Influence of narrow titanium dental implant diameter on fatigue behavior: a comparison between unitary and splinted implants

Scientific literature lacks strong support for using narrow diameter implants (NDI) in high masticatory force areas, especially in molars. Implant splinting in cases of multiple missing teeth reduces lateral forces, improves force distribution, and minimizes stress on implants. However, no studies h...

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Autores: González Terrats, Rodrigo, Bonnín Liñares, María, Punset Fuste, Miquel|||0000-0002-1904-8667, Molmeneu Trias, Meritxell|||0000-0002-7181-6467, Nart Molina, José, Ruíz Magaz, Vanessa, Albertini, Matteo, Manero Planella, José María|||0000-0002-1673-4389, Gil Mur, Francisco Javier|||0000-0002-6824-1412
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universitat Politècnica de Catalunya (UPC)
Repositorio:UPCommons. Portal del coneixement obert de la UPC
Idioma:inglés
OAI Identifier:oai:upcommons.upc.edu:2117/418529
Acceso en línea:https://hdl.handle.net/2117/418529
https://dx.doi.org/10.3390/jcm13061632
Access Level:acceso abierto
Palabra clave:Narrow dental implant (NDI)
Unitary implants
Two-splinted implants
ISO 14801
Wöhler S/N curves
SEM fractography
Static and cyclic loading
Maximum static fracture strength (Fmax)
Fatigue limit (LF)
Àrees temàtiques de la UPC::Enginyeria biomèdica::Biomaterials::Materials dentals
Àrees temàtiques de la UPC::Enginyeria biomèdica::Biomaterials::Implants artificials
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spelling Influence of narrow titanium dental implant diameter on fatigue behavior: a comparison between unitary and splinted implantsGonzález Terrats, RodrigoBonnín Liñares, MaríaPunset Fuste, Miquel|||0000-0002-1904-8667Molmeneu Trias, Meritxell|||0000-0002-7181-6467Nart Molina, JoséRuíz Magaz, VanessaAlbertini, MatteoManero Planella, José María|||0000-0002-1673-4389Gil Mur, Francisco Javier|||0000-0002-6824-1412Narrow dental implant (NDI)Unitary implantsTwo-splinted implantsISO 14801Wöhler S/N curvesSEM fractographyStatic and cyclic loadingMaximum static fracture strength (Fmax)Fatigue limit (LF)Àrees temàtiques de la UPC::Enginyeria biomèdica::Biomaterials::Materials dentalsÀrees temàtiques de la UPC::Enginyeria biomèdica::Biomaterials::Implants artificialsScientific literature lacks strong support for using narrow diameter implants (NDI) in high masticatory force areas, especially in molars. Implant splinting in cases of multiple missing teeth reduces lateral forces, improves force distribution, and minimizes stress on implants. However, no studies have evaluated the fatigue load resistance of unitary or splinted implants. Methods: This in vitro study compares five groups of new metal alloy implants, including unitary and splinted implants with varying diameters. Mechanical characterization was assessed using a BIONIX 370 testing machine (MTS, Minneapolis, MN, USA) according to ISO 14801. For each of the five study sample groups, (n = 5) specimens underwent monotonic uniaxial compression at break testing and (n = 15) cyclic loading to determine the maximum force (Fmax) and the fatigue life (LF) values. Scanning electron microscopy (SEM) was employed for the fractographic analysis of the fractured samples. Results: The Fmax values for unitary samples ranged from 196 N to 246 N, whereas the two-splinted samples displayed significantly higher values, ranging from 2439 N to 3796 N. Similarly, the LF values for unitary samples ranged from 118 N to 230 N, while the two-splinted samples exhibited notably higher values, ranging from 488 N to 759 N. Conclusions: The observed resistance difference between sample groups in terms of Fmax and LF may be due to variations in effective cross-sectional area, determined by implant diameter and number. Additionally, this disparity may indicate a potential stiffening effect resulting from the splinting process. These findings have significant implications for dental clinical practice, suggesting the potential use of splinted sets of small-sized NDI as replacements for posterior dentition (premolars and molars) in cases of alveolar bone ridge deficiencies.Peer ReviewedMultidisciplinary Digital Publishing Institute (MDPI)20242024-03-1320242024-11-21journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://hdl.handle.net/2117/418529https://dx.doi.org/10.3390/jcm13061632reponame:UPCommons. Portal del coneixement obert de la UPCinstname:Universitat Politècnica de Catalunya (UPC)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:upcommons.upc.edu:2117/4185292026-05-27T15:37:01Z
dc.title.none.fl_str_mv Influence of narrow titanium dental implant diameter on fatigue behavior: a comparison between unitary and splinted implants
title Influence of narrow titanium dental implant diameter on fatigue behavior: a comparison between unitary and splinted implants
spellingShingle Influence of narrow titanium dental implant diameter on fatigue behavior: a comparison between unitary and splinted implants
González Terrats, Rodrigo
Narrow dental implant (NDI)
Unitary implants
Two-splinted implants
ISO 14801
Wöhler S/N curves
SEM fractography
Static and cyclic loading
Maximum static fracture strength (Fmax)
Fatigue limit (LF)
Àrees temàtiques de la UPC::Enginyeria biomèdica::Biomaterials::Materials dentals
Àrees temàtiques de la UPC::Enginyeria biomèdica::Biomaterials::Implants artificials
title_short Influence of narrow titanium dental implant diameter on fatigue behavior: a comparison between unitary and splinted implants
title_full Influence of narrow titanium dental implant diameter on fatigue behavior: a comparison between unitary and splinted implants
title_fullStr Influence of narrow titanium dental implant diameter on fatigue behavior: a comparison between unitary and splinted implants
title_full_unstemmed Influence of narrow titanium dental implant diameter on fatigue behavior: a comparison between unitary and splinted implants
title_sort Influence of narrow titanium dental implant diameter on fatigue behavior: a comparison between unitary and splinted implants
dc.creator.none.fl_str_mv González Terrats, Rodrigo
Bonnín Liñares, María
Punset Fuste, Miquel|||0000-0002-1904-8667
Molmeneu Trias, Meritxell|||0000-0002-7181-6467
Nart Molina, José
Ruíz Magaz, Vanessa
Albertini, Matteo
Manero Planella, José María|||0000-0002-1673-4389
Gil Mur, Francisco Javier|||0000-0002-6824-1412
author González Terrats, Rodrigo
author_facet González Terrats, Rodrigo
Bonnín Liñares, María
Punset Fuste, Miquel|||0000-0002-1904-8667
Molmeneu Trias, Meritxell|||0000-0002-7181-6467
Nart Molina, José
Ruíz Magaz, Vanessa
Albertini, Matteo
Manero Planella, José María|||0000-0002-1673-4389
Gil Mur, Francisco Javier|||0000-0002-6824-1412
author_role author
author2 Bonnín Liñares, María
Punset Fuste, Miquel|||0000-0002-1904-8667
Molmeneu Trias, Meritxell|||0000-0002-7181-6467
Nart Molina, José
Ruíz Magaz, Vanessa
Albertini, Matteo
Manero Planella, José María|||0000-0002-1673-4389
Gil Mur, Francisco Javier|||0000-0002-6824-1412
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Narrow dental implant (NDI)
Unitary implants
Two-splinted implants
ISO 14801
Wöhler S/N curves
SEM fractography
Static and cyclic loading
Maximum static fracture strength (Fmax)
Fatigue limit (LF)
Àrees temàtiques de la UPC::Enginyeria biomèdica::Biomaterials::Materials dentals
Àrees temàtiques de la UPC::Enginyeria biomèdica::Biomaterials::Implants artificials
topic Narrow dental implant (NDI)
Unitary implants
Two-splinted implants
ISO 14801
Wöhler S/N curves
SEM fractography
Static and cyclic loading
Maximum static fracture strength (Fmax)
Fatigue limit (LF)
Àrees temàtiques de la UPC::Enginyeria biomèdica::Biomaterials::Materials dentals
Àrees temàtiques de la UPC::Enginyeria biomèdica::Biomaterials::Implants artificials
description Scientific literature lacks strong support for using narrow diameter implants (NDI) in high masticatory force areas, especially in molars. Implant splinting in cases of multiple missing teeth reduces lateral forces, improves force distribution, and minimizes stress on implants. However, no studies have evaluated the fatigue load resistance of unitary or splinted implants. Methods: This in vitro study compares five groups of new metal alloy implants, including unitary and splinted implants with varying diameters. Mechanical characterization was assessed using a BIONIX 370 testing machine (MTS, Minneapolis, MN, USA) according to ISO 14801. For each of the five study sample groups, (n = 5) specimens underwent monotonic uniaxial compression at break testing and (n = 15) cyclic loading to determine the maximum force (Fmax) and the fatigue life (LF) values. Scanning electron microscopy (SEM) was employed for the fractographic analysis of the fractured samples. Results: The Fmax values for unitary samples ranged from 196 N to 246 N, whereas the two-splinted samples displayed significantly higher values, ranging from 2439 N to 3796 N. Similarly, the LF values for unitary samples ranged from 118 N to 230 N, while the two-splinted samples exhibited notably higher values, ranging from 488 N to 759 N. Conclusions: The observed resistance difference between sample groups in terms of Fmax and LF may be due to variations in effective cross-sectional area, determined by implant diameter and number. Additionally, this disparity may indicate a potential stiffening effect resulting from the splinting process. These findings have significant implications for dental clinical practice, suggesting the potential use of splinted sets of small-sized NDI as replacements for posterior dentition (premolars and molars) in cases of alveolar bone ridge deficiencies.
publishDate 2024
dc.date.none.fl_str_mv 2024
2024-03-13
2024
2024-11-21
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/2117/418529
https://dx.doi.org/10.3390/jcm13061632
url https://hdl.handle.net/2117/418529
https://dx.doi.org/10.3390/jcm13061632
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Multidisciplinary Digital Publishing Institute (MDPI)
publisher.none.fl_str_mv Multidisciplinary Digital Publishing Institute (MDPI)
dc.source.none.fl_str_mv reponame:UPCommons. Portal del coneixement obert de la UPC
instname:Universitat Politècnica de Catalunya (UPC)
instname_str Universitat Politècnica de Catalunya (UPC)
reponame_str UPCommons. Portal del coneixement obert de la UPC
collection UPCommons. Portal del coneixement obert de la UPC
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repository.mail.fl_str_mv
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