Effects of implant neck design on primary stability and overload in a type IV mandibular bone

This study investigates the effect of implant neck design on primary stability and overload using 3D finite element analysis. Four commercial dental implants and mandibular segments are created. Various parameters including the osseointegration condition (non-osseointegration and full osseointegration), force direction (vertical and horizontal), and cortical bone thickness (Tc = 0.3, 0.5, and 1 mm) are considered. The vertical and horizontal forces, 500 N and 250 N, are statically applied at the top of the platform, respectively. Micromotion and von Mises stress are employed to evaluate the risk of osseointegration and bone fatigue before osseointegration condition. After osseointegration, the principal stress is used to analyze the bone overload. Maximal von Mises stress and micromotion of the peri-implant bone decreased as cortical bone thickness increased. Horizontal force induces stress concentration in the bone around the implant neck easier than that of vertical force, and it may result in crestal bone loss. Thinner cortical bone should avoid dental implantation because it causes a noteworthy larger micromotion and stress concentration in cortical bone in particular Tc less than 0.3 mm.