Stress distribution in dental implant with elastomeric stress barrier

Dental implant has been used and studied for the replacement of missing teeth for many years. It has been well known that the success of dental implant is heavily dependent on initial stability and long-term Osseointegration due to optimal stress distribution in the surrounding bones. For this reason, the search of the rational solutions to reduce these stresses has become an important issue in this field. Alternatives to reduce the forces transmitted to implants have been studied, including variations in implant positioning, implant design, prosthesis shape, occlusal requirements, prosthetic components and prosthetic materials. Thus, a new concept of adding a bio-elastomer to the prosthetic components of implant system was interposed between the abutment and the framework crown in order to damp the occlusive shocks and to attenuate the stress concentrated at the implant/bone interface. The new implant system design was assessed by the three dimensional finite element techniques using ABAQUS program to study the effect of elastomer material under an occlusal load on the induced equivalent von Mises interface stresses. These stresses were compared with those provoked by the standardized implant. The von Mises stress distribution indicated that stress was maximal around the top of the implant with varying intensities in the different loading cases. The stress was highest in the cortical bone at the neck of implant and lowest in the cancellous bone. Overall, the novel implant provoked lower interface stresses only in the cortical bone due to the stress shielding effect of the elastomeric stress barrier.