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Murat Cavit C ehreli Force transmission of one- and two-

Kvanc Akca
Haldun Iplikciog lu
piece morse-taper oral implants: a
nonlinear finite element analysis

Authors affiliation: Key words: bone, force transfer, implant design, morse-taper, one-piece implant, two-piece
Murat Cavit C ehreli, Kvanc Akca, Haldun implant
Iplikciog lu, Department of Prosthodontics, Faculty
of Dentistry, Hacettepe University, Shhye,
Ankara, Turkey Abstract
Correspondence to: Purpose: To compare force transmission behaviors of one-piece (1-P) and two-piece (2-P)
Murat Cavit C ehreli morse-taper oral implants.
Gazi Mustafa Kemal Bulvari
Material and methods: A three-dimensional finite element model of a morse-taper oral
61/11 06570 Maltepe
Ankara, Turkey implant and a solid abutment was constructed separately. The implantabutment complex
Tel.: 90 312 232 4073 was embedded in a 1.5 cm  1.5 cm acrylic resin cylinder. Vertical and oblique forces of 50 N
Fax: 90 312 311 3741
e-mail: mcehreli@hotmail.com; and 100 N were applied on the abutment and solved by two different analyses. First, contact
mcehreli@hacettepe.edu.tr analysis was performed in the implantabutment complex to evaluate a 2-P implant. Then,
the components were bonded with a separation force of 1020 N to analyze a 1-P implant.
Results: Von Mises stresses in the implant, principal stresses, and displacements in the resin
were the same for both designs under vertical loading. Under oblique loading, principal
stresses and displacement values in the resin were the same, but the magnitudes of Von
Mises stresses were higher in the 2-P implant. The principal stress distributions around both
implants in the acrylic bone were similar under both loading conditions.
Conclusion: 2-P implants experience higher mechanical stress under oblique loading.
Nevertheless, the 1-P- or 2-P morse-taper nature of an implant is not a decisive factor for the
magnitude and distribution of stresses, and displacements in supporting tissues.

Oral implants must fulfill certain criteria tissue strains in the vicinity of implants is
arising from special demands of function, the main focus (Hansson 1999; Simmons
which include biocompatibility, adequate et al. 2001). Suprisingly, considerable
mechanical strength, optimum soft and emphasis has been placed on implant
hard tissue integration, and transmission designing with the biological approach so
of functional forces to bone within physio- far, although biomechanical factors appear
logical limits (Albrektsson et al. 1981; to be predominant on implant survival
Brunski 1988; Wiskott & Belser 1999). (Esposito et al. 1998).
Date: One of the critical elements influencing the The design of an implant characterized
Accepted 25 June 2003 long-term uncompromised functioning of by shape, implantabutment mating, sur-
To cite this article: an oral implant is its design. The rationale face topography, and physio-chemical
C ehreli MC, Akca K, Iplikcioglu H. Force transmission
of one- and two-piece morse-taper oral implants: a for designing endosseous implants is based composition determines its biological,
nonlinear finite element analysis. either on biological requirements, where mechanical, and biomechanical behavior
Clin. Oral Impl. Res. 15, 2004; 481489
doi: 10.1111/j.1600-0501.2004.01025.x biocompatibility and ameliorated tissue (Brunski 1988; Kasemo & Lausma 1988;
healing are the primary goals or biomecha- Kieswetter et al. 1996). The surface macro-
Copyright r Blackwell Munksgaard 2004 nical needs, and where controlling local and micro-roughness have decisive effects

481
C
ehreli et al . Force transmission of one- and two-piece oral implants

on the bone apposition rate, quantity of the yield strength of the material, Von
bone-to-implant contact, boneimplant in- Mises stress criteria are important to inter-
terface strength (Thomas & Cook 1985; pret the stresses within the implant materi-
Buser et al. 1991; Wennerberg et al. 1995), al. To evaluate the stresses induced around
and intraosseous stresses and strains in the the implants in bone, principal stresses
vicinity of implants (Brunski 1988; Hans- (tensile and compressive stresses) were
son 1999; Simmons et al. 2001; Cehreli used, as these values are important for
et al. 2004). The implantabutment mating brittle materials such as bone.
design influences the stiffness of the
implant complex and thus, the ultimate
mechanical strength (Mollersten et al. Materials and methods
1997; Norton, 1997, 2000; Merz et al.
Three-dimensional finite element model
2000). When it comes to biomechanics,
The CAD model of a + 3.3 mm  10 mm
however, the effects of implantabutment
(neck + 4.8 mm) solid-screw morse-taper
mating design is a topic of debate (Cehreli
ITIs implant (Straumann Institute, Wal-
et al. 2004), as marginal bone levels and
denburg, Switzerland) and a 61 solid
biological outcomes of different designs are
abutment 4 mm in height (Straumann
similar (van Steenberghe et al. 2000; Mo-
Fig. 1. Actual morse-taper (2-P) and monoblock
Institute, Waldenburg, Switzerland) was
berg et al. 2001; Engquist et al. 2002;
(1-P) ITIs implants on the left and right sides, constructed separately using a computer
Heydenrijk et al. 2002).
respectively. software (I-DEAS Artisan Series 3.0, Struc-
In the last three decades, evolution in
tural Dynamics Research Corporation,
implant designs has embraced the treat-
Milford, OH, USA) (Akca et al. 2003).
ment of some particular cases involving
Although the collar design and the apical
early- and immediate-loading. The risk of
loads. The purpose of this study was, end of the actual monoblock ITIs implant
stress-generated mechanical implant fail-
therefore, to gain an insight into the force is different from the solid-screw morse-
ures has probably stimulated an interest for
transmission and distribution characteris- taper implant (Fig. 1), this CAD model was
developing stiffer implants. One-piece (1-P)
tics of 1-P and 2-P morse-taper implants used to analyze 1-P and 2-P implants, as
oral implants were manufactured princi-
using nonlinear finite element stress ana- our main purpose was to compare the
pally as the united implantabutment of
lysis (Fig. 1). During finite element analy- mechanical and biomechanical effects of
an already existing novel morse-taper and
sis, the mechanical evaluation of the internal-cone implantabutment mating
a butt-joint implant, namely: the ITIs
implantabutment complex was performed with a one-part implant. Because it was
(Straumann Institute, Waldenburg, Swit-
by Von Mises stresses. Von Mises stress also beyond the scope of this study to
zerland) implant and the Branemarks
values are used to define the beginning of evaluate the effects of thread design, the
(Nobel Biocare, Gothenburg, Sweden) im-
yield for ductile materials such as metallic threads of the implant body and the
plant. The rationale behind invention,
implants (Shigley 1986). As failure occurs abutment screw were not represented in
indications for use, as well as biological
when the Von Mises stress value exceeds their continuous helical characteristics, but
outcomes of these implants, however, has
not been well documented. Interestingly,
the utilization of 1-P implants has been
restricted in the mandibular symphysis
region for early-loading of mandibular bar-
retained overdentures with ITIs implants
(Buser et al. 1988) and to support immedi-
ately loaded full-arch 1-P fixed mandibular
prostheses with Novums System implants
(NobelBiocare) (Branemark et al. 1999). As
it is also not yet known whether 1-P
implants possess mechanical and biome-
chanical advantages over two-piece (2-P)
implants, an assessment in a strict scien-
tific sense is impossible. Owing to the
outstanding mechanical integrity of its
implantabutment junction (Merz et al.
2000), it was hypothesized that morse-
taper implants would transmit forces to
bone like 1-P implants, but have a dissim-
ilar mechanical behavior under bending Fig. 2. CAD model of the implant, abutment, and the resin cylinder.

482 | Clin. Oral Impl. Res. 15, 2004 / 481489


C
ehreli et al . Force transmission of one- and two-piece oral implants

as symmetric rings (Merz et al. 2000; Akca


et al. 2003). This implies that the screw
threads in these components were modeled
as independent rings, which were not in
contact with another. The CAD models
were transferred to the pre-processor
(MSC.MarcMetat 2000, MSC. Software
Corporation, Los Angeles, CA, USA.) for
finite element model conversion. The
implantabutment complex was embedded
vertically in the center of a + 1.5 cm 
1.5 cm acrylic resin cylinder (Merz et al.
2000; Akca et al. 2003) (Fig. 2). The finite
element model was constructed using
eight-node isoparametric brick and four-
node isoparametric tetrahedral elements
leading to 13,296 elements in im-plant,
12,931 elements in abutment, and 12,288
elements in acrylic cylinder, resulting
in a total of 17,922 nodes in the model.
The following values were assumed for
Youngs modulus and Poissons ratio, respect-
ively: implant and abutment 114,000 MPa
and 0.369; acrylic resin 3000 MPa and 0.3
(Merz et al. 2000; Akca et al. in press). A
value of 0.5 was assumed for the friction
between titanium abutment and implant
surfaces for the contact analysis, as reported
by Abkowitz et al. (1995).

Load conditions and constraints


Vertical and perpendicular loading condi-
tions were simulated. Static vertical forces
of 50 and 100 N were applied separately as
a 36 face load on the top of the abutment
surface (Fig. 3a). To simulate an oblique Fig. 3. (a) 36 face vertical load application on the solid abutment. (b) Nine face perpendicular load application on
loading condition, these forces were also the inclined surface of the solid abutment.
applied separately and perpendicular to an
area consisting of a nine face load on the 61
inclined surface of the abutment (Fig. 3b).
solutions were performed on half of the vertical loading in an area consisting of nine
Boundary conditions were established by
model. A nonlinear finite element analysis nodes on the mid-line cross-section of the
constraining the acrylic resin cylinder
solver (MSC.Marc 2000, MSC.Software model (Fig. 4). For the oblique loading
circumferentially and from its bottom.
Corporation, Los Angeles, CA, USA) was condition, the force was applied from the
Finite element analysis used for processing the situations. The left side of the implant, where the inclined
The contact area was defined between the analyses were performed using 10 incre- surface of the abutment was located. This
implant and the abutment. For contact mental solutions. loading created two sides, tension and
checking, the node-to-segment contact compression (Fig. 4), which were evaluated
mechanism was used. Load conditions Post-processing scalar results with Von Mises stresses in the implant,
were obtained in two different analyses. The pre-processor (MSC.MarcMetat 2000, principal stresses in the acrylic resin and
First, a contact analysis with normal MSC. Software Corporation) was used for displacement in direction-Y (vertical im-
contact detection and separation behavior the evaluation of post-processing scalar plant displacement), and displacement in
was performed to evaluate a 2-P implant results. Because of the symmetric geometry direction-X (horizontal implant displace-
design. In the second analysis, the implant of the model, Von Mises stresses in the ment). During analysis in the tension and
and the abutment were bonded to each implant, principal stresses in the acrylic compression sides, the stresses in nine
other with a separation force of 1020 N to resin, and displacement in direction-Y nodes were quantified and the mean of
analyze a 1-P implant. Because of the (vertical implant displacement) were re- the stresses in these nodes was calculated
symmetric geometry of the implant, the corded on half of the implant collar for for each side.

483 | Clin. Oral Impl. Res. 15, 2004 / 481489


C
ehreli et al . Force transmission of one- and two-piece oral implants

2-P, two-piece; 1-P, one-piece; VL, vertical loading; OL, oblique loading; VM, Von Mises stress (MPa); PS, principal stress (MPa) (negative and positive values present compressive and tensile stresses, respectively);
 9.27

 8.72
Dis-X

 2.66
 7.54

6.97
Dis-Y

 1.624
 23.05

22.16
PS

10.91
100 N

230.7

223.8
VM

 4.65

 4.60
Dis-X

 1.33
 3.79

3.60
Dis-Y
Fig. 4. Tension and compression sides consisting of nine nodes each, indicating the location of measurements
around the collar of the implant. Measurements were undertaken only in half of the implant for vertical loading,

 0.809
 11.57

11.69
as the implant had a symmetric design.

PS
1-P implant
Results Oblique loading

5.35
116.1

118.4
Post-processing scalar results at compres-

50 N

VM
Vertical loading sion and tension sides are presented in
Von Mises stresses in the implant, principal Table 1. The principal stresses and displa-

 9.52

 9.21
Dis-X
stresses minimum (compressive stresses) cement values were similar in both models.
in the acrylic cylinder, and vertical dis- Von Mises stresses were higher in the 2-P
placement values are presented in Table 1. design, revealing that this design experi-

 2.65
 7.72

7.20
Dis-Y
In both models, compressive stresses were enced higher mechanical stress under the
observed in resin around the collar of the same loading in comparison with the 1-P
implant. All values recorded in the 2-P design. The principal stresses and displace-

 1.618
 23.76

23.25
model were the same as those in the 1-P ments decreased along the line from point 1
model. Principal stresses and vertical dis- to 9, as Von Mises stresses increased. PS
Table 1. Post-processing scalar results under vertical and oblique loading

placement values decreased along the line Differences were not observed between

Dis-Y, displacement in direction-Y (mm); Dis-X, displacement in direction-X (mm).


from point 1 to 9, as Von Mises stresses implant designs in the distribution of
10.36
100 N

244.6

236.6
vertical and horizontal displacements, Von
VM

increased. Under both loads, the amount of


vertical displacement and the magnitude Mises stresses, and principal stresses mini-
and distribution of principle stresses were mum and maximum under both loads. The
 5.07

 4.62
Dis-X

the same in both models. distribution of principal stresses maximum


The distribution of Von Mises stresses in and minimum within the resin was same
the abutment and at the implant collar in both models (Figs 7a and b, 8a and b).
 1.32
 4.10

3.69
Dis-Y

above the resin level was also comparable The distribution of Von Mises stresses
between the models (Fig. 5a and b). An between models was different, particularly
even distribution of stresses was observed in the abutment and on the implant
 0.802
 12.66

11.76

in the abutment and the implant in the 1-P collar above the resin level (Fig. 9a and b).
model. In the 2-P model, Von Mises The 2-P model exhibited a wider distribu-
PS
2-P implant

stresses were intense in the abutment and tion of stresses in the morse-taper region
5.08

low stresses were observed in the implant (Fig. 9b). In both models, the distribution of
129.9

118.6
50 N

VM

collar above the resin level. The distribu- stresses was similar on the implantresin
tion of stresses was similar on the implant contact surface around the implant collar
OL compression

resin contact surface in both models. The (Fig. 9a and b). The distribution of displace-
distribution of vertical displacements in ments in the x-axis followed similar pat-
OL tension

both models above the resin level was terns in both models (Fig. 10a and b). For
different (Fig. 6a and b), whereas similar the distribution of displacements in y-axis
side

side

stress patterns were observed within the values, a separation behavior was observed
VL

resin. in the 2-P implant at the occlusal part of the

484 | Clin. Oral Impl. Res. 15, 2004 / 481489


C
ehreli et al . Force transmission of one- and two-piece oral implants

morse-taper joint on the tension side, but


similar distributions were observed in the
compression side in both models (Fig. 11a
and b).

Discussion

A complicating factor in finite element


stress analysis is the specification of the
conditions of the interaction between the
parts. Contact and friction have crucial
roles in the mechanical behaviors of two
parts of a complex including oral implants
(Sakaguchi & Borgersen 1995; Merz et al.
2000). As seen in the 1-P implant model, if
perfect bonding is present, the interface
conditions are automatically obtained by
letting nodes be part of the two bodies; the
solution is simple and fast. Perfect bonding,
however, is never the correct assumption
for oral implants, and for specific condi-
tions, specific parts will separate, or new
parts that were initially not in contact come
in contact. Eventually, more deformation
may be expected under load. For compre-
hensive structural analysis of an implant
abutment complex, linear approximation
will conceal the mechanical behaviors of
implants, particularly under bending forces
(Akca et al. 2002). In the present study,
although the same elastic modulus was
used for the implant and the abutment, the
thickness of the alloy surrounding the
abutment is reduced in the 2-P design,
which makes the 1-P design inherently
stiffer than the 2-P implant. Because of
Fig. 5. Distribution of Von Mises stresses for the 1-P (a) and 2-P (b) designs in the abutment and the implant at these structural differences and the friction
the collar region. between components, contact analysis

Fig. 6. Distribution of vertical displacements for the 1-P (a) and 2-P (b) designs. Note the displacement of the abutment in the 2-P design into the implant.

485 | Clin. Oral Impl. Res. 15, 2004 / 481489


C
ehreli et al . Force transmission of one- and two-piece oral implants

Fig. 7. Distribution of principal stress maximum (a) and minimum (b) in resin under 100 N oblique load around the 1-P design.

Fig. 8. Distribution of principal stress maximum (a) and minimum (b) in resin under 100 N oblique load around the 2-P design.

was a requisite to elucidate the effect of is reduced in the morse-taper design, the the worst case for morse-taper implants, as
implantabutment mating. A non-linear mechanical effect of pre-load in the im- there are no reported fractures of standard-
model of an implantabutment complex plantabutment complex was not consid- diameter (+ 4.1 mm) solid-screw ITIs
with 1-P and 2-P solutions was therefore ered in the present study. To analyze the implants, but few incidences of reduced
compared in the present study. Only one force transfer characteristics, the implant diameter (+ 3.3 mm) implant fractures
theoretical model was constructed for abutment complex was embedded in a (Schwarz 2000).
correct comparison of two different solu- homogeneous structure, an acrylic resin In this study, the 1-P implant design
tions. Because of the tapered interface cylinder, which was assigned Youngs experienced higher Von Mises stresses under
design studied, a high normal pressure is modulus and Poissons ratio similar to that vertical loading. This was due to the
maintained in the contact area, granting of cancellous bone. This was undertaken to difference in force transfer mechanisms at
stable retention of position by frictional eliminate the effects of variations in bone the implantabutment interface in the 2-P
forces (Merz et al. 2000). Since the risk of structure, such as bone density and cortical design and resulted in 0.27 and 0.55 MPa
reaching the yield load by superimposing bone thickness. The rationale for analyzing differences in stress magnitudes between
external loads with the low axial preload a reduced-diameter implant was to study models under 50 and 100 N loads, respec-

486 | Clin. Oral Impl. Res. 15, 2004 / 481489


C
ehreli et al . Force transmission of one- and two-piece oral implants

Fig. 9. Distribution of Von Mises stresses under 100 N oblique load for 1-P (a) and 2-P (b) designs.

Fig. 10. Distributions of displacements in the x-axis for 1-P (a) and 2-P (b) designs under 100 N oblique load.

tively. Since these stresses are extremely be a separation behavior between implant implant collar tended to enlarge the im-
low, they do not seem to have any clinical components under axial loading of the plant socket. Nevertheless, one should take
relevance on the mechanical as well as the implant. into account that this behavior is only
biomechanical outcome (Pilliar et al. 1986; It was also observed for both cases that descriptive and does not have any clinical
Szmukler-Moncler et al. 1998). Accord- the principal stresses and displacements significance due to the low stresses and
ingly, this finding also reveals that 1-P and decreased along the line from point 1 to 9 as displacements within elastic limits ob-
2-P morse-taper implants have similar force Von Mises stresses increased. This was served in the bone simulant.
transmission characteristics under vertical because of the tilting and bending of the As a sequel of oblique loading, Von Mises
loading. In essence, an implant having implant within elastic limits in oblique stresses in 2-P model were higher than the
an internal-cone or a one-part design does loading that created a wedging effect in the 1-P model, particularly under 100 N load.
not lead to any significant influence on bone simulant. Consequently, the applica- Nevertheless, an extensive separation was
the mechanics of the implant as well as tion of vertical or oblique loads caused a not observed in the 2-P implant and this
the mechanical environment created in the vertical and/or horizontal displacement of finding was attributed to the morse-taper
bone in vertical loading, as there will not the implant, and the increasing diameter of design and the friction between implant

487 | Clin. Oral Impl. Res. 15, 2004 / 481489


C
ehreli et al . Force transmission of one- and two-piece oral implants

Fig. 11. Distributions of displacements in the y-axis for 1-P (a) and 2-P (b) designs under 100 N oblique load. Note the slight separation behavior of the abutment from the
implant in the 2-P design in the tension side.

components. Although the 2-P implant contraste a ete effectuee dans le complexe implant/ wertung eines zweiteiligen Implantats durchgefuhrt.
pilier pour evaluer un implant en deux pie`ces. Dann wurden die Komponenten mit einer Separ-
collar is prone to bend and creates mechan-
Ensuite, les composants ont ete relies avec une force ationskraft von 1020 N verbunden, um ein einteiliges
ical stress within the implantabutment de separation de 1020N pour analyser un implant en Implantat zu analysieren.
complex, both implants distribute forces une pie`ce. Les stress de Von Mises dans limplant, Resultate: Unter vertikaler Belastung waren der Van
evenly to the acrylic bone. The reduced les principaux stress et les deplacements dans la Mises Stress im Implantat, der generelle Stress und
metal thickness around the abutment resine etaient les memes pour les deux mode`les sous die Displatzierung im Kunststoff fur beide Kon-
charge verticale. Lorsquune charge oblique etait struktionen gleich. Unter schrager Belastung waren
screw results in an unfavorable bending of
appliquee, les stress principaux et les valeurs de der generelle Stress und die Displatzierungswerte im
the reduced-diameter (+ 3.3 mm) ITIs deplacements dans la resine etaient semblables mais Kunststoff die gleichen, jedoch war das Ausmass des
implant under oblique forces (2-P design), lamplitude des stress de Von Mises etait plus von Mises Stress im zweiteiligen Implantat grosser.
and this behavior may explain the reason importante dans limplant a` deux pie`ces. Les Die generelle Stressverteilung im Akrylknochen um
for fracture of the reduced diameter implant distributions des stress principaux autour des deux die Implantate war unter beiden Belastungsbedin-
implants dans los acrylique etait semblable sous les gungen ahnlich.
(Schwarz 2000; Akca et al. 2003). In
deux conditions de charge. Les implants en deux Schlussfolgerung: Zweiteilige Implantate erleiden
clinical practice, it may therefore be pie`ces subissent un stress mecanique plus important grosseren mechanischen Stress unter schrager Belas-
assumed that 1-P implants possess me- sous une charge oblique. Cependant, limplant en tung. Jedoch ist die ein- oder zweiteilige Konstruk-
chanical advantages over 2-P implants une ou deux pie`ces avec un cone morse nest pas un tion mit konischem Sitz der Sekundarteile bei
under oblique loading. Nevertheless, since facteur decisif sur lamplitude et la distribution des Implantaten kein entscheidender Faktor fur das
stress, et les deplacements des tissus de support. Ausmass und die Verteilung des Stresses und fur
the distribution of principal stresses and
die Displatzierung in den Verankerungsgeweben.
displacement values in the resin were
almost the same, it is not expected to affect Zusammenfassung
bone response under functional loading. Resumen
Hence, it seems that the biomechanical Kraftubertragung von ein- und zweiteiligen oralen
characterization of an actual 2-P ITIs Implantaten mit konischem Sitz der Sekundarteile: Intencion: Comparar los comportamientos de trans-
Eine nichtlineare Finite Element Analyse mision de fuerzas de implantes orales en cono morse
implant resembles a 1-P solid implant.
de una o dos piezas.
Ziel: Die Kraftubertragungsverhaltnisse von ein- Material y metodos: Se construyeron separada-
und zweiteiligen oralen Implantaten mit konischem mente un modelo tridimensional de elemento finito
Resume Sitz der Sekundarteile zu untersuchen. de un implante oral de cono morse y un pilar solido.
Material und Methoden: Es wurde je ein separates El complejo implante-pilar se embebio en un cilindro
Le but de cette etude a ete de comparer les dreidimensionales Finite Element Modell eines de resina acrlica de + 1.5 cm  1.5 cm. Se aplicaron
comportements de la transmission de la force oralen Implantats mit konischem Sitz der Sekun- fuerzas oblicuas de 50 N y 100 N sobre el pilar y se
desimplants buccaux en deux pie`ces. Un mode`le darteile und ein Massivsekundarteil konstruiert. Der resolvieron por medio de dos analisis diferentes.
delements finis tridimensionnels dun implant Implantat-Sekundarteilkomplex wurde in einem Primero, se llevo a cabo un analisis de contacto en el
buccal et dun pilier solide ont ete construits Zylinder aus Acryl mit Durchmesser 1.5cm und complejo implante-pilar para evaluar un implante de
separement. Le complexe implant/pilier a ete enfoui Lange 1.5cm eingebettet. Vertikale und schrage dos piezas. Despues, se unieron los componentes con
dans un cylindre de resine acrylique dun diame`tre Krafte von 50 N und 100 N wurden auf das una fuerza de separacion de 1020 N para analizar un
1,5  1,5 cm. Des forces obliques et verticales de 50 Sekundarteil appliziert und durch zwei verschiedene implante de una sola pieza.
et 100 N ont ete appliquees sur les piliers et Analysen ausgewertet. Zuerst wurde eine Kontakta- Resultados: El estres de Von Mises, el estres
analysees par deux methodes. Dabord, lanalyse de nalyse im Implantat-Sekundarteilkomplex zur Aus- principal, y el desplazamiento en la resina fueron

488 | Clin. Oral Impl. Res. 15, 2004 / 481489


C
ehreli et al . Force transmission of one- and two-piece oral implants

los mismos para ambos disenos bajo carga vertical.


Bajo carga oblicua, los valores de estres principal y
desplazamiento en resina fueron los mismos, pero la
magnitud de los estreses de Von Mises fueron
mayores en los implantes de dos piezas. Las
distribuciones del estres principal alrededor de ambos
implantes in el hueso acrlico fueron similares bajo
ambas condiciones de carga.
Conclusion: Los implantes de dos piezas experi-
mentan un estres mecanico mas alto bajo carga
oblicua. Sin embargo, la naturaleza de un implante
de cono morse de una o dos piezas no es un fac-
tor decisivo en la magnitud y distribucion de
los estreses, y desplazamientos en los tejidos de
soporte.

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