On the significance and predicted functional effects of the crown-To-implant ratio: A finite element study of long-Term implant stability using high-resolution, nonlinear numerical analysis

T. J. Sego, Yung Ting Hsu, T.M. Gabriel Chu, Andres Tovar

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

With the rising popularity of short dental implants, the effects of the crown-To-implant (C/I) ratio on stress and strain distributions remain controversial. Previous research disagrees on results of interest and level of necessary technical detail. The present study aimed to evaluate the strain distribution and its functional implications in a single implant-supported crown with various C/I ratios placed in the maxillary molar region. A highfidelity, nonlinear finite-element model was generated to simulate multiple clinical scenarios by laterally loading a set of single implants with various implant lengths (IL) and crown heights (CH). Strain distribution and maximum equivalent strain (MES) were analyzed to evaluate the effects and significance of the CH, IL and C/I. Predicted functional response to strain at the implant interface was analyzed by interface surface area. Results. Re-sults were evaluated according to the mechanostat hypothesis to predict functional response. Overloading and effects of strain concentrations were more prevalent with increasing C/I. Overloading was predicted for all configurations to varying degrees, and increased with decreasing IL. Fracture in trabecular bone was predicted for at least one C/I and all IL of 10 mm or less. Higher C/I ratios and lower IL increase the risk of overloading and fracture. Increasing C/I augments the functional effects of other implant design factors. Greater C/I ratios may be achieved with implant designs that induce less significant strain concentrations.

Original languageEnglish (US)
Title of host publicationBiomedical and Biotechnology Engineering
PublisherAmerican Society of Mechanical Engineers (ASME)
Volume3
ISBN (Electronic)9780791850534
DOIs
StatePublished - 2016
EventASME 2016 International Mechanical Engineering Congress and Exposition, IMECE 2016 - Phoenix, United States
Duration: Nov 11 2016Nov 17 2016

Other

OtherASME 2016 International Mechanical Engineering Congress and Exposition, IMECE 2016
CountryUnited States
CityPhoenix
Period11/11/1611/17/16

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ASJC Scopus subject areas

  • Mechanical Engineering

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