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January 14, 2026Bioengineering0 citationsOpen Access

Time- and Cost-Efficient, Minimally Invasive Comparative Assessment of Implant Stability: Reliability and Inter-Examiner Agreement of IST Versus ISQ Across Different Bone Quality Models

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SKSung-Joon KimJeju National University HospitalSKSe Hoon Kahm

Key Points

  • To evaluate the reliability and inter-examiner agreement of IST compared to ISQ across various bone qualities.
  • Seven dental hygienists performed stability measurements using IST and ISQ on standardized implant models.
  • Implants represented hard, normal, and soft bone qualities.
  • Analysis included inter-examiner reliability and measurement consistency across experience levels.
  • Both IST and ISQ demonstrated excellent inter-examiner reliability (ICC > 0.90).
  • Strong positive correlations (r > 0.85) were found between IST and ISQ measurements.
  • No significant differences in measurement consistency were found among examiners of varying experience levels.

Abstract

This study evaluated the reliability and inter-examiner agreement of the Implant Stability Test (IST) by Anycheck compared to the established Implant Stability Quotient (ISQ) by Osstell across different bone quality types. Seven dental hygienists with varying experience levels performed stability measurements using both devices on standardized implant models representing hard, normal, and soft bone qualities. Both IST and ISQ demonstrated excellent inter-examiner reliability (ICC > 0.90) across all bone quality types, with strong positive correlations (r > 0.85) between measurements regardless of bone density. No significant differences were found in measurement consistency between examiners with different experience levels for either device. The results demonstrate that IST provides comparable reliability to ISQ for implant stability assessment, with excellent inter-examiner agreement and accessibility for practitioners with varying experience levels. The IST system offers practical advantages including elimination of SmartPeg requirements, reduced abutment manipulation, and simplified measurement protocols, supporting its potential as a reliable and cost-effective alternative to traditional ISQ measurements under standardized experimental conditions.

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Cite This Study

Kim et al. (2026) studied this question.

synapsesocial.com/papers/6966f33b13bf7a6f02c01244https://doi.org/10.3390/bioengineering13010086
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