Bone's responses to different designs of implant-supported fixed partial dentures

Biomech Model Mechanobiol. 2015 Apr;14(2):403-11. doi: 10.1007/s10237-014-0612-6. Epub 2014 Sep 11.

Abstract

This paper explores the biomechanics and associated bone remodeling responses of two different abutment configurations, namely implant-implant-supported versus tooth-implant-supported fixed partial dentures. Two 3D finite element analysis models are created based upon computerized tomography data. The strain energy density induced by occlusal loading is used as a mechanical stimulus for driving the bone remodeling. To measure osseointegration and stability during healing, a resonance frequency analysis is conducted. At the second premolar peri-implant region, overloading resorption around the neck of implant is identified in both the models over the first 12 months. Stress-shielding around the edentulous region is also observed in both the models with a greater resorption rate found in the implant-implant case. The remodeling and resonance frequency analyses reveal that the tooth-implant scheme offers a higher degree of osseointegration. The remodeling procedure is expected to provide prosthodontists with a modeling tool to assess possible long-term clinical outcomes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Algorithms
  • Biomechanical Phenomena
  • Bone Density
  • Bone and Bones / anatomy & histology
  • Bone and Bones / physiology*
  • Dental Implants*
  • Denture, Partial, Fixed*
  • Finite Element Analysis
  • Humans
  • Mandible / anatomy & histology
  • Mandible / physiology
  • Models, Biological
  • Prosthesis Design*
  • Stress, Mechanical

Substances

  • Dental Implants