Although dental implants have become a predictable aspect of tooth replacement in prosthodontic treatment [1, 2, 3, 4, 5, 6], failures of up to 10% are still encountered. Furthermore these failures have been more associated with “soft” bone quality [7], 1985) such as encountered in the maxillary posterior area [8, 9, 10, 11, 12]. In a review article by Esposito et al [13], bone quality and volu...

OBJECTIVES To objectively assess the influence that three different implant-abutment interface designs had on peri-implant mucosal esthetics at 1 year post-implant placement via the pink esthetic score (PES). Additionally, to demonstrate the novel employment of a tablet-based digital imaging format to reliably assess and score clinical images as part of a multicenter clinical trial according to...

Finite element analysis (FEA) has been used extensively to predict the biomechanical performance of various dental implant designs as well as the effect of clinical factors on implant success. By understanding the basic theory, method, application, and limitations of FEA in implant dentistry, the clinician will be better equipped to interpret results of FEA studies and extrapolate these results...

BACKGROUND Conventional total knee replacement designs show high success rates but in the long term, the stiff metal components may affect bone quality of the distal femur. In this study we introduce an all-polymer total knee replacement device containing a PEEK femoral component on an UHMWPE tibial implant and study its mechanical integrity, fixation, and stress shielding of the periprosthetic...

OBJECTIVE The purpose of this study was to develop a model that accurately represents the interface between bone and basal implants throughout the healing process. STUDY DESIGN The model was applied to the biological scenario of changing load distribution in a basal implant system over time. We did this through finite element analysis (FEA, or finite element method [FEM]), using multiple mode...

Background: Although implants have shown to have a high success rate, clinicians are also called upon to encounter numerous complications and failures. Among the numerous reasons of failures, peri-implantitis is reported to account for 10% of the failures. As the oral cavity provides a natural habitat for various micro-organism due to its non-shedding surface, there is some evidence that gram-n...

Ideal implant-cement or implant-bone interfaces are required for implant fixation and the filling of tissue defects created by disease. Micron- to nanosize osseointegrated features, such as surface roughness, fibers, porosity, and particles, have been fused with implants for improving the osseointegration of an implant with the host tissue in orthopedics and dentistry. The effects of fibers and...

PURPOSE This study was accomplished to assess the biomechanical state of different retaining methods of bar implant-overdenture. MATERIALS AND METHODS Two 3D finite element models were designed. The first model included implant overdenture retained by Hader-clip attachment, while the second model included two extracoronal resilient attachment (ERA) studs added distally to Hader splint bar. A ...

High-flexion knee replacements have been developed to accommodate a large range of motion (RoM > 120°). Knee implants that allow for higher flexion may be more sensitive to femoral loosening as the knee load is relatively high during deep knee flexion, which could result in an increased failure potential at the implant-cement interface of the femoral component. A 3D finite element knee model wa...

BACKGROUND It has been recently observed that in implants with screw-retained abutments, in in vitro as well as in vivo conditions, bacteria can penetrate inside the internal cavity of the implant as a consequence of leakage at the implant-abutment interface. An alternative to screw-retained abutments is represented by implants that can receive cemented abutments. In this case, the abutment goe...