Biomechanical behavior of customized scaffolds: A three-dimensional finite element analysis

Abstract

Teeth loss due to periodontal diseases, trauma, or infections often causes dimensional loss in the affected maxillary. In patients with reduced maxillary size, restoration of chewing function and esthetics with endosseous dental implants may fail. The aim of this work was to simulate the biomechanical behavior, using the finite element method, of customized scaffolds fixed by a dental implant on a partially edentulous jaw. Porous scaffolds were designed from medical images of a partially edentulous jaw with type IV bone quality. The influence of the diameter of the hole and the porosity of the scaffold on the maximum levels of stress and strain in the peri-implant bone was evaluated. The highest stress values in the scaffolds, dental implant, and crown were lower than the yield strength of their respective materials. The customized scaffolds allow to recover the dimensions of the evaluated jaw. A significant decrease in stress and strain values was observed in the peri-implant cortical bone. Furthermore, it was found that the evaluated parameters did not have a significant influence on the maximum von Mises equivalent stress and maximum strain values in the peri-implant bone.