Borie Eduardo, Orsi Iara Augusta, de Araujo Carlos P R
CIMOFIR Research Centre, Dental School, Universidad de La Frontera , Temuco , Chile.
Acta Odontol Scand. 2015 Jul;73(5):321-9. doi: 10.3109/00016357.2014.961957. Epub 2015 Jan 19.
Regardless of the multiple options of connections, diameters and heights for dental implants, the clinician should know the biomechanical behavior of the bone to plan the treatment according to the biological and anatomical conditions of each patient, without risk to the long-term treatment success.
The following review attempts to summarize the relevant literature to establish guidelines for clinicians based on the scientific evidence regarding the influence by the implant's connection, diameter and length on the bone biomechanics.
The length, diameter and connection of each implant have a degree of influence in bone biomechanics. Despite the influence of different implant connections, diameters and lengths on peri-implant bone stress and strain, these characteristics should remain within the physiological limits to avoid a pathological overload, bone resorption and consequent risk to the long-term success of implant-prosthetic treatment.
无论牙种植体在连接方式、直径和长度方面有多种选择,临床医生都应了解骨的生物力学行为,以便根据每位患者的生物学和解剖学状况来规划治疗方案,而不会对长期治疗成功构成风险。
以下综述试图总结相关文献,以便根据关于种植体连接、直径和长度对骨生物力学影响的科学证据,为临床医生制定指导方针。
每个种植体的长度、直径和连接方式对骨生物力学都有一定程度的影响。尽管不同的种植体连接方式、直径和长度会对种植体周围骨的应力和应变产生影响,但这些特性应保持在生理限度内,以避免病理性过载、骨吸收以及随之而来的种植修复治疗长期成功的风险。