Optimizing dental implant design: Structure, strength, and bone ingrowth

Background/purpose: Replacing missing teeth with implant-supported prostheses is a common practice; however, function-induced early bone loss may exacerbate peri-implantitis. Identifying factors that influence marginal bone loss is crucial. This study used finite element (FE) simulation and in-vitro...

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Main Authors: Jenny Zwei-Chieng Chang, Jui-Ting Hsu, Ming-Jun Li, Hung-Ying Lin, Jason Sun, Nien-Ti Tsou, Jui-Sheng Sun
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Journal of Dental Sciences
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Online Access:http://www.sciencedirect.com/science/article/pii/S1991790224003970
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author Jenny Zwei-Chieng Chang
Jui-Ting Hsu
Ming-Jun Li
Hung-Ying Lin
Jason Sun
Nien-Ti Tsou
Jui-Sheng Sun
author_facet Jenny Zwei-Chieng Chang
Jui-Ting Hsu
Ming-Jun Li
Hung-Ying Lin
Jason Sun
Nien-Ti Tsou
Jui-Sheng Sun
author_sort Jenny Zwei-Chieng Chang
collection DOAJ
description Background/purpose: Replacing missing teeth with implant-supported prostheses is a common practice; however, function-induced early bone loss may exacerbate peri-implantitis. Identifying factors that influence marginal bone loss is crucial. This study used finite element (FE) simulation and in-vitro analysis to evaluate design concepts and their effects on stresses and strains in dental implants and surrounding bone. Materials and methods: Five implant designs were analyzed: (1) full solid, (2) upper porous, (3) lower porous, (4) lower porous: upper half, and (5) lower porous: lower half. The study included stability measurements, three-dimensional FE modeling, in-vitro mechanical testing, and simulations of long-term bone remodeling. Results: The full-solid design showed the highest stress tolerance, followed by the lower porous and upper porous designs. Stress concentration was higher with oblique forces. The upper porous design favored bone strain distribution but exhibited permanent deformation beyond 350 N. Lower porous implants demonstrated similar strength to the full solid but superior marginal bone growth. Conclusion: Within the scope of this study, the following conclusions were drawn: (1) A well-designed porous structure enhances post-implantation bone growth; (2) An upper porous design facilitates bone ingrowth but exhibits reduced strength under stress; (3) Lowering porosity adversely affects bone regeneration.
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spelling doaj-art-d0b43ea0270942d8b607dbb52e064b612025-08-20T03:44:28ZengElsevierJournal of Dental Sciences1991-79022025-04-012021016102610.1016/j.jds.2024.11.024Optimizing dental implant design: Structure, strength, and bone ingrowthJenny Zwei-Chieng Chang0Jui-Ting Hsu1Ming-Jun Li2Hung-Ying Lin3Jason Sun4Nien-Ti Tsou5Jui-Sheng Sun6School of Dentistry, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Dentistry, National Taiwan University Hospital, Taipei, TaiwanSchool of Dentistry, China Medical University, Taichung, Taiwan; Department of Bioinformatics and Medical Engineering, Asia University, Taichung, Taiwan; School of Dentistry, China Medical University and Hospital, Taichung, TaiwanDepartment of Materials Science and Engineering, National Yang Ming Chiao Tung University, Hsinchu, TaiwanDepartment of Dentistry, National Taiwan University Hospital, Taipei, TaiwanCarmel Catholic High School, One Carmel Parkway, Mundelein, IL, USADepartment of Materials Science and Engineering, National Yang Ming Chiao Tung University, Hsinchu, Taiwan; Corresponding author. Department of Materials Science and Engineering, National Yang Ming Chiao Tung University, No. 1001, Daxue Rd. East Dist., Hsinchu City 300093, Taiwan.Department of Orthopedic Surgery, Landseed International Hospital, Taoyuan, Taiwan; Department of Orthopedic Surgery, National Taiwan University Hospital, Taipei, Taiwan; Corresponding author. Department of Orthopedic Surgery, Landseed International Hospital, No. 77, Guangtai Road, Pingzhen District, Taoyuan City 324609, Taiwan.Background/purpose: Replacing missing teeth with implant-supported prostheses is a common practice; however, function-induced early bone loss may exacerbate peri-implantitis. Identifying factors that influence marginal bone loss is crucial. This study used finite element (FE) simulation and in-vitro analysis to evaluate design concepts and their effects on stresses and strains in dental implants and surrounding bone. Materials and methods: Five implant designs were analyzed: (1) full solid, (2) upper porous, (3) lower porous, (4) lower porous: upper half, and (5) lower porous: lower half. The study included stability measurements, three-dimensional FE modeling, in-vitro mechanical testing, and simulations of long-term bone remodeling. Results: The full-solid design showed the highest stress tolerance, followed by the lower porous and upper porous designs. Stress concentration was higher with oblique forces. The upper porous design favored bone strain distribution but exhibited permanent deformation beyond 350 N. Lower porous implants demonstrated similar strength to the full solid but superior marginal bone growth. Conclusion: Within the scope of this study, the following conclusions were drawn: (1) A well-designed porous structure enhances post-implantation bone growth; (2) An upper porous design facilitates bone ingrowth but exhibits reduced strength under stress; (3) Lowering porosity adversely affects bone regeneration.http://www.sciencedirect.com/science/article/pii/S1991790224003970PorousFinite element analysisBiological and mechanical studyDental implant design
spellingShingle Jenny Zwei-Chieng Chang
Jui-Ting Hsu
Ming-Jun Li
Hung-Ying Lin
Jason Sun
Nien-Ti Tsou
Jui-Sheng Sun
Optimizing dental implant design: Structure, strength, and bone ingrowth
Journal of Dental Sciences
Porous
Finite element analysis
Biological and mechanical study
Dental implant design
title Optimizing dental implant design: Structure, strength, and bone ingrowth
title_full Optimizing dental implant design: Structure, strength, and bone ingrowth
title_fullStr Optimizing dental implant design: Structure, strength, and bone ingrowth
title_full_unstemmed Optimizing dental implant design: Structure, strength, and bone ingrowth
title_short Optimizing dental implant design: Structure, strength, and bone ingrowth
title_sort optimizing dental implant design structure strength and bone ingrowth
topic Porous
Finite element analysis
Biological and mechanical study
Dental implant design
url http://www.sciencedirect.com/science/article/pii/S1991790224003970
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