Abstract

Prosthetic implantation has been a prevalent surgical procedure in dentistry. Insertion of dental implant significantly changes local oral conditions and leads to the surrounding bone to remodel to a new morphology. To predict how the bone responds such a biomechanical change, finite element analysis (FEA) based remodeling simulation has proven effective. For a range of mechanical stimuli, which should be used remains controversial arguable? This paper aims to compare how the different mechanical stimuli, including mechostat model (effective strain), daily stress and strain energy density (SED) affect the predictions of bone remodeling.

Highlights

  • It has been well recognized that human bone adapts the changes in biomechanical environment and functions

  • Several prevalent theories include: 1) the mechanostat model, where the induced effective mechanical strain is treated as a stimulus [1] [5]; 2) daily stress model [6], where the effect of daily cyclic loading pattern is considered; and 3) Strain Energy Density (SED) model [7], where the amount of distortion energy in the bone is extrapolated to be used as a trigger for bone remodeling

  • This paper provides a comparative study on prediction of the mandibular bone remodeling based on three widely-used mechanical stimuli developed in long bone research community, namely mechanostat, daily stress and strain energy density

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Summary

Introduction

It has been well recognized that human bone adapts the changes in biomechanical environment and functions. Bone remodeling indicates an ongoing process where bone gradually alters its morphology in terms of resorption and apposition for adapting any new change in external loading. Known as “surface” and “internal” remodeling [1], are commonly used in the field [2] [3]. By definition, the former is related to the resorption or deposition on the outer or inner surfaces of the bone [3], whilst the latter is related to the resorption or apposition of lamellar bone within the existing osteons [2]. One of the main roles of the osteocytes is to transport calcium and other ions between the bone minerals and the blood plasma, and is involved in routine turnover of bone matrix [4]

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