Peri-implant bone tissue strains in cases of dehiscence: a finite element study.
When patients with a narrow alveolar bone ridge are treated with oral implants, a dehiscence can occur. The lack of bony support at the buccal or lingual side of the implant may present an unfavourable situation from a biomechanical point of view. The hypothesis as to whether the presence of dehiscence leads to an increased risk of marginal bone overload was tested by means of the finite element method. Three different situations for a cylindrical oral implant, which was placed in a mandible, were modelled: i) no dehiscence, ii) a dehiscence at the buccal side and iii) dehiscences at the buccal and lingual sides. It was found that the presence of buccal and/or lingual dehiscences led to a marked increase in marginal bone strains at the mesial and distal sides of the implant, thus increasing the risk of bone tissue overload at these locations. Marginal bone strains at the buccal and/or lingual sides, however, did not increase.
Van Oosterwyck
Hans
H
Division of Biomechanics and Engineering Design, KU Leuven, Leuven, Belgium. hans.vanoosterwyck@mech.kuleuven.ac.be
Duyck
Joke
J
Vander Sloten
Jos
J
Van Der Perre
Georges
G
Naert
Ignace
I
D000539:Alveolar Process / Q000503:physiopathology*; D015519:Bone Density; D019245:Compressive Strength; D003198:Computer Simulation; D017076:Computer-Aided Design; D003758:Dental Implantation, Endosseous / Q000009:adverse effects*; D015921:Dental Implants / Q000009:adverse effects*; D003799:Dental Stress Analysis / Q000379:methods*; D004548:Elasticity; D020342:Finite Element Analysis; D006801:Humans; D008334:Mandible; D008954:Models, Biological; D003765:Models, Dental; D013314:Stress, Mechanical; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000503:physiopathology*; D016474:Weight-Bearing
D015921:Dental Implants