Biomechanical Evaluation of Bone Quality Effect on Stresses at Bone-Implant Interface: A Finite Element Study

Document Type : Research Paper

Authors

1 Faculty of Science & Technology, University of Mascara, B.P.305 - Mamounia Road, Mascara (29000), Algeria

2 Laboratory of Mechanics Physical of Material (LMPM), Faculty of Technology, University of Sidi Bel-Abbes, Algeria

3 Department of Bioengineering, Tandon School of Engineering, New York University, USA

4 Department of Mechanical Engineering, SRM Institute of Science and Technology, Chennai-603203, India

5 Department of Mechanical and Aerospace Engineering, West Virginia University, Morgantown, WV 26506, USA

Abstract

The aim of this study is to evaluate the effect of the alveolar bone quality on von Mises stress at the bone-implant interface during occlusal loading. Four (3D) finite element models of fully osteointegrated 3-mm diameter × 11.5-mm length dental implant indifferent alveolar bone with different cortical bone thickness are created, using SolidWorks computer aided design software. The alveolar bone cortical-spongy bone ratio modelled includes I) 90%-10%, II) 60%-40%, III) 40%-60%, and IV) 10%-90%. These models are then exported to ABAQUS software and stress analyses are run under an occlusal load of 70 N acting on the platform face of the dental implant. Results of this study show that the implants are subjected to similar stress distributions in all models; maximum stress values are confined in the outer cervical plate of the cortical bone around the neck. This could explain bone loss and implant de-osseointegration. Peak stresses are lowest in the model with 90% cortical bone (14.2 MPa) and almost doubled in the model with 10% cortical bone (26.6 MPa). The stress values gradually reduce towards the apical area, demonstrating masticatory force transfer from implant to bone. Furthermore, both cortical and spongy bone structures exhibit highest stress values in the model with thinnest cortical layer. The high interfacial stress concentration near the implant-cortical bone junction could lead to bone failure or implant instability induced by fatigue or overload risk. Results of our study could be a first step towards the development of a clinical pre-operative planning tool for dental implantolgy.

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Main Subjects

[1] Merdji, A., Mootanah, R., Bachir Bouiadjra, B., Benaissa, A., Aminallah, L., OuldChikh, B., Mukdadi, S., Stress analysis in single molar tooth, Materials Science and Engineering C, 33(2), 2013, 691-698.
[2] Lang, L.A., Kang, B., Wang, R.F., Lang, B.R., Finite element analysis to determine implant preload, Journal of Prosthetic Dentistry, 90(6), 2003, 539-546.
[3] Waters N.E., Some mechanical and physical properties of teeth. Symposia of the Society for Experimental Biology, 34, 1980, 99-135
[4] Kim, S.J., Kim, S., Choi, H., Woo, D., Park, Y.B., Shim, J.S., Kim Shim, J.S., Kim, H.S., Lee, K.W., A three dimensional finite element analysis of short dental implants in the posterior maxilla, The International Journal of Oral & Maxillofacial Implants, 29(2), 2014, 155-164.
[5] Kozlovsky, A., Tal, H., Laufer, B.Z., Leshem, R., Rohrer, M.D., Weinreb, M., Artzi, Z., Impact of implant overloading on the peri-implant bone in inflamed and non-inflamed peri-implant mucosa, Clinical Oral Implants Research, 18(5), 2007, 601–610.
[6] Tang, C.B., Liu, S.Y., Zhou, G.X., Yu, J.H., Zhang, G.D., Bao, Y.D., Wang, Q.J., Nonlinear finite element analysis of three implant–abutment interface designs, International Journal of Oral Science, 4(2), 2012, 101–108.
[7] Merdji, A., Della, N., Benaissa, A., Bachir Bouiadjra, B., Serier, B., Mootanah, R., Muslih, I., Mukdadi, O.M., Numerical analysis of dental caries effect on the biomechanical behavior of the periodontal system, Journal of Nanotechnology in Engineering and Medicine, 6(3), 2015, 031004.
[8] Chen, X., Mao, B., Zhu, Z., Yu, J., Lu, Y., Zhang, Q., Yue, L., Yu, H., A three-dimensional finite element analysis of mechanical function for 4 removable partial denture designs with 3 framework materials: CoCr, Ti-6Al-4V alloy and PEEK, Scientific Reports, 9 (1), 2019, 13975.
[9] Wu, T., Liao, W., Dai, N., Tang. C., Design of a custom angled abutment for dental implants using computer-aided design and nonlinear finite element analysis, Journal of Biomechanics, 43(10), 2010, 1941–1946.
[10] Kitagawa, T., Tanimoto, Y., Nishiyama, N., Aida, M., Application of finite element analysis for taper implant-abutment joints in dental implant systems, International Journal of Oral-Medical Sciences, 7(1), 2008, 1-6.
[11] Javed, F., Romanos, G.E., The role of primary stability for successful immediate loading of dental implants: A literature review, Journal of Dentistry, 38(8), 2010, 612–620.
[12] Holmgren, E.P., Seckinger, R.J., Kilgren, L.M., Mante, F., Evaluating parameters of osseointegrated dental implants using finite element analysis–a two-dimensional comparative study examining the effects of implant diameter, implant shape, and load direction, Journal of Oral Implantology, 24(2),1998, 80–88.
[13] Siegele, D., Soltresz, U., Numerical investigations of the influence of implant shape on stress distribution in the jaw bone, International Journal of Oral & Maxillofacial Implants, 4(4),1989, 100–113.
[14] Branemark, P.I., Zarb, G.A., Albrektsson, T., Tissue-integrated prostheses: Osseointegration in clinical dentistry, Quintessence Publishing Company, Chicago, USA, 1985.
[15] Holmes, D.C., Loftus, J.T., Influence of bone quality on stress distribution for endosseous implants. Journal of Oral Implantology, 23(3), 1997, 104–111.
[16] Tada, S., Stegaroiu, R., Kitamura, E., Miyakawa, O., Kusakari, H., Influence of implant design and bone quality on stress/strain distribution in bone around implants: a 3-dimensional finite element analysis. International, Journal of Oral & Maxillofacial Implants, 18(3), 2003, 357–368.
[17] Lee, S., Gantes, B., Riggs, M., Crigger, M., Bone density assessments of dental implant sites: 3. bone quality evaluation during osteotomy and implant placement, International Journal of Oral & Maxillofacial Implants, 22(2), 2007, 208–212.
[18] Lee, C.C., Lin, S.C., Kang, M.J., Wu, S.W., Fu, P.Y., Effects of implant threads on the contact area and stress distribution of marginal bone, Journal of Dental Sciences, 5(3), 2010, 156-165.
[19] Rasouli, G.A.A., Geramy, A., Yaghobee, S., Khorsand, A., Yousefifakhr, H., Rokn, A., Soolari, A., Evaluation of platform switching on crestal bone stress in tapered and cylindirical implants: afinite element analyses. Journal of the International Academy of Periodontology, 17(1), 2015, 2-13.
[20] Bozkaya, D., Muftu, S., Muftu, A., Evaluation of load transfer characteristics of five different implants in compact bone at different load levels by finite elements analysis. Journal of Prosthetic Dentistry, 92(6), 2004, 523–530.
[21] Chun, H.J., Park, D.N., Han, C.H., Heo, S.J., Heo, M.S., Koak, J.Y., Stress distributions in maxillary bone surrounding overdenture implants with different overdenture attachments. Journal of Oral Rehabilitation, 32(3), 2005, 193–205.
[22] Ishigaki, S., Nakano, T., Yamada, S., Nakamura, T., Takashima, F., Biomechanical stress in bone surrounding an implant under simulated chewing, Clinical Oral Implants Research, 2003, 14(1), 97-102.
[23] Van Staden, R.C., Guan, H., Loo, Y.C., Application of the finite element method in dental implant research, Computer Methods in Biomechanics and Biomedical Engineering, 9(4), 2006, 257–270.
[24] Al-Sukhun, J., Kelleway, J., Helenius, M., Development of a three-dimensional finite element model of a human mandible containing endosseous dental implants, I. Mathematical validation and experimental verification, Journal of Biomedical Materials Research Part A, 80(1), 2007, 234-46.
[25] Merdji, A., Bachir Bouiadjra, B., Ould Chikh, B., Mootanah, R., Aminallah, L., Serier, B., Muslih I.M., Stress distribution in dental prosthesis under an occlusal combined dynamic loading, Materials & Design, 36, 2012, 705-713.
[26] Akca, K., Cehreli, M.C., Biomechanical consequences of progressive marginal bone loss around oral implants: a finite element stress analysis, Medical & Biological Engineering & Computing, 44(7), 2006, 527-535.
[27] Correia, A.R., Piloto, P., Campos, J.C., Vaz, M., Finite element analysis of the mechanical behavior of a partially edentulous mandible as a function of spongy bone density, Revista Odonto Ciência, 24(1), 2009, 22-27.
[28] Santiago, J.F., Verri, F.R., de Faria Almeida, D.A., de Souza Batista,V.E., Lemos, C.A., Pellizzer, E.P., Finite element analysis on influence of implant surface treatments, connection and bone types, Materials Science and Engineering: C, 63(1), 2016, 292–300.
[29] Beikler, T., Flemmig, T.F., Implants in the medically compromised patient, Critical Reviews in Oral Biology & Medicine, 14(4), 2003, 305-316.
[30] Lofaj, F., Kucera, J., Nemeth, D., Kvetkova, L., Finite element analysis of stress distributions in mono- and bi-cortical dental implants, Materials Science and Engineering: C, 2015, 50:85–96
[31] Enwei, Z., Fei, G., Analysis of static force and fatigue between thread structure of dental implant and contact surface. Journal of Clinical Rehabilitative Tissue Engineering Research, 14(30), 2010, 5531–5534.
[32] Goiato, M.C., Pellizzer, E.P., da Silva, E.V., Bonatto, L., dos Santos, D.M., Is the internal connection more efficient than external connection in mechanical, biological, and esthetical point of views?A systematic review, Oral and Maxillofacial Surgery, 19(3), 2015, 229-242.
[33] Ammar, H.H., Ngan, P., Crout, R.J., Mucino, V.H,, Mukdadi, O.M., Three-dimensional modeling and finite-element analysis in treatment planning for orthodontic tooth movement, American Journal of Orthodontics and Dentofacial Orthopedics , 139(1), 2011, 59-71.
[34] Von Recum, A., Handbook of Biomaterials Evaluation: Scientific, Technical and Clinical Testing of Implant Materials, MacMillian, New York, 1986.