Biomechanical Analysis of Various Connector Designs of Dental Implant Complex: A Numerical Finite Element Study

Objective: To evaluate the biomechanical behavior of 5 types of commonly used implant/abutment connectors, using Finite Element Methods (FEM). Methods: Five models of implant-abutment connections were designed using computer-aided design (CAD) software: Tri-channel (M1), Conical internal hexagon (M2...

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Main Authors: Shawkat A Elsheikh, Mohamed I El-Anwar, Tao Hong, Christoph Bourauel, Abdulaziz Alhotan, Noha M Anany, Islam G Shahin, Al-Hassan Diab, Tarek M Elshazly
Format: Article
Language:English
Published: Elsevier 2025-08-01
Series:International Dental Journal
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Online Access:http://www.sciencedirect.com/science/article/pii/S0020653925001625
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author Shawkat A Elsheikh
Mohamed I El-Anwar
Tao Hong
Christoph Bourauel
Abdulaziz Alhotan
Noha M Anany
Islam G Shahin
Al-Hassan Diab
Tarek M Elshazly
author_facet Shawkat A Elsheikh
Mohamed I El-Anwar
Tao Hong
Christoph Bourauel
Abdulaziz Alhotan
Noha M Anany
Islam G Shahin
Al-Hassan Diab
Tarek M Elshazly
author_sort Shawkat A Elsheikh
collection DOAJ
description Objective: To evaluate the biomechanical behavior of 5 types of commonly used implant/abutment connectors, using Finite Element Methods (FEM). Methods: Five models of implant-abutment connections were designed using computer-aided design (CAD) software: Tri-channel (M1), Conical internal hexagon (M2), Morse taper with an integrated screw (M3), Internal hexagon (M4), and Tube-in-tube (M5). The bone was modeled as coaxial cylinders, with the inner cylinder representing spongy bone and the outer 1 mm-thick cylinder representing cortical bone. A premolar crown geometry was designed onto the abutment with a 40 µm-thick cement layer. Three loading scenarios were applied to each model: (1) a 100 N compressive load, (2) a 50 N oblique load at 45° (relative to the implant axis), and (3) a 50 N lateral load. Results: All stress and deformation values remain within the tolerable limits for the materials used. Notably, M1, M4, and M5 exhibited optimal biomechanical performance. M1 and M4 recorded the lowest stresses in implant components, 24.4 to 24.8 MPa in the abutment and 27.5 to 27.9 MPa in the screw under compression, along with minimal crown deformation (8.6 µm compared to M3’s 11.7 µm). In contrast, M3 experienced the highest implant-component stresses (68.5 MPa in the abutment and 120.2 MPa in the screw) but showed the lowest cortical bone stress at 7.7 MPa, versus 10.2 MPa in M4. Conclusion: For long-term durability, implants with an internal hexagon (M4) or tri-channel (M1) design are preferable, as they minimize stress and deformation within the implant complex, thereby reducing the risk of prosthetic failure. While the Morse taper (M3) design may benefit patients with compromised bone density, its higher implant-component stresses warrant caution. Clinical significance: This study provides valuable insights to support evidence-based selection of implant–abutment connection designs. Among the 5 evaluated systems, the Tri-channel (M1) and Internal Hexagon (M4) designs demonstrated superior biomechanical performance by minimizing stress concentrations within the implant components and surrounding bone. These configurations are therefore recommended for routine clinical use to enhance prosthetic stability, reduce the likelihood of mechanical complications such as screw loosening or fracture, and prolong implant longevity. Conversely, although the Morse Taper with integrated screw (M3) design showed the lowest stress on cortical bone – suggesting potential benefit for patients with reduced bone quality – it exhibited the highest stress levels within implant components, indicating a higher mechanical failure risk. Clinicians should weigh these biomechanical trade-offs when planning treatment, particularly in patients with high functional loads or compromised bone conditions.
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spelling doaj-art-7fa23c4fc1ff4a5c96a17805fc046bc22025-08-20T03:27:24ZengElsevierInternational Dental Journal0020-65392025-08-0175410087310.1016/j.identj.2025.100873Biomechanical Analysis of Various Connector Designs of Dental Implant Complex: A Numerical Finite Element StudyShawkat A Elsheikh0Mohamed I El-Anwar1Tao Hong2Christoph Bourauel3Abdulaziz Alhotan4Noha M Anany5Islam G Shahin6Al-Hassan Diab7Tarek M Elshazly8Faculty of Dentistry, Galala University, Suez, Egypt; Implantology Department, Hospital of Stomatology, Xi'an Jiaotong University, Shaanxi, ChinaDepartment of Mechanical Engineering, National Research Centre, Giza, EgyptImplantology Department, Hospital of Stomatology, Xi'an Jiaotong University, Shaanxi, ChinaOral Technology, Dental School, University Hospital Bonn, Bonn, GermanyDepartment of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi ArabiaFaculty of Dentistry, Ain Shams University, Cairo, EgyptFaculty of Dentistry, Ain Shams University, Cairo, Egypt; Private Clinic, Abu Dhabi, UAEDepartment of Oral Medicine, Periodontology and Diagnosis, Faculty of Dentistry, British University in Egypt, Cairo, EgyptOral Technology, Dental School, University Hospital Bonn, Bonn, Germany; Corresponding author. Oral Technology, University Hospital Bonn, Welschnonnenstr. 17, 53111 Bonn, Germany.Objective: To evaluate the biomechanical behavior of 5 types of commonly used implant/abutment connectors, using Finite Element Methods (FEM). Methods: Five models of implant-abutment connections were designed using computer-aided design (CAD) software: Tri-channel (M1), Conical internal hexagon (M2), Morse taper with an integrated screw (M3), Internal hexagon (M4), and Tube-in-tube (M5). The bone was modeled as coaxial cylinders, with the inner cylinder representing spongy bone and the outer 1 mm-thick cylinder representing cortical bone. A premolar crown geometry was designed onto the abutment with a 40 µm-thick cement layer. Three loading scenarios were applied to each model: (1) a 100 N compressive load, (2) a 50 N oblique load at 45° (relative to the implant axis), and (3) a 50 N lateral load. Results: All stress and deformation values remain within the tolerable limits for the materials used. Notably, M1, M4, and M5 exhibited optimal biomechanical performance. M1 and M4 recorded the lowest stresses in implant components, 24.4 to 24.8 MPa in the abutment and 27.5 to 27.9 MPa in the screw under compression, along with minimal crown deformation (8.6 µm compared to M3’s 11.7 µm). In contrast, M3 experienced the highest implant-component stresses (68.5 MPa in the abutment and 120.2 MPa in the screw) but showed the lowest cortical bone stress at 7.7 MPa, versus 10.2 MPa in M4. Conclusion: For long-term durability, implants with an internal hexagon (M4) or tri-channel (M1) design are preferable, as they minimize stress and deformation within the implant complex, thereby reducing the risk of prosthetic failure. While the Morse taper (M3) design may benefit patients with compromised bone density, its higher implant-component stresses warrant caution. Clinical significance: This study provides valuable insights to support evidence-based selection of implant–abutment connection designs. Among the 5 evaluated systems, the Tri-channel (M1) and Internal Hexagon (M4) designs demonstrated superior biomechanical performance by minimizing stress concentrations within the implant components and surrounding bone. These configurations are therefore recommended for routine clinical use to enhance prosthetic stability, reduce the likelihood of mechanical complications such as screw loosening or fracture, and prolong implant longevity. Conversely, although the Morse Taper with integrated screw (M3) design showed the lowest stress on cortical bone – suggesting potential benefit for patients with reduced bone quality – it exhibited the highest stress levels within implant components, indicating a higher mechanical failure risk. Clinicians should weigh these biomechanical trade-offs when planning treatment, particularly in patients with high functional loads or compromised bone conditions.http://www.sciencedirect.com/science/article/pii/S0020653925001625BiomechanicsImplantAbutmentBoneFEMFEA
spellingShingle Shawkat A Elsheikh
Mohamed I El-Anwar
Tao Hong
Christoph Bourauel
Abdulaziz Alhotan
Noha M Anany
Islam G Shahin
Al-Hassan Diab
Tarek M Elshazly
Biomechanical Analysis of Various Connector Designs of Dental Implant Complex: A Numerical Finite Element Study
International Dental Journal
Biomechanics
Implant
Abutment
Bone
FEM
FEA
title Biomechanical Analysis of Various Connector Designs of Dental Implant Complex: A Numerical Finite Element Study
title_full Biomechanical Analysis of Various Connector Designs of Dental Implant Complex: A Numerical Finite Element Study
title_fullStr Biomechanical Analysis of Various Connector Designs of Dental Implant Complex: A Numerical Finite Element Study
title_full_unstemmed Biomechanical Analysis of Various Connector Designs of Dental Implant Complex: A Numerical Finite Element Study
title_short Biomechanical Analysis of Various Connector Designs of Dental Implant Complex: A Numerical Finite Element Study
title_sort biomechanical analysis of various connector designs of dental implant complex a numerical finite element study
topic Biomechanics
Implant
Abutment
Bone
FEM
FEA
url http://www.sciencedirect.com/science/article/pii/S0020653925001625
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