Bone stress and interfacial sliding analysis of implant designs on an immediately loaded maxillary implant: A non-linear finite element study

Huang, Heng-Li; Hsu, Jui-Ting; Fuh, Lih-Jyh; Tu, Ming-Gene; Ko, Ching-Chang; Shen, Yen-Wen

doi:10.1016/j.jdent.2008.02.015

« Previous Next »Journal of Dentistry
Volume 36, Issue 6 , Pages 409-417, June 2008

Bone stress and interfacial sliding analysis of implant designs on an immediately loaded maxillary implant: A non-linear finite element study

Heng-Li Huang
- School of Dentistry, China Medical University, No. 91 Hsueh-Shih Road, Taichung 40402, Taiwan
- Corresponding author. Tel.: +1 886 4 22053366x2307; fax: +1 886 4 22014043.
Jui-Ting Hsu
- School of Dentistry, China Medical University, No. 91 Hsueh-Shih Road, Taichung 40402, Taiwan
Lih-Jyh Fuh
- School of Dentistry, China Medical University, No. 91 Hsueh-Shih Road, Taichung 40402, Taiwan
Ming-Gene Tu
- School of Dentistry, China Medical University, No. 91 Hsueh-Shih Road, Taichung 40402, Taiwan
Ching-Chang Ko
- School of Dentistry, University of North Carolina at Chapel Hill, CB#7450, Chapel Hill, NC27599-7450, United States
Yen-Wen Shen
- Dental Department, China Medical University Hospital, No2 Yu-Teh Road, Taichung 404, Taiwan

Received 17 July 2007; received in revised form 21 February 2008; accepted 21 February 2008.

Abstract

Objectives

This study investigated the surrounding bone stress and the implant–bone interfacial sliding of implant designs and implant sizes of immediately loaded implant with maxillary sinus augmentation by using three-dimensional (3D) non-linear finite element (FE) analysis.

Methods

Twenty-four FE models including four implant designs (cylindrical, threaded, stepped and step-thread implants) and three implant dimensions (standard, long and wide threaded implants) with a bonded and three levels of frictional contact of implant–bone interfaces were analyzed. The maxillary model was constructed from computer tomography (CT) images of a human skull and all 3D implant models were created via the computer-aided design (CAD) software.

Results

The use of threaded implants decreased the bone stress and sliding distance obviously about 30% as compared with non-threaded (cylindrical and stepped) implants. Increasing the implant's length or diameter reduced the bone stress by 13–26%. Employing a immediately loaded implant with smooth machine surface (μ=0.3, μ represents frictional coefficient) increased the bone stress by 28–63% as compared with the osseointegrated (bonded interfaces) implants. Roughening the implant surface (μ>0.3) did not reduced the bone stress, however it did decrease the interfacial sliding between implant and bone.

Conclusions

For an immediately loaded implant placed with sinus augmentation, using threaded implant could decrease both the bone stress and implant–bone sliding distance which may improve the implant initial stability and long-term survival. Rough surface of implants shows no benefit to reduce the bone stress but they could lower the interfacial sliding. On the contrary, employing long or wide implants decrease the bone stress but they cannot diminish the interfacial sliding.

Keywords: Immediately loaded implants, Implant designs, Sinus augmentation, CT-imaging, Finite element analysis