Parameters affecting the stress distribution around LTI carbon and aluminum oxide dental implants

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Abstract
Three-dimensional finite element stress analysis was used to study the effects that implant neck geometry and the tissue properties at the implant-bone interface have on the stress distribution around freestanding blade- and post-type LTI carbon and aluminum oxide dental implants. Implants having neck flares of 13° and 26° were studied. In addition, to simulate fibrous encapsulation of the implant as opposed to a direct bone apposition retention mechanism, a soft tissue interposing layer between implant and bone was also modeled. The results of the study indicate that a reduction in neck flare from 26° to 13° was a positive design change for blade- and post-type LTI carbon implants and blade-type aluminum oxide implant but not for post-type aluminum oxide implant. The results of the study indicate the presence of fibrous tissue surrounding the implants may be indicative of a failing system and may be the result of either hypophysiological stress (aluminum oxide implants) or hyperphysiological stress (LTI carbon implants).