Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
권호 표지

Study on the stress distribution depending on the bone type and implant abutment connection by finite element analysis

지대주 연결 형태와 골질에 따른 저작압이 임프란트 주위골내 응력분포에 미치는 영향

  • Park, Hyun-Soo (Department of Periodontology, College of Dentistry, Dan-Kook University) ;
  • Lim, Sung-Bin (Department of Periodontology, College of Dentistry, Dan-Kook University) ;
  • Chung, Chin-Hyung (Department of Periodontology, College of Dentistry, Dan-Kook University) ;
  • Hong, Ki-Seok (Department of Periodontology, College of Dentistry, Dan-Kook University)
  • 박현수 (단국대학교 치과대학 치주과학교실) ;
  • 임성빈 (단국대학교 치과대학 치주과학교실) ;
  • 정진형 (단국대학교 치과대학 치주과학교실) ;
  • 홍기석 (단국대학교 치과대학 치주과학교실)
  • Published : 2006.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Oral implants must fulfill certain criteria arising from special demands of function, which include biocompatibility, adequate mechanical strength, optimum soft and hard tissue integration, and transmission of functional forces to bone within physiological limits. And one of the critical elements influencing the long-term uncompromise functioning of oral implants is load distribution at the implant- bone interface, Factors that affect the load transfer at the bone-implant interface include the type of loading, material properties of the implant and prosthesis, implant geometry, surface structure, quality and quantity of the surrounding bone, and nature of the bone-implant interface. To understand the biomechanical behavior of dental implants, validation of stress and strain measurements is required. The finite element analysis (FEA) has been applied to the dental implant field to predict stress distribution patterns in the implant-bone interface by comparison of various implant designs. This method offers the advantage of solving complex structural problems by dividing them into smaller and simpler interrelated sections by using mathematical techniques. The purpose of this study was to evaluate the stresses induced around the implants in bone using FEA, A 3D FEA computer software (SOLIDWORKS 2004, DASSO SYSTEM, France) was used for the analysis of clinical simulations. Two types (external and internal) of implants of 4.1 mm diameter, 12.0 mm length were buried in 4 types of bone modeled. Vertical and oblique forces of lOON were applied on the center of the abutment, and the values of von Mises equivalent stress at the implant-bone interface were computed. The results showed that von Mises stresses at the marginal. bone were higher under oblique load than under vertical load, and the stresses were higher at the lingual marginal bone than at the buccal marginal bone under oblique load. Under vertical and oblique load, the stress in type I, II, III bone was found to be the highest at the marginal bone and the lowest at the bone around apical portions of implant. Higher stresses occurred at the top of the crestal region and lower stresses occurred near the tip of the implant with greater thickness of the cortical shell while high stresses surrounded the fixture apex for type N. The stresses in the crestal region were higher in Model 2 than in Model 1, the stresses near the tip of the implant were higher in Model 1 than Model 2, and Model 2 showed more effective stress distribution than Model.

Keywords

References

  1. Holmes DC, Grigsby WR, Gael VK, Keller JC. 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(4):450-458
  2. Misch CE, Bidez MW. Implant-protected occlusion: a biomechanical rationale. Compendium 1994;15(11):1330, 1332, 1334 passim; quiz 1344. Review
  3. Le Gall MG, Lauret JF, Saadoun AP. Mastication forces and implant-bearing surface. Pract Periodontics Aesthet Dent 1994;6(9):37-46; quiz 48
  4. Weinberg LA, Reduction of implant loading with therapeutic biomechanics. Implant Dent 1998;7(4):277-285 https://doi.org/10.1097/00008505-199807040-00005
  5. Richter EJ. In vivo vertical forces on implants. Int J Oral Maxillofac Implants 1995;10(1):99-108
  6. Lekholm U, Zarb GA. Branemark PI, Albrektson T. Tissue-integrated prostheses: osseointegration in clinical dentistry. Quintessence publishing, 1985;1-35
  7. Zarb GA, Schmitt A. Implant prosthodontic treatment options for the edentulous patient. J Oral Rehabil 1995;2:661-671. Review
  8. Jaffin RA, Berman C. 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
  9. Bass SL, Triplett RG. The effects of preoperative resorption and jaw anatomy on implant success. A report of 303 cases. Clin Oral Implants Res 1991;2(4):193-198 https://doi.org/10.1034/j.1600-0501.1991.020406.x
  10. Hutton JE, Heath MR, Chai JY, Harnett J, Jemt T, Johns RB. Factors related to success and failure rates at 3-year follow-up in a multicenter study of overdentures supported by Branemark implants. Int J Oral Maxillofac Implants 1995;10:33-42
  11. Friberg B, Jemt T, Lekholm U. Early failures in 4,641 consecutively placed Branemark dental implants: a study from stage 1 surgery to the connection of completed prostheses. Int J Oral Maxillofac Implants 1991;6:142-146
  12. Truhlar RS, Morris HF, Ochi S, Winkler S. Second stage failure related to bone quality in patients receiving endosseous dental implants. KICRG interim report No. 7. Dental implant clinical research goup. Implant Dent 1994;3:252-255 https://doi.org/10.1097/00008505-199412000-00008
  13. Hun KB, Lee SH, Chang IT, Yang JH, Shin SW. An analysis of stress distribution around the implant according to the bone quality and bite force: finite element method. J Korean Acad Prosthodont 2001;39:391-409
  14. Higuchi KW, Folmer T, Kultje C. Implant survival rates in partially edentulous patients: a 3-year prospective multicenter study. J Oral Maxillofac Surg 1995;53:264-268 https://doi.org/10.1016/0278-2391(95)90222-8
  15. Jemt T, Lekholm U. Implant treatment in edentulous maxilla: a 5-year follow-up report on patients with different degrees of jaw resorption. Int J Oral Maxilofac Implants 1995;10:303-311
  16. van Steenberg D, Klinge B, Linden U, Quirynen M, Herrmann I, Garpland C. Periodontal indices around natural and titanium abutments: a longitudinal multicenter study. J Periodontol 1993;64:538-541 https://doi.org/10.1902/jop.1993.64.6.538
  17. Jemt T, Laney WR, Harris D, Henry PJ, Krogh PH Jr, Polizzi G, Zarb GA, Herrmann I. Osseointegrated implants for single tooth replacement. A 1-year report form a multicenter prospective study. Int J Oral Maxillofac Implants 1991;6:29-36
  18. Levine RA, Clem DS 3rd, Wilson TG Jr, Higginbottom F, Saunders SL. A multicenter retrospective analysis of ITI implant system used for single-tooth replacements: Preliminary results at six or more months of loading. Int J Oral Maxillofac Implants 1997;12;237-242
  19. Norton MR. An in vitro evaluation of the strength of an internal conical interface compared to a butt joint interface in implant design. Clin Oral Implants Res 1997;8:290-298 https://doi.org/10.1034/j.1600-0501.1997.080407.x
  20. Norton MR. Assessment of cold welding properties of internal conical interface two commercially available implant system. J Prosthet Dent 1999;81:159-166 https://doi.org/10.1016/S0022-3913(99)70243-X
  21. Norton MR. In vitro evaluation of the strength of the conical implant-to-abutment joint in two commercially available implant systems. J Prosthet Dent 2000;83:567-571 https://doi.org/10.1016/S0022-3913(00)70016-3
  22. Sutter F, Webber HP, Sorensen J, Belser U. The new restorative concept of the ITI dental implant system: design and engineering. Int J Periodont Rest Dent 1993;13:409-431
  23. Sutter F, Schroeder A, Buser DA. The new concept of ITI hollow-cylinder and hollow-screw implants : Part I. Engineering and design. Int J Oral Maxillofac Implants 1988;3:161-172
  24. Lavelle CL, Wedgewood D, Love WB. Some advances in endosseous implant. J Oral Rehabil 1981;8:319-333 https://doi.org/10.1111/j.1365-2842.1981.tb00506.x
  25. 임상전, 곽병만, 이주성. 유한요소법 입문. 동명사, 1993;47-85
  26. Burnet DS. Finite element analysis. Addison Wesley, 1987;1-49
  27. Geng JP, Tan KB, Liu GR. Application of finite element analysis in implant dentistry: a review of the literature. J Prosthet Dent 2001;85(6):585-598 https://doi.org/10.1067/mpr.2001.115251
  28. Beat R. Mechanics of the implant-abutment connection. An 8-degree taper compared to a butt joint connection. Int J Oral Maxillofac Implants 2000;15:519-526
  29. 이민재, 이춘근. 한국인 하악골의 치밀골에 관한 연구. 종합의학 1964;7:817-830
  30. Carter TB, Frost DE, Tucher MR, Juniga JR. Cortical thickness in human mandibles: clinical relevance to the sagittal split ramus osteotomy. Int J Adult Orthod Orthognath Surg 1991;6:257-260
  31. Holmes DC, Loftus JT. Influence of bone quality on stress distribution for endosseous implant. J Oral Impl 1997;23:104-111
  32. Trisi P, Rao W. Bone classification: Clinical-histomorphometric comparison. Clin Oral Implants Res 1999;10:1-7 https://doi.org/10.1034/j.1600-0501.1999.100101.x
  33. Carter DR, Schwab GH, Spengler DM. Tensile fracture of cancellous bone. Acta Orthop Scand 1980;51:733-710 https://doi.org/10.3109/17453678008990868
  34. 이양진, 양재호. 하악 임프란트 Bicortification의 응력분산효과에 관한 유한요소분석적 연구. 서울치대논문. 1996;1-31
  35. Jung JW, Lee CH. The effect of the difference of the implant fixture and abutment diameter for stress distribution. J Korean Acad Prosthodont 2004;42:583-596
  36. Hoshaw SJ, Brunski JB, Cochran GVB. Mechanical loading of Br nemark implants affects interfacial bone modeling and remodeling. Int J Oral Maxillofac Implants 1994;9:345-360
  37. Lee JW, Lee CH, Jo KH. Finite element analysis of stress distribution with load transfer characteristics of the implant/bone interface. J Korean Acad of Implant Dentistry 2003;22:48-56
  38. Papavasiliou G, Kamposiora P, Bayne SC, Felton DA. Three-dimensional finite element analysis of stress-distribution around single tooth implants as a function of bony support, prosthesis type, and loading during function. J Prosthet Dent 1996;76(6):633-640 https://doi.org/10.1016/S0022-3913(96)90442-4
  39. Han CH, Chun HJ, Jung SY. Studies of osseointegrated implant-models on stress distribution. J Korean Academy Protho 2000;38:526-542
  40. Rangert B, Jemt T, Jorneus L. Forced and moments on Branemark implants. Int J Oral Maxillofac Implants 1989;4:241-247
  41. Rangert B, Krogh PHJ, Langer B, van Roekel NB. Bending overload and implant fracture: A retrospective clinical analysis. Int J Oral Maxillofac Implants 1995;17:326-334
  42. Rangert B, Enouard F, Arnoux JP, Sarment DP. Load factor control for implants in the posterior partially edentulous segment. Int J Oral Maxillofac Implants 1997;12:360-370
  43. Muhlemann R, Sabdir LS, Rakeitsak KH. Tooth mobility: Its cause and significance. J Periodontol 1965;36:148-157 https://doi.org/10.1902/jop.1965.36.2.148
  44. van Steenberg D. Tissue interaction in oral and maxillofacial reconstruction. Elsevier 1986;31-45
  45. Parfitt GS Measurement of the physiolologic mobility of individual teeth in an axial direction. J Dent Res 1960;39:608-618 https://doi.org/10.1177/00220345600390032201
  46. Weinberg LA. Force distribution in splinted anterior teeth. Oral Surg Oral Med Oral Pathol 1957;10:484-494 https://doi.org/10.1016/0030-4220(57)90007-5
  47. Weinberg LA. Force distribution in splinted posterior teeth. Oral Surg Oral Med Oral Pathol 1957;10:1268-1276 https://doi.org/10.1016/S0030-4220(57)80025-5
  48. Weinberg LA. The biomechanics of force distribution in implant-supported prostheses. Int J Oral Maxillofac Implants 1993;8:19-31
  49. Lum LB, Osier JF. Load transfer from endosteal implants to supporting bone: An analysis using statics. Part one: Horizontal loading. J Oral Implantol 1992;18:343-348
  50. Lum LB. A biomechanical rationale for the use of short implants. J Oral Implantol 1991;17:126-131
  51. Matsushita Y, Kithoh M, Mizuta K, Ikeda H, Suetsugu T. Two-dimensional FEM analysis of hydroxyapatite implants: diameter effects on stress distribution. J Oral Implantol 1990;16:6-11
  52. Hansson S. Implant-abutment interface: biomechanical study of flat top versus conical. Clin Implant Dent Relat Res 2000;2:33-41 https://doi.org/10.1111/j.1708-8208.2000.tb00104.x
  53. Hur JK, Kay KS, Jung JH. Finite element stress analysis of implant prosthesis according to connection types of implant-abutment. J Korean Acad Prosthodont 2005;43:544-561
  54. Clelland NL, Lee JK, Bimbenet OC, Gilat A. Use of an axisymmetric finite element method to compare maxillary bone variables for a loaded implant. J Prosthodont 1993;2:183-189 https://doi.org/10.1111/j.1532-849X.1993.tb00405.x
  55. Evans FG. Mechanical properties of bone. Springfield: Charles C Thomas. 1973:83-94:123-161
  56. Yamada H. Strength of biological materials. Huntington: RE Krieger, 1973:19-75
  57. Martin AD, McCulloch RG. Bone dynamics: stress, strain and fracture. J Sports Sci 1987;5:155-163 https://doi.org/10.1080/02640418708729773
  58. Smith EL, Raab DM. Osteoporosis and physical activity. Acta Med Scand 1986;711(suppl):149-156