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@article{2398044,
author = {Thomkova, Barbora and Marcian, Petr and Borak, Libor and Joukal, Marek and Wolff, Jan},
article_location = {NEW YORK},
article_number = {1},
doi = {http://dx.doi.org/10.1016/j.prosdent.2023.10.012},
keywords = {dental implants},
language = {eng},
issn = {0022-3913},
journal = {JOURNAL OF PROSTHETIC DENTISTRY},
title = {Biomechanical performance of dental implants inserted in different mandible locations and at different angles: A finite element study},
url = {https://www.sciencedirect.com/science/article/pii/S002239132300690X?via%3Dihub},
volume = {131},
year = {2024}
}
TY - JOUR
ID - 2398044
AU - Thomkova, Barbora - Marcian, Petr - Borak, Libor - Joukal, Marek - Wolff, Jan
PY - 2024
TI - Biomechanical performance of dental implants inserted in different mandible locations and at different angles: A finite element study
JF - JOURNAL OF PROSTHETIC DENTISTRY
VL - 131
IS - 1
SP - 1-10
EP - 1-10
PB - MOSBY-ELSEVIER
SN - 00223913
KW - dental implants
UR - https://www.sciencedirect.com/science/article/pii/S002239132300690X?via%3Dihub
N2 - 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)
ER -
THOMKOVA, Barbora, Petr MARCIAN, Libor BORAK, Marek JOUKAL and Jan WOLFF. Biomechanical performance of dental implants inserted in different mandible locations and at different angles: A finite element study. \textit{JOURNAL OF PROSTHETIC DENTISTRY}. NEW YORK: MOSBY-ELSEVIER, 2024, vol.~131, No~1, p.~1-10. ISSN~0022-3913. Available from: https://dx.doi.org/10.1016/j.prosdent.2023.10.012.
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