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Biomechanical effects of offset placement of dental implants in the edentulous posterior mandible

Discussion : Biomechanical effects of offset placement of dental implants (4)

author: Yuta Shimura,Yuji Sato,Noboru Kitagawa,Miyuki Omori | publisher: drg. Andreas Tjandra, Sp. Perio, FISID

Strain in the FEA models also exhibited considerable compressive strain on the loading side, similar to the experimental models. In terms of quantitative data for comparison with the experimental models, the length of the places where the strain gauges were applied was measured on the FEA models and the strain was calculated from the length before and after loading and compared with the experimental models. In previous verifications of offset placement with FEA models, the maximum stress that occurs in the peri-implant bone has been measured and compared with the observed stress distribution with straight placement. In the present study, we measured strain at the same sites in the experimental models and the FEA models, and therefore, we believe that it was possible to carry out a more multifaceted and objective assessment of the mechanical effects on the surrounding bone. The strain values for the experimental and FEA models showed similar trends with change in the loading site and placement of implants. However, the values of strain were different between the experimental and FEA models, the difference being greater than 10-fold at several sites. While comparing the experimental and FEA models, the difference in the accuracy of the cancellous bone and the difference in boundary conditions for the implant and the bone would affect the strain values. The cancellous bone in the experimental model was made of urethane resin foam that mimicked the trabecular structure. The cancellous bone of the FEA model, on the other hand, had a uniform structure, not a trabecular one. This seems to be the reason behind the difference in the strain values between the experimental and FEA models. While determining the boundary conditions between the implant and the artificial mandibular bone, immediate loading was assumed, but not osseointegration. The implant and artificial mandible in the FEA model were in complete contact. The coefficient of friction of the interface between the implants and artificial mandibular bones was set to zero. The boundary conditions of the experimental model were not bonded together, but they were completely fitted together mechanically. The difference in boundary conditions would affect the difference in strain values between the experimental and FEA models. Regarding how different placements affect strain, there was a trend for the strain to be greater when the loading site was at a greater distance from the load-supporting area (Fig. 15).

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