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Academic Editor: Bongju Kim Received: 2 May 2025 Revised: 31 May 2025 Accepted: 3 June 2025 Published: 7 June 2025 Citation: González-Mederos, P.; Rodríguez-Guerra, J.; González, J.E.; Picardo, A.; Torres, Y. A Finite Element Analysis of a New Dental Implant Design: The Influence of the Diameter, Length, and Material of an Implant on Its Biomechanical Behavior. Materials 2025,18, 2692. https://doi.org/ 10.3390/ma18122692 Copyright: © 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/ licenses/by/4.0/). Article A Finite Element Analysis of a New Dental Implant Design: The Influence of the Diameter, Length, and Material of an Implant on Its Biomechanical Behavior Pedro González-Mederos 1, Jennifer Rodríguez-Guerra 1, Jesús E. González 1,2,*, Alberto Picardo 3 and Yadir Torres 4,* 1 Departamento de Biomateriales Cerámicos y Metálicos, Centro de Biomateriales, Universidad de La Habana, Ave. Universidad s/n Entre G y Ronda, Vedado, La Habana 10400, Cuba; [email protected] (P.G.-M.); jennifer[email protected] (J.R.-G.) 2Grupo de Biomecánica, Facultad de Mecánica, Universidad Tecnológica de la Habana “José Antonio Echeverría”, Dirección Calle 114, # 11901, e/Ciclovía y Rotonda, Marianao, Cujae, La Habana 19390, Cuba 3 Departamento de Ingeniería del Diseño, Escuela Politécnica Superior de Sevilla, Universidad de Sevilla, Calle Virgen de África, 7, 41011 Sevilla, Spain; apicar[email protected] 4Ingeniería y Ciencia de los Materiales y del Transporte, Escuela Politécnica Superior de Sevilla, Universidad de Sevilla, Calle Virgen de África, 7, 41011 Sevilla, Spain *Correspondence: [email protected] (J.E.G.); [email protected] (Y.T.) Abstract: It is widely recognized that excessive stress and/or strain can lead to peri-implant bone atrophy; therefore, the clinical success of dental implants is intrinsically related to their biomechanical behavior. This study evaluates the influence of the diameter, length, and material [Ti6Al4V ( α + β Ti) and Ti35Nb7Zr5Ta ( β -Ti)] of a novel cylindrical dental implant on stress and strain levels within maxillary bone of type II quality. The implant design aims to ensure an appropriate distribution of stresses and strains within the peri-implant bone structures (cortical and trabecular bones) while also facilitating surgical machining by requiring a simple, linear, and less expensive bone incision. This approach minimizes the risk of thermal necrosis, a common complication in osteotomies for conical implants that can lead to peri-implant bone loss. Using finite element analysis, stress and strain patterns were evaluated in the maxillary second premolar region under static delayed loading. The results reveal that the cortical bone strains remained below the critical threshold (0.003) to prevent resorption. In the trabecular bone, only larger diameter/length configurations satisfied the previous strain criterion. In all simulations, trabecular bone stress remained below 3 MPa, whereas cortical bone stress peaked at 78 MPa. Notably, the implant model with the largest diameter/length minimized stress and strain concentrations in type II bone when compared to smaller designs, thereby demonstrating its biomechanical advantage. Keywords: dental implant; finite element analysis; biomechanical behavior; stress shielding Phenomenon; β-Ti alloy; implant dimensions 1. Introduction In recent decades, substantial progress has been achieved in prosthetic dentistry, leading to notable improvements in both dental implant technology and surgical techniques. The primary focus of these advances has been to ensure predictable clinical outcomes while simultaneously enhancing functional performance and esthetic results in patients with complete or partial edentulism [ 1 ]. The efficacy of prosthetic rehabilitation depends on multiple variables that can influence the biomechanical interaction between the implant Materials 2025,18, 2692 https://doi.org/10.3390/ma18122692
Materials 2025,18, 2692 2 of 20 and the osseous tissue [ 2 , 3 ]. These factors encompass the exact positioning of the implant, the inherent mechanical and structural properties of the bone tissue, the mechanical and geometric features of the implant itself, and the intensity and type of load transmitted from the implant to the surrounding bone [ 4 – 6 ]. Additionally, it is necessary to consider patient-specific factors such as smoking habits and bacterial environment [7–9]. The success of dental implant treatment depends, among other factors, on the efficient transfer of occlusal loads at the bone–implant interface [ 10 ]. Multiple elements, including the loading regimen, implant surface topography, available bone volume, as well as the material properties and design characteristics of the implant, influence this load transfer [ 11 ]. An optimal design can mitigate stress and strain concentrations while improving their distribution patterns, thus improving the probability of long-term implant survival [ 12 ]. Stress and strain distributions in the peri-implant bone are directly affected by the nature of the applied load [ 13 ]. Excessive mechanical loading (overload conditions) may initiate bone micro-fractures, potentially leading to implant loosening or catastrophic failure. Furthermore, overload situations can cause accelerated bone resorption in the peri-implant region and reduce trabecular bone density [ 14 ]. Regarding implant materials, they must demonstrate essential characteristics including biocompatibility, structural durability, and superior resistance to corrosion, wear, and mechanical fracture [15]. The selection of an appropriate dental implant necessitates a comprehensive evaluation of the residual alveolar bone, incorporating an assessment of the vertical bone height and mesiodistal dimensions of the edentulous space, to achieve optimal biomechanical performance and esthetic results [ 16 , 17 ]. Clinical guidelines recommend maintaining a minimum distance of 1.25 mm between an implant and adjacent natural teeth, providing adequate space to support bone and periodontal ligament tissue while ensuring sufficient vascular supply for successful osseointegration. Additionally, a minimum circumferential bone thickness of 0.5 mm surrounding the implant must be preserved to ensure the longterm clinical stability and success of prosthetic rehabilitation [18,19]. Post-extraction bone resorption in the maxilla leads to reduced residual bone height, particularly in the posterior region, where proximity to the maxillary sinus complicates the placement of standardlength implants [ 20 ]. Although bone grafting and sinus lift procedures are well-established treatment options, they are associated with increased morbidity and a prolonged duration of treatment. Short implants provide a minimally invasive solution without compromising primary stability as larger diameters and optimized implant body geometry can compensate for reduced length, thereby enhancing initial retention in low-density maxillary bone [ 21 ]. It is important to note that bone tissue responds to alterations in the loading conditions to which it is subjected. This phenomenon, known as bone remodeling, involves the ability of the bone to adapt and modify itself to achieve a balance between strength and resistance [ 22 – 24 ]. However, overload conditions can lead to bone fracture, fatigue failure, and detrimental consequences, including marginal bone loss or even osseointegration failure [ 25 , 26 ]. Peri-implant bone resorption can be triggered by various factors, such as surgical trauma, bacterial infections, and states of overload or underload, but to a lesser extent [ 6 , 27 , 28 ]. Overload in the peri-implant bone can occur due to deficiencies in the load transfer mechanisms, such as malocclusion, incorrect use of the implant, incorrect design of the prosthetic crown and/or implant, and improper placement of the implant. Consequently, this can result in high stress concentrations and/or strains at the bone– implant interface and, ultimately, bone resorption [29,30]. In essence, biomechanical load transfer at the bone–implant interface constitutes a critical determinant of dental implant success. Optimal implant design, including its geometry, diameter, length, and three-dimensional positioning within the maxilla, plays a pivotal role in governing the occlusal load distribution and the subsequent bone adaptive
Materials 2025,18, 2692 3 of 20 response [ 31 – 33 ]. A design that promotes a balanced load distribution and minimizes stress concentrations can help prevent bone resorption and improve the durability and clinical effectiveness of implant rehabilitations [34–36]. The use of finite element analysis (FEA) in prosthetic dentistry has become a predominant quantitative method to investigate the biomechanical behavior of dental implants in various clinical scenarios [ 37 , 38 ]. This technique enables the prediction of stress and strain distributions in peri-implant regions while considering multiple variables, including implant and prosthesis design, load magnitude and direction, bone mechanical properties, and other case-specific conditions [ 39 ]. The principal advantage of the FEA method lies in its ability to simulate the complexity of real clinical situations. Enabling the modeling of complex geometries and materials and the interactions between various components of the biomechanical system facilitates a more accurate understanding of the mechanical behavior within bone [ 40 , 41 ]. Consequently, this approach allows for the identification of potential overloaded regions or underloaded zones that may trigger bone resorption or implant failure [ 42 – 44 ]. However, it must be recognized that FEA studies are not exempt from certain assumptions and limitations. These encompass the selection of material properties, boundary condition definitions, interface characterizations between components, and the general modeling methodology [ 35 , 45 ]. The validity of FEA-derived results depends on the rigor of these assumptions and considerations and on the precise experimental validation of the models. Furthermore, these results are used to optimize the design of dental implants by incorporating modifications in geometry and dimensions [ 46 , 47 ]. In summary, using FEA for examining dental implant biomechanics offers significant benefits by enabling comprehensive simulation and analysis of complex bone–implant system interactions [ 48 ]. Nevertheless, the results must be interpreted cautiously as they remain subject to the inherent assumptions and limitations of the modeling approach, as previously outlined [49]. Ti6Al4V ( α + β Ti) alloys are widely used in implant applications. However, their high elastic modulus (~110 GPa) and limited bioactivity can lead to stress concentrations at the bone–implant interface and contribute to peri-implant bone resorption. In contrast, β -phase titanium alloys such as Ti35Nb7Zr5Ta ( β -Ti) present significant advantages, including a lower elastic modulus (~55 GPa), more similar to cortical bone (~10–30 GPa), along with improved corrosion resistance and biocompatibility [ 50 ]. Recent computational and in vivo studies have shown that β -Ti alloys promote more favorable strain distributions, reducing stress shielding and improving load transfer at the bone–implant interface. However, comprehensive evaluations of their micromechanical behavior remain limited [51]. Although widely used, conical implants exhibit critical biomechanical and surgical limitations: (1) their design induces stress concentration at the apex, increasing the risk of microfractures in high-density bone (types I and II); (2) complex bone preparation (tapered surgical drilling) may cause overheating and necrosis, leading to cortical bone loss, and (3) reduced initial bone-to-implant contact at the apical portion compromises early osseointegration [ 52 ]. Cylindrical implants offer key advantages as a potential solution: (a) uniform load distribution by eliminating localized stress points; (b) simplified (straight) and less invasive osteotomy, preserving bone integrity and minimizing thermal risks; and (c) greater initial bone contact area, enhancing osseointegration in high-density bone (type II) [ 53 ]. The standardized drilling protocol for cylindrical implants reduces surgical time, instrument costs, and thermal complications compared to conical systems, offering significant economic advantages in high-density bone [ 54 ]. This perspective challenges the approach paradigm, suggesting that cylindrical designs optimize both biomechanical performance and cost-efficiency in specific bone phenotypes, with direct implications for clinical planning and long-term implant longevity. A novel single-component cylindrical
Materials 2025,18, 2692 4 of 20 dental implant was designed, offering significant advantages: it eliminates the microgap and connection interfaces present in two-piece systems, which are prone to bacterial colonization, screw loosening, and galvanic corrosion. In addition, it improves biomechanical stability by distributing occlusal forces uniformly through a single-unit structure, reducing stress concentration at prosthetic junctions, and it simplifies clinical workflows by avoiding abutment seating inaccuracies, thereby improving primary stability, a key requirement for early functional loading. The objective of this study is to assess the impact of the diameter, length, and material (Ti6Al4V ( α + β Ti) and Ti35Nb7Zr5Ta ( β -Ti)) on the biomechanical behavior of a new cylindrical dental implant model. Specifically, its influence was evaluated on the maximum levels of von Mises equivalent stresses and von Mises strains in the peri-implant bone (cortical and trabecular bone) of the second premolar region of the maxillary. 2. Materials and Methods 2.1. Dental Implant Models The geometry of a single-component dental implant model used in previous studies was modified to reduce production costs and simplify its anchoring process in the maxilla [ 55 , 56 ]. Specifically, the taper of the referenced design was significantly reduced. Based on these modifications, six variants of the new single-component dental implant model (Figure 1) were obtained in the Autodesk Inventor 2020 software (Autodesk Inc., San Francisco, CA, USA), differentiated by their length and diameter values (Table 1). The implants had a thread that extended throughout the length of the implant body to which a second thread was added in the proximal area (close to its neck), both with a rectangular profile. In the implant body, two helical grooves were extended to enable self-tapping into the maxillary bone. Furthermore, to determine the influence of its dimensions on its biomechanical behavior, the length of the threaded portion (implant body, L) and the diameter of its neck (D) were varied (Table 1). Figure 1. The cylindrical implant design used in the simulations and its main parameters.
Materials 2025,18, 2692 5 of 20 Table 1. Experimental design. Experimental Run Implant Parameter D (mm) L (mm) A 3.7 8 B 3.7 10 C 3.7 12 D 4.0 8 E 4.0 10 F 4.0 12 2.2. The Assembly of the Crown Dental Implant System To place the implants, the maxilla model obtained by Pérez from medical image processing was used [ 57 ]. The maxilla model, including adjacent teeth to the premolar, was modeled as a single solid body. Cuts were made to the model, and a geometry smoothing process was carried out at the limits of the premolar area to facilitate processing in the simulation software. In Autodesk Inventor software, the six dental implant models were assembled with a ceramic crown, corresponding to the second premolar. Then, threaded holes were designed in the jaw according to the dimensions of each dental implant, and the crown dental implant systems were placed in these to form four assemblies. Subsequently, the assemblies were exported in .sat format to the Abaqus/CAE simulation software (6.13). 2.3. Analysis Using the Finite Element Method The von Mises equivalent stress (VMES) and von Mises strain values (VMS) in the cortical and trabecular bones were obtained by the FEA using the Abaqus/CAE simulation software (Simulia Corp, Vélizy-Villacoublay, France, version 6.13). The system components were exported to Abaqus as separate parts, where material definitions were established and the mechanical properties specified in Table 2were assigned. Cortical and trabecular bone (type II quality) were modeled with anisotropic material properties, while isotropic properties were assigned to the implant and crown. Additionally, all materials were treated as homogeneous volumes exhibiting linear elastic behavior. Table 2. The properties of the materials used in the system components. Material Young’s Modulus, E (MPa) Shear Modulus, G (MPa) Poisson’s Ratio, νReferences Ti6Al4V (dental implant) 110,000 - 0.32 [58] Ti35Nb7Zr5Ta (β-Ti) (dental implant) 55,000 - 0.32 [59] Feldspathic ceramic (crown) 82,800 - 0.35 [60] Cortical bone Ex = 17,900 * Ey = 26,600 Ez = 12,500 Gyx = 4500 Gyz = 7100 Gxz= 5300 νxy = 0.26 νxz = 0.31 νyz = 0.28 [61] Trabecular bone Ex = 1148 Ey = 1148 Ez = 21 Gyx = 68 Gyz = 434 Gxz = 68 νxy = 0.05 νxz = 0.055 νyz = 0.322 * X—bucco-lingual direction; Y—mesio-distal direction; Z—axial direction (infero-superior). Interactions were established between the contact surfaces of the system components, considering the physical unions that exist between these elements, with the use of a Tie
Materials 2025,18, 2692 6 of 20 type restriction, which implies that the condition of the defined surfaces is a single one. A global mesh (Figure 2a), with tetrahedral elements with an approximate size of 0.7 mm was implemented, whereas a locally refined mesh with a size of 0.2 mm was used on contact surfaces. The number of nodes and system elements in all simulations depends on the size of the mesh and varies according to changes in implant geometry. The system with the smallest implant dimensions (3.7 and 8 mm) has the lowest number of elements and nodes (1,826,206 elements and 339,497 nodes), whereas the system with the largest implant dimensions (4.0 and 12 mm) exhibits the highest values for these parameters (1,888,761 elements and 349,037 nodes). To guarantee the accuracy of the stress and strain values obtained, a convergence test was carried out, maintaining the load and boundary conditions. In this test, a tetrahedral mesh with a refinement of 0.16 mm was used for the contact surfaces, and a refinement of 0.6 mm was used in the global mesh. The result was an error of less than 2%. Figure 2. The anchorage of the dental implant in the maxilla with the system mesh (a) and boundary conditions and the direction of the loads used in the simulations (b). A delayed loading condition was simulated, considering the implant as fully osseointegrated. Multidirectional occlusal loads were applied simultaneously along three anatomical axes: axial (117 N), bucco-lingual (21.58 N), and mesio-distal (29.48 N). Considering that the implant was anchored at the second premolar site, the applied loads slightly increased compared to those used by Himmlová et al. for a first premolar [ 62 ]. The occlusal surface was modeled as the entire crown surface of the premolar, with loads applied across a set of 30 nodes distributed on most of its geometry to ensure physiologically representative force application (Figure 2b). This approach allowed for balanced load transmission while accounting for anatomical variability (e.g., cusp inclination and marginal ridges) to ensure proper load distribution. By considering the entire occlusal surface rather than isolated contact points, the model more accurately replicates in vivo loading conditions, where mastication forces are distributed across the crown. Boundary conditions were implemented by fully constraining the bone model, restricting all degrees of freedom to simulate embedded conditions. 2.4. Experimental Design and Statistical Analysis This study evaluated the influence of two key parameters on the stress and strain levels in peri-implant cortical and trabecular bone. Three different threaded portion lengths (Ls) and two implant neck diameters (Ds) were analyzed using the finite element method simulations. Consequently, the experimental design consisted of six test configurations, as detailed in Table 1. The diameter and length parameter values used in the simulated dental implant models fall within the ranges used in implants produced by various commercial manufacturers. However, for the length values, experimental runs A and D are considered short implants. Six experimental runs were performed using the Ti6Al4V alloy, supple-
Materials 2025,18, 2692 7 of 20 mented by two additional runs (smallest and largest implant designs A and F) employing β-titanium Ti35Nb7Zr5Ta. All stress and strain values were extracted from the experimental runs in the trabecular and cortical bones, and the 300 most loaded nodes generated by each experimental run were selected to evaluate the biomechanics of the dental implant. The selected nodes were compiled in Microsoft Office Excel; subsequently, the data sheets were exported to StatGraphics Centurion XIX software (v.19) (Statpoint Technologies Inc., Warrenton, VA, USA). In this software, box-and-whisker analysis was used to determine the VMES and aberrant VMS values. The values were subjected to a normality test (Kolmogorov–Smirnov test) and subsequently analyzed using an analysis of variance (ANOVA). Additionally, a Kruskal–Wallis test was used to identify differences between groups, and a value of p< 0.05 considered statistically significant. 3. Results and Discussion 3.1. Stress and Strain Distribution Patterns in Cortical Bone Using Ti6Al4V (α+βTi) The VMES distributions and VMS distributions generated in cortical bone by the experimental runs are presented in Figures 3and 4. All evaluated models produced similar distribution patterns for both parameters, characterized by peak concentrations in peri-implant bone, particularly in the maxillary superior region adjacent to the implant necks. This observed behavior aligns with the findings reported in previous studies involving a finite element analysis of dental implants [ 40 , 63 , 64 ]. The maximum values for both mechanical parameters were consistently located around the distal aspect, while the minimum values occurred predominantly in areas interfacing with trabecular bone. Regarding the superior maxillary region, the peak values of von Mises equivalent stresses (MVMES) and strains (MVMS) demonstrated dimensional dependence, which varied according to implant geometric parameters. Figure 3. The distribution of von Mises equivalent stresses in the external surface of cortical bone surrounding the Ti6Al4V ( α + β Ti) dental implant. Note: The letters indicate the experimental run (see Table 1).
Materials 2025,18, 2692 8 of 20 Figure 4. The von Mises strain distribution in the external surface of cortical bone adjacent to the Ti6Al4V (α+βTi) dental implant. The letters indicate the experimental run (see Table 1). Stress and Strain Distribution Patterns in Cortical Bone Using Ti35Nb7Zr5Ta (β-Ti) Figure 5shows the von Mises stress and strain distributions in cortical bone for implants with smaller and larger dimensions (runs A and F). Both implant designs produced similar stress and strain patterns under the same conditions, showing similar results to those generated by Ti6Al4V dental implants and presenting the highest values concentrated in the peri-implant bone, around the implant neck in the superior maxilla. These results are consistent with previous finite element studies of dental implants [ 40 , 59 , 60 ]. The maximum values of VMES and VMS were observed at the distal site, while the lowest values were found in regions adjacent to trabecular bone. In the superior maxillary area, the peak magnitudes of VMES (MVMES) and VMS (MVMS) exhibited dimensional dependence, correlating with variations in implant geometry.
Materials 2025,18, 2692 9 of 20 Figure 5. The distribution of von Mises equivalent stresses (S) and von Mises strains (E) in the external surface of peri-implant cortical bone using the Ti35Nb7Zr5Ta ( β -Ti) implant. The letters indicate the experimental run (see Table 1). 3.2. Distribution Patterns of Stresses and Strains in Trabecular Bone Using Ti6Al4V (α+βTi) Figures 6and 7present the VMES and VMS distributions in the trabecular bone for all experimental configurations. The peak values for both parameters were concentrated primarily in two regions: (1) in the interface with the apical zone of the implant, and (2) for strain distributions specifically, the threaded implant surface at the distal site. This mechanical behavior stems from the geometry of the thread acting as a stress concentration feature due to its complex three-dimensional morphology. The implant models produced comparable stress and strain distribution patterns in the trabecular bone, with reduced values for both mechanical parameters observed in regions interfacing with the double-threaded portion. However, variants C and F (which feature longer stem lengths) demonstrated more uniform distribution patterns. Specifically, these configurations showed diminished differences between VMES and VMS values when comparing distal versus mesial sites, as well as between peri-implant bone regions adjacent to apical versus proximal implant sections. Distribution Patterns of Stresses and Strains in Trabecular Bone Using Ti35Nb7Zr5Ta ( β -Ti) The FEA of the VMES and VMS distributions in trabecular bone for the largest and smallest implant dimensions fabricated using Ti35Nb7Zr5Ta ( β -Ti) are shown in Figure 8. Consistent with the simulations using the Ti6Al4V alloy, the implant with the largest length and diameter dimensions (F) exhibited a significant reduction in the peak VMES and VMS values in the trabecular bone compared to those generated by variant A. Higher VMES values were found at the bone–implant interface near the apical region, while peak VMS values were concentrated around the distal threads, likely due to the abrupt changes in geometry. These results highlight the combined mechanical effect of implant features: the apical engagement supports primary stability, while the thread design affects
Materials 2025,18, 2692 16 of 20 of stress distribution. These findings highlight that while β -Ti offers theoretical advantages for bone remodeling, its clinical application requires careful consideration of implant design and patient bone quality to prevent harmful overloads, particularly in trabecular bone regions. For the clinical implementation of the developing implant model, evidence suggests preferential selection of implant variants of maximum diameter and maximum length, contingent on adequate dimensions of the recipient jawbone. However, several study limitations constrain the direct clinical extrapolation of these findings. First, the simulation methodology used static loading conditions under delayed loading assumptions. Second, critical variables including peri-implant bone quality variations and implant positioning within the jaw were not incorporated in the biomechanical analysis. Consequently, future research should focus on (1) using FEM to investigate the effects of these unexamined variables on peri-implant stress/strain distributions and (2) validating current findings through experimental testing, including controlled in vivo experimentation. 4. Conclusions This investigation employed finite element analysis to assess the biomechanical performance of a novel dental implant design, with particular focus on evaluating how the implant length and diameter influence MVMES and MVMS in peri-implant bone. The main findings are as follows: 1. Peak stress concentrations occurred in peri-implant cortical bone, particularly in the maxillary surface region adjacent to the implant neck. This mechanical behavior stems from the elevated Young’s modulus of the cortical bone, which enhances its load-bearing capacity. On the contrary, the maximum strain values were localized in the trabecular bone regions. 2. Boththeimplantdiameterandlengthdemonstratedstatistically significanteffects( p< 0.05 ) on the peak equivalent stress and strain values in cortical and trabecular bone. 3. Implant diameter emerged as the dominant variable affecting mechanical response, attributable to increased implant–bone contact area that promotes load dissipation and consequently reduces peri-implant stress/strain magnitudes. 4. Superior biomechanical outcomes consistently correlated with larger implant dimensions, suggesting enhanced clinical performance potential for crown–implant systems featuring maximum diameter and length configurations. 5. The material of the dental implant demonstrated a statistically significant influence ( p< 0.05 ) on the maximum levels of stress and strain generated in the cortical and trabecular bones. In general, the Ti35Nb7Zr5Ta alloy implants showed higher maximum values of VMES and VMS than those generated by Ti6Al4V alloy implants. Author Contributions: P.G.-M.: Conceptualization, Methodology, Investigation, Formal Analysis, Validation, and Writing—Original Draft. J.R.-G.: Investigation, Conceptualization, Methodology, Formal Analysis, Validation, and Writing—Original Draft. J.E.G.: Project Administration, Conceptualization, Methodology, Supervision, Writing—Original Draft, and Writing—Review and Editing. A.P.: Methodology, Writing—Original Draft, and Writing—Review and Editing. Y.T.: Conceptualization, Project Administration, Supervision, Methodology, Writing—Original Draft, and Writing—Review and Editing. All authors have read and agreed to the published version of the manuscript. Funding: This publication is part of project PID2022-137911OB-I00, funded by MICIU/AEI/10.13039/ 501100011033 and by ERDF/EU. Also, the Ministry of Science and Innovation of Spain for their contribution to the project through grant PDC2022-133369-I00, as well as, the project PN385LH007035: 9827 of the Cuban National Science and Technology program: Bio-technology, Pharmaceutical Industry, and Medical Technologies.
Materials 2025,18, 2692 17 of 20 Institutional Review Board Statement: Not applicable. Informed Consent Statement: Not applicable. Data Availability Statement: The original contributions presented in this study are included in the article. Further inquiries can be directed to the corresponding authors. Acknowledgments: The authors would like to thank the laboratory technicians at the University of Seville for their support in characterizing the implant prototypes under development to corroborate the results of the finite element models presented in this work. Conflicts of Interest: The authors declare no conflicts of interest. Abbreviations The following abbreviations are used in this manuscript: FEA Finite element analysis VMES von Mises equivalent stress VMS von Mises strain MVMES Maximum von Mises equivalent stress MVMS Maximum von Mises strain References 1. Alghamdi, H.S.; Jansen, J.A. The development and future of dental implants. Dent. Mater. J. 2020,39, 167–172. [CrossRef] [PubMed] 2. Bazli, L.; Khoramabadi, H.N.; Chahardehi, A.M.; Arsad, H.; Malekpouri, B.; Jazi, M.A.; Azizabadi, N. Factors influencing the failure of dental implants: A Systematic Review. J. Compos. Compd. 2019,2, 18–25. [CrossRef] 3. Yang, Y.; Hu, H.; Zeng, M.; Chu, H.; Gan, Z.; Duan, J.; Rong, M. The survival rates and risk factors of implants in the early stage: A retrospective study. BMC Oral Health 2021,21, 293. [CrossRef] 4. Hasanoglu Erbasar, G.N.; Hocao˘glu, T.P.; Erbasar, R.C. Risk factors associated with short dental implant success: A long-term retrospective evaluation of patients followed up for up to 9 years. Braz. Oral Res. 2019,33, e030. [CrossRef] [PubMed] 5. Krisam, J.; Ott, L.; Schmitz, S.; Klotz, A.-L.; Seyidaliyeva, A.; Rammelsberg, P.; Zenthöfer, A. Factors affecting the early failure of implants placed in a dental practice with a specialization in implantology–a retrospective study. BMC Oral Health 2019,19, 208. [CrossRef] 6. Nimbalkar, S.; Dhatrak, P.; Gherde, C.; Joshi, S. A review article on factors affecting bone loss in dental implants. Mater. Today Proc. 2021,43, 970–976. [CrossRef] 7. ¸Sahin, T. The effect of individuals’ oral hygiene habits and knowledge levels on peri-implant health and disease: A questionnairebased observational study. BMC Oral Health 2024,24, 443. [CrossRef] 8. Malmqvist, S.; Erdenborg, J.; Johannsen, G.; Johannsen, A. Patient’s experiences of dental implants, peri-implantitis and its treatment-A qualitative interview study. Int. J. Dent. Hyg. 2024,22, 530–539. [CrossRef] 9. Cortellini, S.; Favril, C.; De Nutte, M.; Teughels, W.; Quirynen, M. Patient compliance as a risk factor for the outcome of implant treatment. Periodontology 2000 2019,81, 209–225. [CrossRef] 10. Sadowsky, S.J. Occlusal overload with dental implants: A review. Int. J. Implant Dent. 2019,5, 29. [CrossRef] 11. Robinson, D.; Aguilar, L.; Gatti, A.; Abduo, J.; Lee, P.V.S.; Ackland, D. Load response of the natural tooth and dental implant: A comparative biomechanics study. J. Adv. Prosthodont. 2019,11, 169–178. [CrossRef] [PubMed] 12. Szajek, K.; Wierszycki, M. Screw preload loss under occlusal load as a predictor of loosening risk in varying dental implant designs. J. Mech. Behav. Biomed. Mater. 2023,148, 106165. [CrossRef] 13. Pérez-Pevida, E.; Chávarri-Prado, D.; Diéguez-Pereira, M.; Estrada-Martínez, A.; Montalbán-Vadillo, O.; Jiménez-Garrudo, A. Consequences of peri-implant bone loss in the occlusal load transfer to the supporting bone in terms of magnitude of stress, strain, and stress distribution: A finite element analysis. BioMed Res. Int. 2021,2021, 3087071. [CrossRef] [PubMed] 14. Delgado-Ruiz, R.A.; Calvo-Guirado, J.L.; Romanos, G.E. Effects of occlusal forces on the peri-implant-bone interface stability. Periodontology 2000 2019,81, 179–193. [CrossRef] 15. Bagegni, A.; Abou-Ayash, S.; Rücker, G.; Algarny, A.; Att, W. The influence of prosthetic material on implant and prosthetic survival of implant-supported fixed complete dentures: A systematic review and meta-analysis. J. Prosthodont. Res. 2019, 63, 251–265. [CrossRef]
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