Lukas Hingsammer1, Bernhard Pommer2, Stefan Hunger3, Rapahel Stehrer4, Georg Watzek5, Angel Insua6. 1. Resident in Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, University Clinic of Zurich, Zurich, Switzerland. 2. Oral Surgeon, University Docent, Academy for Oral Implantology, Vienna, Austria. 3. Consultant, Maxillofacial Surgeon, Department of Maxillofacial Surgery, Kepler University Clinic Linz, Linz, Austria. 4. Resident in Maxillofacial Surgery, Department of Maxillofacial Surgery, Kepler University Clinic Linz, Linz, Austria. 5. Oral Surgeon, University Professor, Academy for Oral Implantology, Vienna, Austria. 6. Oral Surgeon, Research Fellow, Department of Periodontics and Oral Medicine, University of Michigan, Ann Arbor, MI.
Abstract
PURPOSE: The aim of this systematic review is to provide an overview of finite element analyses comparing standard and short dental implants concerning biomechanical properties and to detect the most relevant parameters affecting periimplant stress concentrations. MATERIAL AND METHODS: After screening the literature and assessment of studies, 36 studies were included in this review. RESULTS: Eighty-three percent of the studies state that short dental implants have to bear higher stress concentrations compared with standard length implants. At the same time, 44% of articles note that implant diameter can be considered a more effective design parameter than implant length to reduce stress concentrations and to avoid an overload of periimplant bone. Regardless of implant dimension, in all studies, the highest stress concentrations are found in the cortical section around the upper part of the implant. CONCLUSIONS: Unaffected of bone quality, implant diameter is found to play a key role to minimize periimplant stress concentrations. Concerning stress reduction implant length gains increasing relevance with decreasing bone density. Furthermore, splinting of short implants constitute an appropriate tool to avoid crestal overloading.
PURPOSE: The aim of this systematic review is to provide an overview of finite element analyses comparing standard and short dental implants concerning biomechanical properties and to detect the most relevant parameters affecting periimplant stress concentrations. MATERIAL AND METHODS: After screening the literature and assessment of studies, 36 studies were included in this review. RESULTS: Eighty-three percent of the studies state that short dental implants have to bear higher stress concentrations compared with standard length implants. At the same time, 44% of articles note that implant diameter can be considered a more effective design parameter than implant length to reduce stress concentrations and to avoid an overload of periimplant bone. Regardless of implant dimension, in all studies, the highest stress concentrations are found in the cortical section around the upper part of the implant. CONCLUSIONS: Unaffected of bone quality, implant diameter is found to play a key role to minimize periimplant stress concentrations. Concerning stress reduction implant length gains increasing relevance with decreasing bone density. Furthermore, splinting of short implants constitute an appropriate tool to avoid crestal overloading.
Authors: Seokho Ahn; Jaesung Kim; Seok Chan Jeong; Myungil Kim; Cheolyoung Kim; Dongki Park Journal: Int J Environ Res Public Health Date: 2022-10-04 Impact factor: 4.614
Authors: Vittorio Moraschini; Carlos Fernando de Almeida Barros Mourão; Pietro Montemezzi; Ingrid Chaves Cavalcante Kischinhevsky; Daniel Costa Ferreira de Almeida; Kayvon Javid; Jamil Awad Shibli; José Mauro Granjeiro; Monica Diuana Calasans-Maia Journal: Healthcare (Basel) Date: 2021-03-12