Meijer G J, Starmans F J, de Putter C, van Blitterswijk C A
Department of Oral-Maxillofacial Surgery, Prosthodontics and Special Dental Care, Faculty of Medicine, University of Utrecht, The Netherlands.
J Oral Rehabil. 1995 Feb;22(2):105-11. doi: 10.1111/j.1365-2842.1995.tb00243.x.
The influence of a three-layered flexible coating of Polyactive on bone stress distribution was investigated by three-dimensional finite element models of mandibular bone, in which a titanium implant (coated or uncoated) was located. Polyactive is a system of poly(ethylene oxide) poly(butylene terephthalate) segmented co-polymers with bone-bonding capacity. In the case of sagittal and transversal loading, the use of a Polyactive coating reduced both the minimum principal stress in the bone and the compressive radial stress at the bone-implant interface. However, it raised the maximum principal and the tensile radial stress. In the case of vertical loading, the application of a flexible coating reduced the compressive radial stress at the bone-implant interface around the neck of the implant by a factor of 6.6 and the tensile radial stress by a factor of 3.6. Variations in composition and thickness of the coating did not affect the results significantly.