Stress Distribution in Peri-implant Bone in the Replacement of Molars with One or Two Implants: A Finite Element Analysis.

Statement of the problem: In most cases, insertion of single implants with a standard diameter is used to replace a molar tooth but placing two implants with a narrow diameter seems to be a viable treatment modality to withstand functional and biomechanical forces.

Purpose: This study aimed to evaluate and compare stress distribution in the bone surrounding a single molar area rehabilitated by a single implant versus two implants with a narrow diameter.

Materials and method: The study was conducted by computer-aided in vitro modeling. The initial model used a single implant, 4.8 mm wide in diameter, inserted with a 3.9-mm distance from both sides and 12.6-mm mesiodistal space. The second model used two 3.3-mm narrow-sized implants with a 3-mm distance from one another, 1.5 mm from both sides, and a 12.6-mm mesiodistal space. Following the completion of these models, a 100-N force was exerted obliquely, once in three locations and once in the mesial aspect of the implant-supported crown. Stress distribution was then measured using finite element analysis (FEA) with ANSYS Workbench software package in both models.

Results: The maximum stress in the bone around the single implant was less than that around double implants. The maximum stress of cortical bone in three-point loading was lower than mesial loading either in one (146.7 vs. 126.72 MPa) or two implants model (186.8 vs. 139.24).

Conclusion: According to the results, because of more cortical bone contact area, the stress of surrounding bone in wide implant was decreased.