Natalia Szymkowiak
Current Organizations / Institutes
The organizations/institutes from the scholar's latest article
Research Subjects
Natalia Szymkowiak has a total of 7 co-authors. Here are the top co-authors by number of shared publications:
- Adrian Wasilewski
Chair and Department of Oral Surgery, Medical University of Lublin, ul. Chodźki 6, 20-093 Lublin, Poland
1 shared publication - Bartłomiej Szwed
Chair and Department of Oral Surgery, Medical University of Lublin, ul. Chodźki 6, 20-093 Lublin, Poland
1 shared publication - Grzegorz Hajduk
Chair and Department of Oral Surgery, Medical University of Lublin, Witolda Chodźki 6 Street, 20-093 Lublin, Poland
1 shared publication - Katarzyna Wieczorek
Chair and Department of Oral Surgery, Medical University of Lublin, 20-093 Lublin, Poland
1 shared publication - Mansur Rahnama-Hezavah
Chair and Department of Oral Surgery, Medical University of Lublin, ul. Chodźki 6, 20-093 Lublin, Poland
1 shared publication - Michał Łobacz
Chair and Department of Oral Surgery, Medical University of Lublin, 20-093 Lublin, Poland
1 shared publication
Latest Publications
- Open Access
Patient-Clustered Analysis of Recorded Insertion Torque in 101 MultiNeO Titanium Dental Implant Placements: An Exploratory Retrospective Cohort Study
Primary implant stability arises from mechanical engagement at placement, and insertion torque is not a direct measure of osseointegration. This retrospective single-centre study included 101 MultiNeO titanium implant placements in 55 adults treated between April 2023 and January 2026. Four experienced operators placed implants subcrestally using a W&H Implantmed SI-1023, a bone-resistance-adapted drilling protocol, and a programmed target of 35 N·cm. Associations with recorded torque were assessed using a patient-clustered Gaussian generalized estimating equation adjusted for sex, age, anatomical sector, implant length and diameter, hard-tissue augmentation, and placement timing. The mean torque was 31.63 ± 5.57 N·cm; the median was 35 N·cm (Q1–Q3, 30–35). Recorded torque was 3.25 N·cm higher for implants placed in women than for those placed in men (95% CI 1.20–5.31; p = 0.002). Relative to maxillary anterior/premolar sites, mandibular molar sites showed higher torque (β = 4.02; p = 0.001), whereas mandibular anterior/premolar sites showed lower torque (β = −5.41; p = 0.013). Implant length had a modest adjusted association (β = 0.93 N·cm/mm; p = 0.022); age, diameter, augmentation, and placement timing did not. The concentration of recorded values at 35 N·cm reflects a clinical target rather than the device limit. These exploratory associations do not establish an intrinsic sex effect or predict osseointegration, and residual confounding due to unmeasured bone characteristics remains possible.
Open AccessPatient-Clustered Analysis of Recorded Insertion Torque in 101 MultiNeO Titanium Dental Implant Placements: An Exploratory Retrospective Cohort Study
Primary implant stability arises from mechanical engagement at placement, and insertion torque is not a direct measure of osseointegration. This retrospective single-centre study included 101 MultiNeO titanium implant placements in 55 adults treated between April 2023 and January 2026. Four experienced operators placed implants subcrestally using a W&H Implantmed SI-1023, a bone-resistance-adapted drilling protocol, and a programmed target of 35 N·cm. Associations with recorded torque were assessed using a patient-clustered Gaussian generalized estimating equation adjusted for sex, age, anatomical sector, implant length and diameter, hard-tissue augmentation, and placement timing. The mean torque was 31.63 ± 5.57 N·cm; the median was 35 N·cm (Q1–Q3, 30–35). Recorded torque was 3.25 N·cm higher for implants placed in women than for those placed in men (95% CI 1.20–5.31; p = 0.002). Relative to maxillary anterior/premolar sites, mandibular molar sites showed higher torque (β = 4.02; p = 0.001), whereas mandibular anterior/premolar sites showed lower torque (β = −5.41; p = 0.013). Implant length had a modest adjusted association (β = 0.93 N·cm/mm; p = 0.022); age, diameter, augmentation, and placement timing did not. The concentration of recorded values at 35 N·cm reflects a clinical target rather than the device limit. These exploratory associations do not establish an intrinsic sex effect or predict osseointegration, and residual confounding due to unmeasured bone characteristics remains possible.