% for the Regular IT group. The mean marginal bone loss and facial soft tissue recession, at a 3\u2010year evaluation, were significantly greater for the High\u2010IT group and in the mandible than that reached in the Regular\u2010IT group and in the maxilla.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Present findings showed that implants placed with higher insertion torque in mandible led to greater bone resorption and mucosal recession than that registered for implants placed with a regular IT. Moreover, sites with a thick buccal bone wall (\u22651 mm) showed smaller recession at the facial soft tissue level after 3 years.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cid.12586","type":"journal-article","created":{"date-parts":[[2018,1,23]],"date-time":"2018-01-23T10:58:46Z","timestamp":1516705126000},"page":"322-332","source":"Crossref","is-referenced-by-count":44,"title":["Longitudinal analysis on the effect of insertion torque on delayed single implants: A 3\u2010year randomized clinical study"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7029-138X","authenticated-orcid":false,"given":"Simone","family":"Marconcini","sequence":"first","affiliation":[{"name":"Department of Surgical, Medical, Molecular and Critical Area Pathology University of Pisa Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrica","family":"Giammarinaro","sequence":"additional","affiliation":[{"name":"Department of Surgical, Medical, Molecular 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