Bone Loss in Bruxist Patients Wearing Dental Implant Prostheses: A Finite Element Analysis

Bruxism is an unconscious, involuntary and sustained motor activity that results in excessive teeth grinding or jaw clenching that could affect patients’ implants and rehabilitations. The aetiology for bruxism remains unknown, but it is known to involve multiple factors. The literature lacks studies...

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Main Authors: Luis-Guillermo Oliveros-López, Raquel Castillo-de-Oyagüe, María-Ángeles Serrera-Figallo, Álvaro-José Martínez-González, Andrea Pérez-Velasco, Daniel Torres-Lagares, José-Luis Gutiérrez-Pérez
Format: Article
Language:English
Published: MDPI AG 2020-08-01
Series:Metals
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Online Access:https://www.mdpi.com/2075-4701/10/9/1132
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author Luis-Guillermo Oliveros-López
Raquel Castillo-de-Oyagüe
María-Ángeles Serrera-Figallo
Álvaro-José Martínez-González
Andrea Pérez-Velasco
Daniel Torres-Lagares
José-Luis Gutiérrez-Pérez
author_facet Luis-Guillermo Oliveros-López
Raquel Castillo-de-Oyagüe
María-Ángeles Serrera-Figallo
Álvaro-José Martínez-González
Andrea Pérez-Velasco
Daniel Torres-Lagares
José-Luis Gutiérrez-Pérez
author_sort Luis-Guillermo Oliveros-López
collection DOAJ
description Bruxism is an unconscious, involuntary and sustained motor activity that results in excessive teeth grinding or jaw clenching that could affect patients’ implants and rehabilitations. The aetiology for bruxism remains unknown, but it is known to involve multiple factors. The literature lacks studies on the possible effect of implant morphology on the resistance of the bone-implant osseointegrated interface when bruxism is present. Our objective is to assess the mechanical response of the bone-implant interface in bruxist patients whose implant prostheses are subjected to parafunctional cyclic loading over a simulated period of 10 years. A comparison was carried out between two implant types (M-12 and Astra Tech), and a pattern of bone loss was established considering both the stress state and the cortical bone surface loss as the evaluation criteria. Numerical simulation techniques based on the finite element analysis method were applied in a dynamic analysis of the received forces, together with a constitutive model of bone remodelling that alters the physical properties of the bone. The simulated cortical bone surface loss at the implant neck area was 8.6% greater in the Astra implant than in the M-12 implant. Compared to the M-12 implant, the higher sustained stress observed over time in the Astra implant, together with the greater cortical bone surface loss that occurred at its neck area, may be related to the major probability of failure of the prostheses placed over Astra implants in bruxist patients.
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spelling doaj.art-1ddd9500f9d245bb9040495d674d0b8b2023-11-20T11:02:28ZengMDPI AGMetals2075-47012020-08-01109113210.3390/met10091132Bone Loss in Bruxist Patients Wearing Dental Implant Prostheses: A Finite Element AnalysisLuis-Guillermo Oliveros-López0Raquel Castillo-de-Oyagüe1María-Ángeles Serrera-Figallo2Álvaro-José Martínez-González3Andrea Pérez-Velasco4Daniel Torres-Lagares5José-Luis Gutiérrez-Pérez6Faculty of Dentistry, University of Seville, U.S., Calle Avicena s/n, 41009 Seville, SpainFaculty of Dentistry, Complutense University of Madrid, U.C.M., Plaza Ramón y Cajal s/n, 28040 Madrid, SpainFaculty of Dentistry, University of Seville, U.S., Calle Avicena s/n, 41009 Seville, SpainICEMM S.L.U., Oficina 0-8. Edificio Antares, Calle de las Fábricas, 28923 Madrid, SpainICEMM S.L.U., Oficina 0-8. Edificio Antares, Calle de las Fábricas, 28923 Madrid, SpainFaculty of Dentistry, University of Seville, U.S., Calle Avicena s/n, 41009 Seville, SpainFaculty of Dentistry, University of Seville, U.S., Calle Avicena s/n, 41009 Seville, SpainBruxism is an unconscious, involuntary and sustained motor activity that results in excessive teeth grinding or jaw clenching that could affect patients’ implants and rehabilitations. The aetiology for bruxism remains unknown, but it is known to involve multiple factors. The literature lacks studies on the possible effect of implant morphology on the resistance of the bone-implant osseointegrated interface when bruxism is present. Our objective is to assess the mechanical response of the bone-implant interface in bruxist patients whose implant prostheses are subjected to parafunctional cyclic loading over a simulated period of 10 years. A comparison was carried out between two implant types (M-12 and Astra Tech), and a pattern of bone loss was established considering both the stress state and the cortical bone surface loss as the evaluation criteria. Numerical simulation techniques based on the finite element analysis method were applied in a dynamic analysis of the received forces, together with a constitutive model of bone remodelling that alters the physical properties of the bone. The simulated cortical bone surface loss at the implant neck area was 8.6% greater in the Astra implant than in the M-12 implant. Compared to the M-12 implant, the higher sustained stress observed over time in the Astra implant, together with the greater cortical bone surface loss that occurred at its neck area, may be related to the major probability of failure of the prostheses placed over Astra implants in bruxist patients.https://www.mdpi.com/2075-4701/10/9/1132dental implantsbruxismgrinding forcesbone remodellingfinite element analysis
spellingShingle Luis-Guillermo Oliveros-López
Raquel Castillo-de-Oyagüe
María-Ángeles Serrera-Figallo
Álvaro-José Martínez-González
Andrea Pérez-Velasco
Daniel Torres-Lagares
José-Luis Gutiérrez-Pérez
Bone Loss in Bruxist Patients Wearing Dental Implant Prostheses: A Finite Element Analysis
Metals
dental implants
bruxism
grinding forces
bone remodelling
finite element analysis
title Bone Loss in Bruxist Patients Wearing Dental Implant Prostheses: A Finite Element Analysis
title_full Bone Loss in Bruxist Patients Wearing Dental Implant Prostheses: A Finite Element Analysis
title_fullStr Bone Loss in Bruxist Patients Wearing Dental Implant Prostheses: A Finite Element Analysis
title_full_unstemmed Bone Loss in Bruxist Patients Wearing Dental Implant Prostheses: A Finite Element Analysis
title_short Bone Loss in Bruxist Patients Wearing Dental Implant Prostheses: A Finite Element Analysis
title_sort bone loss in bruxist patients wearing dental implant prostheses a finite element analysis
topic dental implants
bruxism
grinding forces
bone remodelling
finite element analysis
url https://www.mdpi.com/2075-4701/10/9/1132
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