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http://dx.doi.org/10.14347/jtd.2020.42.4.348

Comparison of stress distribution in bone and implant-supported dental prosthesis with zirconia and titanium implants: a 3-dimensional finite element analysis  

Hong, Min-Ho (Department of Dental Laboratory Science, College of Health Science, Catholic University of Pusan)
Publication Information
Journal of Technologic Dentistry / v.42, no.4, 2020 , pp. 348-354 More about this Journal
Abstract
Purpose: Zirconia is differentiated from other ceramics because of its high resistance to corrosion and wear, excellent flexural strength (900~1400 MPa), and high hardness. Dental zirconia with proven mechanical/biological stability is suitable for the manufacture of implants. However, there are limited in vivo studies evaluating stress distribution in zirconia compared with that in titanium implants and studies analyzing finite elements. This study was conducted to evaluate the stress distribution of the supporting bone surrounding zirconia and titanium implants using the finite element analysis method. Methods: For finite element analysis, a single implant-supported restoration was designed. Using a universal analysis program, eight occlusal points were set in the direction of the occlusal long axis. The occlusal load was simulated at 700 N. Results: The zirconia implant (47.7 MPa) von Mises stress decreased by 5.3% in the upper cortical bone compared with the titanium implant (50.2 MPa) von Mises stress. Similarly, the zirconia implant (20.8 MPa) von Mises stress decreased by almost 4% in the cancellous bone compared with the titanium implant (21.7 MPa) von Mises stress. The principal stress in the cortical and cancellous bone exhibited a similar propensity to von Mises stress. Conclusion: In the supporting bone, the zirconia implant is able to reduce bone resorption caused by mechanically transferred stress. It is believed that the zirconia implant can be a potential substitute for the titanium implant by reinforcing aesthetic characteristics and improving stress distribution.
Keywords
Bite force; Dental Implants; Finite element analysis; Implant-supported dental prosthesis;
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1 Brull F, van Winkelhoff AJ, Cune MS. Zirconia dental implants: a clinical, radiographic, and microbiologic evaluation up to 3 years. Int J Oral Maxillofac Implants. 2014; 29:914-920.   DOI
2 Borgonovo AE, Censi R, Vavassori V, Arnaboldi O, Maiorana C, Re D. Zirconia implants in esthetic areas: 4-year follow-up evaluation study. Int J Dent. 2015;2015:415029.   DOI
3 Verri FR, Santiago Junior JF, Almeida DA, Verri AC, Batista VE, Lemos CA, et al. Three-dimensional finite element analysis of anterior single implant-supported prostheses with different bone anchorages. Scientific World J. 2015;2015:321528.
4 Ha SR, Kim SH, Lee JB, Han JS, Yeo IS, Yoo SH, et al. Biomechanical three-dimensional finite element analysis of monolithic zirconia crown with different cement thickness. Ceram Int. 2016;42:14928-14936.   DOI
5 Marcian P, Wolff J, Horackova L, Kaiser J, Zikmund T, Borak L. Micro finite element analysis of dental implants under different loading conditions. Comput Biol Med. 2018;96:157-165.   DOI
6 Perez-Pevida E, Brizuela-Velasco A, Chavarri-Prado D, Jimenez-Garrudo A, Sanchez-Lasheras F, Solaberrieta-Mendez E, et al. Biomechanical consequences of the elastic properties of dental implant alloys on the supporting bone: finite element analysis. Biomed Res Int. 2016;2016: 1850401.
7 Osman RB, Swain MV. A critical review of dental implant materials with an emphasis on titanium versus zirconia. Materials (Basel). 2015;8:932-958.   DOI
8 Manzano G, Herrero LR, Montero J. Comparison of clinical performance of zirconia implants and titanium implants in animal models: a systematic review. Int J Oral Maxillofac Implants. 2014;29:311-320.   DOI
9 Kelly JR, Denry I. Stabilized zirconia as a structural ceramic: an overview. Dent Mater. 2008;24:289-298.   DOI
10 Kohal RJ, Papavasiliou G, Kamposiora P, Tripodakis A, Strub JR. Three-dimensional computerized stress analysis of commercially pure titanium and yttrium-partially stabilized zirconia implants. Int J Prosthodont. 2002;15:189-194.
11 Caglar A, Bal BT, Karakoca S, Aydin C, Yilmaz H, Sarisoy S. Three-dimensional finite element analysis of titanium and yttrium-stabilized zirconium dioxide abutments and implants. Int J Oral Maxillofac Implants. 2011;26:961-969.
12 Alkan I, Sertgoz A, Ekici B. Influence of occlusal forces on stress distribution in preloaded dental implant screws. J Prosthet Dent. 2004;91:319-325.   DOI
13 Jorn D, Kohorst P, Besdo S, Rucker M, Stiesch M, Borchers L. Influence of lubricant on screw preload and stresses in a finite element model for a dental implant. J Prosthet Dent. 2014;112:340-348.   DOI
14 Khorasani AM, Goldberg M, Doeven EH, Littlefair G. Titanium in biomedical applications- properties and fabrication: a review. J Biomater Tissue Eng. 2015;5:593-619.   DOI
15 Siddiqi A, Payne AGT, De Silva RK, Duncan WJ. Titanium allergy: could it affect dental implant integration?Clin Oral Implants Res. 2011;22:673-680.   DOI
16 Gautam C, Joyner J, Gautam A, Rao J, Vajtai R. Zirconia based dental ceramics: structure, mechanical properties, biocompatibility and applications. Dalton Trans. 2016;45: 19194-19215.   DOI
17 Degidi M, Artese L, Scarano A, Perrotti V, Gehrke P, Piattelli A. Inflammatory infiltrate, microvessel density, nitric oxide synthase expression, vascular endothelial growth factor expression, and proliferative activity in periimplant soft tissues around titanium and zirconium oxide healing caps. J Periodontol. 2006;77:73-80.   DOI
18 Pjetursson BE, Zarauz C, Strasding M, Sailer I, Zwahlen M, Zembic A. A systematic review of the influence of the implant-abutment connection on the clinical outcomes of ceramic and metal implant abutments supporting fixed implant reconstructions. Clin Oral Implants Res. 2018;29 Suppl 18:160-183.
19 Denry I, Kelly JR. State of the art of zirconia for dental applications. Dent Mater. 2008;24:299-307.   DOI
20 Delgado-Ruiz RA, Gomez Moreno G, Aguilar-Salvatierra A, Markovic A, Mate-Sanchez JE, Calvo-Guirado JL. Human fetal osteoblast behavior on zirconia dental implants and zirconia disks with microstructured surfaces. An experimental in vitro study. Clin Oral Implants Res. 2016; 27:e144-e153.   DOI
21 Borgonovo AE, Corrocher G, Dolci M, Censi R, Vavassori V, Maiorana C. Clinical evaluation of zirconium dental implants placed in esthetic areas: a case series study. Eur J Esthet Dent. 2013;8:532-545.
22 Borgonovo AE, Censi R, Vavassori V, Dolci M, CalvoGuirado JL, Delgado Ruiz RA, et al. Evaluation of the success criteria for zirconia dental implants: a four-year clinical and radiological study. Int J Dent. 2013;2013:463073.   DOI
23 Cionca N, Muller N, Mombelli A. Two-piece zirconia implants supporting all-ceramic crowns: a prospective clinical study. Clin Oral Implants Res. 2015;26:413-418.   DOI
24 Grassi FR, Capogreco M, Consonni D, Bilardi G, Buti J, Kalemaj Z. Immediate occlusal loading of one-piece zirconia implants: five-year radiographic and clinical evaluation. Int J Oral Maxillofac Implants. 2015;30:671-680.   DOI
25 Akagawa Y, Ichikawa Y, Nikai H, Tsuru H. Interface histology of unloaded and early loaded partially stabilized zirconia endosseous implant in initial bone healing. J Prosthet Dent. 1993;69:599-604.   DOI