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Hindawi, Computational and Mathematical Methods in Medicine, (2013), p. 1-15, 2013

DOI: 10.1155/2013/250929

Hindawi, Computational and Mathematical Methods in Medicine, (2014), p. 1-1

DOI: 10.1155/2014/467358

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Comparative Evaluation of Osseointegrated Dental Implants Based on Platform-Switching Concept: Influence of Diameter, Length, Thread Shape, and In-Bone Positioning Depth on Stress-Based Performance

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

This study aimed to investigate the influence of implant design (in terms of diameter, length, and thread shape), in-bone positioning depth, and bone posthealing crestal morphology on load transfer mechanisms of osseointegrated dental implants based on platform-switching concept. In order to perform an effective multiparametric comparative analysis, 11 implants different in dimensions and in thread features were analyzed by a linearly elastic 3-dimensional finite element approach, under a static load. Implant models were integrated with the detailed model of a maxillary premolar bone segment. Different implant in-bone positioning levels were modeled, considering also different posthealing crestal bone morphologies. Bone overloading risk was quantified by introducing proper local stress measures, highlighting that implant diameter is a more effective design parameter than the implant length, as well as that thread shape and thread details can significantly affect stresses at peri-implant bone, especially for short implants. Numerical simulations revealed that the optimal in-bone positioning depth results from the balance of 2 counteracting effects: cratering phenomena and bone apposition induced by platform-switching configuration. Proposed results contribute to identify the mutual influence of a number of factors affecting the bone-implant loading transfer mechanisms, furnishing useful insights and indications for choosing and/or designing threaded osseointegrated implants.