Stomatológ 2022, 32(1):27-37 | DOI: 10.69658/sto.2022.006

Blade implants and their modifications as an unconventional possibility of implant rehabilitation of atrophic alveolar ridge of lower jaw. Part 2.

Ján Kučera1,*, František Lofaj2, Antonín Šimůnek3, Juraj Strecha4
1 I. STOMATOLOGICKÁ KLINIKA , LF UPJŠ, TR. SNP 1, KOŠICE, SR
2 ÚSTAV MATERIÁLOVÉHO VÝSKUMU SAV, SLOVENSKÁ AKADÉMIA VIED., WATSONOVA 47, KOŠICE, SR
3 STOMATOLOGICKÁ KLINIKA, UK LÉKAŘSKÁ FAKULTA V HRADCI KRÁLOVÉ, SOKOLSKÁ 581, HRADEC KRÁLOVÉ, ČR
4 EURODENT MEDIMA S.R.O., PRIEHRADKA 4727/20, MARTIN, SR

Insufficient bone volume supply is often an obstacle to implant treatment in the distal parts of alveolar ridge of lower jaw. One of the alternatives is the use of blade implants. The first part of this experimental study was dedicated to the analysis of the transfer of masticatory forces to the surface of a certified commercially available blade implant using FEM (Finite Element Method) and adjacent bone. The results showed undesirable generation of stress on the implant body and in the bone, and prompted optimization of its shape. The second part of the study focuses on the analysis of the stress distribution of the shape-optimized free-standing blade implant and in connection with a tooth by using bridge structure. The analysis showed a significant decrease in stress in the implant body, by c. 50% compared to the original shape. A drop in the stress ranging within 62% - 69% was observed for the tooth-connected blade implant relative to the free-standing modified implant. The stress level dropped significantly below overload limit of the implant alloy and adjacent bone. The results show that a properly shaped blade implant can be used prognostically for a long time as a free-standing implant. Yet, though as a compromise, its connection with another pillar and/or tooth located in the interforaminal area of a reduced dental arch is also much more advantageous alternative.

Keywords: blade implants, bridge construction, FEM

Published: June 15, 2022  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Kučera J, Lofaj F, Šimůnek A, Strecha J. Blade implants and their modifications as an unconventional possibility of implant rehabilitation of atrophic alveolar ridge of lower jaw. Part 2. Stomatológ. 2022;32(1):27-37. doi: 10.69658/sto.2022.006.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. ANITUA, E., ALKHRAISAT, M.H., ORIVE, G.: Novel technique for the treatment of the severely atrophied posterior mandible. Int J Oral Maxillofac Implants. 2013 Sep-Oct;28(5):1338-46. doi: 10.11607/jomi.3137. Go to original source... Go to PubMed...
    2. COVANI, U., MARCONCINI, S., CRESPI, R., BARONE, A.: Immediate implant placement after removal of a failed implant: a clinical and histological case report. J Oral Implantol 2009;35(4):189-95. Go to original source... Go to PubMed...
    3. Dal CARLO, L., LINKOW, L.I., PASQUALINI, M.E., SHULMAN, M., GRIVET BRANCOT, L., NARDONE, M.: Blade implants in the rehabilitation of severely atrophic ridges. Annals of Oral & Maxillofacial Surgery 2013 Dec 08;1(4):33. Go to original source...
    4. Dal CARLO, L., PASQUALINI, M., SHULMAN, M., ROSSI, F., COMOLA, G., MANENTI, P., CANDOTTO, V., LAURITANO, D., ZAMPETTI, P.: Endosseous distal extension (EDE) blade implant technique useful to provide stable pillars in the ipotrophic lower posterior sector: 22 years statistical survey. Int J Immunopathol Pharmacol. 2019 Jan-Dec;33:2058738419838092. doi: 10.1177/2058738419838092. PMID: 31663442; PMCID: PMC6822180. Go to original source... Go to PubMed...
    5. DAL CARLO, L., PASQUALINI, M. E., CARINCI, F., CORRADINI, M., VANNINI, F., NARDONE, M., LINKOW, L. I.: A brief history and guidelines of blade implant technique: a retrospective study on 522 implants. Annals of Oral & Maxillofacial Surgery 2013 Feb 01;1(1):3. Go to original source...
    6. Di STEFANO, D., IEZZI, G., SCARANO, A, PERROTTI, V., PIATTELLI, A.: Immediately loaded blade implant retrieved from a man after a 20-year loading period: a histologic and histomorphometric case report. J Oral Implantol 2006 Aug;32171-6.32. Corradini, F.: Implantologia Odontoiatrica. Stampa Ancona 2017, ISBN:978-8898159376 Go to original source...
    7. GUTELKIN, B. A., GUTELKIN, P., YALCI, S(2012).: Application of Finite Element Analysis in Implant Dentistry. Finite Element Analysis - New Trends and Developments. doi:10.5772/48339 Go to original source...
    8. HOBKIRK, J. A., TANNER, S. R.: Load transmission in implant superstructures supported by natural teeth and osseointegrated dental implants. A preliminary report., Eur J Prosthodont Restor Dent. 1995 Mar; 3(3):101-5.
    9. ISMAIL, Y. H., PAHOUNTIO, S. L. N., FLEMING, J. F.: Comparison of two-dimensional and three-dimensional finite element analysis of a blade implant. Int J Oral Implantol. 1987;4(2):25-31.
    10. KAYABAŞI, O., YÜZBASIOĞLU, E., ERZINCANLI, F.: Static, dynamic and fatigue behaviors of dental implant using finite element method. Advances in Engineering Software 37 (2006) 649-658 Go to original source...
    11. KUČERA, J., STRECHA, J., ŠIMŮNEK, A., LOFAJ, F.: Blade implantáty a ich modifikácie ako nekonvenčná možnosť implantačnej rehabilitácie atrofického hrebeňa sánky 1. časť. Stomatológ, XXX, 2020, 2, s.14-25 Go to original source...
    12. LANG, N.P., PJETURSSON, B. E., TAN, K., BRÄGGER, U., EGGER, M., ZWAHLEN, M.: A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years. II. Combined tooth-implant-supported FPDs.Clin Oral Implants Res. 2004 Dec; 15(6):643-53 Go to original source... Go to PubMed...
    13. LANGER, B., SULLIVAN, D.Y.: Osseointegration: its impact on the interrelationship of periodontics and restorative dentistry: part II. Int J Periodont Rest Dent. 1989;9:165-183.
    14. LANZA, M. D., SERAIDARIAN, P. I., JANSEN, W. C., LANZA, M. D.: Stress analysis of a fixed implant-supported denture by the finite element method (FEM) when varying the number of teeth used as abutments. J Appl Oral Sci. 2011;19(6):655-661. doi:10.1590/s1678-77572011000600019 Go to original source... Go to PubMed...
    15. LAUFER, Z., GROOS, M.: Splinting osseointegrated implants and natural teeth in rehabilitation of partially edentulous patient. Part II: principles and applications. J Oral Rehabil. 1998;25:69-80. Go to original source... Go to PubMed...
    16. LOFAJ, F., KUČERA, J., NÉMETH, D., KVETKOVÁ, I.: Finite element analysis of stress distributions in mono- and bi-cortical dental implants. Materials Science &Engineering C, 50 (2015) p 85 - 96,doi:10.1016/j.msec.2015.15.095 Go to original source... Go to PubMed...
    17. MANGANO, F., BAZZOLI, M., TETTAMANTI, D., FARRONATO, M., MAINERI, A., MACCHI, C., MANGANO, C.: Custom-made, selective laser sintering (SLS) blade implants as a non-conventional solution for the prosthetic rehabilitation of extremely atrophied posterior mandible.Lasers Med Sci. 2013 Sep;28(5):1241-7. doi: 10.1007/s10103-012-1205-1. Epub 2012 Sep 14 Go to original source... Go to PubMed...
    18. MARCIÁN, P., WOLFF, J., HORÁČKOVÁ, L., KAISER, J., ZIKMUND, T., BORÁK, L.: Micro finite element analysis of dental implants under different loading conditions. Comput Biol Med. 2018;96:157-165. doi:10.1016/j.compbiomed.2018.03.012 Go to original source... Go to PubMed...
    19. MENICUCCI, G., MOSSOLOV, A., MOZZATI, M., LORENZETTI, M., PRETI, G.: Tooth-implant connection: some biomechanical aspects based on finite element analyses. Clin Oral Implants Res. 2002 Jun; 13(3):334-41 Go to original source... Go to PubMed...
    20. MERICSKE-STERN, R., VENETZ, E., FAHRLÄNDER, F., BÜRGIN, W.: In vivo force measurements on maxillary implants supporting a fixed prosthesis or an overdenture: a pilot study. J Prosthet Dent. 2000;84(5):535-547. doi:10.1067/mpr.2000.110264 Go to original source... Go to PubMed...
    21. MERICSKE-STERN, R., PIOTTI, M., SIRTES, G.: 3-D in vivo force measurements on mandibular implants supporting overdentures: a comparative study. Clin Oral Impl Res. 1996;7:387-396. Go to original source... Go to PubMed...
    22. NELSON, S. J.: Wheeler's Dental Anatomy, Physiology and Occlusion. 10th ed. China: Elsevier Health Sciences;2014
    23. OOSTERWYCK, VAN H., DUYCK, J., SLOTEN, V. J., VAN DER PERRE, G., DE COOMAN, M., LIEVENS, S., PUERS, R., NAERT, I.: The influence of bone mechanical properties and implant fixation upon bone loading around oral implants. Clinical Oral Implants Research. 1998;6:407-418. doi: 10.1034/j.1600-0501.1996.090606. Go to original source... Go to PubMed...
    24. PJETURSSON, B. E., LANG, N. P.: Prosthetic treatment planning on the basis of scientific evidence.J Oral Rehabil. 2008 Jan; 35 Suppl 1:72-9 Go to original source... Go to PubMed...
    25. ROBERTS, R.: Placement of plate-form implants using osteotomes. J Oral Implantol. 2002;28(6):283-9. Go to original source...
    26. ŠIMUNEK, A., a kol. : Dentální Implantologie: NUCLEUS HK; 2008.
    27. TAKAHASHI, N., KITAGAMI,T., KOMORI,T.: Analysis of stress on a fixed partial denture with a blade-vent implant abutment. J Prosthet Dent 1978 Aug;40(2): 186 - 191 Go to original source... Go to PubMed...
    28. TOPARLI,M., KOKSAL, N.S.: Hardness and yield strength of dentin from simulated nanoindentation tests. Computer Methods and Programs in Biomedicine,Volume 77, Issue 3, March 2005, Pages 253-257 Go to original source... Go to PubMed...
    29. TRAINI, T., MANGANO, C., SAMMONS, R. L.: (2008) Direct laser metal sintering as a new approach to fabrication of an isoelastic functionally graded material for manufacture of porous titanium dental implants. Dent Mater 24:1525-1533 Go to original source... Go to PubMed...
    30. WEINBERG, L. A.: Atlas of tooth and implant supported prosthodontics. Chicago: Quintessence; 2003. pp. 223-223
    31. WEINSTEIN, A. M., KLAWITTER, J. J., COOK, S. D.: Implant-bone interface characteristics of bioglass dental implants.J Biomed Mater Res. 1980 Jan; 14(1):23-9 Go to original source... Go to PubMed...
    32. WOLFRAM, U., SCHWIEDRZIK, J.: Post-yield and failure properties of cortical bone. BoneKEy Reports 5, Article number: 829 (2016) | doi:10.1038/bonekey.2016.60 Go to original source... Go to PubMed...

    This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


    Return to the content