Predicting time-dependent remodeling of bone around immediately loaded dental implants with different designs

The purpose of this study was to predict time-dependent biomechanics of bone around cylindrical screw dental implants with different macrogeometric designs under simulated immediate loading condition. The remodeling of bone around a parallel-sided and a tapered dental implant of same length was studied under 100N oblique load by implementing the Stanford theory into three-dimensional finite element models. The results of the analyses were examined in five time intervals consisting loading immediately after implant placement, and after 1, 2, 3 and 4 weeks following implantation. Maximum principal stress, minimum principal stress, and strain energy density in peri-implant bone and displacement in x-(implant lateral direction with a projection of the oblique force) and y-(implant longitudinal direction) axes of the implant were evaluated. The highest value of the maximum and minimum principal stresses around both implants increased in cortical bone and decreased in trabecular bone. The maximum and minimum principal stresses in cortical bone were higher around the tapered cylindrical implant, but stresses in the trabecular bone were higher around the parallel-sided cylindrical implant. Strain energy density around both implants increased in cortical bone, slightly decreased in trabecular bone, and higher values were obtained for the parallel-sided cylindrical implant. Displacement values slightly decreased in time in x-axis, and an initial decrease followed by a slight increase was observed in the y-axis. Bone responded differently in remodeling for the two implant designs under immediate loading, where the cortical bone carried the highest load. Application of oblique loading resulted in increase of stiffness in the peri-implant bone.