J 2024

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

THOMKOVA, Barbora, Petr MARCIAN, Libor BORAK, Marek JOUKAL, Jan WOLFF et. al.

Basic information

Original name

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

Authors

THOMKOVA, Barbora (203 Czech Republic), Petr MARCIAN (203 Czech Republic), Libor BORAK (203 Czech Republic), Marek JOUKAL (203 Czech Republic, belonging to the institution) and Jan WOLFF (203 Czech Republic)

Edition

JOURNAL OF PROSTHETIC DENTISTRY, NEW YORK, MOSBY-ELSEVIER, 2024, 0022-3913

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30208 Dentistry, oral surgery and medicine

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 4.600 in 2022

Organization unit

Faculty of Medicine

UT WoS

001152274200001

Keywords in English

dental implants

Tags

Tags

International impact, Reviewed
Změněno: 29/4/2024 13:21, Mgr. Tereza Miškechová

Abstract

V originále

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)