scholarly journals Predicting implant stability: in vitro validation in artificial bone

2008 ◽  
Author(s):  
Thibaut Bardyn

Primary stability of osseointegrated implants is necessary for short and long-term success of the treatment. This paper presents a method to help clinicians preoperatively assess this primary implant stability. The method combines a planning software with a in-house finite element solver. Once the clinician has chosen a position for the implant on the planning tool, a finite element analysis is automatically started and calculates the mechanical stability of the implant at this position. The process is designed to be as simple and fast as possible for an efficient clinical use. Mechanical testing material was used to validate the stability measured by the software. The novel tool presented here leads the way to a new generation of intelligent computer-assisted tools able to give a priori indication on the life span of the implant.

2020 ◽  
Vol 26 ◽  
pp. 78
Author(s):  
Thirupathi Gudi ◽  
Ramesh Ch. Sau

We study an energy space-based approach for the Dirichlet boundary optimal control problem governed by the Laplace equation with control constraints. The optimality system results in a simplified Signorini type problem for control which is coupled with boundary value problems for state and costate variables. We propose a finite element based numerical method using the linear Lagrange finite element spaces with discrete control constraints at the Lagrange nodes. The analysis is presented in a combination for both the gradient and the L2 cost functional. A priori error estimates of optimal order in the energy norm is derived up to the regularity of the solution for both the cases. Theoretical results are illustrated by some numerical experiments.


2021 ◽  
Vol 11 (9) ◽  
pp. 3770
Author(s):  
Monica Tatarciuc ◽  
George Alexandru Maftei ◽  
Anca Vitalariu ◽  
Ionut Luchian ◽  
Ioana Martu ◽  
...  

Inlay-retained dental bridges can be a viable minimally invasive alternative when patients reject the idea of implant therapy or conventional retained full-coverage fixed dental prostheses, which require more tooth preparation. Inlay-retained dental bridges are indicated in patients with good oral hygiene, low susceptibility to caries, and a minimum coronal tooth height of 5 mm. The present study aims to evaluate, through the finite element method (FEM), the stability of these types of dental bridges and the stresses on the supporting teeth, under the action of masticatory forces. The analysis revealed the distribution of the load on the bridge elements and on the retainers, highlighting the areas of maximum pressure. The results of our study demonstrate that the stress determined by the loading force cannot cause damage to the prosthetic device or to abutment teeth. Thus, it can be considered an optimal economical solution for treating class III Kennedy edentation in young patients or as a provisional pre-implant rehabilitation option. However, special attention must be paid to its design, especially in the connection area between the bridge elements, because the connectors and the retainers represent the weakest parts.


2019 ◽  
Vol 45 (4) ◽  
pp. 259-266
Author(s):  
Claudio Stacchi ◽  
Matteo De Biasi ◽  
Lucio Torelli ◽  
Massimo Robiony ◽  
Roberto Di Lenarda ◽  
...  

The primary objective of the present in vitro study was to evaluate the influence of implant site preparation technique (drills vs ultrasonic instrumentation) on the primary stability of short dental implants with two different designs inserted in simulated low-quality cancellous bone. Eighty implant sites were prepared in custom-made solid rigid polyurethane blocks with two different low cancellous bone densities (5 or 15 pounds per cubic foot [PCF]), equally distributed between piezoelectric (Surgysonic Moto, Esacrom, Italy) and conventional drilling techniques. Two short implant systems (Prama and Syra, Sweden & Martina) were tested by inserting 40 fixtures of each system (both 6.0 mm length and 5.0 mm diameter), divided in the four subgroups (drills/5 PCF density; drills/15 PCF density; piezo/5 PCF density; piezo/15 PCF density). Insertion torque (Ncm), implant stability quotient values, removal torque (Ncm), and surgical time were recorded. Data were analyzed by 3-way ANOVA and Scheffé's test (α = 0.05). With slight variations among the considered dependent variables, overall high primary implant stability was observed across all subgroups. Piezoelectric instrumentation allowed for comparable or slightly superior primary stability in comparison with the drilling procedures in both implant systems. The Prama implants group showed the highest mean reverse torque and Syra implants the highest implant stability quotient values. Piezoelectric implant site preparation took prolonged operative time compared to conventional preparation with drills; among the drilling procedures, Syra system required fewer surgical steps and shorter operative time.


2012 ◽  
Vol 727-728 ◽  
pp. 1131-1135 ◽  
Author(s):  
Vânia Barbosa Coutinho ◽  
José Alberto Silva ◽  
Luís Alberto Santos ◽  
Marcus Vinícius Lia Fook

The Calcium Phosphate Cement (CFC) has been used as filling material for bone defects because of osteoconductivity properties, bioactivity and biocompatibility. Recent studies, mostly in animals, indicate its use as an adjunct to treatment with osseointegrated implants. Thus this work aims reporting the event in which post-extraction socket was filled with CFC-based α-tricalcium phosphate and calcium sulfate and after four months, the implant was installed through the cement which was not reabsorbed with good primary stability. Upon reopening of the implants after six months, the clinical appearance of peri-implant region was considered normal. Radiographically, there wasnt radiopaque appearance of CFCs in the alveolar region of the test anymore. Histologically, remaining CFC in direct contact with bone without intervening fibrous connective tissue was noticed. Its concluded that the CFC showed osteoconductive behavior. The material tested seems to be an acceptable option for filling the post-extraction socket with the purpose of maintaining bone volume, however, more research is needed to generalize the indication.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Charles Savoldelli ◽  
Elodie Ehrmann ◽  
Yannick Tillier

AbstractWith modern-day technical advances, high sagittal oblique osteotomy (HSOO) of the mandible was recently described as an alternative to bilateral sagittal split osteotomy for the correction of mandibular skeletal deformities. However, neither in vitro nor numerical biomechanical assessments have evaluated the performance of fixation methods in HSOO. The aim of this study was to compare the biomechanical characteristics and stress distribution in bone and osteosynthesis fixations when using different designs and placing configurations, in order to determine a favourable plating method. We established two finite element models of HSOO with advancement (T1) and set-back (T2) movements of the mandible. Six different configurations of fixation of the ramus, progressively loaded by a constant force, were assessed for each model. The von Mises stress distribution in fixations and in bone, and bony segment displacement, were analysed. The lowest mechanical stresses and minimal gradient of displacement between the proximal and distal bony segments were detected in the combined one-third anterior- and posterior-positioned double mini-plate T1 and T2 models. This suggests that the appropriate method to correct mandibular deformities in HSOO surgery is with use of double mini-plates positioned in the anterior one-third and posterior one-third between the bony segments of the ramus.


2017 ◽  
Vol 43 (2) ◽  
pp. 131-138 ◽  
Author(s):  
Yen-Ting Lin ◽  
Adrienne Hong ◽  
Ying-Chin Peng ◽  
Hsiang-Hsi Hong

Clinical decisions regarding the stability and osseointegration of mandibular implants positioned using the bone expansion techniques are conflicting and limited. The objective was to evaluate the stability of implants placed using 2 surgical techniques, selected according to the initial width of the mandibular posterior edentulous ridge, with D3 bone density, during a 12-week period. Fifty-eight implants in 33 patients were evaluated. Thirty-two implants in 24 patients were positioned using the osteotome expansion technique, and 26 fixtures in 17 patients were installed using the conventional drilling technique. The implant stability quotient values were recorded at weeks 0, 1, 2, 3, 4, 6, 8, 10, and 12 postsurgery and evaluated using analysis of variance, independent, and paired t tests. Calibrated according to the stability reading of a 3.3-mm diameter implant, the osteotome expansion group was associated with a lower bone density than the conventional group (64.96 ± 6.25 vs 68.98 ± 5.06, P = .011). The osteotome expansion group achieved a comparable primary stability (ISQb-0, P = .124) and greater increases in secondary stability (ISQb-12, P = .07) than did the conventional technique. A D3 quality ridge with mild horizontal deficiency is expandable by using the osteotome expansion technique. Although the 2 groups presented similar implant stability quotient readings during the study period, the osteotome expansion technique showed significant improvement in secondary stability. The healing patterns for these techniques are therefore inconsistent.


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