Crestal and Subcrestal Placement of Morse Cone Implant–Abutment Connection Implants: An In Vitro Finite Element Analysis (FEA) Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Modeling
2.2. Materials
2.3. Finite Element Analysis (FEA)
2.4. Loads and Constrains
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Duyck, J.; Naert, I.; Van Oosterwyck, H.; Van der Sloten, J.; De Cooman, M.; Lievens, S.; Puers, B. Biomechanics of oral implants: A review of the literature. Technol. Health Care 1997, 5, 253–273. [Google Scholar] [CrossRef]
- Duyck, J.; Naert, I.; Rønold, H.J.; Ellingsen, J.E.; Van Oosterwyck, H.; Sloten, J.V. The influence of static and dynamic loading on marginal bone reactions around osseointegrated implants: An animal experimental study. Clin. Oral Implant. Res. 2001, 12, 207–218. [Google Scholar] [CrossRef]
- Tarnow, D.; Cho, S.; Wallace, S. The effect of inter-implant distance on the height of inter-implant bone crest. J. Periodontol. 2000, 71, 546–549. [Google Scholar] [CrossRef]
- Misch, C.E.; Suzuki, J.B.; Misch-Dietsh, F.M.; Bidez, M.W. A Positive correlation between occlusal trauma and peri-implant bone loss: Literature support. Implant. Dent. 2005, 14, 108–116. [Google Scholar] [CrossRef]
- Qian, L.; Todo, M.; Matsushita, Y.; Koyano, K. Finite element analysis of bone resorption around dental implant. J. Biomech. Sci. Eng. 2009, 4, 365–376. [Google Scholar] [CrossRef]
- Frost, H.M. Perspectives: Bone’s mechanical usage windows. Bone Miner. 1992, 19, 257–271. [Google Scholar] [CrossRef]
- Qian, L.; Todo, M.; Matsushita, Y.; Koyano, K. Effects of implant diameter, insertion depth and loading angle on stress/strain fields in implant/jawbone systems. Int. J. Oral Maxillofac. Implant. 2009, 24, 877–886. [Google Scholar]
- Cruz, R.S.; Lemos, C.A.A.; de Luna Gomes, J.M.; Fernandes, E.; Oliveira, H.F.; Pellizzer, E.P.; Verri, F.R. (Clinical comparison between crestal and subcrestal dental implants: A systematic review and meta-analysis. J. Prosthet. Dent. 2022, 127, 408–417. [Google Scholar] [CrossRef]
- Valles, C.; Rodríguez-Ciurana, X.; Clementini, M.; Baglivo, M.; Paniagua, B.; Nart, J. Influence of subcrestal implant placement compared with equicrestal position on the peri-implant hard and soft tissues around platform-switched implants: A systematic review and meta-analysis. Clin. Oral Investig. 2018, 22, 555–570. [Google Scholar] [CrossRef]
- D’Ercole, S.; Tripodi, D.; Marzo, G.; Bernardi, S.; Continenza, M.A.; Piattelli, A.; Iaculli, F.; Mummolo, S. Microleakage of bacteria in different implant-abutment assemblies: An in vitro study. J. Appl. Biomater. Funct. Mater. 2015, 13, e174–e180. [Google Scholar] [CrossRef]
- Weng, D.; Nagata, M.J.H.; Bell, M.; Bosco, A.F.; De Melo, L.G.N.; Richter, E. Influence of microgap location and configuration on the periimplant bone morphology in submerged implants. An experimental study in dogs. Clin. Oral Implant. Res. 2008, 19, 1141–1147. [Google Scholar] [CrossRef] [PubMed]
- Weng, D.; Nagata, M.J.; Leite, C.M.; de Melo, L.G.; Bosco, A.F. Influence of microgap location and configuration on radiographic bone loss in nonsubmerged implants: An experimental study in dogs. Int. J. Prosthodont. 2011, 5, 445–452. [Google Scholar]
- Weng, D.; Nagata, M.J.; Bosco, A.F.; de Melo, L.G. Influence of microgap location and configuration on radiographic bone loss around submerged implants: An experimental study in dogs. Int. J. Oral. Maxillofac. Implants 2011, 5, 941–946. [Google Scholar]
- Weng, D.; Nagata, M.J.; Bell, M.; de Melo, L.G.; Bosco, A.F. Influence of microgap location and configuration on peri-implant bone morphology in nonsubmerged implants: An experimental study in dogs. Int. J. Oral. Maxillofac. Implants 2010, 25, 540–547. [Google Scholar] [PubMed]
- Degidi, M.; Nardi, D.; Daprile, G.; Piattelli, A. Nonremoval of immediate abutments in cases involving subcrestally placed postextractive tapered single implants: A randomized controlled clinical study. Clin. Implant. Dent. Relat. Res. 2014, 16, 794–805. [Google Scholar] [CrossRef]
- Degidi, M.; Perrotti, V.; Shibli, J.A.; Novaes, A.B.; Piattelli, A.; Iezzi, G. Equicrestal and subcrestal dental implants: A histologic and histomorphometric evaluation of nine retrieved human implants. J. Periodontol. 2011, 82, 708–715. [Google Scholar] [CrossRef]
- Fetner, M.; Fetner, A.; Koutouzis, T.; Clozza, E.; Tovar, N.; Sarendranath, A.; Coelho, P.; Neiva, K.; Janal, M.; Neiva, R. The Effects of Subcrestal Implant Placement on Crestal Bone Levels and Bone-to-Abutment Contact: A Microcomputed Tomographic and Histologic Study in Dogs. Int. J. Oral Maxillofac. Implant. 2015, 30, 1068–1075. [Google Scholar] [CrossRef]
- de Castro, D.S.M.; de Araujo, M.A.R.; Benfatti, C.A.M.; Araujo, C.d.R.P.d.; Piattelli, A.; Perrotti, V.; Iezzi, G. Comparative histological and histomorphometrical evaluation of marginal bone resorption around external hexagon and Morse cone implants: An experimental study in dogs. Implant. Dent. 2014, 23, 270–276. [Google Scholar] [CrossRef]
- Santonocito, D.; Nicita, F.; Risitano, G. A Parametric Study on a Dental Implant Geometry Influence on Bone Remodelling through a Numerical Algorithm. Prosthesis 2021, 3, 157–172. [Google Scholar] [CrossRef]
- Macedo, J.P.; Pereira, J.; Faria, J.; Souza, J.C.M.; Alves, J.L.; López-López, J.; Henriques, B. Finite element analysis of peri-implant bone volume affected by stresses around Morse taper implants: Effects of implant positioning to the bone crest. Comput. Methods Biomech. Biomed. Eng. 2018, 21, 655–662. [Google Scholar] [CrossRef]
- Callea, C.; Ceddia, M.; Piattelli, A.; Specchiulli, A.; Trentadue, B. Finite Element Analysis (FEA) for a Different Type of Cono-in Dental Implant. Appl. Sci. 2023, 13, 5313. [Google Scholar] [CrossRef]
- Di Pietro, N.; Ceddia, M.; Romasco, T.; De Bortoli Junior, N.; Mello, B.F.; Tumedei, M.; Specchiulli, A.; Piattelli, A.; Trentadue, B. Finite Element Analysis (FEA) of the Stress and Strain Distribution in Cone-Morse Implant–Abutment Connection Implants Placed Equicrestally and Subcrestally. Appl. Sci. 2023, 13, 8147. [Google Scholar] [CrossRef]
- Cipollina, A.; Ceddia, M.; Di Pietro, N.; Inchingolo, F.; Tumedei, M.; Romasco, T.; Piattelli, A.; Specchiulli, A.; Trentadue, B. Finite Element Analysis (FEA) of a Premaxillary Device: A New Type of Subperiosteal Implant to Treat Severe Atrophy of the Maxilla. Biomimetics 2023, 8, 336. [Google Scholar] [CrossRef]
- Kheiralla, L.S.; Younis, J.F. Peri-implant biomechanical responses to standard, short-wide, and mini implants supporting single crowns under axial and off-axial loading (an in vitro study). J. Oral Implant. 2014, 40, 42–52. [Google Scholar] [CrossRef] [PubMed]
- Kang, N.; Wu, Y.-Y.; Gong, P.; Yue, L.; Ou, G.-M. A study of force distribution of loading stresses on implant–bone interface on short implant length using 3-dimensional finite element analysis. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. 2014, 118, 519–523. [Google Scholar] [CrossRef]
- Toniollo, M.B.; Macedo, A.P.; Rodrigues, R.C.S.; Ribeiro, R.F.; Mattos, M.d.G.C.d. A three-dimensional finite element analysis of the stress distribution on morse taper implants surface. J. Prosthodont. Res. 2013, 57, 206–212. [Google Scholar] [CrossRef]
- Gatti, C.; Gatti, F.; Silvestri, M.; Mintrone, F.; Rossi, R.; Tridondani, G.; Piacentini, G.; Borrelli, P. A Prospective Multicenter Study on Radiographic Crestal Bone Changes Around Dental Implants Placed at Crestal or Subcrestal Level: One-Year Findings. Int. J. Oral Maxillofac. Implant. 2018, 33, 913–918. [Google Scholar] [CrossRef]
- Fiorillo, L.; Cicciù, M.; D’amico, C.; Mauceri, R.; Oteri, G.; Cervino, G. Finite Element Method and Von Mises Investigation on Bone Response to Dynamic Stress with a Novel Conical Dental Implant Connection. BioMed Res. Int. 2020, 2020, 2976067. [Google Scholar] [CrossRef]
- Baggi, L.; Di Girolamo, M.; Vairo, G.; Sannino, G. Comparative evaluation of osseointegrated dental implants based on platform-switching concept: Influence of diameter, length, thread shape, and in-bone positioning depth on stress-based perfor-mance. Comput. Math. Methods Med. 2013, 2013, 250929. [Google Scholar] [CrossRef]
- Sargolzaie, N.; Zarch, H.H.; Arab, H.; Koohestani, T.; Ramandi, M.F. Marginal bone loss around crestal or subcrestal dental implants: Prospective clinical study. J. Korean Assoc. Oral Maxillofac. Surg. 2022, 48, 159–166. [Google Scholar] [CrossRef]
- Nagarajan, B.; Murthy, V.; Livingstone, D.; Surendra, M.P.; Jayaraman, S. Evaluation of Crestal Bone Loss Around Implants Placed at Equicrestal and Subcrestal Levels Before Loading: A Prospective Clinical Study. J. Clin. Diagn Res. 2015, 9, ZC47–ZC50. [Google Scholar] [CrossRef] [PubMed]
- Chatterjee, P.; Shashikala, R.; Navneetham, A. Comparative Study of the Crestal vs. Subcrestal Placement of Dental Implants via Radiographic and Clinical Evaluation. J. Contemp. Dent. Pract. 2022, 23, 623–627. [Google Scholar] [PubMed]
- Palacios-Garzón, N.; Mauri-Obradors, E.; Ayuso-Montero, R.; Velasco-Ortega, E.; Anglada-Cantarell, J.M.; López-López, J. Marginal Bone Loss in Internal Conical Connection Implants Placed at the Crestal and Subcrestal Levels before Prosthetic Loading: A Randomized Clinical Study. Materials 2022, 15, 3729. [Google Scholar] [CrossRef] [PubMed]
- Ercoli, C.; Jammal, G.; Buyers, M.; Tsigarida, A.A.; Chochlidakis, K.M.; Feng, C.; Caton, J. Influence of Apico-Coronal Implant Placement on Post-Surgical Crestal Bone Loss in Humans. J. Periodontol. 2017, 88, 762–770. [Google Scholar] [CrossRef] [PubMed]
- Jain, S.; Mattoo, K.; Khalid, I.; Baig, F.A.H.; Kota, M.Z.; Ishfaq, M.; Ibrahim, M.; Hassan, S. A study of 42 partially edentulous patients with single-crown restorations and implants to compare bone loss between crestal and subcrestal endosseous implant placement. Med. Sci. Monit. 2023, 29, 939225. [Google Scholar] [CrossRef]
- Pontes, A.E.F.; Ribeiro, F.S.; Iezzi, G.; Pires, J.R.; Zuza, E.P.; Piattelli, A.; Junior, E.M. Bone-implant contact around crestal and subcrestal dental implants submitted to immediate and conventional loading. Sci. World J. 2014, 2014, 606947. [Google Scholar] [CrossRef]
- Todescan, F.F.; Pustiglioni, F.E.; Imbronito, A.V.; Albrektsson, T.; Gioso, M. Influence of the microgap in the peri-implant hard and soft tissues: A histomorphometric study in dogs. Int. J. Oral. Maxillofac. Implants 2002, 17, 467–472. [Google Scholar]
- Huang, B.; Meng, H.; Zhu, W.; Witek, L.; Tovar, N.; Coelho, P.G. Influence of placement depth on bone remodeling around tapered internal connection implants: A histologic study in dogs. Clin. Oral Implant. Res. 2015, 26, 942–949. [Google Scholar] [CrossRef]
- Barros, R.R.M.; Novaes, A.B.; Muglia, V.A.; Iezzi, G.; Piattelli, A. Influence of interimplant distances and placement depth on peri-implant bone remodeling of adjacent and immediately loaded Morse cone connection implants: A histomorphometric study in dogs. Clin. Oral Implant. Res. 2010, 21, 371–378. [Google Scholar] [CrossRef]
- Saleh, M.H.A.; Ravidà, A.; del Amo, F.S.; Lin, G.; Asa’Ad, F.; Wang, H. The effect of implant-abutment junction position on crestal bone loss: A systematic review and meta-analysis. Clin. Implant. Dent. Relat. Res. 2018, 20, 617–633. [Google Scholar] [CrossRef]
- Palacios-Garzón, N.; Velasco-Ortega, E.; López-López, J. Bone Loss in Implants Placed at Subcrestal and Crestal Level: A Systematic Review and Meta-Analysis. Materials 2019, 12, 154. [Google Scholar] [CrossRef] [PubMed]
- Chu, C.-M.; Huang, H.-L.; Hsu, J.-T.; Fuh, L.-J. Influences of internal tapered abutment designs on bone stresses around a dental implant: Three-dimensional finite element method with statistical evaluation. J. Periodontol. 2012, 83, 111–118. [Google Scholar] [CrossRef] [PubMed]
- de Carvalho, N.A.; de Almeida, E.O.; Rocha, E.P.; Freitas, A.C., Jr.; Anchieta, R.B.; Kina, S. Short implant to support maxillary restorations: Bone stress analysis using regular and switching platform. J. Craniofac. Surg. 2012, 23, 678–681. [Google Scholar] [CrossRef] [PubMed]
- Li, R.; Wu, Z.; Chen, S.; Li, X.; Wan, Q.; Xie, G.; Pei, X. Biomechanical behavior analysis of four types of short implants with different placement depths using the finite element method. J. Prosthet. Dent. 2023, 129, 447.e1–447.e10. [Google Scholar] [CrossRef] [PubMed]
- Sesha, M.R.; Sunduram, R.; Abdelmagyd, H.A.E. Biomechanical Evaluation of Stress Distribution in Subcrestal Placed Platform-Switched Short Dental Implants in D4 Bone: In Vitro Finite-Element Model Study. J. Pharm. Bioallied Sci. 2020, 12 (Suppl. S1), S134–S139. [Google Scholar] [CrossRef]
- Körtvélyessy, G.; Szabó, L.; Pelsőczi-Kovács, I.; Tarjányi, T.; Tóth, Z.; Kárpáti, K.; Matusovits, D.; Hangyási, B.D.; Baráth, Z. Different Conical Angle Connection of Implant and Abutment Behavior: A Static and Dynamic Load Test and Finite Element Analysis Study. Materials 2023, 16, 1988. [Google Scholar] [CrossRef] [PubMed]
Material | Young’s Modulus (GPa) | Poisson’s Ratio |
---|---|---|
Cortical bone | 13.70 | 0.30 |
Cancellous bone | 1.37 | 0.30 |
Titanium | 117.00 | 0.30 |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Comuzzi, L.; Ceddia, M.; Di Pietro, N.; Inchingolo, F.; Inchingolo, A.M.; Romasco, T.; Tumedei, M.; Specchiulli, A.; Piattelli, A.; Trentadue, B. Crestal and Subcrestal Placement of Morse Cone Implant–Abutment Connection Implants: An In Vitro Finite Element Analysis (FEA) Study. Biomedicines 2023, 11, 3077. https://doi.org/10.3390/biomedicines11113077
Comuzzi L, Ceddia M, Di Pietro N, Inchingolo F, Inchingolo AM, Romasco T, Tumedei M, Specchiulli A, Piattelli A, Trentadue B. Crestal and Subcrestal Placement of Morse Cone Implant–Abutment Connection Implants: An In Vitro Finite Element Analysis (FEA) Study. Biomedicines. 2023; 11(11):3077. https://doi.org/10.3390/biomedicines11113077
Chicago/Turabian StyleComuzzi, Luca, Mario Ceddia, Natalia Di Pietro, Francesco Inchingolo, Angelo Michele Inchingolo, Tea Romasco, Margherita Tumedei, Alessandro Specchiulli, Adriano Piattelli, and Bartolomeo Trentadue. 2023. "Crestal and Subcrestal Placement of Morse Cone Implant–Abutment Connection Implants: An In Vitro Finite Element Analysis (FEA) Study" Biomedicines 11, no. 11: 3077. https://doi.org/10.3390/biomedicines11113077