<i>In vitro</i> bone strain analysis of implant following occlusal overload

Clinical Oral Implants Research - Tập 25 Số 2 - 2014
Janice P.M. Kan1, Roy Judge1, Joseph E.A. Palamara1
1Melbourne Dental School, University of Melbourne, Melbourne, VIC, Australia

Tóm tắt

AbstractObjectivesTo enumerate peri‐implant bone strain pattern under quantified occlusal load and verify the bone response through comparison with the critical strain thresholds defined by Frost's bone mechanostat theory.Material and MethodsMandibular unilateral recipient sites in two greyhound dogs were established with posterior teeth extractions. After 6 weeks, four titanium implants were placed in each dog mandible. Following 12 weeks of healing, successfully osseointegrated implants were placed in supra‐occlusal contact via screw‐retained non‐splinted metal crowns. Plaque control and a dental health enhancing diet were prescribed. A bite force detection device was used to quantify in vivo occlusal load as the dogs functioned with supra‐occlusal contact. After 8 weeks, the dogs were sacrificed. In vitro peri‐implant bone strain under quantified occlusal load was measured using bonded stacked rosette strain gauges.ResultsThe average and peak in vivo occlusal load measured were 434 and 795 newton (N). When individually and simultaneously loaded in vitro (≤476 N), absolute bone strains up to 1133 and 753 microstrains (με) were measured at implant apices, respectively. Bone strain reaching 229 με was recorded at distant sites. For bone strain to reach the pathological overload threshold defined by Frost's bone mechanostat theory (3000 με), an occlusal load of 1344 N (greater than peak measured in vivo) is required based on the simple linear regression model.ConclusionUnder the in vivo and in vitro conditions investigated in this study, peri‐implant bone was not found to be under pathological overload following supra‐occlusal contact function. Strain dissipation to distant sites appeared to be an effective mechanism by which implant overload was avoided.

Từ khóa


Tài liệu tham khảo

10.1177/00220345990780040801

Akça K., 2008, A photoelastic and strain‐gauge analysis of interface force transmission of internal‐cone implants, International Journal of Periodontics and Restorative Dentistry., 28, 391

10.1111/j.1600-0501.2006.01365.x

10.1067/mpr.2003.91

Attard N., 2004, Long‐term treatment outcomes in edentulous patients with implant‐fixed prostheses: The Toronto Study, International Journal of Prosthodontics, 17, 417

10.1111/j.1365-2842.1975.tb00921.x

Baumeister T., 1978, Marks Standard Handbook of Mechanical Engineers, 378–382

10.1097/00008505-199200140-00011

10.1111/j.1600-0501.2009.01762.x

10.1034/j.1600-0501.1998.090402.x

Brunski J.B., 2003, Osseointegration in Dentistry: An Introduction, 49

10.1016/j.jdent.2003.09.003

10.1902/jop.2010.100176

10.1111/j.1600-0501.2009.01826.x

Cowin S., 2001, Bone Mechanics Handbook, 1, 10.1201/b14263

10.1006/jhev.1997.0164

10.1002/(SICI)1096-8644(199801)105:1<73::AID-AJPA7>3.0.CO;2-E

10.1002/1096-8644(200008)112:4<541::AID-AJPA8>3.0.CO;2-Z

10.1109/10.133228

10.1034/j.1600-0501.2000.011005465.x

Ekelund J., 2003, Implant treatment in the edentulous mandible: a prospective study on Branemark system implants over more than 20 years, International Journal of Prosthodontics, 16, 602

10.1034/j.1600-0501.2001.120505.x

Engel G.‐R.G., 2001, Effect of occlusal wear on bone loss and Periotest value of dental implants, International Journal of Prosthodontics, 14, 444

10.1046/j.0909-8836..t01-2-.x

10.1002/ar.1092190104

Frost H.M., 2001, Why should many skeletal scientists and clinicians learn the Utah paradigm of skeletal physiology?, Journal of Musculoskeletal and Neuronal Interactions, 2, 121

Frost H.M., 2004, A 2003 update of bone physiology and Wolff's law for clinicians, The Angle orthodontist, 74, 3

Frost H.M., 2004, The Utah Paradigm of Skeletal Physiology. Volume I: Bone, Bones (and Associated Problems)

10.1902/jop.2001.72.8.1113

10.1067/mpr.2001.115251

Gokcen‐Rohlig B., 2009, Survival and Success of ITI Implants and Prostheses: retrospective Stud of Cases with 5‐Year Follow‐Up, European Journal of Dentistry, 3, 42, 10.1055/s-0039-1697404

10.1016/S0022-3913(99)70208-8

10.1034/j.1600-0501.2001.012001001.x

10.1034/j.1600-0501.2001.012003196.x

10.1034/j.1600-0501.2001.120602.x

10.1034/j.1600-051x.2002.290209.x

Greenberg S., 1968, Proceedings of The Twelfth Stapp Car Crash Conference, 271

Hamel L., 1997, Measurement of biting‐pulling strength developed on canine teeth of military dogs, Journal of Veterinary Dentistry, 14, 57, 10.1177/089875649701400202

10.1111/j.1600-0501.2004.01019.x

10.1111/j.1365-2842.1980.tb00459.x

10.1016/S1095-6433(01)00472-X

10.1111/j.1600-0501.2006.01358.x

Hoshaw S.J., 1994, Mechanical loading of Branemark implants affects interfacial bone modeling and remodeling, International Journal of Oral & Maxillofacial Implants, 9, 345

10.1111/j.1600-0501.2010.01983.x

10.1902/jop.1998.69.3.396

10.1002/jmor.1051590208

10.1002/(SICI)1096-8644(199702)102:2<203::AID-AJPA5>3.0.CO;2-Z

10.1002/(SICI)1096-8644(199811)107:3<257::AID-AJPA3>3.0.CO;2-6

10.1034/j.1600-0501.1996.070208.x

10.1111/j.1600-0501.1997.tb00001.x

Isidor F., 1999, Proceedings of the Third European Workshop on Periodontology, 358

10.1111/j.1600-0501.2006.01360.x

10.1111/j.1600-0757.2007.00241.x

10.1111/j.1708-8208.2006.00002.x

10.1111/j.1708-8208.2006.00003.x

Jemt T., 1989, Osseointegrated implants in the treatment of partially edentulous patients: a preliminary study on 876 consecutively placed fixtures, International Journal of Oral & Maxillofacial Implants, 4, 211

10.1016/j.jpor.2011.02.004

Judge R.B., 2006, An In Vitro and In Vivo Investigation Into Masticatory Bone Strain Using a Dog Model Melbourne Dental School

10.1016/0022-3913(79)90350-0

10.1111/j.1600-0501.2004.01067.x

10.1111/j.1600-0501.2004.01022.x

10.1111/j.1600-0501.2007.01446.x

10.1111/j.1600-0501.2007.01374.x

10.1590/S1678-77572008000300002

10.1034/j.1600-0501.1998.090203.x

Lindhe J., 2003, Clinical Periodontology and Implant Dentistry

10.1177/089875649501200202

10.1111/j.1365-2842.2006.01609.x

10.1111/j.1365-2842.1990.tb00014.x

10.1016/S0278-2391(16)31199-5

10.1034/j.1600-0501.2001.120501.x

Micro‐Measurement, 2010, Strain Gage Rosettes: Selection, Application and Data Reduction (Technical Note – 515)

10.1097/01.id.0000165033.34294.db

Miyata T., 1998, The influence of controlled occlusal overload on peri‐implant tissue: A histologic study in monkeys, International Journal of Oral & Maxillofacial Implants, 13, 677

Miyata T., 2000, The influence of controlled occlusal overload on peri‐implant tissue. Part 3: A histologic study in monkeys, International Journal of Oral & Maxillofacial Implants, 17, 425

10.1016/0022-3913(92)90557-Q

10.1111/j.1600-051X.2011.01836.x

10.1902/jop.2002.73.3.322

10.1016/S0278-2391(96)90167-6

10.22203/eCM.v013a01

10.1034/j.1600-0501.1992.030302.x

Rangert B., 1995, Bending overload and implant fracture: a retrospective clinical analysis, International Journal of Oral & Maxillofacial Implants, 10, 326

10.1002/1097-4687(200007)245:1<51::AID-JMOR4>3.0.CO;2-7

10.1111/j.1875-595X.2008.tb00189.x

10.1016/0021-9290(87)90020-0

10.1002/(SICI)1096-8644(199610)101:2<183::AID-AJPA6>3.0.CO;2-3

Rubin C.T., 1982, Limb mechanics as a function of speed and gait – a study of functional strains in the radius and tibia of horse and dog, Journal of Experimental Biology, 101, 187, 10.1242/jeb.101.1.187

10.1016/S0300-5712(02)00065-9

Salvi G.E., 2009, Mechanical and technical risks in implant therapy, International Journal of Oral and Maxillofacial Implants, 24, 69

10.1111/j.1600-0757.2008.00267.x

10.1016/0022-3913(94)90250-X

10.1016/S0022-3913(99)70209-X

10.1111/j.1741-2358.2004.00006.x

10.1111/j.1600-0501.2010.01982.x

10.1034/j.1600-0501.2000.011S1101.x

10.1563/1548-1336(2007)33[211:IZOTJI]2.0.CO;2

10.1177/08959374990130010801

10.1186/1472-6831-8-32

10.1007/s002239900734

10.1016/8756-3282(93)90081-K

Wennerberg A., 2001, Influence of occlusal factors on treatment outcome: a study of 109 consecutive patients with mandibular implant‐supported fixed prostheses opposing maxillary complete dentures, International Journal of Prosthodontics, 14, 550

10.1034/j.1600-0501.2002.130206.x

Zarb J.P., 2002, Implant prosthodontic management of anterior partial edentulism: long‐term follow‐up of a prospective study, Journal of the Canadian Dental Association, 68, 92

10.1111/j.1600-0501.2009.01773.x

Thông tin
Thông tin xuất bản

Clinical Oral Implants Research

Tập 25 Số 2

Thông tin tác giả