Evaluation of the Effects of Diameter, Length, Splinted or Nonsplinted Form, and Crown-to-Implant Ratio on the Stress Distribution Around Extra-Short Implants in the Posterior Mandible: Finite Element Analysis.

Purpose: To investigate the distribution of stress in the bone around extra-short posterior mandibular implants to replace two molar teeth in six different treatment plans. Materials and Methods: In this experimental study, preexisting CBCT data sets were imported into image-processing software (Mim...

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Publicado en:International Journal of Oral & Maxillofacial Implants Vol. 41; no. 2; pp. 276 - 287
Autores principales: Salehivaziri, Hossein, Yousefimanesh, Hojatollah, Hagh, Leila Golpasand, Jahangirnezhad, Mahmoud
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Quintessence Publishing Company Inc. 2026
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: International Journal of Oral & Maxillofacial Implants
      issn: 08822786
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      dt: 2026
      vid: 41
      iid: 2
      pid: 1935
      pub: Quintessence Publishing Company Inc.
      place: Batavia, Illinois
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        192781634
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        10.11607/jomi.11298
        192781634
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        atl: Evaluation of the Effects of Diameter, Length, Splinted or Nonsplinted Form, and Crown-to-Implant Ratio on the Stress Distribution Around Extra-Short Implants in the Posterior Mandible: Finite Element Analysis.
      aug:
        au:
          Salehivaziri, Hossein
          Yousefimanesh, Hojatollah
          Hagh, Leila Golpasand
          Jahangirnezhad, Mahmoud
        affil: Department of Periodontics, School of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
      sug:
        subj:
          Finite Element Analysis
          Mandible Surgery
          Crowns
          Dental Implants
          Dental Prosthesis, Implant-Supported
          Dental Prosthesis Design
          Tomography, X-Ray Computed Methods
          Dentistry
          Human
          Iran
          Experimental Studies
          Data Analysis Software
          Imaging, Three-Dimensional
          Mandible Physiology
          Molar Physiology
          Stress, Mechanical
          Cancellous Bone
      ab: Purpose: To investigate the distribution of stress in the bone around extra-short posterior mandibular implants to replace two molar teeth in six different treatment plans. Materials and Methods: In this experimental study, preexisting CBCT data sets were imported into image-processing software (Mimics and 3-matic, Materialise) to create accurate 3D mandibular contours using finite element analysis (FEA). A total of 18 models for the reconstruction of the mandibular first and second molars were created based on the implant diameter, crown height, and splinted or nonsplinted form, with a 100-N load applied at a 30-degree angle. Two extra-short implants with a length of 4 mm and a diameter of 4.1 mm and/or 4.8 mm were used; the crown heights were 15 mm, 12.5 mm, and 10 mm, depending on the model. Results: The study of stresses in cortical bone, trabecular bone, implants, and crowns revealed that the highest stress levels (ie, 118.27 MPa in cortical bone) were associated with the treatment plan involving two implants with a diameter of 4.1 mm without a splint and a crown height of 15 mm. Conversely, the lowest amount of stress (ie, 29.12 MPa in cortical bone) was observed in the treatment plan with two implants with a diameter of 4.8 mm without a splint and a crown height of 10 mm. Crown height influenced stress the most (= 237.6% increase), followed by diameter (= 63.7% reduction, weakened at higher crowns), while the type of splinting effects varied (ie, +122.7% crown stress increase in specific cases); cortical bone stayed below a 130 MPa safe zone, but trabecular bone often exceeded 10 MPa. Conclusions: Increasing the height of the crown in nonsplinted implants leads to an increase in stress distribution in all cases of the treatment plan outlined in this study, with statistical analysis suggesting trabecular bone risk and a need for fatigue studies.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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