Influence of implant-abutment connection mode on stress distribution in peri-implant bone

Abstract

To investigate the influence of butt joint connection and platform switching design of implant-abutment connection on the stress distribution in peri-implant bone. Three-dimensional finite element models of implant-supported mandibular first molar with different implant-abutment connections were computed by COSMOSM 2.85. Traditional butt joint connection was used in model A and platform switching design in model B. Loading conditions were a vertical load of 200 N and inclined load of the same magnitude at 45 degrees to the vertical axis of the implant. Stress distribution in peri-implant bone and von Mises stresses at the same point of buccal and lingual implant-bone interfaces in two models were compared. Stresses concentrated in peri-implant cortical bone at the neck of implants on the buccal and lingual sides; maximum von Mises stresses under inclined load were higher than those under vertical load. Maximum von Mises stress in bone was 11.61 MPa in model A and 7.15 MPa in model B under vertical load, and 22.07 MPa in model A and 11.87 MPa in model B under inclined load respectively. Von Mises stresses decreased as the distance from implant-abutment junction increased and the most obvious change occurred at the interface between cortical bone and spongy bone. Von Mises stresses at the same points of buccal and lingual implant-bone interfaces in model A were higher than those in model B. Compared with butt joint connection, platform switching design improved the stress distribution and decreased the maximum stresses in peri-implant bone around implant cervix.