The effects of bone density and crestal cortical bone thickness on micromotion and peri-implant bone strain distribution in an immediately loaded implant: a nonlinear finite element analysis
Identifieur interne : 000455 ( Main/Exploration ); précédent : 000454; suivant : 000456The effects of bone density and crestal cortical bone thickness on micromotion and peri-implant bone strain distribution in an immediately loaded implant: a nonlinear finite element analysis
Auteurs : Tsutomu Sugiura [Japon] ; Kazuhiko Yamamoto [Japon] ; Satoshi Horita [Japon] ; Kazuhiro Murakami [Japon] ; Sadami Tsutsumi [Japon] ; Tadaaki Kirita [Japon]Source :
- Journal of Periodontal & Implant Science [ 2093-2278 ] ; 2016.
Abstract
This study investigated the effects of bone density and crestal cortical bone thickness at the implant-placement site on micromotion (relative displacement between the implant and bone) and the peri-implant bone strain distribution under immediate-loading conditions.
A three-dimensional finite element model of the posterior mandible with an implant was constructed. Various bone parameters were simulated, including low or high cancellous bone density, low or high crestal cortical bone density, and crestal cortical bone thicknesses ranging from 0.5 to 2.5 mm. Delayed- and immediate-loading conditions were simulated. A buccolingual oblique load of 200 N was applied to the top of the abutment.
The maximum extent of micromotion was approximately 100 μm in the low-density cancellous bone models, whereas it was under 30 μm in the high-density cancellous bone models. Crestal cortical bone thickness significantly affected the maximum micromotion in the low-density cancellous bone models. The minimum principal strain in the peri-implant cortical bone was affected by the density of the crestal cortical bone and cancellous bone to the same degree for both delayed and immediate loading. In the low-density cancellous bone models under immediate loading, the minimum principal strain in the peri-implant cortical bone decreased with an increase in crestal cortical bone thickness.
Cancellous bone density may be a critical factor for avoiding excessive micromotion in immediately loaded implants. Crestal cortical bone thickness significantly affected the maximum extent of micromotion and peri-implant bone strain in simulations of low-density cancellous bone under immediate loading.
Url:
DOI: 10.5051/jpis.2016.46.3.152
PubMed: 27382504
PubMed Central: 4928204
Affiliations:
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The effects of bone density and crestal cortical bone thickness on micromotion and peri-implant bone strain distribution in an immediately loaded implant: a nonlinear finite element analysis</title>
<author><name sortKey="Sugiura, Tsutomu" sort="Sugiura, Tsutomu" uniqKey="Sugiura T" first="Tsutomu" last="Sugiura">Tsutomu Sugiura</name>
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<author><name sortKey="Yamamoto, Kazuhiko" sort="Yamamoto, Kazuhiko" uniqKey="Yamamoto K" first="Kazuhiko" last="Yamamoto">Kazuhiko Yamamoto</name>
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<country xml:lang="fr">Japon</country>
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<author><name sortKey="Horita, Satoshi" sort="Horita, Satoshi" uniqKey="Horita S" first="Satoshi" last="Horita">Satoshi Horita</name>
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<series><title level="j">Journal of Periodontal & Implant Science</title>
<idno type="ISSN">2093-2278</idno>
<idno type="eISSN">2093-2286</idno>
<imprint><date when="2016">2016</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>This study investigated the effects of bone density and crestal cortical bone thickness at the implant-placement site on micromotion (relative displacement between the implant and bone) and the peri-implant bone strain distribution under immediate-loading conditions.</p>
</sec>
<sec><title>Methods</title>
<p>A three-dimensional finite element model of the posterior mandible with an implant was constructed. Various bone parameters were simulated, including low or high cancellous bone density, low or high crestal cortical bone density, and crestal cortical bone thicknesses ranging from 0.5 to 2.5 mm. Delayed- and immediate-loading conditions were simulated. A buccolingual oblique load of 200 N was applied to the top of the abutment.</p>
</sec>
<sec><title>Results</title>
<p>The maximum extent of micromotion was approximately 100 μm in the low-density cancellous bone models, whereas it was under 30 μm in the high-density cancellous bone models. Crestal cortical bone thickness significantly affected the maximum micromotion in the low-density cancellous bone models. The minimum principal strain in the peri-implant cortical bone was affected by the density of the crestal cortical bone and cancellous bone to the same degree for both delayed and immediate loading. In the low-density cancellous bone models under immediate loading, the minimum principal strain in the peri-implant cortical bone decreased with an increase in crestal cortical bone thickness.</p>
</sec>
<sec><title>Conclusions</title>
<p>Cancellous bone density may be a critical factor for avoiding excessive micromotion in immediately loaded implants. Crestal cortical bone thickness significantly affected the maximum extent of micromotion and peri-implant bone strain in simulations of low-density cancellous bone under immediate loading.</p>
</sec>
</div>
</front>
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</TEI>
<affiliations><list><country><li>Japon</li>
</country>
</list>
<tree><country name="Japon"><noRegion><name sortKey="Sugiura, Tsutomu" sort="Sugiura, Tsutomu" uniqKey="Sugiura T" first="Tsutomu" last="Sugiura">Tsutomu Sugiura</name>
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<name sortKey="Horita, Satoshi" sort="Horita, Satoshi" uniqKey="Horita S" first="Satoshi" last="Horita">Satoshi Horita</name>
<name sortKey="Kirita, Tadaaki" sort="Kirita, Tadaaki" uniqKey="Kirita T" first="Tadaaki" last="Kirita">Tadaaki Kirita</name>
<name sortKey="Murakami, Kazuhiro" sort="Murakami, Kazuhiro" uniqKey="Murakami K" first="Kazuhiro" last="Murakami">Kazuhiro Murakami</name>
<name sortKey="Tsutsumi, Sadami" sort="Tsutsumi, Sadami" uniqKey="Tsutsumi S" first="Sadami" last="Tsutsumi">Sadami Tsutsumi</name>
<name sortKey="Yamamoto, Kazuhiko" sort="Yamamoto, Kazuhiko" uniqKey="Yamamoto K" first="Kazuhiko" last="Yamamoto">Kazuhiko Yamamoto</name>
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