Bone conduction (BC) devices can now be implanted as a single stage procedure with minimal soft tissue thinning to reduce the complications in the surrounding skin. The question of optimal loading time has to my mind not been answered. Here the authors have followed 10 children for a year post implantation with regular monitoring of the implant stability quotient (ISQ). Radiofrequency analysis (RFA) of the implant was performed at one week, three, six and 12 months postoperatively. A score less than 30 at one week suggested poor osseointegration in two cases, these did indeed fail within the study period. As abutments lengthen to accommodate no / minimal soft tissue reduction techniques so the stability of the implant decreases. These conflicting issues must be balanced and using RFA to objectively assess implant stability and permit earlier loading or abandoning an implant that appears doomed to fail is attractive particularly in children. I shall be lobbying my managers for this measurement device...
Bone anchored implant stability predicted one week after implantation
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