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. 2021 Feb 25;21(1):86.
doi: 10.1186/s12903-021-01442-1.

Biomechanical properties of the bone during implant placement

Affiliations

Biomechanical properties of the bone during implant placement

Ádám László Nagy et al. BMC Oral Health. .

Abstract

Background: In this research the biomechanical properties of a bone model was examined. Porcine ribs are used as experimental model. The objective of this research was to investigate and compare the biomechanical properties of the bone model before and after implant placement.

Methods: The bone samples were divided in three groups, Group 1 where ALL-ON-FOUR protocol was used during pre-drilling and placing the implants, Group 2 where ALL-ON-FOUR protocol was used during pre-drilling, and implants were not placed, and Group 3 consisting of intact bones served as a control group. Static and dynamic loading was applied for examining the model samples. Kruskal-Wallis statistical test and as a post-hoc test Mann-Whitney U test was performed to analyze experimental results.

Results: According to the results of the static loading, there was no significant difference between the implanted and original ribs, however, the toughness values of the bones decreased largely on account of predrilling the bones. The analysis of dynamic fatigue measurements by Kruskal-Wallis test showed significant differences between the intact and predrilled bones.

Conclusion: The pre-drilled bone was much weaker in both static and dynamic tests than the natural or implanted specimens. According to the results of the dynamic tests and after a certain loading cycle the implanted samples behaved the same way as the control samples, which suggests that implantation have stabilized the skeletal bone structure.

Keywords: Biomechanics; Dental implant(s); Fixed and removable prosthodontics; Implant dentistry/implantology; Jaw biomechanics; Oral and maxillofacial surgery.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Experimental layout. a Supporting platform with point support rollers; b pork rib segment; c pressure head of the mechanical tear / break device with the roller used for point loading. d distance between support points (standard 40 mm). e vector of the force acting on the bone segment
Fig. 2
Fig. 2
Measurement results of the static load tests. a Static load diagram of the control group. b Static load diagram of the pre-drilled ribs. c Static load diagram of the implanted ribs
Fig. 3
Fig. 3
The occurrence of the maximum static load force values: Blue: control, Orange: Pre-drilled, Yellow: implanted
Fig. 4
Fig. 4
Occurrence of various toughness ranges in the study groups. Blue: control, Orange: Pre-drilled, Yellow: implanted
Fig. 5
Fig. 5
The force values measured for maximum deformation (2,5 mm) depending on the number of cycles Blue: control, Orange: Pre-drilled, Yellow: implanted

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