PubMed İndeksli Yayınlar Koleksiyonu
Permanent URI for this collectionhttps://hdl.handle.net/20.500.12573/397
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Article A Novel Dental Implant Nut System Designed to Enhance Primary Stability: Mechanical and Finite Element Analysis(Wiley, 2026) Demirbaş, Ahmet Emin; Bal, Burak; Alkan, Alper; Şahin, Mert; Soylu, EmrahPurpose: The present study aimed to evaluate, in a preclinical setting, the biomechanical behavior and mechanical performance of a newly developed dental implant nut system designed to address primary stability challenges in the severely resorbed posterior maxilla. Materials and Methods: The evaluation consisted of two complementary stages: an in vitro mechanical experiment and a finite element analysis (FEA). In the experimental phase, polyurethane jaw models simulating a severely atrophic posterior maxilla with approximately 1 mm residual bone height were used. Four groups were prepared: single implant without nut, single implant with nut, double implant without nut, and double implant with nut (n = 10 per group). Primary stability was measured using resonance frequency analysis (RFA) with an Osstell device. In the computational phase, three-dimensional finite element models were constructed from cone-beam computed tomography (CBCT) data of the same configuration to evaluate detachment forces and stress distribution within the bone-implant complex under vertical loading. Results: In single-implant models, mean implant stability quotient (ISQ) values increased from 10.91 +/- 7.35 to 18.27 +/- 7.11 after nut application. In double-implant models, ISQ values increased from 11.13 +/- 4.14 to 19.24 +/- 4.24 (p < 0.05). FEA results revealed that the detachment force increased from 16.5 to 20.33 N in single-implant models and from 15 to 22.3 N in double-implant models. Compressive stresses on the bone were lower in nut-supported configurations, indicating a more favorable load distribution. Conclusion: The nut system was associated with increased implant primary stability and a more favorable stress distribution under the conditions of this preclinical study. These findings should be interpreted as preliminary biomechanical evidence, as no in vivo or clinical validation was performed. Therefore, this design may be considered a mechanical stabilization concept that warrants further investigation through in vivo and clinical studies.Article Citation - WoS: 17Citation - Scopus: 22Finite Element Analysis of the Stress Distribution Associated With Different Implant Designs for Different Bone Densities(Wiley, 2022-06-06) Kurtulus, Ikbal Leblebicioglu; Kilic, Kerem; Bal, Burak; Kilavuz, Ahmet; Leblebicioğlu Kurtuluş, IkbalPurpose The main objective of this study was to investigate the influence of implant design, bone type, and abutment angulation on stress distribution around dental implants. Materials and methods Two implant designs with different thread designs, but with the same length and brand were used. The three-dimensional geometry of the bone was simulated with four different bone types, for two different abutment angulations. A 30 degrees oblique load of 200 N was applied to the implant abutments. Maximum principal stress and minimum principal stresses were obtained for bone and Von misses stresses were obtained for dental implants. Results The distribution of the load was concentrated at the coronal portion of the bone and implants. The stress distributions to the D4 type bone were higher for implant models. Increased bone density and increased cortical bone thickness cause less stress on bone and implants. All implants showed a good distribution of forces for non-axial loads, with higher stresses concentrated at the crestal region of the bone-implant interface. In implant types using straight abutments there was a decrease in stress as the bone density decreased. The change in the abutment angle also caused an increase in stress. Conclusions The use of different implant threads and angled abutments affects the stress on the surrounding bone and implant. In addition, it was observed that a decrease in density in trabecular bone and a decrease in cortical bone thickness increased stress.