FE-simulation of bone modeling around an implant in the mandible in two-stage versus one-stage implantation

On the basis of a FE-model for bone modeling which takes into account bone apposition and resorption as well as revascularization, the ossification process of the repair zone around a dental implant in the mandible is studied for two alternatives. The conventional two-stage implantation method consists of a healing phase (no direct loading of the implant) and a functional phase (direct loading). In the recently applied one-stage method the healing phase is omitted (early loading). The presented simulations show that both processes finally lead to the same degree of ossification of the repair zone. However, the relative displacements and rotations of the implant are considerably larger in the one-stage process and might therefore possibly lead to a violation of the bond between implant and bone.