BIOMECHANICAL ANALYSIS OF AN OPTIMIZED PATIENT-SPECIFIC DENTAL-IMPLANT SCREW IN THE POSTERIOR MANDIBLE
Keywords:
FEA, cortical bone, trabecular bone, dental implants, thread profiles, stress distribution
Abstract
Implant design developed considerably with the advancement of restorative dentistry. Examining the stress distribution in the cancellous and cortical bones around custom-made implants with different thread-profile models is the study’s objective. The newly designed implants were made with a diameter and length of 4.5 mm and 11.5 mm. The implants were designed the same, but had different thread profiles. Model A is designed with a standard V-shape thread design, and it was compared with the remaining three dental implants (models B, C, and D) having different customized thread-profile designs. The biomechanical characteristics of the four implant models were compared with the use of biomechanical profiling to predict the mechanical performance of various dental-screw models, including the influence of physiological factors. The stress distribution in the D4 bone area of implants with different thread-profile designs under a vertical load of 100 N at 0° and an oblique load of 223.6 N at 25° was examined using ANSYS Workbench. The trabecular and cortical bones comprise the structure of the D4 bone area. Deformation and stress (von Mises) findings were found for the dental implants and bone. While implant models C and D showed less stress distribution in the cortical and cancellous bone, they nonetheless produced outcomes superior to those of the conventional model A underloading. According to the findings, the unique dental implant design lessens the stress concentration in the cortical bone’s neck area. The suggested model C increases the implant’s stability in that region by distributing a low stress over the D4 bone.
References
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15. P. Oyar, R. Durkan, G. Deste, The effect of the design of a mandibular implant-supported zirconia prosthesis on stress distribution, The Journal of Prosthetic Dentistry, 125 (2021) 3, 27 – 52, doi: 10.1016/j.prosdent.2020.05.027
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20. V.E Batista, J.F.S Junior, D.A. Almeida, L.F. Lopes, F.R. Verri, E.P. Pellizzer, The effect of offset implant configuration on bone stress distribution: A systematic review. J. Prosthodont, 24 (2015), 93–99.
21. J. Maminskas,A. Puisys, R. Kuoppala,A. Raustia, G. Juodzbalys, The Prosthetic Influence and Biomechanics on Peri-Implant Strain: A Systematic Literature Review of Finite Element Studies, J. Oral Maxillofac. Res., (2016), 7 -14.
22. E.C. Sivrikaya,M.M. Omezli, Effect of Tapered and Cylindrical Implants on Stress Distribution in Different Bone Qualities: Finite Element Analysis, Int. J. Oral Maxillofac. Implant, 34 (2019), 99 - 105.
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24. E. Kitamura, R. Stegaroiu, S. Nomura, O. Miyakawa, Biomechanical aspects of marginal bone resorption around osseointegrated implants: Considerations based on a three-dimensional finite element analysis, Clin. Oral Implant. Res., 15 (2014), 401 - 412.
25. T.J. Oh, J. Yoon, C.E. Misch, H.L. Wang, The Causes of Early Implant Bone Loss: Myth or Science?, J. Periodontol., 73 (2012) , 322–333.
26. A.M. An, N. Alsabeeha, W. Duncan, Stability of tapered and parallel-walled dental implants: A systematic review and meta-analysis, Clin. Implant. Dent. Relat. Res., 20 (2018), 634 - 645.
27. H. Arinc, Effects of Prosthetic Material and Framework Design on Stress Distribution in Dental Implants and Peripheral Bone: A Three-Dimensional Finite Element Analysis. Med. Sci. Monit., 24 (2018), 4279 - 4287.
28. T. Wilson, R. Miller, R.D. Trushkowsky, M. Dard, Tapered Implants in Dentistry, Adv. Dent. Res., 28 (2016), 4 - 9.
29. H.L. Huang, C.H. Chang, J.T. Hsu, A.M. Fallgatter, C.C. Ko, Comparison of implant body designs and threaded designs of dental implants: A 3-dimensional finite element analysis, Int. J. Oral Maxillofac. Implant, 22 (2017), 551–562.
30. B. Heidari, H. Bisadi, B. Heidari, M. Kadkhodazadeh, Influence of different tapered implants on stress and strain distribution in bone and implant: A finite element analysis. J. Periodontol. Implant. Dent., 1 (2019), 11–19.
31. H. Oliveira,A.B. Velasco, V. Rios, F.S. Lasheras, B.F. Lemos, F.J. Gil, A. Carvalho, M. Herrero-Clement, Effect of Different Implant Designs on Strain and Stress Distribution under Non-Axial Loading: A Three-Dimensional Finite Element Analysis, Int. J. Environ. Res. Public Health, 17 (2020), 38 - 47.
32. S. Tada, R. Stegaroiu, E. Kitamura, O. Miyakawa, H. Kusakari, Influence of implant design and bone quality on stress/strain distribution in bone around implants: A 3-dimensional finite element analysis, Int. J. Oral Maxillofac. Implant, 18 (2013), 357–368.
33. M. Karl, L.A. Irastorza, Does implant design affect primary stability in extraction sites?, Quintessence Int., 48 (2017), 219 - 224.
34. V. Rios, G. Menjivar, C. Herrero, C.B. Rios, A.P. Fernandez, R. Perez, F.J. Gil, M.C. Herrero, Unravelling the effect of macro and microscopic design of dental implants on osseointegration: A randomised clinical study in minipigs, J. Mater. Sci. Mater. Electron, 29 (2018), 85 - 99.
35. T. Irina, C. Wiebe, Initial Torque Stability of a New Bone Condensing Dental Implant. A Cohort Study of 140 Consecutively Placed Implants, J. Oral Implant, 35 (2019), 277–282.
36. D. Sullivan, L. Sennerby, N. Meredith, Influence of implant taper on the primary and secondary stability of osseointegrated titanium implants, Clin. Oral Implant. Res., 15 (2014), 474 - 480.
37. F. Javed, H.B. Ahmed, R. Crespi, G.E. Romanos, Role of primary stability for successful osseointegration of dental implants: Factors of influence and evaluation. Interv. Med. Appl. Sci., 5 (2013) , 162–167.
38. Y.K. Kim, J. Lee, J.Y. Lee, Y.J. Yi, A randomized controlled clinical trial of two types of tapered implants on immediate loading in the posterior maxilla and mandible, Int. J. Oral Maxillofac. Implant, 28 (2013), 1602–1611.
39. D.W. Lee, Y.S. Choi, K.H. Park, C.S. Kim, I.S. Moon, Effect of micro thread on the maintenance of marginal bone level: A 3-year prospective study, Clin. Oral Implant, 18 (2017), 465–470.
40. R. Amid, S. Raoofi, M. Kadkhodazadeh, M.R. Movahhedi, M. Khademi, Effect of micro thread design of dental implants on stress and strain patterns: A three-dimensional finite element analysis, Biomed. Tech. Eng., 58 (2013), 457–467.
41. M. Alireza, Z. Alireza, K. Mahmoud, The Effect of Implant Thread Design on Stress Distribution in Anisotropic Bone with Different Osseointegration Conditions: A Finite Element Analysis, Int. J. Oral Maxillofac. Implant, 30 (2015), 1317–1326.
42. C. Udomsawat, P. Rungsiyakull, C. Rungsiyakull, P. Khongkhunthian, Comparative study of stress characteristics in surrounding bone during insertion of dental implants of three different thread designs: A three-dimensional dynamic finite element study, Clin. Exp. Dent. Res., 5 (2018), 26–37.
43. H. Abuhussein, G. Pagni, A. Rebaudi, H.L. Wang, The effect of thread pattern upon implant osseointegration, Clin. Oral Implant. Res., 21 (2020), 129–136.
44. M. Geramizadeh, H. Katoozian, R. Amid, M. Kadkhodazadeh, Comparison of finite element results with photoelastic stress analysis around dental implants with different threads, Dent. Med. Probl., 55 (2018), 17–22.
45. G. Deste, R. Durkan, Effects of all-on-four implant designs in mandible on implants and the surrounding bone: A 3-D finite element analysis, Niger J Clin Pract., 23 (2020) 4456-463, doi: 10.4103/njcp.njcp_471_19.
46. M. Geramizadeh, H. Katoozian, R. Amid, M. Kadkhodazadeh, Static, Dynamic, and Fatigue Finite Element Analysis of Dental Implants with Different Thread Designs, J. Autom. Inf. Sci., 26 (2016), 347–355.
47. J. Steigenga, K. Al-Shammari, C. Misch, F.H. Nociti, H.L. Wang, Effects of Implant Thread Geometry on Percentage of Osseointegration and Resistance to Reverse Torque in the Tibia of Rabbits, J. Periodontol, 75 (2014), 1233–1241.
48. A. Acharya, M.C.T. Leung, M.H. Fan, G. Fokas, N. Mattheos, Peri-implant marginal bone loss rate pre- and post-loading: An exploratory analysis of associated factors, Clin. Oral Implant. Res., 30 (2019), 410–419.
49. R. Koodaryan, A. Hafezeqoran, Evaluation of Implant Collar Surfaces for Marginal Bone Loss: A Systematic Review and Meta-Analysis, Biomed. Res. Int., (2016), 1–10.
2. H. Abuhussein, G. Pagni, A. Rebaudi, H. Wang, The effect of thread pattern upon implant osseointegration, Clin Oral Implants Res., 21(2020) 2, 129–36.
3. N.Murakami, N. Wakabayashi, Finite element contact analysis as a critical technique in dental biomechanics: A review, J. Prosthodont Res., 58 (2014) 2, 92–101
4. P. Ma, W. Xiong, B. Tan, W. Geng, J. Liu, W. Li, D. Li, Influence of thread pitch, helix angle, and compactness on - promotion of immediately loaded implants in three types of bone quality: a three-dimensional finite element analysis, BioMed Res Int., (2014), 1- 15.
5. W. Nicholson, Titanium Alloys for Dental Implants: A Review, Prosthesis, 2 (2020) 2, 100-116, doi: 10.3390/prosthesis202001.
6. N. Sykaras, A.M. Iacopino, V.A. Marker, R.G. Triplett, R.D. Woody, Implant materials, designs, and surface topographies: their effect on osseointegration. A literature review, International Journal Oral Maxillofac Implants, 15 (2018) 5, 675-90.
7. R.S. Desai, R. Singh, I. Karthikeyan, G. Reetika, Jyothilaxmi, Three-Dimensional Finite Element Analysis of Effect of Prosthetic Materials and Short Implant Biomechanics on D4 Bone under Immediate Loading, Journal of Dental Implants, 2 (2012), 1, doi: 10.4103/0974-6781.96556.
8. L. Paracchini, C. Barbieri, M. Redaelli, D.D. Croce, C. Vincenzi, R. Guarnieri, Finite Element Analysis of a New Dental Implant Design Optimized for the Desirable Stress Distribution in the Surrounding Bone Region, Prosthesis, 2 (2020) 3, 225-236.
9. Geramizadeh, Maryam, Katoozian, Hamid, Amid, Reza, Kadkhodazadeh, Mahdi, Finite Element Analysis of Dental Implants with and without Microthreads under Static and Dynamic Loading, Journal of Long-Term Effects of Medical Implants, 27 (2017) 1, 25 – 35.
10. P. Balamurugan, N. Selvakumar, Development of patient specific dental implant using 3D printing”, Journal of Ambient Intelligence and Humanized Computing, 12 (2021) 3, 3549 – 3558.
11. P. Ma, W. Xiong,T. Baosheng,G. Wei, L. Jiaqiang, L. Weihong, L. Dehua, Influence of Thread Pitch, Helix Angle, and Compactness on Micromotion of Immediately Loaded Implants in Three Types of Bone Quality: A Three-Dimensional Finite Element Analysis, BioMed Research International, 113 (2014) 2, 113 – 126, doi: 10.1155/2014/983103.
12. Y. Chang, A.A. Tambe, Y. Maeda, M. Wada, T. Gonda, Finite element analysis of dental implants with validation: to what extent can we expect the model to predict biological phenomena? A literature review and proposal for classification of a validation process, Int J Implant Dent., 4 (2018) 1, 1- 7, doi: 10.1186/s40729-018-0119-5.
13. F.S.A HosseiniFaradonbeh, H.R. Katoozian, Biomechanical evaluations of the long-term stability of dental implant using finite element modeling method: a systematic review, J Adv Prosthodont, 14 (2022) 3, 182-202, doi: 10.4047/jap.2022.14.3.182.
14. R. C. Van Staden, H. Guan, Y. C. Loo, Application of the finite element method in dental implant research, Computer Methods in Biomechanics and Biomedical Engineering, 9 (2016) 4, 257-270, doi: 10.1080/10255840600837074.
15. P. Oyar, R. Durkan, G. Deste, The effect of the design of a mandibular implant-supported zirconia prosthesis on stress distribution, The Journal of Prosthetic Dentistry, 125 (2021) 3, 27 – 52, doi: 10.1016/j.prosdent.2020.05.027
16. L. Ting, M. Zhixiang, Y. Ti, W. Chao, H. Yuanding Huang, Biomechanical comparison of implant inclinations and load times with the all-on-4 treatment concept: a three-dimensional finite element analysis, Computer Methods in Biomechanics and Biomedical Engineering, 22 (2019) 6, 585-594, doi: 10.1080/10255842.2019.1572120
17. P.K. Chang,Y.C. Chen, C.C. Huang, W.H. Lu, Y.C. Chen, H.H. Tsai, Distribution of micromotion in implants and alveolar bone with different thread profiles in immediate loading: A finite element study, Int. J. Oral Maxillofac. Implant, 27 (2012), 96 – 101.
18. J. Ao, T. Li, Y. Liu, Y. Ding, G. Wu, K. Hu, L. Kong, Optimal design of thread height and width on an immediately loaded cylinder implant: A finite element analysis, Comput. Boil. Med., 40 (2010), 681–686.
19. M. Yalcin, B. Kaya, N. Lacin, E. Ari, Three-Dimensional Finite Element Analysis of the Effect of Endosteal Implants with Different Macro Designs on Stress Distribution in Different Bone Qualities, Int. J. Oral Maxillofac. Implant, 34 (2019), 43 - 50.
20. V.E Batista, J.F.S Junior, D.A. Almeida, L.F. Lopes, F.R. Verri, E.P. Pellizzer, The effect of offset implant configuration on bone stress distribution: A systematic review. J. Prosthodont, 24 (2015), 93–99.
21. J. Maminskas,A. Puisys, R. Kuoppala,A. Raustia, G. Juodzbalys, The Prosthetic Influence and Biomechanics on Peri-Implant Strain: A Systematic Literature Review of Finite Element Studies, J. Oral Maxillofac. Res., (2016), 7 -14.
22. E.C. Sivrikaya,M.M. Omezli, Effect of Tapered and Cylindrical Implants on Stress Distribution in Different Bone Qualities: Finite Element Analysis, Int. J. Oral Maxillofac. Implant, 34 (2019), 99 - 105.
23. G.H. Do,S.J. Lee, J.M. Kim, S.M. Kim, Study on the Fatigue Test and the Accelerated Life Test for Dental Implant using Universal-Joint Test Type, J. Appl. Reliab., 17 (2017), 50 - 57.
24. E. Kitamura, R. Stegaroiu, S. Nomura, O. Miyakawa, Biomechanical aspects of marginal bone resorption around osseointegrated implants: Considerations based on a three-dimensional finite element analysis, Clin. Oral Implant. Res., 15 (2014), 401 - 412.
25. T.J. Oh, J. Yoon, C.E. Misch, H.L. Wang, The Causes of Early Implant Bone Loss: Myth or Science?, J. Periodontol., 73 (2012) , 322–333.
26. A.M. An, N. Alsabeeha, W. Duncan, Stability of tapered and parallel-walled dental implants: A systematic review and meta-analysis, Clin. Implant. Dent. Relat. Res., 20 (2018), 634 - 645.
27. H. Arinc, Effects of Prosthetic Material and Framework Design on Stress Distribution in Dental Implants and Peripheral Bone: A Three-Dimensional Finite Element Analysis. Med. Sci. Monit., 24 (2018), 4279 - 4287.
28. T. Wilson, R. Miller, R.D. Trushkowsky, M. Dard, Tapered Implants in Dentistry, Adv. Dent. Res., 28 (2016), 4 - 9.
29. H.L. Huang, C.H. Chang, J.T. Hsu, A.M. Fallgatter, C.C. Ko, Comparison of implant body designs and threaded designs of dental implants: A 3-dimensional finite element analysis, Int. J. Oral Maxillofac. Implant, 22 (2017), 551–562.
30. B. Heidari, H. Bisadi, B. Heidari, M. Kadkhodazadeh, Influence of different tapered implants on stress and strain distribution in bone and implant: A finite element analysis. J. Periodontol. Implant. Dent., 1 (2019), 11–19.
31. H. Oliveira,A.B. Velasco, V. Rios, F.S. Lasheras, B.F. Lemos, F.J. Gil, A. Carvalho, M. Herrero-Clement, Effect of Different Implant Designs on Strain and Stress Distribution under Non-Axial Loading: A Three-Dimensional Finite Element Analysis, Int. J. Environ. Res. Public Health, 17 (2020), 38 - 47.
32. S. Tada, R. Stegaroiu, E. Kitamura, O. Miyakawa, H. Kusakari, Influence of implant design and bone quality on stress/strain distribution in bone around implants: A 3-dimensional finite element analysis, Int. J. Oral Maxillofac. Implant, 18 (2013), 357–368.
33. M. Karl, L.A. Irastorza, Does implant design affect primary stability in extraction sites?, Quintessence Int., 48 (2017), 219 - 224.
34. V. Rios, G. Menjivar, C. Herrero, C.B. Rios, A.P. Fernandez, R. Perez, F.J. Gil, M.C. Herrero, Unravelling the effect of macro and microscopic design of dental implants on osseointegration: A randomised clinical study in minipigs, J. Mater. Sci. Mater. Electron, 29 (2018), 85 - 99.
35. T. Irina, C. Wiebe, Initial Torque Stability of a New Bone Condensing Dental Implant. A Cohort Study of 140 Consecutively Placed Implants, J. Oral Implant, 35 (2019), 277–282.
36. D. Sullivan, L. Sennerby, N. Meredith, Influence of implant taper on the primary and secondary stability of osseointegrated titanium implants, Clin. Oral Implant. Res., 15 (2014), 474 - 480.
37. F. Javed, H.B. Ahmed, R. Crespi, G.E. Romanos, Role of primary stability for successful osseointegration of dental implants: Factors of influence and evaluation. Interv. Med. Appl. Sci., 5 (2013) , 162–167.
38. Y.K. Kim, J. Lee, J.Y. Lee, Y.J. Yi, A randomized controlled clinical trial of two types of tapered implants on immediate loading in the posterior maxilla and mandible, Int. J. Oral Maxillofac. Implant, 28 (2013), 1602–1611.
39. D.W. Lee, Y.S. Choi, K.H. Park, C.S. Kim, I.S. Moon, Effect of micro thread on the maintenance of marginal bone level: A 3-year prospective study, Clin. Oral Implant, 18 (2017), 465–470.
40. R. Amid, S. Raoofi, M. Kadkhodazadeh, M.R. Movahhedi, M. Khademi, Effect of micro thread design of dental implants on stress and strain patterns: A three-dimensional finite element analysis, Biomed. Tech. Eng., 58 (2013), 457–467.
41. M. Alireza, Z. Alireza, K. Mahmoud, The Effect of Implant Thread Design on Stress Distribution in Anisotropic Bone with Different Osseointegration Conditions: A Finite Element Analysis, Int. J. Oral Maxillofac. Implant, 30 (2015), 1317–1326.
42. C. Udomsawat, P. Rungsiyakull, C. Rungsiyakull, P. Khongkhunthian, Comparative study of stress characteristics in surrounding bone during insertion of dental implants of three different thread designs: A three-dimensional dynamic finite element study, Clin. Exp. Dent. Res., 5 (2018), 26–37.
43. H. Abuhussein, G. Pagni, A. Rebaudi, H.L. Wang, The effect of thread pattern upon implant osseointegration, Clin. Oral Implant. Res., 21 (2020), 129–136.
44. M. Geramizadeh, H. Katoozian, R. Amid, M. Kadkhodazadeh, Comparison of finite element results with photoelastic stress analysis around dental implants with different threads, Dent. Med. Probl., 55 (2018), 17–22.
45. G. Deste, R. Durkan, Effects of all-on-four implant designs in mandible on implants and the surrounding bone: A 3-D finite element analysis, Niger J Clin Pract., 23 (2020) 4456-463, doi: 10.4103/njcp.njcp_471_19.
46. M. Geramizadeh, H. Katoozian, R. Amid, M. Kadkhodazadeh, Static, Dynamic, and Fatigue Finite Element Analysis of Dental Implants with Different Thread Designs, J. Autom. Inf. Sci., 26 (2016), 347–355.
47. J. Steigenga, K. Al-Shammari, C. Misch, F.H. Nociti, H.L. Wang, Effects of Implant Thread Geometry on Percentage of Osseointegration and Resistance to Reverse Torque in the Tibia of Rabbits, J. Periodontol, 75 (2014), 1233–1241.
48. A. Acharya, M.C.T. Leung, M.H. Fan, G. Fokas, N. Mattheos, Peri-implant marginal bone loss rate pre- and post-loading: An exploratory analysis of associated factors, Clin. Oral Implant. Res., 30 (2019), 410–419.
49. R. Koodaryan, A. Hafezeqoran, Evaluation of Implant Collar Surfaces for Marginal Bone Loss: A Systematic Review and Meta-Analysis, Biomed. Res. Int., (2016), 1–10.
Published
2023-10-03
How to Cite
1.
Selvakumar N, P.B. BIOMECHANICAL ANALYSIS OF AN OPTIMIZED PATIENT-SPECIFIC DENTAL-IMPLANT SCREW IN THE POSTERIOR MANDIBLE. MatTech [Internet]. 2023Oct.3 [cited 2026Aug.14];57(5):509–518. Available from: https://www.mater-tehnol.si/index.php/MatTech/article/view/907
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