
{"id":24506,"date":"2022-05-06T09:00:26","date_gmt":"2022-05-06T09:00:26","guid":{"rendered":"https:\/\/www.btitrainingcenter.com\/?p=24506"},"modified":"2025-01-21T12:15:00","modified_gmt":"2025-01-21T11:15:00","slug":"influence-of-implant-tilting-and-length-on-the-biomechanics-of-single-tooth-restoration-a-finite-element-analysis-in-atrophic-mandible","status":"publish","type":"post","link":"https:\/\/www.btitrainingcenter.com\/en\/influence-of-implant-tilting-and-length-on-the-biomechanics-of-single-tooth-restoration-a-finite-element-analysis-in-atrophic-mandible\/","title":{"rendered":"Influence of Implant Tilting and Length on the Biomechanics of Single-Tooth Restoration: A Finite Element Analysis in Atrophic Mandible"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row content_text_aligment=&#8221;left&#8221; row_background_lines=&#8221;no&#8221;][vc_column][vc_column_text]<\/p>\n<h3 class=\"title\">Abstract<\/h3>\n<div id=\"enc-abstract\" class=\"abstract-content selected\">\n<div id=\"enc-abstract\" class=\"abstract-content selected\">\n<div id=\"enc-abstract\" class=\"abstract-content selected\">\n<p>The aim of the present study is to assess by means of finite element models the effect on bone stresses of implant length and tilting in single-unit implant restorations. The factors that were analyzed in this study were implant length (4.5, 5.5, and 10 mm), implant titling (0, 17\u00b0, 30\u00b0, and 45\u00b0), bone type (0\/I, II, and III), and loading (immediate and delayed). An axial load of 200 N was applied to the occlusal surface of the prosthesis at a height of 11 mm and the Von Mises equivalent stress in the bone was analyzed. Finite element analysis indicated that the most determinant factor was implant tilting. Tilting the implant by 17\u00b0 doubled the Von Mises stress received by bone. The highest increase was in the case of implant tilting at 45\u00b0 (by 1300%). The use of extra-short implants did not produce a significant increase in Von Mises stress in bone. Moreover, the length of the implant did not affect the stress value in bone types I and II. Based on the obtained results, an axially placed short implant would be a better option than titling a standard-length implant to support a crown restoration in an atrophic mandible from a biomechanical point of view.<\/p>\n<\/div>\n<p><strong class=\"sub-title\">Keywords:\u00a0<\/strong>biomechanics; finite element analysis; short dental implant; single-unit implant; tilted implants.<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_empty_space][vc_column_text]<\/p>\n<h3>Figures<\/h3>\n<p>[\/vc_column_text][vc_empty_space][\/vc_column][\/vc_row][vc_row content_placement=&#8221;middle&#8221; content_text_aligment=&#8221;center&#8221;][vc_column]<div class=\"qodef-image-gallery qodef-grid-list qodef-disable-bottom-space  qodef-ig-grid-type qodef-four-columns qodef-tiny-space  qodef-image-behavior-lightbox\">\n\t<div class=\"qodef-ig-inner qodef-outer-space\">\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/dentistry-10-00077-g001.jpeg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-631]\" title=\"&lt;strong&gt;Figure 1:&lt;\/strong&gt; 3D model of single-unit implant with straight transepithelial abutment of 2 mm was used (a). 17\u00b0\u2014tilted abutment with 17\u00b0\u2014angle transepithelial abutment of 2 mm in height (b). 30\u00b0\u2014tilted abutment with 30\u00b0\u2014angle transepithelial abutment of 2 mm in height (c). 45\u00b0-tilted abutment with 30\u00b0\u2014angle transepithelial abutment of 2 mm in height (d).\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/dentistry-10-00077-g001-200x200.jpeg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/dentistry-10-00077-g002.jpeg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-631]\" title=\"&lt;strong&gt;Figure 2:&lt;\/strong&gt; Finite element analysis mesh of single-unit implant placed axially (a), 17\u00b0\u2014tilted (b), 30\u00b0\u2014tilted (c) and 45\u00b0\u2014tilted (d).\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/dentistry-10-00077-g002-200x200.jpeg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/dentistry-10-00077-g003.jpeg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-631]\" title=\"&lt;strong&gt;Figure 3:&lt;\/strong&gt; 3D model simulating dental implants placed in bone type III (a), II (b) and bone type 0-I (c).\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/dentistry-10-00077-g003-200x200.jpeg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/dentistry-10-00077-g004.jpeg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-631]\" title=\"&lt;strong&gt;Figure 4:&lt;\/strong&gt; Von Mises stress distribution of immediately-loaded long 10 mm implant (a) and short implants (4.5 and 5.5 mm in length) (b) in bone type III.\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/dentistry-10-00077-g004-200x200.jpeg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/dentistry-10-00077-g005.jpeg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-631]\" title=\"&lt;strong&gt;Figure 5:&lt;\/strong&gt; Von Mises stress distribution of immediately-loaded long 10 mm implant (a) and short implants (4.5 and 5.5 mm in length) (b) in bone type II.\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/dentistry-10-00077-g005-200x200.jpeg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/dentistry-10-00077-g006.jpeg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-631]\" title=\"&lt;strong&gt;Figure 6:&lt;\/strong&gt; Von Mises stress distribution of immediately-loaded long (10 mm) implant (a) and short implants (4.5 and 5.5 mm in length) (b) in bone type 0-I.\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/dentistry-10-00077-g006-200x200.jpeg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/dentistry-10-00077-g007.jpeg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-631]\" title=\"&lt;strong&gt;Figure 7:&lt;\/strong&gt; Von Mises stress distribution of delay-loaded long 10 mm implant (a) and short implants (4.5 and 5.5 mm in length) (b) in bone type III.\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/dentistry-10-00077-g007-200x200.jpeg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/dentistry-10-00077-g008.jpeg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-631]\" title=\"&lt;strong&gt;Figure 8:&lt;\/strong&gt; Von Mises stress distribution of delay-loaded long 10 mm implant (a) and short implants (4.5 and 5.5 mm in length) (b) in bone type II.\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/dentistry-10-00077-g008-200x200.jpeg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/dentistry-10-00077-g009.jpeg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-631]\" title=\"&lt;strong&gt;Figure 9:&lt;\/strong&gt; Von Mises stress distribution of delay-loaded long 10 mm implant (a) and short implants (4.5 and 5.5 mm in length) (b) in bone type 0-I.\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/dentistry-10-00077-g009-200x200.jpeg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div>[vc_empty_space height=&#8221;50px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column]<a itemprop=\"url\" href=\"\/wp-content\/uploads\/2021\/08\/dentistry-10-00077-v2.pdf\" target=\"_blank\"  class=\"qodef-btn qodef-btn-medium qodef-btn-solid btnWebRosa2\"  >\n    <span class=\"qodef-btn-text\">Download article<\/span>\n    <\/a>[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p><strong>Dent J (Basel). 2022 May 6;10(5):77.<\/strong> The application of the counter-torque technique has been proposed as a conservative and atraumatic alternative for the explantation of nonmobile dental implants. The objective of this report is to assess the performance of this technique in a large number of patients.<\/p>\n","protected":false},"author":2002,"featured_media":24438,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[149],"tags":[401,402,403,404],"class_list":["post-24506","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-oral-implantology","tag-apnea-en","tag-implantologia-en","tag-medicina-en","tag-salud-en"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.btitrainingcenter.com\/en\/wp-json\/wp\/v2\/posts\/24506","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.btitrainingcenter.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.btitrainingcenter.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/en\/wp-json\/wp\/v2\/users\/2002"}],"replies":[{"embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/en\/wp-json\/wp\/v2\/comments?post=24506"}],"version-history":[{"count":1,"href":"https:\/\/www.btitrainingcenter.com\/en\/wp-json\/wp\/v2\/posts\/24506\/revisions"}],"predecessor-version":[{"id":34930,"href":"https:\/\/www.btitrainingcenter.com\/en\/wp-json\/wp\/v2\/posts\/24506\/revisions\/34930"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/en\/wp-json\/wp\/v2\/media\/24438"}],"wp:attachment":[{"href":"https:\/\/www.btitrainingcenter.com\/en\/wp-json\/wp\/v2\/media?parent=24506"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/en\/wp-json\/wp\/v2\/categories?post=24506"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/en\/wp-json\/wp\/v2\/tags?post=24506"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}