Background/Objectives: This study investigates stress distribution in cancellous bone during pilot drilling for dental implants using the Cowper–Symonds model. Understanding the biomechanical effects of drilling parameters on bone health is essential for optimizing implant stability and longevity. Methods: A finite element analysis (FEA) approach was employed to simulate the pilot drilling process in cancellous bone. A three-dimensional jawbone model was developed from CT scan data, processed using 3D Slicer, and refined with CAD tools. The drilling simulation incorporated a rigid pilot drill and flexible cancellous bone, utilizing explicit dynamic methods. Stress distribution was evaluated for drilling depths ranging from 6 mm to 16 mm, with mesh density and strain rate effects considered to ensure accuracy. Results: The results showed an increase in stress levels with drilling depth, with maximum stress recorded at 16 mm. Initial contact stress was 17.3 MPa, rising to 228.9 MPa at deeper penetration due to increased interaction between the drill and bone. Stress distribution patterns emphasized the critical role of drilling depth and design parameters in mitigating bone damage. Conclusions: This study highlights the importance of optimized drilling protocols and pilot drill design to reduce stress and preserve bone integrity. The findings provide valuable insights into improving implant procedures and demonstrate the utility of FEA as a robust tool for evaluating biomechanical impacts during implant placement. Future research should incorporate cortical bone and thermal effects for a comprehensive analysis.
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