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Maxillary Sinus Augmentation without Grafting Material with Simultaneous Implant Installation: A Three‐Dimensional Finite Element Analysis
Author(s) -
Yan Xu,
Zhang Xinwen,
Gao Jie,
Matsushita Yasuyuki,
Koyano Kiyoshi,
Jiang Xi,
Ai Hongjun
Publication year - 2015
Publication title -
clinical implant dentistry and related research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.338
H-Index - 85
eISSN - 1708-8208
pISSN - 1523-0899
DOI - 10.1111/cid.12254
Subject(s) - maxillary sinus , alveolar ridge , implant , displacement (psychology) , sinus (botany) , materials science , stress (linguistics) , dentistry , dental alveolus , finite element method , ridge , biomedical engineering , orthodontics , medicine , surgery , structural engineering , geology , engineering , psychology , paleontology , linguistics , philosophy , botany , psychotherapist , biology , genus
Purpose The study aims to provide a theoretical guidance of postmaxillary implant in the augmented sinus without grafting materials by establishing a three‐dimensional model of this new implant restorative technique, evaluating failure risk of sinus augmentation without grafting materials of different alveolar ridge heights, and analyzing stress distribution of different healing stage. Materials and Methods Seventeen three‐dimensional finite element models of a posterior maxillary region with sinus mucosa and different elevation heights were constructed according to anatomical data of sinus area, and the standard implant model based on N obel B iocare implant system were created via computer‐aided design software. All materials were assumed to be isotropic and linearly elastic. Axial force of 150 N was applied. The v on M ises stress, stress distribution, and implant displacement were calculated with software. Results With the height of the alveolar ridge reducing, the maximum v on M ises stress of tissues and the displacement of the implant are on the rise, especially when the height of the bone is less than 7 mm. When the height decreased to 4 mm, the data may be doubled. After the stiff callus stage, the stress and displacement were close to the control model. Conclusion For maxillary sinus augmentation without grafting material implant technique, the stress of different tissues and the displacement of the implant were not increased much when the height of alveolar ridge is more than 7 mm. But if the alveolar bone height is less than 4 mm, this implant technique is not suggested. Immediately loading is not suggested and the loading opportunity should be after the stiff callus stage at least to improve the success rate.