BONE QUALITY TESTING DURING DENTAL IMPLANT SURGERY - A Novel Device for Intraoperative Compressive Testing of Alveolar Bone
Werner Winter, Tim Krafft, Matthias Karl
2011
Abstract
Based on theoretical considerations, a mathematical equation was set up describing a correlation between density and mechanical properties of both, cortical and trabecular bone. Simulating the clinical situation of dental implant placement, finite element analysis was applied to test the validity of compressive testing of alveolar bone following implant site preparation. As a final step, a loading device was constructed accordingly and tested in human cadaver bone.
References
- Al-Nawas, B., Wagner, W., Grötz, K. A. 2006. Insertion torque and resonance frequency analysis of dental implant systems in an animal model with loaded implants. Int J Oral Maxillofac Implants 21:726-732.
- Alsaadi, G., Quirynen, M., Michiels, K., Jacobs, R., van Steenberghe, D. 2007. A biomechanical assessment of the relation between the oral implant stability at insertion and subjective bone quality assessment. J Clin Periodontol 34:359-366.
- Aparicio, C., Lang, N. P., Rangert, B. 2006. Validity and clinical significance of biomechanical testing of implant / bone interface. Clin Oral Implants Res 17 Suppl 2: 2-7.
- Aranyarachkul, P., Caruso, J., Gantes, B., Schulz, E., Riggs, M., Dus, I. et al. 2005. Bone density assessments of dental implant sites: 2. Quantitative cone-beam computerized tomography. Int J Oral Maxillofac Implants 20:416-424.
- Beer, A., Gahleitner, A., Holm, A., Tschabitscher, M., Homolka, P. 2003. Correlation of insertion torques with bone mineral density from dental quantitative CT in the mandible. Clin Oral Implants Res 14:616-620.
- Brunski, J. B. 1988. Biomechanics of oral implants: future research directions. J Dent Educ 52:775-787.
- Friberg, B., Sennerby, L., Grondahl, K., Bergstrom, C., Back, T., Lekholm, U. 1999a. On cutting torque measurements during implant placement: a 3-year clinical prospective study. Clin Implant Dent Relat Res 1:75-83.
- Friberg, B., Sennerby, L., Meredith, N., Lekholm, U. 1999b. A comparison between cutting torque and resonance frequency measurements of maxillary implants. A 20-month clinical study. Int J Oral Maxillofac Surg 28:297-303.
- Giesen, E. B., Ding, M., Dalstra, M., van Eijden, T. M. 2003. Reduced mechanical load decreases the density. stiffness. and strength of cancellous bone of the mandibular condyle. Clin Biomech 18:358-363.
- Giesen, E. B., Ding, M., Dalstra, M., van Eijden, T. M. 2004. Changed morphology and mechanical properties of cancellous bone in the mandibular condyles of edentate people. J Dent Res 83:255-259.
- Ikumi, N., Tsutsumi, S. 2005. Assessment of correlation between computerized tomography values of the bone and cutting torque val-ues at implant placement: a clinical study. Int J Oral Maxillofac Implants 20:253- 260.
- Johansson, B., Back, T., Hirsch, J. M. 2004. Cutting torque measurements in conjunction with implant placement in grafted and nongrafted maxillas as an objective evaluation of bone density: a possible method for identifying early implant failures? Clin Implant Dent Relat Res 6:9-15.
- Lagravere, M. O., Fang, Y., Carey, J., Toogood, R.W., Packota, G. V., Major, P. W. 2006. Density conversion factor determined using a cone-beam computed tomography unit NewTom QR-DVT 9000. Dentomaxillofac Radiol 35:407-409.
- Lekholm, U., Zarb, G. A. 1985. Patient selection and preparation. In Branemark, P-I., Zarb, G.A. and Albrektsson, T. (eds): Tissue Integrated Prostheses: Osseointegration in Clinical Dentistry. Chicago, Quintessence Publishing, 1985, pp 199-209.
- Lindh, C., Nilsson, M., Klinge, B., Petersson, A. 1996. Quantitative computed tomography of trabecular bone in the mandible. Dentomaxillofac Radiol 25:146-150.
- Meredith, N. 1998. A review of nondestructive test methods and their application to measure the stability and osseointegration of bone anchored endosseous implants. Crit Rev Biomed Eng 26:275-291.
- Nkenke, E., Hahn, M., Weinzierl, K., Radespiel-Troger, M., Neukam, F. W., Engelke, K. 2003. Implant stability and histomorphometry: a correlation study in human cadavers using stepped cylinder implants. Clin Oral Implants Res 14:601-609.
- Norton, M. R., Gamble, C. 2001. Bone classification: an objective scale of bone density using the computerized tomography scan. Clin Oral Implants Res 12:79-84.
- Ribeiro-Rotta, R.F., Lindh, C., Rohlin, M. 2007. Efficacy of clinical methods to assess jawbone tissue prior to and during endosseous dental implant placement: a systematic literature review. Int J Oral Maxillofac Implants 22:289-300.
- Schulte, W., d'Hoedt, B., Lukas, D., Maunz, M., Steppeler, M. 1992. Periotest for measuring periodontal characteristics correlation with periodontal bone loss. J Periodontal Res 27: 184-190.
- Shapurian, T., Damoulis, P. D., Reiser, G. M., Griffin, T. J., Rand, W.M. 2006. Quantitative evaluation of bone density using the Hounsfield index. Int J Oral Maxillofac Implants 21:290-297.
- Trisi, P., Rao, W. 1999. Bone classification: clinicalhistomorphometric comparison. Clin Oral Implants Res 10:1-7.
- Winter, W (2008) Bone strength in pure bending: Bearing of geometric and material properties..Proceedings of the 2nd Conference on Applied Biomechanics Regensburg. J. Hammer, M. Nerlich, S. Denkdorfer (eds.), IOS Press, Amsterdam, Netherland, 230-237.
- Yang, G., Kabel, J., van Rietbergen, B., Odgaard, A., Huiskes, R., Cowin, S. C. 1999. The anisotropic Hooke's law of cancellous bone and wood. J Elast 53.125-146.
Paper Citation
in Harvard Style
Winter W., Krafft T. and Karl M. (2011). BONE QUALITY TESTING DURING DENTAL IMPLANT SURGERY - A Novel Device for Intraoperative Compressive Testing of Alveolar Bone . In Proceedings of the International Conference on Biomedical Electronics and Devices - Volume 1: BIODEVICES, (BIOSTEC 2011) ISBN 978-989-8425-37-9, pages 140-145. DOI: 10.5220/0003132601400145
in Bibtex Style
@conference{biodevices11,
author={Werner Winter and Tim Krafft and Matthias Karl},
title={BONE QUALITY TESTING DURING DENTAL IMPLANT SURGERY - A Novel Device for Intraoperative Compressive Testing of Alveolar Bone},
booktitle={Proceedings of the International Conference on Biomedical Electronics and Devices - Volume 1: BIODEVICES, (BIOSTEC 2011)},
year={2011},
pages={140-145},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0003132601400145},
isbn={978-989-8425-37-9},
}
in EndNote Style
TY - CONF
JO - Proceedings of the International Conference on Biomedical Electronics and Devices - Volume 1: BIODEVICES, (BIOSTEC 2011)
TI - BONE QUALITY TESTING DURING DENTAL IMPLANT SURGERY - A Novel Device for Intraoperative Compressive Testing of Alveolar Bone
SN - 978-989-8425-37-9
AU - Winter W.
AU - Krafft T.
AU - Karl M.
PY - 2011
SP - 140
EP - 145
DO - 10.5220/0003132601400145