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Published in: International Journal of Implant Dentistry 1/2017

Open Access 01-12-2017 | Research

Peri-implant biomechanical responses to standard, short-wide, and double mini implants replacing missing molar supporting hybrid ceramic or full-metal crowns under axial and off-axial loading: an in vitro study

Authors: Lamiaa Said Elfadaly, Lamiaa Sayed Khairallah, Mona Atteya Al Agroudy

Published in: International Journal of Implant Dentistry | Issue 1/2017

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Abstract

Background

The aim of this study was to evaluate the biomechanical response of the peri-implant bone to standard, short-wide, and double mini implants replacing missing molar supporting either hybrid ceramic crowns (Lava Ultimate restorative) or full-metal crowns under two different loading conditions (axial and off-axial loading) using strain gauge analysis.

Methods

Three single-molar implant designs, (1) single, 3.8-mm (regular) diameter implant, (2) single, 5.8-mm (wide) diameter implant, and (3) two 2.5-mm diameter (double) implants connected through a single-molar crown, were embedded in epoxy resin by the aid of a surveyor to ensure their parallelism. Each implant supported full-metal crowns made of Ni-Cr alloy and hybrid ceramic with standardized dimensions. Epoxy resin casts were prepared to receive 4 strain gauges around each implant design, on the buccal, lingual, mesial, and distal surfaces. Results were analyzed statistically.

Results

Results showed that implant design has statistically significant effect on peri-implant microstrains, where the standard implant showed the highest mean microstrain values followed by double mini implants, while the short-wide implant showed the lowest mean microstrain values. Concerning the superstructure material, implants supporting Lava Ultimate crowns had statistically significant higher mean microstrain values than those supporting full-metal crowns. Concerning the load direction, off-axial loading caused uneven distribution of load with statistically significant higher microstrain values on the site of off-axial loading (distal surface) than the axial loading.

Conclusions

Implant design, superstructure material, and load direction significantly affect peri-implant microstrains.
Literature
1.
go back to reference Mazor Z, Lorean A, Mijiritsky E, Levin L. Replacement of a molar with 2 narrow diameter dental implants. Implant Dent. 2012;21(1):36–8.CrossRefPubMed Mazor Z, Lorean A, Mijiritsky E, Levin L. Replacement of a molar with 2 narrow diameter dental implants. Implant Dent. 2012;21(1):36–8.CrossRefPubMed
2.
go back to reference Atwood D. Postextraction changes in the adult mandible as illustrated by micrographs of midsagittal sections and serial cephalometric roentgenograms. J Prosthet Dent. 1963;13:810–24.CrossRef Atwood D. Postextraction changes in the adult mandible as illustrated by micrographs of midsagittal sections and serial cephalometric roentgenograms. J Prosthet Dent. 1963;13:810–24.CrossRef
3.
go back to reference Felice P, Pellegrino G, Checchi L, Pistilli R, Esposito M. Vertical augmentation with interpositional blocks of anorganic bovine bone vs. 7-mm-long implants in posterior mandibles: 1-year results of a randomized clinical trial. Clin Oral Implants Res. 2010;21(12):1394–403.CrossRefPubMed Felice P, Pellegrino G, Checchi L, Pistilli R, Esposito M. Vertical augmentation with interpositional blocks of anorganic bovine bone vs. 7-mm-long implants in posterior mandibles: 1-year results of a randomized clinical trial. Clin Oral Implants Res. 2010;21(12):1394–403.CrossRefPubMed
4.
go back to reference Shatkin T, Petrotto C. Mini dental implants: a retrospective analysis of 5640 implants placed over a 12-year period. Compend Contin Educ Dent. 2012;33 Spec 3(Spec 3):2–9.PubMed Shatkin T, Petrotto C. Mini dental implants: a retrospective analysis of 5640 implants placed over a 12-year period. Compend Contin Educ Dent. 2012;33 Spec 3(Spec 3):2–9.PubMed
5.
go back to reference Monje A, Chan HL, Fu JH, Suarez F, Galindo-Moreno P, Wang HL. Are short dental implants (<10 mm) effective? A meta-analysis on prospective clinical trials. J Periodontol. 2013;84(7):895–904. Monje A, Chan HL, Fu JH, Suarez F, Galindo-Moreno P, Wang HL. Are short dental implants (<10 mm) effective? A meta-analysis on prospective clinical trials. J Periodontol. 2013;84(7):895–904.
6.
go back to reference Christensen G. The ‘mini’-implant has arrived. J Am Dent Assoc. 2006;13:387–90.CrossRef Christensen G. The ‘mini’-implant has arrived. J Am Dent Assoc. 2006;13:387–90.CrossRef
7.
go back to reference Flanagan D, Mascolo A. The mini dental implant in fixed and removable prosthetics: a review. J Oral Implantol. 2011;37 Spec No(Special Issue):123–32.CrossRefPubMed Flanagan D, Mascolo A. The mini dental implant in fixed and removable prosthetics: a review. J Oral Implantol. 2011;37 Spec No(Special Issue):123–32.CrossRefPubMed
8.
go back to reference Bidez M, Misch C. Force transfer in implant dentistry: basic concepts and principles. J Oral Implantol. 1992;18(3):264–74.PubMed Bidez M, Misch C. Force transfer in implant dentistry: basic concepts and principles. J Oral Implantol. 1992;18(3):264–74.PubMed
9.
go back to reference Branemark P, Zarb G, Albrektsson T. Tissue-integrated prosthesis. Osseointegration in clinical dentistry. 1987. p. 129. Branemark P, Zarb G, Albrektsson T. Tissue-integrated prosthesis. Osseointegration in clinical dentistry. 1987. p. 129.
10.
go back to reference Strain gauge measurement—a tutorial. 1998 Strain gauge measurement—a tutorial. 1998
11.
go back to reference Flanagan D. Fixed partial dentures and crowns supported by very small diameter dental implants in compromised sites. Implant Dent. 2008;17(2):182–91.CrossRefPubMed Flanagan D. Fixed partial dentures and crowns supported by very small diameter dental implants in compromised sites. Implant Dent. 2008;17(2):182–91.CrossRefPubMed
12.
go back to reference Kheiralla L, Younis J. 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 Implantol. 2014;40(1):42-52. Kheiralla L, Younis J. 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 Implantol. 2014;40(1):42-52.
13.
go back to reference Renouard F, Rangert B. Risk factors in implant dentistry, Quintessence. Second editionth ed. 1999. Renouard F, Rangert B. Risk factors in implant dentistry, Quintessence. Second editionth ed. 1999.
14.
go back to reference Mericske-Stern R, Assal P, Merickse E, Ing W. Occlusal force and oral tactile sensibility measured in partially edentulous patients with ITI implants. Int J Oral Maxillofac Implants. 1995;10:345–54.PubMed Mericske-Stern R, Assal P, Merickse E, Ing W. Occlusal force and oral tactile sensibility measured in partially edentulous patients with ITI implants. Int J Oral Maxillofac Implants. 1995;10:345–54.PubMed
15.
go back to reference Bozkaya D, Muftu S, Muftu A. Evaluation of load transfer characteristics of five different implants in compact bone at different load levels by finite elements analysis. J Prosthet Dent. 2004;92(6):523–30.CrossRefPubMed Bozkaya D, Muftu S, Muftu A. Evaluation of load transfer characteristics of five different implants in compact bone at different load levels by finite elements analysis. J Prosthet Dent. 2004;92(6):523–30.CrossRefPubMed
16.
go back to reference Barbier L, Vander SJ, Krzesinski G, Schepers E, Van der Perre G. Finite element analysis of non-axial versus axial loading of oral implants in the mandible of the dog. J Oral Rehabil. 1998;25(11):847–58.CrossRefPubMed Barbier L, Vander SJ, Krzesinski G, Schepers E, Van der Perre G. Finite element analysis of non-axial versus axial loading of oral implants in the mandible of the dog. J Oral Rehabil. 1998;25(11):847–58.CrossRefPubMed
17.
go back to reference Saime S, Murat C, Emine Y. The influence of functional forces on the biomechanics of implant-supported prostheses—a review. J Dent. 2002;30:271–82.CrossRef Saime S, Murat C, Emine Y. The influence of functional forces on the biomechanics of implant-supported prostheses—a review. J Dent. 2002;30:271–82.CrossRef
18.
go back to reference Balshi T, Hernandez R, Pryszlak M, Rangert B. A comparative study of one implant versus two replacing a single molar. Int J Oral Maxillofac Implants. 1996;11(3):372–8.PubMed Balshi T, Hernandez R, Pryszlak M, Rangert B. A comparative study of one implant versus two replacing a single molar. Int J Oral Maxillofac Implants. 1996;11(3):372–8.PubMed
19.
go back to reference Sullivan D, Siddiqui A. Wide diameter implants: overcoming problems. Dent Today. 1994;13:50–7.PubMed Sullivan D, Siddiqui A. Wide diameter implants: overcoming problems. Dent Today. 1994;13:50–7.PubMed
20.
go back to reference Bahat O, Handelsman M. Use of wide implants and double implants in the posterior jaw: a clinical report. Int J Oral Maxillofac Implants. 1996;11(3):379–86.PubMed Bahat O, Handelsman M. Use of wide implants and double implants in the posterior jaw: a clinical report. Int J Oral Maxillofac Implants. 1996;11(3):379–86.PubMed
21.
go back to reference Petropoulos V, Wolfinger G, Balshi T. Complications of mandibular molar replacement with a single implant: a case report. J Can Dent Assoc. 2004;70(4):238–42.PubMed Petropoulos V, Wolfinger G, Balshi T. Complications of mandibular molar replacement with a single implant: a case report. J Can Dent Assoc. 2004;70(4):238–42.PubMed
22.
go back to reference Jackson BJ. Small diameter implants: specific indications and considerations for the posterior mandible: a case report. J Oral Implantol. 2011;37 Spec No:156–64.CrossRefPubMed Jackson BJ. Small diameter implants: specific indications and considerations for the posterior mandible: a case report. J Oral Implantol. 2011;37 Spec No:156–64.CrossRefPubMed
23.
go back to reference Misch C. Contemporary implant dentistry. 3rd ed. St. Louis: Elsevier; 2008. p. 264–6. Misch C. Contemporary implant dentistry. 3rd ed. St. Louis: Elsevier; 2008. p. 264–6.
24.
go back to reference Von Recum A. Handbook of biomaterials evaluation: scientific, technical and clinical testing of implant materials. 1986. Von Recum A. Handbook of biomaterials evaluation: scientific, technical and clinical testing of implant materials. 1986.
25.
go back to reference Shigley J, Mischke C. Mechanical engineering design. 5th ed. New York: McGraw-Hill; 1989. p. 325–70. Shigley J, Mischke C. Mechanical engineering design. 5th ed. New York: McGraw-Hill; 1989. p. 325–70.
26.
go back to reference Bidez M, Misch C. Issues in bone mechanics related to oral implants. Implant Dent. 1992;1:289–94.CrossRefPubMed Bidez M, Misch C. Issues in bone mechanics related to oral implants. Implant Dent. 1992;1:289–94.CrossRefPubMed
27.
go back to reference Sevimay M, Turhan F, Kiliçarslan M, Eskitascioglu G. Three-dimensional finite element analysis of the effect of different bone quality on stress distribution in an implant-supported crown. J Prosthet Dent. 2005;93:227–34.CrossRefPubMed Sevimay M, Turhan F, Kiliçarslan M, Eskitascioglu G. Three-dimensional finite element analysis of the effect of different bone quality on stress distribution in an implant-supported crown. J Prosthet Dent. 2005;93:227–34.CrossRefPubMed
28.
go back to reference Bidez M, Misch C. Clinical biomechanics in implant dentistry. 2005. p. 310–2. Dental implant prosthetics. Bidez M, Misch C. Clinical biomechanics in implant dentistry. 2005. p. 310–2. Dental implant prosthetics.
29.
go back to reference Misch C, Suzuki I, Misch-Dietch D. A positive correlation between occlusion between occlusal trauma and peri-implant bone loss -literature support. implant dent. 2005;14:108–16.CrossRefPubMed Misch C, Suzuki I, Misch-Dietch D. A positive correlation between occlusion between occlusal trauma and peri-implant bone loss -literature support. implant dent. 2005;14:108–16.CrossRefPubMed
30.
go back to reference Misch C. Implant design considerations for the posterior regions of the mouth. Implant Dent. 1999;8:376–86.CrossRefPubMed Misch C. Implant design considerations for the posterior regions of the mouth. Implant Dent. 1999;8:376–86.CrossRefPubMed
31.
go back to reference Himmlova L, Dostalova T, Kacovsky A, Konvickova S. Influence of implant length and diameter on stress distribution: a finite element analysis. J Prosthet Dent. 2004;91(1):20–5.CrossRefPubMed Himmlova L, Dostalova T, Kacovsky A, Konvickova S. Influence of implant length and diameter on stress distribution: a finite element analysis. J Prosthet Dent. 2004;91(1):20–5.CrossRefPubMed
32.
go back to reference Shetty S, Puthukkat N, Bhat S, Shenoy K. Short implants: a new dimension in rehabilitation of atrophic maxilla and mandible. Journal of Interdisciplinary Dentistry. 2014;4(2):66.CrossRef Shetty S, Puthukkat N, Bhat S, Shenoy K. Short implants: a new dimension in rehabilitation of atrophic maxilla and mandible. Journal of Interdisciplinary Dentistry. 2014;4(2):66.CrossRef
33.
go back to reference Misch C, Bidez M. Contemporary implant dentistry. 2nd ed. St. Louis: Mosby; 1999. Misch C, Bidez M. Contemporary implant dentistry. 2nd ed. St. Louis: Mosby; 1999.
34.
go back to reference Misch C. Implant body size: a biomechanical and esthetic rationale, Contemporary Implant Dentistry. 2008. p. 160–77. Misch C. Implant body size: a biomechanical and esthetic rationale, Contemporary Implant Dentistry. 2008. p. 160–77.
35.
go back to reference O'Mahony A, Bowles Q, Woolsey G, Robinson S, Spencer P. Stress distribution in the single-unit osseointegrated dental implant: finite element analyses of axial and off-axial loading. Implant Dent. 2000;9(3):207–18.CrossRefPubMed O'Mahony A, Bowles Q, Woolsey G, Robinson S, Spencer P. Stress distribution in the single-unit osseointegrated dental implant: finite element analyses of axial and off-axial loading. Implant Dent. 2000;9(3):207–18.CrossRefPubMed
36.
go back to reference Fawzi S. The effect of dental implant design on bone induced stress distribution and implant displacement. Int J Comput Appl. 2013;74(17):15–20. Fawzi S. The effect of dental implant design on bone induced stress distribution and implant displacement. Int J Comput Appl. 2013;74(17):15–20.
37.
go back to reference Flanagan D. Avoiding osseous grafting in the atrophic posterior mandible for implant-supported fixed partial dentures: a report of 2 cases. J Oral Implantol. 2011;37(6):705–11.CrossRefPubMed Flanagan D. Avoiding osseous grafting in the atrophic posterior mandible for implant-supported fixed partial dentures: a report of 2 cases. J Oral Implantol. 2011;37(6):705–11.CrossRefPubMed
38.
go back to reference Seong W, Korioth T, Hodges J. Experimentally induced abutment strains in three types of single-molar implant restorations. J Prosthet Dent. 2000;84:318–26.CrossRefPubMed Seong W, Korioth T, Hodges J. Experimentally induced abutment strains in three types of single-molar implant restorations. J Prosthet Dent. 2000;84:318–26.CrossRefPubMed
39.
go back to reference Jarvis W. Biomechanical advantage of wide-diameter implants. Compend Contin Educ Dent. 1997;18:687–94.PubMed Jarvis W. Biomechanical advantage of wide-diameter implants. Compend Contin Educ Dent. 1997;18:687–94.PubMed
40.
go back to reference Rangert B, Jemt T, Jörnéus L. Forces and moments on Brånemark implants. Int J Oral Maxillofac Implants. 1989;4:241–7.PubMed Rangert B, Jemt T, Jörnéus L. Forces and moments on Brånemark implants. Int J Oral Maxillofac Implants. 1989;4:241–7.PubMed
41.
go back to reference Misch CE. A scientific rationale for dental implant design, DENTAL IMPLANT PROSTHETICS. 2005. p. 331. Misch CE. A scientific rationale for dental implant design, DENTAL IMPLANT PROSTHETICS. 2005. p. 331.
42.
go back to reference Misch C. Occlusal considerations for implant-supported prostheses, Contemporary Implant Dentistry. 1993. Misch C. Occlusal considerations for implant-supported prostheses, Contemporary Implant Dentistry. 1993.
43.
go back to reference Rangert B. Biomechanical considerations when choosing a platform. Nobel Biocare Global Forum. 1996;10(4):4. Rangert B. Biomechanical considerations when choosing a platform. Nobel Biocare Global Forum. 1996;10(4):4.
44.
go back to reference Linish V, Peteris A. Restorative factors that affect the biomechanics of the dental implant. Stomatologija, Baltic Dental and Maxillofacial Journal. 2003;5:123–8. Linish V, Peteris A. Restorative factors that affect the biomechanics of the dental implant. Stomatologija, Baltic Dental and Maxillofacial Journal. 2003;5:123–8.
45.
go back to reference Skalak R. Aspects of biomechanical considerations. In: Branemark PI, Zarb GA, Albrektsson, eds. Tissue integrated prostheses. 1985: p. 117–28. Skalak R. Aspects of biomechanical considerations. In: Branemark PI, Zarb GA, Albrektsson, eds. Tissue integrated prostheses. 1985: p. 117–28.
46.
go back to reference Davis D, Rimrott R, Zarb G. Studies on frameworks for osseointegrated prostheses: part 2. The effect of adding acrylic resin or porcelain to form the occlusal superstructure. Int J Oral Maxillofac Implants. 1988;3(4):275–80.PubMed Davis D, Rimrott R, Zarb G. Studies on frameworks for osseointegrated prostheses: part 2. The effect of adding acrylic resin or porcelain to form the occlusal superstructure. Int J Oral Maxillofac Implants. 1988;3(4):275–80.PubMed
47.
go back to reference Gracis S, Nicholls J, Chalupnik J, Yuodelis R. Shock-absorbing behavior of five restorative materials used on implants. Int J Prosthodont. 1990;4:282–91. Gracis S, Nicholls J, Chalupnik J, Yuodelis R. Shock-absorbing behavior of five restorative materials used on implants. Int J Prosthodont. 1990;4:282–91.
48.
go back to reference Skalak R. Biomechanical considerations in osseointegrated prostheses. J Prosthet Dent. 1983;49:843–8.CrossRefPubMed Skalak R. Biomechanical considerations in osseointegrated prostheses. J Prosthet Dent. 1983;49:843–8.CrossRefPubMed
49.
go back to reference Misch C. Clinical biomechanics in implant dentistry, Contemporary Implant Dentistry. 3rd ed. 2008. p. 543–56. mosby,inc. Misch C. Clinical biomechanics in implant dentistry, Contemporary Implant Dentistry. 3rd ed. 2008. p. 543–56. mosby,inc.
50.
go back to reference Lundgren D, Laurell L. Biomechanical aspects of fixed bridgework supported by natural teeth and endosseous implants. Periodontol 2000. 1994;4:23–40.CrossRefPubMed Lundgren D, Laurell L. Biomechanical aspects of fixed bridgework supported by natural teeth and endosseous implants. Periodontol 2000. 1994;4:23–40.CrossRefPubMed
51.
go back to reference Duyck J, Van Oosterwyck H, Vander SJ, De Cooman M, Puers R, Naert I. Influence of prosthesis material on the loading of implants that support a fixed partial prosthesis: in vivo study. Clin Implant Dent Relat Res. 2000;2(2):100–9.CrossRefPubMed Duyck J, Van Oosterwyck H, Vander SJ, De Cooman M, Puers R, Naert I. Influence of prosthesis material on the loading of implants that support a fixed partial prosthesis: in vivo study. Clin Implant Dent Relat Res. 2000;2(2):100–9.CrossRefPubMed
52.
go back to reference Stegaroiu R, Kusakari H, Nishiyama S, Miyakawa O. Influence of prosthesis material on stress distribution in bone and implant: a 3-dimensional finite element analysis. Int J Oral Maxillofac Implants. 1998;13(6):781–90.PubMed Stegaroiu R, Kusakari H, Nishiyama S, Miyakawa O. Influence of prosthesis material on stress distribution in bone and implant: a 3-dimensional finite element analysis. Int J Oral Maxillofac Implants. 1998;13(6):781–90.PubMed
53.
go back to reference Stegaroiu R, Khraisat A, Nomura S, Miyakawa O. Influence of superstructure materials on strain around an implant under 2 loading conditions: a technical investigation. Int J Oral Maxillofac Implants. 2004;19(5):735–42.PubMed Stegaroiu R, Khraisat A, Nomura S, Miyakawa O. Influence of superstructure materials on strain around an implant under 2 loading conditions: a technical investigation. Int J Oral Maxillofac Implants. 2004;19(5):735–42.PubMed
54.
go back to reference Desai S, Singh R, Karthikeyan I, Reetika J. Three-dimensional finite element analysis of effect of prosthetic materials and short implant biomechanics on D4 bone under immediate loading. J Dent Implant. 2012;2:2–8.CrossRef Desai S, Singh R, Karthikeyan I, Reetika J. Three-dimensional finite element analysis of effect of prosthetic materials and short implant biomechanics on D4 bone under immediate loading. J Dent Implant. 2012;2:2–8.CrossRef
55.
go back to reference Sertgoz A. Finite element analysis study of the effect of superstructure material on stress distribution in an implant-supported fixed prosthesis. Int J Prosthodont. 1997;10(1):19–27.PubMed Sertgoz A. Finite element analysis study of the effect of superstructure material on stress distribution in an implant-supported fixed prosthesis. Int J Prosthodont. 1997;10(1):19–27.PubMed
56.
go back to reference Wang T, Leu L, Wang J, Lin L. Effects of prosthesis materials and prosthesis splinting on peri-implant bone stress around implants in poor-quality bone: a numeric analysis. Int J Oral Maxillofac Implants. 2002;17(2):231–7.PubMed Wang T, Leu L, Wang J, Lin L. Effects of prosthesis materials and prosthesis splinting on peri-implant bone stress around implants in poor-quality bone: a numeric analysis. Int J Oral Maxillofac Implants. 2002;17(2):231–7.PubMed
Metadata
Title
Peri-implant biomechanical responses to standard, short-wide, and double mini implants replacing missing molar supporting hybrid ceramic or full-metal crowns under axial and off-axial loading: an in vitro study
Authors
Lamiaa Said Elfadaly
Lamiaa Sayed Khairallah
Mona Atteya Al Agroudy
Publication date
01-12-2017
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Implant Dentistry / Issue 1/2017
Electronic ISSN: 2198-4034
DOI
https://doi.org/10.1186/s40729-017-0094-2

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