Effect of platform switching on the peri-implant bone: a finite element study
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Bouazza Juanes, Kheira; Martínez González, Amparo; Peiró, Germán; Ródenas, Juan José; López Mollá, María Victoria
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Aquest document és un/a article, creat/da en: 2015
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Background: There exists a relation between the presence and location of the micro-gap and the loss of peri-implant
bone. Several authors have shown that the treatments based on the use of platform switching result in less peri-implant bone loss and an increased tissue stability. The purpose of this study was to analyse the effect of the platform
switching on the distribution of stresses on the peri-implant bone using the finite element method.
Material and Methods: A realistic 3D full-mandible finite element model representing cortical bone and trabecular
bone was used to study the distribution of the stress on the bone induced by an implant of diameter 4.1 mm. Two
abutments were modelled. The first one, of diameter 4.1 mm, was used in the reference model to represent a conventional implant. The second one, of diameter 3.2 mm, was used to represent the implant with platform switching.
Both models were subjected to axial and oblique masticatory loads.
Results: The analyses showed that, although no relevant differences can be found for the trabecular bone, the use
of platform switching reduces the maximum stress level in the cortical bone by almost 36% with axial loads and
by 40% with oblique loads.
Conclusions: The full 3D Finite Element model, that can be used to investigate the influence of other parameters
(implant diameter, connection, ...) on the biomechanical behaviour of the implant, showed that this stress reduction
can be a biomechanical reasons to explain why the platform switching seems to reduce or eliminate crestal bone
resorption after the prosthetic restoration
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