Contact non-linear finite element model analysis of initial stability of mini implant

접촉 유한요소모델을 이용한 미니 임플란트의 초기 응력분포 연구

  • Yoon, Hyun-Joo (Department of Periodontology, Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Jung, Ui-Won (Department of Periodontology, Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Lee, Jong-Suk (G.O.Net Dental Clinic) ;
  • Kim, Chang-Sung (Department of Periodontology, Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Kim, Jung-Moon (Ortholution Co., Ltd) ;
  • Cho, Kyoo-Sung (Department of Periodontology, Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Kim, Chong-Kwan (Department of Periodontology, Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Choi, Sung-Ho (Department of Periodontology, Oral Science Research Center, College of Dentistry, Yonsei University)
  • 윤현주 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 정의원 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 이종석 (고우넷 치과 의원) ;
  • 김창성 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 김정문 ((주)오솔루션) ;
  • 조규성 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 김종관 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 최성호 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소)
  • Published : 2007.12.31

Abstract

Mini implants had been used provisionally for the healing period of implants in the beginning. But it becomes used for the on-going purpose, because it is simple to use, economic and especially suitable for the overdenture. But there is few studies about the stability of mini implants, that is most important factor for the on-going purpose, and particularly the implant parameters affecting the initial stability. The purpose of this study was to evaluate the stress and the strain distribution pattern of immediate-loaded screw type orthodontic mini-implant and the parameters affecting the initial stability of immediate-loaded mini-implant. Two dimensional finite element models were made and contact non-linear finite element analysis was performed. The magnitude and distribution of Von Mises stresses were evaluated. The obtained results were as follows: 1. The stress was concentrated on the thread tip of an implant in the cortical bone. 2. The direction of load is the most important factor for the stress distribution in cortical bone. 3. The diameter of an implant is the most important factor for the stress distribution in the trabecular bone. In conclusion, if the horizontal load vector is successfully controlled, mini-implants, which diameter is under 3mm, can be used for the on-going purpose.

Keywords

References

  1. Branemark PI, Hansson BO, Adell R et al. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Seand J Plast Reconstr Surg Suppl 1977;16:1-13
  2. Shatkin TE, Shatkin S, Oppenheimer AJ, Oppenheimer BD. A simplified approach to implant dentistry with mini dental implants. Alpha Omegan 2003;96:7-15
  3. el Attar MS, el Shazly D, Osman S, el Domiati S, Salloum MG. Study of the effect of using mini-transitional implants as temporary abutments in implant overdenture cases. Implant Dent 1999;8:152-158 https://doi.org/10.1097/00008505-199908020-00007
  4. Ahn MR, An KM, Choi JH, Sohn DS. Immediate loading with mini dental implants in the fully edentulous mandible. Implant Dent 2004;13:367-72 https://doi.org/10.1097/01.id.0000148560.65514.3d
  5. M. Mini-implants to reconstruct missing teeth in severe ridge deficiency and small interdental space: a 5-year case series. Implant Dent 2004;13:336-341 https://doi.org/10.1097/01.id.0000148554.83439.00
  6. Balkin BE, Steflik DE, Naval F. Mini-dental implant insertion with the auto-advance technique for ongoing applications. J Oral Implantol 2001;27:32-7 https://doi.org/10.1563/1548-1336(2001)027<0032:MIIWTA>2.3.CO;2
  7. Block MS, Delgado A, Fontenot MG. The effect of diameter and length of hydrox-ylapatite- coated dental implants on ultimate pullout force in dog alveolar bone. J Oral Maxillofac Surg 1990;48:174-8 https://doi.org/10.1016/S0278-2391(10)80206-X
  8. Vigolo P, Givani A, Majzoub Z, Cordioli G. Clinical evaluation of small-diameter implants in single-tooth and multiple-im plant restorations: a 7-year retrospective study. Int J Oral Maxillofac Implants 2004;19:703-709
  9. Gapski R, Wang HL, Mascarenhas P, Lang NP. Critical review of immediate implant loading. Clin Oral Implants Res 2003;14: 515-27 https://doi.org/10.1034/j.1600-0501.2003.00950.x
  10. Frost HM: Bone's mechanostat: a 2003 update. Anat Rec 2003;275A:1081-1101 https://doi.org/10.1002/ar.a.10119
  11. Geng JP, Tan KB, Liu GR. Application of finite element analysis in implant dentistry: a review of the literature. J Prosthet Dent 85:585-598, 2001 https://doi.org/10.1067/mpr.2001.115251
  12. Weinstein AM, Klawitter JJ, Anand SC, Schuessler R. Stress analysis of porous rooted dental implants. J Dent Res 1976;55: 772-777 https://doi.org/10.1177/00220345760550051001
  13. Chun HJ, Cheong SY, Han JH et al. Evaluation of design parameters of osseointegrated dental implants using finite element analysis. J Oral Rehabil 2002;29: 565-574 https://doi.org/10.1046/j.1365-2842.2002.00891.x
  14. Hansson S, Werke M. The implant thread as a retention element in cortical bone: the effect of thread size and thread profile: a finite element study. J Biomech 2003;36: 1247-1258 https://doi.org/10.1016/S0021-9290(03)00164-7
  15. Prendergast PJ. Finite element models in tissue mechanics and orthopaedic implant design. Clin Biomech (Bristol, Avon) 1997; 12:343-366 https://doi.org/10.1016/S0268-0033(97)00018-1
  16. Van Oosterwyck H, Duyck J, Vander Sloten J et al. The influence of bone mechanical properties and implant fixation upon bone loading around oral implants. Clin Oral Implants Res 1998;9:407-418 https://doi.org/10.1034/j.1600-0501.1996.090606.x
  17. 이종석. 교정용 미니 임플란트의 초기 안정성에 대한 접촉 비선형 유한요소분석. 박사 학위 논문. 연세 대학교 대학원. 서울, 2005
  18. 윤희선. 교정용 고정나사 삽입 위치에 따른 위턱 물렁조직 및 치밀뼈 두께. 석사 학위 논문, 연세 대학교 대학원, 서울, 2001
  19. Sato Y, Wadamoto M, Tsuga K, Teixeira ER. The effectiveness of element downsizing on a three-dimensional finite element model of bone trabeculae in implant biomechanics. J Oral Rehabil 1999;26:288-291 https://doi.org/10.1046/j.1365-2842.1999.00390.x
  20. Esposito M, Hirsch JM, Lekholm U, Thomsen P. Biological factors contributing to failures of osseointegrated oral implants(II). Etiopathogenesis. Eur J Oral Sci 1998;106:721-64 https://doi.org/10.1046/j.0909-8836..t01-6-.x
  21. Duyck J, Ronold HJ, Van Oosterwyck H et al. The influence of static and dynamic loading on marginal bone reactions around osseointegrated implants: an animal experimental study. Clin Oral Implants Res 2001;12:207-218 https://doi.org/10.1034/j.1600-0501.2001.012003207.x
  22. Albrektsson T, Wennerberg A. Oral implant surfaces: Part 2-review focusing on clinical knowledge of different surfaces. Int J Prosthodont 2004;17:544-64
  23. Esposito M, Coulthard P, Thomsen P, Worthington HV. The role of implant surface modifications, shape and material on the success of osseointegrated dental implants. A Cochrane systematic review. Eur J Prosthodont Restor Dent 2005;13:15-31
  24. Holmgren EP, Seckinger RJ, Kilgren LM, Mante F. Evaluating parameters of osseointegrated dental implants using finite element analysis-a two-dimensional comparative study examining the effects of implant diameter, implant shape, and load direction. J Oral Implantol 1998;24:80-88 https://doi.org/10.1563/1548-1336(1998)024<0080:EPOODI>2.3.CO;2
  25. Hansson S. The implant neck: smooth or provided with retention elements. A biomechanical approach. Clin Oral Implants Res 1999;10:394-405 https://doi.org/10.1034/j.1600-0501.1999.100506.x
  26. Himmlova L, Dostalova T, Kacovsky A, Konvickova S. Influence of implant length and diameter on stress distribution: a finite element analysis. J Prosthet Dent 2004; 91:20-5 https://doi.org/10.1016/j.prosdent.2003.08.008
  27. Stolk J, Maher SA, Verdonschot N, Prendergast PJ, Huiskes R. Can finite element models detect clinically inferior cemented hip implants? Clin Orthop 2003; 409:138-150 https://doi.org/10.1097/01.blo.0000058882.03274.5e
  28. Tada S, Stegaroiu R, Kitamura E, Miyakawa O, Kusakari H. Influence of implant design and bone quality on stress/ strain distribution in bone around implants: a 3-dimensional finite element analysis. Int J Oral Maxillofac Implants 2003;18:357-368
  29. Simon, SR., Orthopaedic basic science. First Edition, American Academy of Orthopaedic Surgeons, 1994
  30. Barbier L, Vander Sloten J, Krzesinski G, Schepers E, Van der Perre G. Finite element analysis of non-axial versus axial loading of oral implants in the mandible of the dog. J Oral Rehabil 1998;25:847-58 https://doi.org/10.1046/j.1365-2842.1998.00318.x
  31. Misch CE. Implant design considerations for the posterior regions of the mouth. Implant Dent 1999;8:376-386 https://doi.org/10.1097/00008505-199904000-00008
  32. Misch CE, Bidez MW, Sharawy M.A. Bioengineered implant for a predetermined bone cellular response to loading forces. A literature review and case report. J Periodontol 2001; 72:1276-1286 https://doi.org/10.1902/jop.2000.72.9.1276