Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지

FINITE ELEMENT ANALYSIS OF CYLINDER TYPE IMPLANT PLACED INTO REGENERATED BONE WITH TYPE IV BONE QUALITY

IV형의 골질로 재생된 골내에 식립된 원통형 임플란트의 유한요소법적 연구

  • Kim, Byung-Ock (Dept. of Periodontics, College of Dentistry, Oral Biology Research Institute, Chosun University) ;
  • Hong, Kug-Sun (Dept. of Periodontics, College of Dentistry, Oral Biology Research Institute, Chosun University) ;
  • Kim, Su-Gwan (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Oral Biology Research Institute, Chosun University)
  • 김병옥 (조선대학교 치과대학 치주과학교실, 조선대학교 치과대학 구강생물학연구소) ;
  • 홍국선 (조선대학교 치과대학 치주과학교실, 조선대학교 치과대학 구강생물학연구소) ;
  • 김수관 (조선대학교 치과대학 구강악안면외과, 조선대학교 치과대학 구강생물학연구소)
  • Published : 2004.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Stress transfer to the surrounding tissues is one of the factors involved in the design of dental implants. Unfortunately, insufficient data are available for stress transfer within the regenerated bone surrounding dental implants. The purpose of this study was to investigate the concentration of stresses within the regenerated bone surrounding the implant using three-dimensional finite element stress analysis method. Stress magnitude and contours within the regenerated bone were calculated. The $3.75{\times}10-mm$ implant (3i, USA) was used for this study and was assumed to be 100% osseointegrated, and was placed in mandibular bone and restored with a cast gold crown. Using ANSYS software revision 6.0, a program was written to generate a model simulating a cylindrical block section of the mandible 20 mm in height and 10 mm in diameter. The present study used a fine grid model incorporating elements between 165,148 and 253,604 and nodal points between 31,616 and 48,877. This study was simulated loads of 200N at the central fossa (A), at the outside point of the central fossa with resin filling into screw hole (B), and at the buccal cusp (C), in a vertical and $30^{\circ}$ lateral loading, respectively. The results were as follows; 1. In case the regenerated bone (bone quality type IV) was surrounded by bone quality type I and II, stresses were increased from loading point A to C in vertical loading. And stresses according to the depth of regenerated bone were distributed along the implant evenly in loading point A, concentrated on the top of the cylindrical collar loading point B and C in vertical loading. And, In case the regenerated bone (bone quality type IV) was surrounded by bone quality type III, stresses were increase from loading point A to C in vertical loading. And stresses according to the depth of regenerated bone were distributed along the implant evenly in loading point A, B and C in vertical loading. 2. In case the regenerated bone (bone quality type IV) was surrounded by bone quality type I and II, stresses were decreased from loading point A to C in lateral loading. Stresses according to the depth of regenerated bone were concentrated on the top of the cylindrical collar in loading point A and B, distributed along the implant evenly in loading point C in lateral loading. And, In case the regenerated bone (bone quality type IV) was surrounded by bone quality type III, stresses were decreased from loading point A to C in lateral loading. And stresses according to the depth of regenerated bone were distributed along the implant evenly in loading point A, B and C in lateral loading. In summary, these data indicate that both bone quality surrounding the regenerated bone adjacent to implant fixture and load direction applied on the prosthesis could influence concentration of stress within the regenerated bone surrounding the cylindrical type implant fixture.

Keywords

References

  1. Klokkevold PR, Newman MG : Current Status of Dental Implants: A Periodontal Perspective. Int J Oral Maxillofac Implants 2000; 15(1):56-65
  2. Becker W, Becker BE, Polizzi G. et al : Autogenous bone grafting of bone defects adjacent to implants placed into immediate extraction sockets in patients: A prospective study. Int J Oral Maxillofax Implants 1994;9:389-396
  3. Reynolds MA, Bowers GM : Fate of Demineralized Freeze-Dried Bone Allografts in Human intrabony Defects. J Periodontol 1996; 67:150-157 https://doi.org/10.1902/jop.1996.67.2.150
  4. Valentini P, Abensur D, Densari D et al : Histological evaluation of Bio-Oss� in a 2-stage sinus floor elevation and implantation procedure. A human case report. Clin Oral Impl Res 1998;9:59-64 https://doi.org/10.1034/j.1600-0501.1998.090108.x
  5. Valentini P, Abensur D : Maxillary Sinus Floor Elevation for Implant Placement With Demineralized Freeze-Dried Bone and Bovine Bone (Bio-Oss): A clinical study of 20 Patients. Int J Periodontics Restorative Dent 1997;17:233-241
  6. Simion M, Baldoni M, Rossi P et al : A Comparative Study of the Effectiveness of a e-PTFE Membranes With and Without Early Exposure During the Healing Period. Int J Periodontics Restorative Dent 1994;14:167-180
  7. Simion M, Trisi P, Piattelli A : GBR With an e-PTFE Membrane Associated With DFDBA: Histologic and Histochemical Analysis in a Human Implant Retrieved After 4 Years of Loading. Int J Periodontics Restorative Dent 1996;16:339-347
  8. Mish CM : Comparison of intraoral donor sites for onlay grafting prior to implant placement. Int J ORa l Maxillofac Implants 1997;12:767-776
  9. Proussaefs P, Lozada J, Kleinman A et al : The Use of Titanium-Mesh in Conjunction with Autogenous Bone Graft and Inorganic Bovine Bone Mineral (Bio-Oss) for Localized Alveolar Ridge Augmentation: A Human Study. Int J Periodontics Restorative Dent 2003;23:185-195
  10. Jaffin RA, Berman CL : The excessive loss of Branemark fixtures in type IV bone: a 5-year analysis. J Periodontol 1991;62: 2-4 https://doi.org/10.1902/jop.1991.62.1.2
  11. Beck GH : Restoration of an Edentulous Maxilla Using Implants Designed for Specific Bone Densities: A Case Study. Compendium (Special) 1998;19(3):37-40
  12. Misch CE : CONTEMPORARY IMPLANT DENTISTRY. 2nd ed. Mosby. 1999. pp14 St Louis, London, Philadelphia, Sydney, Toronto
  13. Davarpanah M, Martinez H, Tecucianu JF, Hage G et al : Modified osteotome technique. Int J Periodontics Restorative Dent 2001; 21:599-607
  14. Aghaloo TL, Moy PK, Freymiller EG : Investigation of platelet-rich plasma in rabbit cranial defects: A pilot study. J Oral Maxillofac Surg 2002;60:1176-1781 https://doi.org/10.1053/joms.2002.34994
  15. Kawase T, Okuda K, Wolff LF, Yoshie H : Platelet-Rich Plasma-Derived Fibrin Clot Formation Stimulates Collagen Synthesis in Periodontal Ligament and Osteoblastic Cells In Vitro. J Periodontol 2003;74:858-864 https://doi.org/10.1902/jop.2003.74.6.858
  16. 김명래, 한중석, 최장우, 최용창, 김용식 : 최신 임플란트 치과학 , 2판, 서울. 나래출판사. 2000. pp. 339�353, 381�396
  17. 김동원, 김영수 : 각종 형태의 골내 임프란트와 해부학적 치형에 관한 광탄성응력분석. 대한치과교합학회지 1984;3:25-36
  18. 김우택, 차용두, 오세종, 박상수, 김현우, 박양호, 박준우, 이건주 :수직력하에서 임프란트 나사형태에 따른 응력의 3차원 유한요소법 적 분석. 대한구강악안면외과학회지 2001;27(2):111-117
  19. 서구종, 류선열 : 골유착성 임프란트의 유한요소법적 응력분석. 전 남치대 논문집 1991;3(1):183-193
  20. 전진영, 김영수 : 골유착성 치근형 임프란트에 관한 광탄성 응력분석. 대한치과교합학회지 1988;5:7-19
  21. 김수관, 전창길, 황갑운, 김병옥 : Fin type 임플랜트 고정체의 유한요소법적 분석. 대한구강악안면회과학회지 2003;29(1):14-25.
  22. 지창주, 조인호 : 골밀도, 피질골, 이용법 및 보철물 설계에 따른 하악 임플랜트의 삼차원적 유한요소 분석. 대한구강악안면임프란트학회지. 2000;4(1):6-46
  23. 고헌주, 정재헌 : 골유착성 임프란트 보철수복시 자연 지대치와의 고정유무에 따른 유한요소법적 응력분석. 대한치과보철학회지 1991;29: 147-160
  24. 김동원, 김영수 : 골유착성 보철물에 관한 삼차원 유한요소 분석적 연구. 대한치과보철학회지 1991;29:167-213
  25. 김영일 : 골유착성 임플랜트 보철치료시 자연지대치와의 연결방법에 따른 광탄성 응력 분석 연구. 조선대학교 대학원 논문. 1992
  26. 김성철, 이윤상, 이민영, 이건주, 박준우, 한호진, 윤병모, 박상훈 : 하악 골체부 골절시 소형 금속판의 위치에 따른 응력분포의 유한요소적 해석. 대한구강악안면외과학회지 1995;21(3):346-354
  27. 김성철, 엄기정, 신성수, 최동주, 권순용, 박영주, 박준우, 이건주 : 하악골 과두부의 운동방향에 따른 유한요소법에 의한 삼차원적 응력해석. 대한구강악안면외과학회지 1998;24(3):263-275
  28. 박기덕, 류선열 : 하악골 우각부 골절시 교합력에 대한 소형금속판 내고정의 삼차원적 응력분석. 대한구강악안면외과학회지 1993;19(4):499-513
  29. Abu-Hammad OA, Harrison A, Williams D : The Effect of a Hydroxyapatite-Reinfored Polyethylene Stress Distributor in a Dental Implant on Compressive Stress Levels in Surrounding Bone. Int J Oral Maxillofac Implants 2000;15:559-564
  30. Clift SE, Fisher J, Watson CJ : Finite element stress and strain analysis of the bone surrounding a dental implant: effect of variations in bone modulus. Proc Instn Mech Engrs 1992;206:233-241
  31. Holmes DC, Grigsby WR, Goel VK. et al : Comparison of Stress Transmission in the IMZ Implant System With Polyoxymethylene or Titanium Intramobile Element: A Finite Element Stress Analysis. Int J Oral Maxillofac Implants 1992;7:450-458
  32. Gottlander M, Albrektsson T, Carlsson LV : A histomorphometric study of unthreaded hydroxyapatite-coated and titanium-coated implants in rabbit bone, Int J Oral Maxillofac Implants 1992;7:485-490
  33. Weinlander M, Kenney EB, Lekovic V et al : Histomorphometry of bone apposition around three types of endosseous dental implants, Int J Oral Maxillofac Implants 1992;7:491-596
  34. Wilson Jr TG, Schenk R, Buser D er al : Implants Placed in Immediate Extraction Sites: A Report of Histologic and Histometric Analyses of Human Biopsies. Int J Oral Maxillofac Implants 1998;13:333-341
  35. 장두익, 정재헌 : 골내 임플랜트의 종류에 따른 광탄성 응력 분석. 구강생물학연구 1993;17(1):137-154
  36. 김희주, 이재훈, 계기성, 조규종 : 골변화에 따른 치근형 임플랜트의 유한요소법적 응력분석. 구강생물학연구 1996;20(1):87-105
  37. Buser D, Ingimarsson S, Dula K et al : Long-term Stability of Osseointegrated Implants in Augmented Bone: A 5-Years Prospective Study in Partially Edentulous Patients. Int J Periodontics Restorative Dent 2002;22:108-117