Finite Element Analysis of the Influence of Implant Tilting and the Direction of Loading on the Displacement and Micromotion of Immediately Loaded Implants.

Objectives: To investigate the outcome of the loading direction and implant tilting on the micromotion and displacement of immediately placed implants with finite element analysis (FEA).

Materials And Method: Eight blocks of synthetic bone were created. Eight screw-type implants were inserted, four axially and four slanted, each measuring 11 mm in length and 4.5 mm in diameter. The axial implants and the tilted implants were distally inclined by 30°. The top of the abutment was subjected to 180 N vertical and mesiodistal oblique (45° angle) loads, and the displacement of the abutment was measured. The abutment displacement and micromotion were estimated, and nonlinear finite element models simulating the in vitro experiment were built. In vitro studies and FEA data on abutment displacement were compared, and the reliability of the finite element model was assessed.

Result: Under oblique stress, abutment displacement was larger than under axial loading, and it was also greater for tilted implants than for axial implants. The consistency of the in vitro and FEA data was satisfactory. Under vertical stress, the highest micromotion values in the axial and tilted implants were extremely near.

Conclusion: Under mesiodistal oblique stress, tilted implants may have a smaller maximum amount of micromotion than axial implants. The loading direction had a significant impact on the highest micromotion values. The abutment displacement values were not reflected in the maximum micromotion measurements.