Influence of Bone Implant Contact on Biomechanical Performance of Short Implant Placed in Atrophic Posterior Mandible
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Published:
Sep 21, 2017
Keywords:
Dental implants Finite element analysis Short implant Biomechanical evaluation
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Abstract
In excessive reduced alveolar bone height patients, thickness of cortical bone is less and available bone height for placing implant is limited. Placing conventional long implant may invasive additional bone. To minimize unnecessary bone invasion, short implants is considered to be a good option. However, Crown-to-Implant (CI) ratio remains questionable in success of dental implant at different Bone-to-Implant Contact (BIC) levels. Therefore, biomechanical performance of short implants with suprastructure on the posterior atrophic mandible was then studied for difference of BIC contact and CI ratio. Six three-dimensional (3D) finite element models of a 6 mm short implant with 6 mm and 12 mm crown height represented a CI ratio of 1:1 and 2:1, respectively, with 30%, 60%, and 90% BIC were modeled. Uniform thickness of the cortical bone model was 1 mm covering the trabecular layer. Axial force of 200 N was applied to the occlusal surface. Results revealed that the maximum von Mises stress of bone is relatively low, indicating that low chance of bone resorption occurred. Elastic strain of cortex and trabecular at BIC level 30%, 60% and 90% were almost similar for CI ratios of both 1:1 and 2:1. Magnitude of elastic strain at a 30% BIC level was also in range for physiologic bone remodelling. These findings may help patients who have risk of low osseointegration.
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Chuepeng, S., Inglam, S., Chantarapanich, N., & Sitthiseripratip, K. (2017). Influence of Bone Implant Contact on Biomechanical Performance of Short Implant Placed in Atrophic Posterior Mandible. Applied Science and Engineering Progress, 10(3). Retrieved from https://ph02.tci-thaijo.org/index.php/ijast/article/view/165554
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References
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[23] P. D. Ledermann, R. K. Schenk, and D. Buser, “Long-lasting osseointegration of immediately loaded, bar-connected TPS screws after 12 years of function: a histologic case report of a 95-yearold patient,” The International Journal of Periodontics and Restorative Dentistry, vol. 18, no.6, pp. 552–563, Dec. 1998.
[24] S. J. Froum, H. Simon, S. C. Cho, N. Elian, M. D. Rohrer, and D. P. Tarnow, “Histologic evaluation of bone-implant contact of immediately loaded transitional implants after 6 to 27 months,” The International Journal of Oral and Maxillofacial Implants, vol. 20, no. 1, pp. 54–60, 2005.
[2] J. P. Geng, K. B. Tan, and G. R. Lui, “Application of finite element analysis in implant dentistry: A review of literature,” The Journal of Prosthetic Dentistry, vol. 85, no.6, pp. 585–598, Dec. 2003.
[3] H. M. Forst, “Perspective: bone’s mechanical usage windows,” Bone and Mineral, vol. 19, no. 3, pp. 257–271, Dec. 1992.
[4] V. Giuseppe and S. Gianpaolo, “Comparative evaluation of osseointegrated dental implants based on platform-switching concept: Influence of diameter, length, thread shape, and in-bone positioning depth on stress-based performance,” Computational and Mathematical Methods in Medicine, vol. 2013, pp. 1–14, May 2013.
[5] Z. Lian, H. Guan, S. Ivanovski, Y. C. Loo, N. W. Johnson, and H. Zhang, “Effect of bone to implant contact percentage on bone remodelling surrounding a dental implant,” International Journal of Oral and Maxillofacial Surgery, vol. 39, no. 7, pp. 690–698, Jul. 2010.
[6] R. Bernhardt, E. Kuhlisch, M. C. Schulz, U. Eckelt, and B. Stadlinger, “Comparison of bone-implant contact and bone-implant volume between 2D-histological sections and 3D-SRμCT slices,” European Cells and Materials, vol. 10, no. 23, pp. 237247, Apr. 2012.
[7] F. Ramos Verri, J. F. Santiago Junior, D. A. de Faria Almeida, G. B. de Oliveira, V. E. de Souza Batista, H. Marques Honório, P. Y. Noritomi, and E. P. Pellizzer, “Biomechanical influence of crown-to-implant ratio on stress distribution over internal hexagon short implant: 3-D finite element analysis with statistical test,” Journal of Biomechanics, vol. 48, no.1, pp. 138–145,
Jan. 2015.
[8] U. Lekholm and G. A. Zarb, “Patient selection and preparation,” in Tissue-integrated Prostheses: Osseointegration in Clinical Dentistry, ed. Chicago: Quintessence, 1985, pp. 199–209.
[9] W. Winter, T. Krafft, P. Steinmann, and M. Karl, “Quality of alveolar bone—Structure-dependent material properties and design of a novel measurement technique,” Journal of the Mechanical Behavior of Biomedical Materials, vol. 4, no. 4, pp. 541–548, May 2011.
[10] N. Okumura, R. Stegaroiu, E. Kitamura, K. Kurokawa, and S. Nomura, “Influence of maxillary cortical bone thickness, implant design and implant diameter on stress around implants: A three-dimensional finite element analysis,” Journal of Prosthodontic Research, vol. 54, no. 3, pp.133–142, Jul. 2010.
[11] F. Lofaj, J. Kučera, D. Németh, and L. Kvetková, “Finite element analysis of stress distributions in mono- and bi-cortical dental implants,” Materials Science & Engineering. C, Materials for Biological Applications, vol. 50, pp. 85–96, May 2015.
[12] T. Li, X. Yang, D. Zhang, H. Zhou, J. Shao, Y. Ding, and L. Kong, “Analysis of the biomechanical feasibility of a wide implant in moderately atrophic maxillary sinus region with finite element method,” Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, vol. 114, no. 2, pp. e1–e8, Aug. 2012.
[13] C. B. Tanaka, H. Harisha, M. Baldassarri, M. S. Wolff, H. Tong, J. B. C. Meira, and Y. Zhang, “Experimental and finite element study of residual thermal stresses in veneered Y-TZP structures,” Ceramics International, vol. 42, no.7, pp. 9214–9221, May 2016.
[14] S. Inglam, S. Suebnukarn, W. Tharanon, T. Apatananon, and K. Sitthiseripratip, “Influence of graft quality and marginal bone loss on implants placed in maxillary grafted sinus: A finite element study,” Medical and Biological Engineering & Computing, vol. 48, no.7, pp. 681–689, Jul. 2010.
[15] M. Z. Bendjaballah, “The effect of non-contact conditions in a splinted fixed partial denture on the load sharing mechanism: A finite element study,” Journal of Bionic Engineering, vol. 9, no. 3, pp. 336–342, Sep. 2012.
[16] P. Rungsiyakull, “Effects of cusp inclination and occlusal table dimensions on the loading on implant systems and simulated bone,” M.S. thesis, Faculty of Dentistry, The University of Sydney, New South Wales, AU, 2008.
[17] A. Dorogoy, D. Rittel, K. Shemtov-Yona, and R. Korabi, “Modeling dental implant insertion,” Journal of the Mechanical Behavior of Biomedical Materials, vol. 68, pp. 42-50, Jan. 2017.
[18] N. Chantarapanich, K. Sitthiseripratip, B. Mahaisavariya, and P. Siribodhi, “Biomechanical performance of retrograde nail for supracondylar fractures stabilization,” Medical and Biological Engineering & Computing, vol. 54, no.6, pp. 939–952, Jan. 2016.
[19] J. B. Brunski, D. A. Puleo, and A. Nanci, “Biomaterials and biomechanics of oral and maxillofacial implants: Current status and future developments,” The International Journal of Oral and Maxillofacial Implants, vol. 15, no. 1, pp. 15–46, 2000.
[20] M. S. Block, I. M. Finger, M. G. Fontenot, and J. N. Kent, “Loaded hydroxylapatite-coated and grit-blasted titanium implants in dogs,” The International Journal of Oral and Maxillofacial Implants, vol. 4, no. 3, pp. 219–225, 1989.
[21] G. Papavasiliou, P. Kamposiora, S. C. Bayne, and D. A. Felton, “3D-FEA of osseointegration percentages and patterns on implant-bone interfacial stresses,” Journal of Dentistry, vol. 25, no. 6, pp. 485–491, Nov. 1997.
[22] W. E. Roberts, “Bone tissue interface,” Journal of Dental Education, vol. 52, no.12, pp. 804–809, Dec. 1988.
[23] P. D. Ledermann, R. K. Schenk, and D. Buser, “Long-lasting osseointegration of immediately loaded, bar-connected TPS screws after 12 years of function: a histologic case report of a 95-yearold patient,” The International Journal of Periodontics and Restorative Dentistry, vol. 18, no.6, pp. 552–563, Dec. 1998.
[24] S. J. Froum, H. Simon, S. C. Cho, N. Elian, M. D. Rohrer, and D. P. Tarnow, “Histologic evaluation of bone-implant contact of immediately loaded transitional implants after 6 to 27 months,” The International Journal of Oral and Maxillofacial Implants, vol. 20, no. 1, pp. 54–60, 2005.