Three-dimensional finite element analysis of fixed complete-arch prostheses supported by 4 immediate-loaded implants in the completely edentulous maxilla using clinical computerized tomography data.
Identifieur interne : 003588 ( Ncbi/Checkpoint ); précédent : 003587; suivant : 003589Three-dimensional finite element analysis of fixed complete-arch prostheses supported by 4 immediate-loaded implants in the completely edentulous maxilla using clinical computerized tomography data.
Auteurs : Katsuhiko Kimura [Japon] ; Yasumasa Fukase ; Michiko Makino ; Chihiro Masaki ; Tetsuji Nakamoto ; Ryuji HosokawaSource :
- The Journal of oral implantology [ 0160-6972 ] ; 2011.
Descripteurs français
- KwdFr :
- Analyse des éléments finis, Analyse du stress dentaire (), Conception assistée par ordinateur, Conception d'appareil de prothèse dentaire (), Conception d'appareil de prothèse dentaire (instrumentation), Contrainte mécanique, Femelle, Humains, Imagerie tridimensionnelle, Implants dentaires, Maxillaire (imagerie diagnostique), Modèles anatomiques, Mâchoire édentée (imagerie diagnostique), Mâchoire édentée (rééducation et réadaptation), Planification des soins du patient, Pose d'implant dentaire endo-osseux (), Prothèse dentaire complète supérieure, Prothèse dentaire implanto-portée (instrumentation), Rétention d'appareil de prothèse dentaire (instrumentation), Simulation numérique, Sujet âgé, Thérapie assistée par ordinateur (), Thérapie assistée par ordinateur (instrumentation), Tomodensitométrie.
- MESH :
- imagerie diagnostique : Maxillaire, Mâchoire édentée.
- rééducation et réadaptation : Mâchoire édentée.
- Analyse des éléments finis, Analyse du stress dentaire, Conception assistée par ordinateur, Conception d'appareil de prothèse dentaire, Contrainte mécanique, Femelle, Humains, Imagerie tridimensionnelle, Implants dentaires, Modèles anatomiques, Planification des soins du patient, Pose d'implant dentaire endo-osseux, Prothèse dentaire complète supérieure, Prothèse dentaire implanto-portée, Rétention d'appareil de prothèse dentaire, Simulation numérique, Sujet âgé, Thérapie assistée par ordinateur, Tomodensitométrie.
English descriptors
- KwdEn :
- Aged, Computer Simulation, Computer-Aided Design, Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported (instrumentation), Dental Stress Analysis (methods), Denture Design (instrumentation), Denture Design (methods), Denture Retention (instrumentation), Denture, Complete, Upper, Female, Finite Element Analysis, Humans, Imaging, Three-Dimensional, Jaw, Edentulous (diagnostic imaging), Jaw, Edentulous (rehabilitation), Maxilla (diagnostic imaging), Models, Anatomic, Patient Care Planning, Stress, Mechanical, Therapy, Computer-Assisted (instrumentation), Therapy, Computer-Assisted (methods), Tomography, X-Ray Computed.
- MESH :
- chemical : Dental Implants.
- diagnostic imaging : Jaw, Edentulous, Maxilla.
- instrumentation : Dental Prosthesis, Implant-Supported, Denture Design, Denture Retention, Therapy, Computer-Assisted.
- methods : Dental Implantation, Endosseous, Dental Stress Analysis, Denture Design, Therapy, Computer-Assisted.
- rehabilitation : Jaw, Edentulous.
- Aged, Computer Simulation, Computer-Aided Design, Denture, Complete, Upper, Female, Finite Element Analysis, Humans, Imaging, Three-Dimensional, Models, Anatomic, Patient Care Planning, Stress, Mechanical, Tomography, X-Ray Computed.
Abstract
Mechanical simulation by loading an occlusal force (load), assumed to be that loaded under clinical conditions, was performed in a computerized tomography (CT) data-based immediate-loaded implant placement simulation. Stresses on and displacements of the implants and surrounding bone tissue were analyzed mechanically using 3-dimensional finite element analysis (FEA). The purpose of this study was to investigate the possibility of practical preoperative design and its evaluation and to assess the effects of connected fixation. Implants with a diameter of 4.0 mm were placed in the bilateral upper incisor and second premolar regions in a 69-year-old woman. An X-ray CT of the head was carried out, and implant placement simulation and 3-dimensional FEA models were constructed from the CT data. Forces were loaded on 4 individual implants placed in this model or all connected implants, and a mechanical analysis was performed. A 100-N vertical force was loaded on each implant as individual loading for the control group, and a 400-N vertical force was loaded on the connected implants as connected loading for the test group. The displacement and stress distributions were assessed using the 3-dimensional FEA. In the test group, established on the assumption of connected fixation for provisional restoration facilitating immediate loading, the maximum stress and displacement of peri-implant bone were smaller than those in the control group undergoing individual loading. The implant displacement level was suggested to serve as a numerical prognostic index of osseointegration of immediate-loaded implants. This method was shown to be immediately applicable to implant placement simulations using CT data currently generated in clinical practice, with no modification. Such a mechanical assessment using the FEA model can be performed noninvasively.
DOI: 10.1563/AAID-JOI-D-09-00122
PubMed: 21495797
Affiliations:
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pubmed:21495797Le document en format XML
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<term>Computer Simulation</term>
<term>Computer-Aided Design</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported (instrumentation)</term>
<term>Dental Stress Analysis (methods)</term>
<term>Denture Design (instrumentation)</term>
<term>Denture Design (methods)</term>
<term>Denture Retention (instrumentation)</term>
<term>Denture, Complete, Upper</term>
<term>Female</term>
<term>Finite Element Analysis</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Models, Anatomic</term>
<term>Patient Care Planning</term>
<term>Stress, Mechanical</term>
<term>Therapy, Computer-Assisted (instrumentation)</term>
<term>Therapy, Computer-Assisted (methods)</term>
<term>Tomography, X-Ray Computed</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Analyse des éléments finis</term>
<term>Analyse du stress dentaire ()</term>
<term>Conception assistée par ordinateur</term>
<term>Conception d'appareil de prothèse dentaire ()</term>
<term>Conception d'appareil de prothèse dentaire (instrumentation)</term>
<term>Contrainte mécanique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Implants dentaires</term>
<term>Maxillaire (imagerie diagnostique)</term>
<term>Modèles anatomiques</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée (instrumentation)</term>
<term>Rétention d'appareil de prothèse dentaire (instrumentation)</term>
<term>Simulation numérique</term>
<term>Sujet âgé</term>
<term>Thérapie assistée par ordinateur ()</term>
<term>Thérapie assistée par ordinateur (instrumentation)</term>
<term>Tomodensitométrie</term>
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<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Maxillaire</term>
<term>Mâchoire édentée</term>
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<term>Denture Design</term>
<term>Denture Retention</term>
<term>Therapy, Computer-Assisted</term>
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<term>Dental Stress Analysis</term>
<term>Denture Design</term>
<term>Therapy, Computer-Assisted</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term>
</keywords>
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<term>Computer Simulation</term>
<term>Computer-Aided Design</term>
<term>Denture, Complete, Upper</term>
<term>Female</term>
<term>Finite Element Analysis</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional</term>
<term>Models, Anatomic</term>
<term>Patient Care Planning</term>
<term>Stress, Mechanical</term>
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<term>Analyse du stress dentaire</term>
<term>Conception assistée par ordinateur</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Contrainte mécanique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Implants dentaires</term>
<term>Modèles anatomiques</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Rétention d'appareil de prothèse dentaire</term>
<term>Simulation numérique</term>
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<front><div type="abstract" xml:lang="en">Mechanical simulation by loading an occlusal force (load), assumed to be that loaded under clinical conditions, was performed in a computerized tomography (CT) data-based immediate-loaded implant placement simulation. Stresses on and displacements of the implants and surrounding bone tissue were analyzed mechanically using 3-dimensional finite element analysis (FEA). The purpose of this study was to investigate the possibility of practical preoperative design and its evaluation and to assess the effects of connected fixation. Implants with a diameter of 4.0 mm were placed in the bilateral upper incisor and second premolar regions in a 69-year-old woman. An X-ray CT of the head was carried out, and implant placement simulation and 3-dimensional FEA models were constructed from the CT data. Forces were loaded on 4 individual implants placed in this model or all connected implants, and a mechanical analysis was performed. A 100-N vertical force was loaded on each implant as individual loading for the control group, and a 400-N vertical force was loaded on the connected implants as connected loading for the test group. The displacement and stress distributions were assessed using the 3-dimensional FEA. In the test group, established on the assumption of connected fixation for provisional restoration facilitating immediate loading, the maximum stress and displacement of peri-implant bone were smaller than those in the control group undergoing individual loading. The implant displacement level was suggested to serve as a numerical prognostic index of osseointegration of immediate-loaded implants. This method was shown to be immediately applicable to implant placement simulations using CT data currently generated in clinical practice, with no modification. Such a mechanical assessment using the FEA model can be performed noninvasively.</div>
</front>
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<tree><noCountry><name sortKey="Fukase, Yasumasa" sort="Fukase, Yasumasa" uniqKey="Fukase Y" first="Yasumasa" last="Fukase">Yasumasa Fukase</name>
<name sortKey="Hosokawa, Ryuji" sort="Hosokawa, Ryuji" uniqKey="Hosokawa R" first="Ryuji" last="Hosokawa">Ryuji Hosokawa</name>
<name sortKey="Makino, Michiko" sort="Makino, Michiko" uniqKey="Makino M" first="Michiko" last="Makino">Michiko Makino</name>
<name sortKey="Masaki, Chihiro" sort="Masaki, Chihiro" uniqKey="Masaki C" first="Chihiro" last="Masaki">Chihiro Masaki</name>
<name sortKey="Nakamoto, Tetsuji" sort="Nakamoto, Tetsuji" uniqKey="Nakamoto T" first="Tetsuji" last="Nakamoto">Tetsuji Nakamoto</name>
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<country name="Japon"><noRegion><name sortKey="Kimura, Katsuhiko" sort="Kimura, Katsuhiko" uniqKey="Kimura K" first="Katsuhiko" last="Kimura">Katsuhiko Kimura</name>
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