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      2D FEA of evaluation of micromovements and stresses at bone-implant interface in immediately loaded tapered implants in the posterior maxilla

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          Abstract

          Aim:

          The aim of the study is to evaluate the influence implant length on stress distribution at bone implant interface in single immediately loaded implants when placed in D4 bone quality.

          Materials and Methods:

          A 2-dimensional finite element models were developed to simulate two types of implant designs, standard 3.75 mm–diameter tapered body implants of 6 and 10 mm lengths. The implants were placed in D4 bone quality with a cortical bone thickness of 0.5 mm. The implant design incorporated microthreads at the crestal part and the rest of the implant body incorporated Acme threads. The Acme thread form has a 29° thread angle with a thread height half of the pitch; the apex and valley are flat. A 100 N of force was applied vertically and in the oblique direction (at an angle of 45°) to the long axis of the implants. The respective material properties were assigned. Micro-movements and stresses at the bone implant interface were evaluated.

          Results:

          The results of total deformation (micro-movement) and Von mises stress were found to be lower for tapered long implant (10 mm) than short implant (6 mm) while using both vertical as well as oblique loading.

          Conclusion:

          Short implants can be successfully placed in poor bone quality under immediate loading protocol. The novel approach of the combination of microthreads at the crestal portion and acme threads for body portion of implant fixture gave promising results.

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          Most cited references71

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          Surface treatments of titanium dental implants for rapid osseointegration.

          The osseointegration rate of titanium dental implants is related to their composition and surface roughness. Rough-surfaced implants favor both bone anchoring and biomechanical stability. Osteoconductive calcium phosphate coatings promote bone healing and apposition, leading to the rapid biological fixation of implants. The different methods used for increasing surface roughness or applying osteoconductive coatings to titanium dental implants are reviewed. Surface treatments, such as titanium plasma-spraying, grit-blasting, acid-etching, anodization or calcium phosphate coatings, and their corresponding surface morphologies and properties are described. Most of these surfaces are commercially available and have proven clinical efficacy (>95% over 5 years). The precise role of surface chemistry and topography on the early events in dental implant osseointegration remain poorly understood. In addition, comparative clinical studies with different implant surfaces are rarely performed. The future of dental implantology should aim to develop surfaces with controlled and standardized topography or chemistry. This approach will be the only way to understand the interactions between proteins, cells and tissues, and implant surfaces. The local release of bone stimulating or resorptive drugs in the peri-implant region may also respond to difficult clinical situations with poor bone quality and quantity. These therapeutic strategies should ultimately enhance the osseointegration process of dental implants for their immediate loading and long-term success.
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            Osseointegration and its experimental background.

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              Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period.

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                Author and article information

                Journal
                J Indian Soc Periodontol
                J Indian Soc Periodontol
                JISP
                Journal of Indian Society of Periodontology
                Medknow Publications & Media Pvt Ltd (India )
                0972-124X
                0975-1580
                Sep-Oct 2013
                : 17
                : 5
                : 637-643
                Affiliations
                [1] Department of Periodontology and Implantology, H.K.E. Society's S. Nijalingappa Institute of Dental Sciences and Research, Gulbarga, Karnataka, India
                [1 ] Department of Periodontics, Saveetha Dental College and Hospital, Chennai, Tamil Nadu, India
                Author notes
                Address for correspondence: Dr. Shrikar R. Desai, Department of Periodontology and Implantology, H.K.E. Society's S. Nijalingappa Institute of Dental Sciences and Research, Sedam Road, Gulbarga - 585 105, Karnataka, India. E-mail: drshride@ 123456yahoo.com
                Article
                JISP-17-637
                10.4103/0972-124X.119283
                3808020
                24174759
                e1a08585-f80a-4246-8fe6-5ecb68234bcf
                Copyright: © Journal of Indian Society of Periodontology

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 19 June 2012
                : 27 July 2013
                Categories
                Original Article

                Dentistry
                finite element analysis,immediate loading,implant length,microthreads
                Dentistry
                finite element analysis, immediate loading, implant length, microthreads

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