Ozturk, KubraKis, Hatice Cansu2025-02-242025-02-2420221432-69811436-377110.1007/s00784-022-04464-32-s2.0-85126798338https://doi.org/10.1007/s00784-022-04464-3https://hdl.handle.net/20.500.14440/836Objectives Fractal analysis is a mathematical method used for the calculation of bone trabeculation and lacunarity. This study aims to evaluate the relationship between resonance frequency analysis (RFA) and fractal dimension (FD) of peri-implant bone to determine the preload stability of implants. Materials and methods In this study, the results of the fractal analysis calculated from the resonance frequency analysis results taken in the 3rd month of the patients who underwent 2-stage implant by the same doctor and the radiographs taken in the same session were evaluated. A hundred implants in 20 patients were applied in this study. The implant stability quotient (ISQ) values of the implants and fractal dimension values of the peri-implant bone were calculated. Results The findings showed that the ISQ1 (p = 0.008), ISQ2 (p = 0.038), R012 (p = 0.013), and R013 (p < 0.001) values were statistically significantly higher in men than women. The ISQ1 (p = 0.003), ISQ2 (p = 0.013), ROIL (p = 0.011), and R013 (p < 0.001) of the mandible were statistically higher than the maxilla. The fractal dimension cut-off value to assess prosthetic loading was found 1.198. Conclusion Fractal analysis is a non-invasive method that can be used in conjunction with clinical examination in the prosthetic loading decision of implants. It is a valuable parameter that can be used without the need for an extra device when it is necessary to reduce the clinical study time.eninfo:eu-repo/semantics/openAccessResonance frequency analysisFractal analysisImplant stability quotientImplant placementArticle4975735314891Q1496726WOS:000771370400001Q1