Measurements of bone and frame-work deformations induced by misfit of implant superstructures. A pilot study in...

This in vivo study used a 3-D photogrammetric technique to measure distortion of 3 unit implant frame-works and bone surrounding osseointegrated implants after securing misfitting superstructures to the implants. Four adult loop-eared rabbits were provided with 3 implants each in the proximal part of 1 tibia each. After a healing period of 8 weeks, a titanium frame-work was connected with a misfit to the central implant. Three-dimensional photographs were taken before and after securing the central screw, which induced a calculated mean preload of 246 N. Measurements and comparisons of the topography of the frame-works and surrounding bone before and after tightening the central screw indicated a complex and inconsistent deformation pattern. Generally, it could be observed that the top edge of the central cylinder showed vertical movement towards the bone of about 150 microns, always in combination with a rotation of the entire super-structure. The head of the central implant seemed to show a corresponding displacement towards the frame-work of about 50 to 200 microns. Bone deformation was found to be basically localized between the implants, where compressions of about half a millimetre were observed. This concentration of bone deformation as a result of misfit may be one contributing factor to initial marginal bone loss, occasionally observed after insertion of implant supported prostheses.