J Korean Acad Prosthodont.  2010 Jul;48(3):224-231. 10.4047/jkap.2010.48.3.224.

Influence of crestal module design on marginal bone stress around dental implant

• Lim JY
• Cho JH
• Jo KH

• KMID: 2195559
• DOI: http://doi.org/10.4047/jkap.2010.48.3.224

Abstract

PURPOSE
This study was to investigate how the crestal module design could affect the level of marginal bone stress around dental implant.
MATERIALS AND METHODS
A submerged implant of 4.1 mm in diameter and 10 mm in length was selected as baseline model (Dentis Co., Daegu,Korea).A total of 5 experimental implants of different crestal modules were designed (Type I model : with microthread at the cervical 3 mm, Type II model : the same thread pattern as Type I but with a trans-gingival module, Type III model: the same thread pattern as the control model but with a trans-gingival module, Type IV model: one piece system with concave transgingival part, Type V model: equipped with beveled platform). Stress analysis was conducted with the use of axisy mmetric finite element modeling scheme. A force of 100 N was applied at 30 degrees from the implant axis.
RESULTS
Stress analysis has shown no stress concentration around the marginal bone for the control model. As compared to the control model, the stress levels of 0.2 mm areas away from the recorded implant were slightly lower in Type I and Type IV models, but higher in Type II, Type III and Type V models. As compared to 15.09 MPa around for the control model, the stress levels were 14.78 MPa, 18.39 MPa, 21.11 MPa, 14.63 MPa, 17.88 MPa in the cases of Type I, II, III, IV and V models.
CONCLUSION
From these results, the conclusion was drawn that the microthread and the concavity with either crestal or trans-gingival modules maybe used in standard size dental implants to reduce marginal bone stress.

Keyword

Crestal module design; Trans-gingival module; Marginal bone stress

MeSH Terms

Axis, Cervical Vertebra
Dental Implants
Implants, Experimental
Dental Implants

Figure

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  Fig. 1. Schematic presentation of the implant/bone complex shown in a bucco-lingual aspect showing. A: detailed dimensions of the submerged type fixture, B: basic dimensions of the implant/bone complex.

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  Fig. 2. Schematic presentation showing the crestal module designs of the control and five experimental implant systems. A: submerged system (control), B: submerged system with microthread (Type I), C: 1-stage internal system with microthread (Type II), D: 1-stage internal system (Type III), E: one piece system with concave trans-gingival part (Type IV), F: submerged system with beveled platform (Type V).

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  Fig. 3. Typical finite element mesh (control model). Elements sitting on the marginal bone surface within 1 mm away from the implant wall were given equal size, i.e 0.2 mm as seen in the box, in order to facilitate a direct comparison between the models analyzed.

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  Fig. 4. Stress distributions in the marginal bone around each of six implant models subject to a load of 100 N acting at 30 degree to the implant axis. A: control, B: Type I, C: Type II, D: Type III, E: Type IV, F: Type V, G: stress band in MPa.

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  Fig. 5. Stress distribution (maximum compressive stress) on the external surface of marginal bone around the each of six implant models.

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