Predicting bone remodeling around tissue- and bone-level dental implants used in reduced bone width

Eser, Atilim
Tönük, Ergin
Akça, Kıvanç
Dard, Michel M.
Cehreli, Murat Cavit
The objective of this study was to predict time-dependent bone remodeling around tissue- and bone-level dental implants used in patients with reduced bone width. The remodeling of bone around titanium tissue-level, and titanium and titanium-zirconium alloy bone-level implants was studied under 100 N oblique load for one month by implementing the Stanford theory into three-dimensional finite element models. Maximum principal stress, minimum principal stress, and strain energy density in pen-implant bone and displacement in x- and y- axes of the implant were evaluated. Maximum and minimum principal stresses around tissue-level implant were higher than bone-level implants and both bone-level implants experienced comparable stresses. Total strain energy density in bone around titanium implants slightly decreased during the first two weeks of loading followed by a recovery, and the titanium-zirconium implant showed minor changes in the axial plane. Total strain energy density changes in the loading and contralateral sides were higher in tissue-level implant than other implants in the cortical bone at the horizontal plane. The displacement values of the implants were almost constant over time. Tissue-level implants were associated with higher stresses than bone-level implants. The time-dependent biomechanical outcome of titanium-zirconium alloy bone-level implant was comparable to the titanium implant.


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The purpose of this study was to predict time-dependent biomechanics of bone around cylindrical screw dental implants with different macrogeometric designs under simulated immediate loading condition. The remodeling of bone around a parallel-sided and a tapered dental implant of same length was studied under 100 N oblique load by implementing the Stanford theory into three-dimensional finite element models. The results of the analyses were examined in five time intervals consisting loading immediately after...
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Citation Formats
A. Eser, E. Tönük, K. Akça, M. M. Dard, and M. C. Cehreli, “Predicting bone remodeling around tissue- and bone-level dental implants used in reduced bone width,” JOURNAL OF BIOMECHANICS, pp. 2250–2257, 2013, Accessed: 00, 2020. [Online]. Available: