Abstract

The inclusion of a healing chamber in dental implants has been shown to promote biological healing. In this paper, a novel numerical approach to the design of the healing chamber for additive-manufactured dental implants is proposed. This study developed an algorithm for the modeling of bone growth and employed finite element method in ANSYS to facilitate the design of healing chambers with a highly complex configuration. The model was then applied to the design of dental implants for insertion into the posterior maxillary bones. Two types of ITI® solid cylindrical screwed implant with extra rectangular-shaped healing chamber as an initial design are adopted, with which to evaluate the proposed system. This resulted in several configurations for the healing chamber, which were then evaluated based on the corresponding volume fraction of healthy surrounding bone. The best of these implants resulted in a healing chamber surrounded by around 9.2% more healthy bone than that obtained from the original design. The optimal design increased the contact area between the bone and implant by around 52.9%, which is expected to have a significant effect on osseointegration. The proposed approach is highly efficient which typically completes the optimization of each implant within 3–5 days on an ordinary personal computer. It is also sufficiently general to permit extension to various loading conditions.

Highlights

  • Dental implant has been an important surgical component in recent years

  • The concept of a healing chamber has been introduced to the design of threaded dental implants [5, 6]

  • Based on the results reported in the previous section, the design generated by the current algorithm can increase the volume fraction of the healthy surrounding bone and the bone-implant contact area

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Summary

Introduction

A well-designed dental implant is able to benefit patients with improved appearance, comfort, and speech, as well as stopping the bone loss [1, 2] and enhancing the structural connection between bone and the surface of the implant, that is, the osseointegration [3, 4]. The concept of a healing chamber has been introduced to the design of threaded dental implants [5, 6]. The healing chamber is defined as the voids between adjacent threads, where the implant and the bone are not initially in contact right after the implant placement [7]. The voids are filled with blood clots, which can further form the osteogenic tissue leading to the ingrowth of woven bone [6, 8]. The chamber significantly alters the biological healing pattern, compared to it in the case of the traditional screw root shape implants [8, 9]

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