Abstract
Recently a new therapeutic concept of patient-specific implant dentistry has been advanced basedoncomputer-aided design/computer-aided manufacturing technology. However, a comprehensive study of the designand 3-dimensional (3D) printing of the customized implants, their mechanical properties, and their biomechanical behavior is lacking. The purpose of this study was to evaluate the mechanical and biomechanical performance of a novel custom-madedental implant fabricated by the selective laser melting technique with simulation and invitro experimentalstudies. Two types of customized implants were designed by using reverse engineering: a root-analog implant and a root-analog threaded implant. The titanium implants were printed layer by layer with the selective laser melting technique. The relative density, surface roughness, tensile properties, bend strength, and dimensional accuracy of the specimens were evaluated. Nonlinear and linear finite element analysis and experimental studies were used to investigate the stress distribution, micromotion, and primary stability of the implants. Selective laser melting 3D printing technology was able to reproduce the customized implant designs and producehigh density and strength and adequate dimensional accuracy. Better stress distribution and lower maximum micromotions were observed for the root-analog threaded implant model than for the root-analog implant model. In the experimental tests, the implant stability quotient and pull-out strength of the 2 types of implants indicated that better primary stability can be obtained with a root-analog threaded implant design. Selective laser melting proved to be an efficient means of printing fully dense customized implants with highstrength and sufficient dimensional accuracy. Adding the threaded characteristic to the customized root-analog threadedimplant design maintained the approximate geometry of the natural root and exhibited better stress distribution andprimary stability.
Published Version
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