Background : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible
Bone remodeling to maintain osseointegration between the bone and implant is absolutely essential to ensure favorable results and long-term stability in implant treatment [1, 2]. Bone remodeling requires that various stresses generated around the bone caused by the occlusal load applied to the implant be within an appropriate range. The concentration of stress at the bone-implant interface, caused by overloading, has been reported to result in bone resorption [3–5]. The stress generated in the implant will vary depending on the placement and the nature of the loading of the implants. Gunne et al. [6] stated that the allocation of the occlusal load was affected by the placement of the implant and the geometric form of the prosthetic device. When implants are being embedded, in contrast to the placement of three implants in a straight line, the term “offset placement” is used for a technique in which the central implant is shifted to the side. Rangert et al. [7] reported that in a patient missing three molars, straight placement of the three implants reduced the load to 67 % of that present when two implants were embedded to make a bridge configuration, while offset placement reduced the load to 33 %. However, they did not discuss the specific method they used to calculate the distribution of the load.
The usefulness of offset placement has been studied by geometric analysis, photoelasticity testing, strain gauging, finite element analysis (FEA), and several other techniques [8–19]. However, each type of analysis has its own disadvantages [19], and few studies have been carried out under ideal conditions. Therefore, it is necessary to evaluate the usefulness of offset placement objectively, by using multiple analyses, so as to eliminate the disadvantages of the individual analyses.
Hence, the purpose of the present study was to clarify the biomechanical effects, such as reduction in strain and displacement of implant, of offset placement on the peri-implant bone in edentulous posterior mandibles, by comparative investigation using FEA and model experimentation with strain gauges.
Serial posts:
- Abstract : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible [2]
- Background : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible
- Methods : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible [1]
- Methods : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible [2]
- Methods : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible [3]
- Methods : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible [4]
- Results : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible [1]
- Results : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible [2]
- Discussion : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible [1]
- Discussion : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible [2]
- Discussion : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible [3]
- Discussion : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible [4]
- Conclusions : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible
- References : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible [1]
- References : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible [2]
- References : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible [3]
- Acknowledgements : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible
- Author information : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible
- Additional information : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible
- Rights and permissions : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible
- About this article : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible
- Table 1 Mechanical properties of materials used in the FEA models : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible
- Table 2 Means and standard deviations (SD) of displacement of the implants (μm) under loading in experimental models : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible
- Table 3 Means and standard deviations (SD) of displacement of the implants (μm) under loading in finite element analysis (FEA) models : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible
- Table 4 Means and standard deviations (SD) of strain around the no. 36 implant (με) in the experimental models : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible
- Table 5 Tukey’s test for strain B in the experimental models : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible
- Table 6 Tukey’s test for strain L in the experimental models : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible
- Table 7 Means and standard deviations (SD) of strain around the no. 36 implant (με) in the finite element analysis (FEA) models : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible
- Table 8 Tukey’s test for strain B in the FEA models : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible
- Table 9 Tukey’s test for strain L in the FEA models : Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible
- Fig. 3. Three different models with different placements : Biomechanical effects of offset placement of dental implant
- Fig. 4. Experimental model. (a) Buccal load, (b) central load, and (c) lingual load : Biomechanical effects of offset placement of dental implant
- Fig. 5. Application of strain gauges : Biomechanical effects of offset placement of dental implant
- Fig. 6. Loading test in the experimental model : Biomechanical effects of offset placement of dental implant
- Fig. 7. A finite element analysis (FEA) model. (a) Buccal load, (b) central load, and (c) lingual load : Biomechanical effects of offset placement of dental implant
- Fig. 8. The displacement of the implants under loading in experimental models : Biomechanical effects of offset placement of dental implant
- Fig. 9. The displacement of the implants under loading in finite element analysis (FEA) models : Biomechanical effects of offset placement of dental implant
- Fig. 10. The displacement of the three implants : Biomechanical effects of offset placement of dental implant
- Fig. 11. The strain around the no. 36 implant in the experimental models : Biomechanical effects of offset placement of dental implant
- Fig. 12. The strain around the no. 36 implant in the finite element analysis (FEA) models : Biomechanical effects of offset placement of dental implant
- Fig. 13. The distribution of equivalent stress around the peri-implant bone in the finite element analysis (FEA) models : Biomechanical effects of offset placement of dental implant
- Fig. 14. The distribution of equivalent stress around the no. 36 implant in the finite element analysis (FEA) models : Biomechanical effects of offset placement of dental implant
- Fig. 15. Load supporting area in the superstructures : Biomechanical effects of offset placement of dental implant