T. Jemt et U. Lekholm, MEASUREMENTS OF BONE AND FRAMEWORK DEFORMATIONS INDUCED BY MISFIT OF IMPLANT SUPERSTRUCTURES - A PILOT-STUDY IN RABBITS, Clinical oral implants research, 9(4), 1998, pp. 272-280
Citations number
30
Categorie Soggetti
Engineering, Biomedical","Dentistry,Oral Surgery & Medicine
This in vivo study used a 3-D photogrammetric technique to measure dis
tortion of 3 unit implant frame-works and bone surrounding osseointegr
ated implants after securing misfitting superstructures to the implant
s. Four adult loop-eared rabbits were provided with 3 implants each in
the proximal part of 1 tibia each. After a healing period of 8 weeks,
a titanium frame-work was connected with a misfit to the central impl
ant. Three-dimensional photographs were taken before and after securin
g the central screw, which induced a calculated mean preload of 246 N.
Measurements and comparisons of the topography of the frame-works and
surrounding bone before and after tightening the central screw indica
ted a complex and inconsistent deformation pattern. Generally, it coul
d be observed that the top edge of the central cylinder showed vertica
l movement towards the bone of about 150 mu m, always in combination w
ith a rotation of the entire super-structure. The head of the central
implant seemed to show a corresponding displacement towards the frame-
work of about 50 to 200 mu m. Bone deformation uas found to be basical
ly localized between the implants, where compressions of about half a
millimetre were observed. This concentration of bone deformation as a
result of misfit may be one contributing factor to initial marginal bo
ne loss, occasionally observed after insertion of implant supported pr
ostheses.