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Biomechanical performance of dental implants inserted in different mandible locations and at different angles: A finite element study.
Thomková, Barbora; Marcián, Petr; Borák, Libor; Joukal, Marek; Wolff, Jan.
Afiliación
  • Thomková B; Graduate student, Institute of Solid Mechanics, Mechatronics and Biomechanics, Faculty of Mechanical Engineering, Brno University of Technology, Brno, Czech Republic.
  • Marcián P; Graduate student, Institute of Solid Mechanics, Mechatronics and Biomechanics, Faculty of Mechanical Engineering, Brno University of Technology, Brno, Czech Republic. Electronic address: marcian@fme.vutbr.cz.
  • Borák L; Graduate student, Institute of Solid Mechanics, Mechatronics and Biomechanics, Faculty of Mechanical Engineering, Brno University of Technology, Brno, Czech Republic.
  • Joukal M; Associate Professor, Department of Anatomy, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
  • Wolff J; Professor, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark.
J Prosthet Dent ; 131(1): 128.e1-128.e10, 2024 Jan.
Article en En | MEDLINE | ID: mdl-37919129
STATEMENT OF PROBLEM: Accurate implant placement is essential for the success of dental implants. This placement influences osseointegration and occlusal forces. The freehand technique, despite its cost-effectiveness and time efficiency, may result in significant angular deviations compared with guided implantation, but the effect of angular deviations on the stress-strain state of peri-implant bone is unclear. PURPOSE: The purpose of this finite element analysis (FEA) study was to examine the effects of angular deviations on stress-strain states in peri-implant bone. MATERIAL AND METHODS: Computational modeling was used to investigate 4 different configurations of dental implant positions, each with 3 angles of insertion. The model was developed using computed tomography images, and typical mastication forces were considered. Strains were analyzed using the mechanostat hypothesis. RESULTS: The location of the implant had a significant impact on bone strain intensity. An angular deviation of ±5 degrees from the planned inclination did not significantly affect cancellous bone strains, which primarily support the implant. However, it had a substantial effect on strains in the cortical bone near the implant. Such deviations also significantly influenced implant stresses, especially when the support from the cortical bone was uneven or poorly localized. CONCLUSIONS: In extreme situations, angular deviations can lead to overstraining the cortical bone, risking implant failure from unfavorable interaction with the implant. Accurate implant placement is essential to mitigate these risks.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Implantes Dentales Idioma: En Revista: J Prosthet Dent Año: 2024 Tipo del documento: Article País de afiliación: República Checa Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Implantes Dentales Idioma: En Revista: J Prosthet Dent Año: 2024 Tipo del documento: Article País de afiliación: República Checa Pais de publicación: Estados Unidos