Publication detail

Biomechanical performance of dental implants inserted in different mandible locations and at different angles: A finite element study

THOMKOVÁ, B. MARCIÁN, P. BORÁK, L. JOUKAL, M. WOLFF, J.

English title

Biomechanical performance of dental implants inserted in different mandible locations and at different angles: A finite element study

Type

journal article in Web of Science

Language

en

Original abstract

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. (J Prosthet Dent 2024;131:128.e1-e10)

English abstract

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. (J Prosthet Dent 2024;131:128.e1-e10)

Keywords in English

MECHANICAL-PROPERTIES; BONE; ACCURACY; PLACEMENT; MODELS; IMPACT

Released

06.02.2024

Publisher

MOSBY-ELSEVIER

Location

NEW YORK

ISSN

0022-3913

Volume

131

Number

1

Pages from–to

128.e1–128.e10

Pages count

10

BIBTEX


@article{BUT187736,
  author="Barbora {Thomková} and Petr {Marcián} and Libor {Borák} and Marek {Joukal} and Jan {Wolff},
  title="Biomechanical performance of dental implants inserted in different mandible locations and at different angles: A finite element study",
  year="2024",
  volume="131",
  number="1",
  month="February",
  pages="128.e1--128.e10",
  publisher="MOSBY-ELSEVIER",
  address="NEW YORK",
  issn="0022-3913"
}