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Regular and Platform Switching: Bone Stress Analysis Varying Implant Type

Identifieur interne : 000034 ( Istex/Corpus ); précédent : 000033; suivant : 000035

Regular and Platform Switching: Bone Stress Analysis Varying Implant Type

Auteurs : Nália Cecília Gurgel-Juarez ; Erika Oliveira De Almeida ; Eduardo Passos Rocha ; Amílcar Chagas Freitas Júnior ; Rodolfo Bruniera Anchieta ; Luis Carlos Merçon De Vargas ; Sidney Kina ; Fabiana Mantovani Gomes França

Source :

RBID : ISTEX:008F222659446AA04DF42C3D2965AEAADE9F21C1

English descriptors

Abstract

Purpose: This study aimed to evaluate stress distribution on peri‐implant bone simulating the influence of platform switching in external and internal hexagon implants using three‐dimensional finite element analysis.

Url:
DOI: 10.1111/j.1532-849X.2011.00801.x

Links to Exploration step

ISTEX:008F222659446AA04DF42C3D2965AEAADE9F21C1

Le document en format XML

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<div type="abstract">Purpose: This study aimed to evaluate stress distribution on peri‐implant bone simulating the influence of platform switching in external and internal hexagon implants using three‐dimensional finite element analysis.</div>
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This study aimed to evaluate stress distribution on peri‐implant bone simulating the influence of platform switching in external and internal hexagon implants using three‐dimensional finite element analysis.</p>
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<hi rend="bold">Materials and Methods:</hi>
Four mathematical models of a central incisor supported by an implant were created: External Regular model (ER) with 5.0 mm × 11.5 mm external hexagon implant and 5.0 mm abutment (0% abutment shifting), Internal Regular model (IR) with 4.5 mm × 11.5 mm internal hexagon implant and 4.5 mm abutment (0% abutment shifting), External Switching model (ES) with 5.0 mm × 11.5 mm external hexagon implant and 4.1 mm abutment (18% abutment shifting), and Internal Switching model (IS) with 4.5 mm × 11.5 mm internal hexagon implant and 3.8 mm abutment (15% abutment shifting). The models were created by SolidWorks software. The numerical analysis was performed using ANSYS Workbench. Oblique forces (100 N) were applied to the palatal surface of the central incisor. The maximum (σ
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<hi rend="bold">Results:</hi>
For cortical bone, the highest stress values (σ
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<hi rend="subscript">max</hi>
, ER showed the highest stress (5.5e‐003), followed by ES (5.43e‐003), IS (3.75e‐003), and IR (3.15e‐003).</p>
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<hi rend="bold">Conclusion:</hi>
The influence of platform switching was more evident for cortical bone than for trabecular bone, mainly for the external hexagon implants. In addition, the external hexagon implants showed less stress concentration in the regular and switching platforms in comparison to the internal hexagon implants.</p>
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Erika Oliveira de Almeida, E 345 24th St., Rm 804s, New York, NY 10010. E‐mail:
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<p>
<b>Purpose:</b>
This study aimed to evaluate stress distribution on peri‐implant bone simulating the influence of platform switching in external and internal hexagon implants using three‐dimensional finite element analysis.</p>
<p>
<b>Materials and Methods:</b>
Four mathematical models of a central incisor supported by an implant were created: External Regular model (ER) with 5.0 mm × 11.5 mm external hexagon implant and 5.0 mm abutment (0% abutment shifting), Internal Regular model (IR) with 4.5 mm × 11.5 mm internal hexagon implant and 4.5 mm abutment (0% abutment shifting), External Switching model (ES) with 5.0 mm × 11.5 mm external hexagon implant and 4.1 mm abutment (18% abutment shifting), and Internal Switching model (IS) with 4.5 mm × 11.5 mm internal hexagon implant and 3.8 mm abutment (15% abutment shifting). The models were created by SolidWorks software. The numerical analysis was performed using ANSYS Workbench. Oblique forces (100 N) were applied to the palatal surface of the central incisor. The maximum (σ
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<sub>min</sub>
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<p>
<b>Results:</b>
For cortical bone, the highest stress values (σ
<sub>max</sub>
and σ
<sub>vm</sub>
) (MPa) were observed in IR (87.4 and 82.3), followed by IS (83.3 and 72.4), ER (82 and 65.1), and ES (56.7 and 51.6). For ε
<sub>max</sub>
, IR showed the highest stress (5.46e‐003), followed by IS (5.23e‐003), ER (5.22e‐003), and ES (3.67e‐003). For the trabecular bone, the highest stress values (σ
<sub>max</sub>
) (MPa) were observed in ER (12.5), followed by IS (12), ES (11.9), and IR (4.95). For σ
<sub>vM</sub>
, the highest stress values (MPa) were observed in IS (9.65), followed by ER (9.3), ES (8.61), and IR (5.62). For ε
<sub>max</sub>
, ER showed the highest stress (5.5e‐003), followed by ES (5.43e‐003), IS (3.75e‐003), and IR (3.15e‐003).</p>
<p>
<b>Conclusion:</b>
The influence of platform switching was more evident for cortical bone than for trabecular bone, mainly for the external hexagon implants. In addition, the external hexagon implants showed less stress concentration in the regular and switching platforms in comparison to the internal hexagon implants.</p>
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<i>The authors claim to have no financial interest, directly or indirectly, in any entity that is commercially related to the products mentioned in this article</i>
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<i>This study was supported by the Sao Paulo Research Foundation (FAPESP – Brazil, # 2008/00209–9 and 2009/09075–8)</i>
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<name type="personal">
<namePart type="given">Fabiana Mantovani Gomes</namePart>
<namePart type="family">França</namePart>
<namePart type="termsOfAddress">DDS, MS, PhD</namePart>
<affiliation>Assistant Professor, Postgraduate Center, São Leopoldo Mandic School of Dentistry, Campinas, Brazil</affiliation>
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<publisher>Blackwell Publishing Inc</publisher>
<place>
<placeTerm type="text">Malden, USA</placeTerm>
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<dateIssued encoding="w3cdtf">2012-04</dateIssued>
<edition>Accepted April 18, 2011</edition>
<copyrightDate encoding="w3cdtf">2012</copyrightDate>
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<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<abstract>Purpose: This study aimed to evaluate stress distribution on peri‐implant bone simulating the influence of platform switching in external and internal hexagon implants using three‐dimensional finite element analysis.</abstract>
<abstract>Materials and Methods: Four mathematical models of a central incisor supported by an implant were created: External Regular model (ER) with 5.0 mm × 11.5 mm external hexagon implant and 5.0 mm abutment (0% abutment shifting), Internal Regular model (IR) with 4.5 mm × 11.5 mm internal hexagon implant and 4.5 mm abutment (0% abutment shifting), External Switching model (ES) with 5.0 mm × 11.5 mm external hexagon implant and 4.1 mm abutment (18% abutment shifting), and Internal Switching model (IS) with 4.5 mm × 11.5 mm internal hexagon implant and 3.8 mm abutment (15% abutment shifting). The models were created by SolidWorks software. The numerical analysis was performed using ANSYS Workbench. Oblique forces (100 N) were applied to the palatal surface of the central incisor. The maximum (σmax) and minimum (σmin) principal stress, equivalent von Mises stress (σvM), and maximum principal elastic strain (εmax) values were evaluated for the cortical and trabecular bone.</abstract>
<abstract>Results: For cortical bone, the highest stress values (σmax and σvm) (MPa) were observed in IR (87.4 and 82.3), followed by IS (83.3 and 72.4), ER (82 and 65.1), and ES (56.7 and 51.6). For εmax, IR showed the highest stress (5.46e‐003), followed by IS (5.23e‐003), ER (5.22e‐003), and ES (3.67e‐003). For the trabecular bone, the highest stress values (σmax) (MPa) were observed in ER (12.5), followed by IS (12), ES (11.9), and IR (4.95). For σvM, the highest stress values (MPa) were observed in IS (9.65), followed by ER (9.3), ES (8.61), and IR (5.62). For εmax, ER showed the highest stress (5.5e‐003), followed by ES (5.43e‐003), IS (3.75e‐003), and IR (3.15e‐003).</abstract>
<abstract>Conclusion: The influence of platform switching was more evident for cortical bone than for trabecular bone, mainly for the external hexagon implants. In addition, the external hexagon implants showed less stress concentration in the regular and switching platforms in comparison to the internal hexagon implants.</abstract>
<subject lang="en">
<genre>keywords</genre>
<topic>Implant dentistry</topic>
<topic>finite element analysis</topic>
<topic>bone</topic>
<topic>stress</topic>
<topic>loading</topic>
</subject>
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<title>Journal of Prosthodontics</title>
<subTitle>Implant, Esthetic and Reconstructive Dentistry</subTitle>
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<identifier type="ISSN">1059-941X</identifier>
<identifier type="eISSN">1532-849X</identifier>
<identifier type="DOI">10.1111/(ISSN)1532-849X</identifier>
<identifier type="PublisherID">JOPR</identifier>
<part>
<date>2012</date>
<detail type="volume">
<caption>vol.</caption>
<number>21</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>3</number>
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<extent unit="pages">
<start>160</start>
<end>166</end>
<total>7</total>
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<identifier type="ark">ark:/67375/WNG-SLQDBS1K-P</identifier>
<identifier type="DOI">10.1111/j.1532-849X.2011.00801.x</identifier>
<identifier type="ArticleID">JOPR801</identifier>
<accessCondition type="use and reproduction" contentType="copyright">© 2012 by the American College of Prosthodontists</accessCondition>
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