Dental Implant Reconstruction and Biomechanical Evaluation

A special issue of Bioengineering (ISSN 2306-5354). This special issue belongs to the section "Biomedical Engineering and Biomaterials".

Deadline for manuscript submissions: 30 April 2024 | Viewed by 7526

Special Issue Editor

Dental Life Science Research Institute, Seoul National University Dental Hospital, Seoul 03080, Korea
Interests: dental materials; dental implants; FEA, FEM; computational modelling; dental devices; biomechanical characterization

Special Issue Information

Dear Colleagues,

This Special Issue is aimed at highlighting the trends regarding the progress made in the numerical and experimental characterization of materials and devices used for dental implant reconstruction. Regarding dental implant reconstruction, this Special Issue will demonstrate how our current knowledge is essential for excellent clinical quality, including implant stability through mechanical, in vitro or in vivo tests. These tests require the use of all current approaches, including experimental mechanics, numerical simulation with the finite element method and the latest image-based techniques.

Dr. Bongju Kim
Guest Editor

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Keywords

  • dental materials
  • dental implants
  • dental prosthesis
  • implant-supported prosthesis
  • FEA
  • FEM
  • computational modelling
  • biomechanical characterization

Published Papers (7 papers)

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Research

13 pages, 4023 KiB  
Article
Could Dental Material Reuse Play a Significant Role in Preservation of Raw Materials, Water, Energy, and Costs? Microbiological Analysis of New versus Reused Healing Abutments: An In Vitro Study
by Roberto Burioni, Lucia Silvestrini, Bianca D’Orto, Giulia Tetè, Matteo Nagni, Elisabetta Polizzi and Enrico Felice Gherlone
Bioengineering 2024, 11(4), 387; https://doi.org/10.3390/bioengineering11040387 - 16 Apr 2024
Viewed by 361
Abstract
Aim: The objective of this in vitro study was to compare reused and sterilized versus new healing abutments to assess whether a decontamination and sterilization process performed on resued healing abutments was sufficient to remove residual proteins. The two groups were comparable with [...] Read more.
Aim: The objective of this in vitro study was to compare reused and sterilized versus new healing abutments to assess whether a decontamination and sterilization process performed on resued healing abutments was sufficient to remove residual proteins. The two groups were comparable with respect to patient safety. Materials and methods: During the period from September 2022 to October 2023, healing abutment screws were selected and divided into two groups according to whether they were new or previously used in patients. The samples were subjected to a decontamination and sterilization protocol, and results from sample sterility evaluation and assessment of surface protein levels were recorded. Results: The obtained results revealed a significant difference in the OD562 nm values between new and reused healing abutment samples. The assay demonstrates how treated healing abutments were still contaminated by residual proteins. Conclusion: Within the limitations of the present study, although from an infectious point of view sterilization results in the total eradication of pathogens, surface proteins remain on reused healing abutments. Full article
(This article belongs to the Special Issue Dental Implant Reconstruction and Biomechanical Evaluation)
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19 pages, 2798 KiB  
Article
A One-Year Randomized Controlled Clinical Trial of Three Types of Narrow-Diameter Implants for Fixed Partial Implant-Supported Prosthesis in the Mandibular Incisor Area
by Ji-Ho Ahn, Young-Jun Lim, Jungwon Lee, Yeon-Wha Baek, Myung-Joo Kim and Ho-Beom Kwon
Bioengineering 2024, 11(3), 272; https://doi.org/10.3390/bioengineering11030272 - 12 Mar 2024
Viewed by 803
Abstract
Narrow-diameter implants (NDI) serve as a solution for treating limited bone volume in the anterior mandible. This study aimed to evaluate the one-year clinical outcomes of various NDIs in the mandibular incisor area after immediate loading in partially edentulous patients. This single-center, prospective, [...] Read more.
Narrow-diameter implants (NDI) serve as a solution for treating limited bone volume in the anterior mandible. This study aimed to evaluate the one-year clinical outcomes of various NDIs in the mandibular incisor area after immediate loading in partially edentulous patients. This single-center, prospective, single-blinded, randomized controlled trial study included 21 patients, with 7 patients in each of the following groups: control (BLT NC SLActive®; Straumann), experimental group 1 (CMI IS-III Active® S-Narrow; Neobiotech), and experimental group 2 (CMI IS-III Active® Narrow; Neobiotech). Using full digital flow, two fixtures were placed in each patient and immediately provisionalized on the day of surgery. Evaluations encompassed periapical radiographs, implant stability quotient (ISQ), implant stability test (IST) readings, per-implant soft tissue health, patient satisfaction surveys, and esthetic score assessments. Definitive prostheses were delivered twelve weeks post-surgery (CRiS, number: KCT0007300). Following exclusions due to low stability values (n = 2), fixture failure (n = 5), and voluntary withdrawal (n = 1), the implant success rate for patients completing all clinical protocols stood at 100%. The resulting patient failure rates in the control, experimental group 1, and experimental group 2 were 50.0%, 42.9%, and 14.3%, respectively. There were no significant differences between the groups in terms of marginal bone loss, soft tissue health, patient satisfaction, and esthetic scores. Narrow implants showed superior clinical outcomes, followed by S-Narrow and Straumann implants. Calculated one-year survival rates at the implant level were 66.7% for the control group, 85.7% for experimental group 1, and 100% for experimental group 2. All three types of NDIs showed acceptable clinical and radiographic results during the year-long observation period. Full article
(This article belongs to the Special Issue Dental Implant Reconstruction and Biomechanical Evaluation)
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20 pages, 3056 KiB  
Article
Toward Digital Twin Development for Implant Placement Planning Using a Parametric Reduced-Order Model
by Seokho Ahn, Jaesung Kim, Seokheum Baek, Cheolyong Kim, Hyunsoo Jang and Seojin Lee
Bioengineering 2024, 11(1), 84; https://doi.org/10.3390/bioengineering11010084 - 16 Jan 2024
Viewed by 905
Abstract
Real-time stress distribution data for implants and cortical bones can aid in determining appropriate implant placement plans and improving the post-placement success rate. This study aims to achieve these goals via a parametric reduced-order model (ROM) method based on stress distribution data obtained [...] Read more.
Real-time stress distribution data for implants and cortical bones can aid in determining appropriate implant placement plans and improving the post-placement success rate. This study aims to achieve these goals via a parametric reduced-order model (ROM) method based on stress distribution data obtained using finite element analysis. For the first time, the finite element analysis cases for six design variables related to implant placement were determined simultaneously via the design of experiments and a sensitivity analysis. The differences between the minimum and maximum stresses obtained for the six design variables confirm that the order of their influence is: Young’s modulus of the cancellous bone > implant thickness > front–rear angle > left–right angle > implant length. Subsequently, a one-dimensional (1-D) CAE solver was created using the ROM with the highest coefficient of determination and prognosis accuracy. The proposed 1-D CAE solver was loaded into the Ondemand3D program and used to implement a digital twin that can aid with dentists’ decision making by combining various tooth image data to evaluate and visualize the adequacy of the placement plan in real time. Because the proposed ROM method does not rely entirely on the doctor’s judgment, it ensures objectivity. Full article
(This article belongs to the Special Issue Dental Implant Reconstruction and Biomechanical Evaluation)
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15 pages, 5437 KiB  
Article
Validation of the Finite Element Model versus Biomechanical Assessments of Dental Implants and Total Knee Replacements
by Kwan-Su Kang, Kwang-Min Park, Jin-Woo Ahn, Min-Young Jo, Yu-Rim Oh, Jin-Ho Youn, Jeong-Woo Lee, Dong-Young Je and Tae-Gon Jung
Bioengineering 2023, 10(12), 1365; https://doi.org/10.3390/bioengineering10121365 - 27 Nov 2023
Viewed by 991
Abstract
Computer modeling and simulation (CM&S) technology is widely used in the medical device industry due to its advantages such as reducing testing time and costs. However, the developer’s parameter settings during the modeling and simulation process can have a significant impact on the [...] Read more.
Computer modeling and simulation (CM&S) technology is widely used in the medical device industry due to its advantages such as reducing testing time and costs. However, the developer’s parameter settings during the modeling and simulation process can have a significant impact on the results. This study developed a test model for the rotational shear strength of dental implants and the constraint force of total knee replacements based on CM&S technology and proposes ideal parameters to ensure reliability. For dental implants, the load area and sliding contact conditions were considered, and for total knee replacements, the friction coefficient, medial–lateral displacement, valgus–varus rotation, and elastic modulus were considered. By comparing the simulation results and mechanical tests, boundary conditions with an error rate of less than 1.5% were selected. When a jig (gripper and collector) was applied with the same boundary conditions, an error rate of 48~22% occurred; otherwise, it was confirmed that the error rate was within 10~0.2%. The FE model was verified with an error of 2.49 to 3% compared to the mechanical test. The friction coefficient variable had the greatest influence on the results, accounting for 10 to 13%, and it was confirmed that valgus–varus rotation had a greater influence on the results than medial–lateral displacement. Relatively, the elastic modulus of the insert had the least effect on the results. These research results are expected to make CM&S techniques useful as a medical device digital development tool (M3DT) in the development of total knee replacements and dental implants. Full article
(This article belongs to the Special Issue Dental Implant Reconstruction and Biomechanical Evaluation)
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14 pages, 4006 KiB  
Article
Gas Plasma Treatment Improves Titanium Dental Implant Osseointegration—A Preclinical In Vivo Experimental Study
by Myron Nevins, Chia-Yu Chen, Stephano Parma-Benfenati and David M. Kim
Bioengineering 2023, 10(10), 1181; https://doi.org/10.3390/bioengineering10101181 - 11 Oct 2023
Cited by 3 | Viewed by 1557
Abstract
Recent technological advancements led to the development of various plasma-based technologies for post-packaging modifications. The purpose of the present preclinical in vivo study was to assess the safety and efficacy of a novel chairside nonthermal gas plasma treatment for enhancing osseointegration of titanium [...] Read more.
Recent technological advancements led to the development of various plasma-based technologies for post-packaging modifications. The purpose of the present preclinical in vivo study was to assess the safety and efficacy of a novel chairside nonthermal gas plasma treatment for enhancing osseointegration of titanium implants. Six male mixed foxhounds underwent extraction of mandibular premolars and first molars, and the sockets healed for 42 days. Canine mandibles were randomized to receive either plasma-treated (test) or non-plasma-treated (control) dental implants. A total of 36 implants were placed in six animals, and they were sacrificed at 2 weeks (two animals), 4 weeks (two animals), and 6 weeks (two animals) after the implant surgery. When the radiographic analysis was performed, the changes in bone level were not statistically significant between the two groups at 2 weeks and 4 weeks. The difference became significant at 6 weeks (p = 0.016), indicating more bone loss from baseline to 6 weeks for the control group. The bone-to-implant contact (BIC) appeared to be higher for the test groups at all time points, and the BIC was significantly higher for the test group at 4 weeks (p = 0.046). In conclusion, this study underscored the potential of nonthermal plasma treatment in enhancing implant osseointegration. Full article
(This article belongs to the Special Issue Dental Implant Reconstruction and Biomechanical Evaluation)
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24 pages, 22847 KiB  
Article
Preoperative Planning Framework for Robot-Assisted Dental Implant Surgery: Finite-Parameter Surrogate Model and Optimization of Instrument Placement
by Yan Wang, Wei Wang, Yueri Cai, Qiming Zhao and Yuyang Wang
Bioengineering 2023, 10(8), 952; https://doi.org/10.3390/bioengineering10080952 - 10 Aug 2023
Cited by 1 | Viewed by 1001
Abstract
For robot-assisted dental implant surgery, it is necessary to feed the instrument into a specified position to perform surgery. To improve safety and efficiency, a preoperative planning framework, including a finite-parameter surrogate model (FPSM) and an automatic instrument-placement method, is proposed in this [...] Read more.
For robot-assisted dental implant surgery, it is necessary to feed the instrument into a specified position to perform surgery. To improve safety and efficiency, a preoperative planning framework, including a finite-parameter surrogate model (FPSM) and an automatic instrument-placement method, is proposed in this paper. This framework is implemented via two-stage optimization. In the first stage, a group of closed curves in polar coordinates is used to represent the oral cavity. By optimizing a finite number of parameters for these curves, the oral structure is simplified to form the FPSM. In the second stage, the FPSM serves as a fast safety estimator with which the target position/orientation of the instrument for the feeding motion is automatically determined through particle swarm optimization (PSO). The optimized feeding target can be used to generate a virtual fixture (VF) to avoid undesired operations and to lower the risk of collision. This proposed framework has the advantages of being safe, fast, and accurate, overcoming the computational burden and insufficient real-time performance of complex 3D models. The framework has been developed and tested, preliminarily verifying its feasibility, efficiency, and effectiveness. Full article
(This article belongs to the Special Issue Dental Implant Reconstruction and Biomechanical Evaluation)
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16 pages, 6465 KiB  
Article
The Effectiveness of a Novel Air-Barrier Device for Aerosol Reduction in a Dental Environment: Computational Fluid Dynamics Simulation
by Xiaoting Ma, Won-Hyeon Kim, Jong-Ho Lee, Dong-Wook Han, Sung-Ho Lee, Jisung Kim, Dajung Lee, Bongju Kim and Dong-Myeong Shin
Bioengineering 2023, 10(8), 947; https://doi.org/10.3390/bioengineering10080947 - 08 Aug 2023
Viewed by 1111
Abstract
The use of equipment such as dental handpieces and ultrasonic tips in the dental environment has potentially heightened the generation and spread of aerosols, which are dispersant particles contaminated by etiological factors. Although numerous types of personal protective equipment have been used to [...] Read more.
The use of equipment such as dental handpieces and ultrasonic tips in the dental environment has potentially heightened the generation and spread of aerosols, which are dispersant particles contaminated by etiological factors. Although numerous types of personal protective equipment have been used to lower contact with contaminants, they generally do not exhibit excellent removal rates and user-friendliness in tandem. To solve this problem, we developed a prototype of an air-barrier device that forms an air curtain as well as performs suction and evaluated the effect of this newly developed device through a simulation study and experiments. The air-barrier device derived the improved design for reducing bioaerosols through the simulation results. The experiments also demonstrated that air-barrier devices are effective in reducing bioaerosols generated at a distance in a dental environment. In conclusion, this study demonstrates that air-barrier devices in dental environments can play an effective role in reducing contaminating particles. Full article
(This article belongs to the Special Issue Dental Implant Reconstruction and Biomechanical Evaluation)
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