RSUSSH 2020

IN20-078 Biomechanical Evaluation of Splinted 4- and 6-Millimeters Short Dental Implants with Different Crown-Implant Ratios, A Finite Element Analysis

Presenter: Salaorat Bunnag
Mahidol University, Thailand

Abstract

           Objectives: To demonstrate the stress concentration of short dental implants with splinted restorations to the surrounding structures in order to find the appropriate crown-implant ratio for short dental implants with splinted restorations Methodology: 24 finite element models were simulated representing the implants replacing of lower first and second mandibular molars. Short dental implants (Straumann®, Standard Plus, Roxolid®, SLActive®, Diameter 4.1 mm, Length 4 mm, Regular Neck (4.8 mm); Straumann®, Standard Plus, Roxolid®, SLActive®, Diameter 4.8 mm, Length 4 mm, Wide Neck (6.5 mm); Straumann®, Standard Plus, Titanium, SLA®, Diameter 4.1 mm, Length 6 mm, Regular Neck (4.8 mm), and Straumann®, Standard Plus, Titanium, SLA®, Diameter 4.8 mm, Length 6 mm, Wide Neck (6.5 mm)) were applied under various prosthetic conditions. The maximum principal stress of peri-implant structure and Von Mises stress of implant were evaluated when 400 N 90° axial load and 200 N 45° oblique load were applied. A type III bone was approximated and complete osseointegration was assumed. Result and Discussion: The FEA study generated maximum Von Mises stress at the cortical bone around the implant neck in all models. Average stress value was not significant difference in each model of the same implant length. More stress distribution values were observed in models which two implants were not splinted. When implants were splinted, stress values and concentration area decreased in the splinted sites and increased on the others in cortical and cancellous bone.         Conclusions: The individualization of two restorations on two short dental implants demonstrated better stress distribution when compared to the splinted ones.

Keywords: Short Dental Implant; Splinted Implants; Abutment; Bone; Stress Distribution; Finite Element Analysis

Citation format:

Bunnag, S., Visuttiwattanakorn, S., & Pumpaluk, P.. (2020). Biomechanical Evaluation of Splinted 4- and 6-Millimeters Short Dental Implants with Different Crown-Implant Ratios, A Finite Element Analysis. Proceeding in RSU International Research Conference, May 1, 2020. Pathum Thani, Thailand.

QUESTIONS & ANSWERS

ผศ.ทพ.ปภาตพงศ์ ศิริคุรุรัตน์ (Chairperson)

Thank you for your presentation. I would like to ask about how you calculated your sample size and method of statistical analysis you used in this study. Thank you.

Salaorat Bunnag (Presenter)

Thank you for your question Dr.Sirikururat.

As this study was a experimental study which was done by elaborate simulation(Micro-CT Scanner (Skyscanner 1173, Bruker Company, Belgium)) and certified computer calculation program(Three-dimensional Finite Element Analysis Software (NX Nastran® software, Siemens PLM Software®, version 11.0)), the authors assummed that there was one result under same valuables in same situation. Thus, there was one sample for each situation. Thank you.

Supranee Benjasupattananan, DDS (Chairperson)

1. Do you recommend to use short dental implant in patient with wide interocclusal space?

2. from this study, how height of crown restorations that should be separated or splinted?