Methods : Biomechanical effects of offset placement of dental implants (1)
Methods
Fabrication of the experimental model
Artificial mandibular bone
An artificial mandibular bone (P9-X.1135, Nissin Dental Products, Kyoto, Japan) with free-end edentulism of the left mandibular first premolar (no. 34), second premolar (no. 35), and first molar (no. 36) was used (Fig. 1). The model was composed of a two-layer structure of artificial cortical bone (urethane resin) and artificial cancellous bone (urethane resin foam).
Implant placement
Using the anatomical crown width diameter as a reference, we embedded three implants. The distance between the second premolar and mandibular first premolar implants was 8 mm. The distance between the first molar and second premolar implants was 10 mm.
An implant placement guide (Landmark Guide™, iCAT, Osaka, Japan) was fabricated to precisely embed the implants in the artificial mandible. A drilling machine (Enkoh’s, Enshu Industrial, Shizuoka, Japan) and implant placement guide were used to embed the implants perpendicular to the bottom surface of the artificial mandible. A drill used to form implant cavities (Brånemark System® Twist Drills, Nobel Biocare, Göteborg, Sweden) was mounted onto the drilling machine, and three implant cavities 3.0 mm in diameter and 10 mm in depth were formed. Then, in each of the implant cavities, an implant 3.75 mm in diameter and 10 mm in length (Brånemark System® Mk III, Nobel Biocare, Göteborg, Sweden) was embedded using 40 N cm of torque (Fig. 2).
Using models in which three implants were placed in a straight line (straight placement) as a reference, we also prepared two other types of models: (1) no. 35 was offset by 1.0 mm to the buccal side and no. 36 by 1.0 mm to the lingual side (buccal offset placement; B-offset), and (2) no. 35 was offset by 1.0 mm to the lingual side and no. 36 by 1.0 mm to the buccal side (lingual offset placement; L-offset) (Fig. 3). Three experimental models were prepared for each type of placement, i.e., a total of nine experimental models.
Serial posts:
- Biomechanical effects of offset placement of dental implants
- Background : Biomechanical effects of offset placement of dental implants
- Methods : Biomechanical effects of offset placement of dental implants (1)
- Results : Biomechanical effects of offset placement of dental implants (1)
- Methods : Biomechanical effects of offset placement of dental implants (2)
- Methods : Biomechanical effects of offset placement of dental implants (3)
- Methods : Biomechanical effects of offset placement of dental implants (4)
- Results : Biomechanical effects of offset placement of dental implants (2)
- Discussion : Biomechanical effects of offset placement of dental implants (1)
- Discussion : Biomechanical effects of offset placement of dental implants (4)
- Discussion : Biomechanical effects of offset placement of dental implants (2)
- Discussion : Biomechanical effects of offset placement of dental implants (3)
- Discussion : Biomechanical effects of offset placement of dental implants (5)
- References : Biomechanical effects of offset placement of dental implants
- Figure 1. An artificial mandible
- Figure 2. Three implants were embedded in an artificial mandible
- Figure 3. Three different models with different placements
- Figure 4. Experimental model. (a) Buccal load, (b) central load, and (c) lingual load
- Figure 5. Application of strain gauges
- Figure 6. Loading test in the experimental model
- Figure 7. A finite element analysis (FEA) model
- Figure 8. The displacement of the implants under loading in experimental models
- Figure 9. The displacement of the implants under loading in finite element analysis (FEA) models
- Figure 11. The strain around the no. 36 implant in the experimental models
- Figure 12. The strain around the no. 36 implant
- Figure 13. The distribution of equivalent stress around the peri-implant bone
- Figure 14. The distribution of equivalent stress around the no. 36 implant
- Figure 15. Load supporting area in the superstructures
- Table 1 Mechanical properties of materials used in the FEA models
- Table 2 Means and standard deviations (SD) of displacement of the implants
- Table 3 Means and standard deviations (SD) of displacement of the implants
- Table 4 Means and standard deviations (SD) of strain around the no. 36 implant
- Table 5 Tukey’s test for strain B in the experimental models
- Table 6 Tukey’s test for strain L in the experimental models
- Table 7 Means and standard deviations (SD) of strain around the no. 36 implant
- Table 8 Tukey’s test for strain B in the FEA models
- Table 9 Tukey’s test for strain L in the FEA models