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In vitro bone strain analysis of implant following occlusal overload

Identifieur interne : 004524 ( Istex/Corpus ); précédent : 004523; suivant : 004525

In vitro bone strain analysis of implant following occlusal overload

Auteurs : Janice P. M. Kan ; Roy B. Judge ; Joseph E. A. Palamara

Source :

RBID : ISTEX:8B164AF0866F524235510A507482E107DDA8495C

Abstract

To enumerate peri‐implant bone strain pattern under quantified occlusal load and verify the bone response through comparison with the critical strain thresholds defined by Frost's bone mechanostat theory.

Url:
DOI: 10.1111/clr.12059

Links to Exploration step

ISTEX:8B164AF0866F524235510A507482E107DDA8495C

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Objectives
<p>To enumerate peri‐implant bone strain pattern under quantified occlusal load and verify the bone response through comparison with the critical strain thresholds defined by Frost's bone mechanostat theory.</p>
Material and Methods
<p>Mandibular unilateral recipient sites in two greyhound dogs were established with posterior teeth extractions. After 6 weeks, four titanium implants were placed in each dog mandible. Following 12 weeks of healing, successfully osseointegrated implants were placed in supra‐occlusal contact via screw‐retained non‐splinted metal crowns. Plaque control and a dental health enhancing diet were prescribed. A bite force detection device was used to quantify
<hi rend="italic">in vivo</hi>
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476 N), absolute bone strains up to 1133 and 753 microstrains (με) were measured at implant apices, respectively. Bone strain reaching 229 με was recorded at distant sites. For bone strain to reach the pathological overload threshold defined by Frost's bone mechanostat theory (3000 με), an occlusal load of 1344 N (greater than peak measured
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<p>Under the
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<p>To enumerate peri‐implant bone strain pattern under quantified occlusal load and verify the bone response through comparison with the critical strain thresholds defined by Frost's bone mechanostat theory.</p>
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<title type="main">Material and Methods</title>
<p>Mandibular unilateral recipient sites in two greyhound dogs were established with posterior teeth extractions. After 6 weeks, four titanium implants were placed in each dog mandible. Following 12 weeks of healing, successfully osseointegrated implants were placed in supra‐occlusal contact via screw‐retained non‐splinted metal crowns. Plaque control and a dental health enhancing diet were prescribed. A bite force detection device was used to quantify
<i>in vivo</i>
occlusal load as the dogs functioned with supra‐occlusal contact. After 8 weeks, the dogs were sacrificed.
<i>In vitro</i>
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<p>The average and peak
<i>in vivo</i>
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<i>in vitro</i>
(
<i></i>
476 N), absolute bone strains up to 1133 and 753 microstrains (με) were measured at implant apices, respectively. Bone strain reaching 229 με was recorded at distant sites. For bone strain to reach the pathological overload threshold defined by Frost's bone mechanostat theory (3000 με), an occlusal load of 1344 N (greater than peak measured
<i>in vivo</i>
) is required based on the simple linear regression model.</p>
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<title type="main">Conclusion</title>
<p>Under the
<i>in vivo</i>
and
<i>in vitro</i>
conditions investigated in this study, peri‐implant bone was not found to be under pathological overload following supra‐occlusal contact function. Strain dissipation to distant sites appeared to be an effective mechanism by which implant overload was avoided.</p>
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<title>In vitro bone strain analysis of implant following occlusal overload</title>
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<name type="personal">
<namePart type="given">Janice P.M.</namePart>
<namePart type="family">Kan</namePart>
<affiliation>Melbourne Dental School, University of Melbourne, Vic., Melbourne, Australia</affiliation>
<affiliation>Dr , BDSc Hons, DCD (Pros)Perth Prosthodontics, Suite 3, Southbank Central, 38 Meadowvale Avenue, South Perth 6151, WA, AustraliaTel.: + 61 412088666Fax: + 618 9368 0988e‐mail:</affiliation>
<affiliation>E-mail: dr.jkan@perthpros.com.au</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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<name type="personal">
<namePart type="given">Roy B.</namePart>
<namePart type="family">Judge</namePart>
<affiliation>Melbourne Dental School, University of Melbourne, Vic., Melbourne, Australia</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Joseph E.A.</namePart>
<namePart type="family">Palamara</namePart>
<affiliation>Melbourne Dental School, University of Melbourne, Vic., Melbourne, Australia</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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<publisher>Blackwell Publishing Ltd</publisher>
<dateIssued encoding="w3cdtf">2014-02</dateIssued>
<dateCreated encoding="w3cdtf">2012-09-23</dateCreated>
<dateValid encoding="w3cdtf">2012-09-08</dateValid>
<edition>Kan JPM, Judge RB, Palamara JEA. In vitro bone strain analysis of implant following occlusal overload. Clin. Oral Impl. Res. 25, 2014; e73–e82.</edition>
<copyrightDate encoding="w3cdtf">2014</copyrightDate>
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<languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
</language>
<abstract>To enumerate peri‐implant bone strain pattern under quantified occlusal load and verify the bone response through comparison with the critical strain thresholds defined by Frost's bone mechanostat theory.</abstract>
<abstract>Mandibular unilateral recipient sites in two greyhound dogs were established with posterior teeth extractions. After 6 weeks, four titanium implants were placed in each dog mandible. Following 12 weeks of healing, successfully osseointegrated implants were placed in supra‐occlusal contact via screw‐retained non‐splinted metal crowns. Plaque control and a dental health enhancing diet were prescribed. A bite force detection device was used to quantify in vivo occlusal load as the dogs functioned with supra‐occlusal contact. After 8 weeks, the dogs were sacrificed. In vitro peri‐implant bone strain under quantified occlusal load was measured using bonded stacked rosette strain gauges.</abstract>
<abstract>The average and peak in vivo occlusal load measured were 434 and 795 newton (N). When individually and simultaneously loaded in vitro (≤476 N), absolute bone strains up to 1133 and 753 microstrains (με) were measured at implant apices, respectively. Bone strain reaching 229 με was recorded at distant sites. For bone strain to reach the pathological overload threshold defined by Frost's bone mechanostat theory (3000 με), an occlusal load of 1344 N (greater than peak measured in vivo) is required based on the simple linear regression model.</abstract>
<abstract>Under the in vivo and in vitro conditions investigated in this study, peri‐implant bone was not found to be under pathological overload following supra‐occlusal contact function. Strain dissipation to distant sites appeared to be an effective mechanism by which implant overload was avoided.</abstract>
<subject>
<genre>keywords</genre>
<topic>bone strain</topic>
<topic>crestal bone loss</topic>
<topic>dental implants</topic>
<topic>marginal bone loss</topic>
<topic>occlusal overload</topic>
<topic>osseointegration</topic>
</subject>
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<titleInfo>
<title>Clinical Oral Implants Research</title>
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<title>Clin. Oral Impl. Res.</title>
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<genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre>
<subject>
<genre>article-category</genre>
<topic>Original Article</topic>
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<identifier type="ISSN">0905-7161</identifier>
<identifier type="eISSN">1600-0501</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-0501</identifier>
<identifier type="PublisherID">CLR</identifier>
<part>
<date>2014</date>
<detail type="volume">
<caption>vol.</caption>
<number>25</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>2</number>
</detail>
<extent unit="pages">
<start>e73</start>
<end>e82</end>
<total>10</total>
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<identifier type="DOI">10.1111/clr.12059</identifier>
<identifier type="ArticleID">CLR12059</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2014 John Wiley & Sons Ltd© 2012 John Wiley & Sons A/S</accessCondition>
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