Yo Shibata1, Yasuhiro Tanimoto2, Noriko Maruyama3, Manamu Nagakura2. 1. Department of Conservative Dentistry, Division of Biomaterials & Engineering, Showa University School of Dentistry, Tokyo, Japan. Electronic address: yookun@dent.showa-u.ac.jp. 2. Department of Dental Biomaterials, Nihon University School of Dentistry at Matsudo, Chiba, Japan. 3. Department of Orthodontics, Showa University School of Dentistry, Tokyo, Japan.
Abstract
PURPOSE: The purpose of this article is to review the mechanical requirements of the tissue-implant interface and analyze related theories. STUDY SELECTION: The osseointegration capacity of titanium implants has been investigated over the past 50 years. We considered the ultimate goal of osseointegration to which form a desirable interfacial layer and a bone matrix with adequate biomechanical properties. RESULTS: Occasionally, the interface comprises porous titanium and bone ingrowth that enables a functionally graded Young's modulus, thereby allowing reduction of stress shielding. However, the optimal biomechanical connection at the interface has not yet been fully clarified. There have been publications supporting several universal mechanical testing technologies in terms of bone-titanium bonding ability, although the separation of newly formed bone quality is unlikely. CONCLUSIONS: The understanding of complex mechanical bone behavior and size-dependent properties ranging from a nano- to a macroscopic level are essential in the biomechanical optimization of implants. The requirements of regenerated tissue at the interface include high strength, fracture toughness related to ductility, and time-dependent energy dissipation and/or elastic-plastic stress distribution. Moreover, a strong relationship between strain signals and peri-implant tissue turnover could be expected, so that ideal implant biomechanics may enable longevity via adaptive bone remodeling.
PURPOSE: The purpose of this article is to review the mechanical requirements of the tissue-implant interface and analyze related theories. STUDY SELECTION: The osseointegration capacity of titanium implants has been investigated over the past 50 years. We considered the ultimate goal of osseointegration to which form a desirable interfacial layer and a bone matrix with adequate biomechanical properties. RESULTS: Occasionally, the interface comprises porous titanium and bone ingrowth that enables a functionally graded Young's modulus, thereby allowing reduction of stress shielding. However, the optimal biomechanical connection at the interface has not yet been fully clarified. There have been publications supporting several universal mechanical testing technologies in terms of bone-titanium bonding ability, although the separation of newly formed bone quality is unlikely. CONCLUSIONS: The understanding of complex mechanical bone behavior and size-dependent properties ranging from a nano- to a macroscopic level are essential in the biomechanical optimization of implants. The requirements of regenerated tissue at the interface include high strength, fracture toughness related to ductility, and time-dependent energy dissipation and/or elastic-plastic stress distribution. Moreover, a strong relationship between strain signals and peri-implant tissue turnover could be expected, so that ideal implant biomechanics may enable longevity via adaptive bone remodeling.
Authors: Avram Manea; Simion Bran; Mihaela Baciut; Gabriel Armencea; Dumitru Pop; Petru Berce; Dan-Cristian Vodnar; Mihaela Hedesiu; Cristian Dinu; Adrian Petrutiu; Darius Tomina; Grigore Baciut Journal: Clujul Med Date: 2018-10-30