journal article·2023-09-04Open access

A Finite Element Analysis of a Tooth-Supported 3D-Printed Surgical Guide without Metallic Sleeves for Dental Implant Insertion

Ionut Gabriel Ghionea, Oana Elena Burlacu Vatamanu, Ana Maria Cristescu, Mihai David, Izabela Cristina Stancu, Cristian Butnarasu, Corina Marilena Cristache

Applied Sciences· Volume 13· Issue 17

Abstract

Static guided surgery for dental implant insertion is a well-documented procedure requiring the manufacturing of a custom-made surgical guide, either teeth-supported, mucosal-supported, bone-supported, or mixed (teeth-mucosal-supported), depending on the clinical situation. The guidance of the surgical drills during implant bed preparation could be undertaken using a sequence of different diameters of metal drill sleeves or, with the sleeves incorporated in the surgical guide, shank-modified drills, both clinically accepted and used with good results. Despite the great number of advantages associated with the use of guided surgery, one of the major risks is guide fracture during drilling for implant bed preparation. Therefore, the aim of the present study was to evaluate the surgical guides without metal sleeves and to simulate, with the aid of Finite Element Analysis (FEA), the use of such dentally supported guides for implant insertion. The FEA is performed in CATIA v5 software after defining the surgical guide mesh material and bone properties. A maximum stress of 6.92 MPa appeared on the guide at the special built-in window meant to allow cooling during drilling, and the maximum value of the guide displacement during drilling simulation was 0.002 mm. Taking into consideration the limits of the current research, the designed tooth-supported surgical guide can withstand the forces occurring during the surgery, even in denser bone, without the risk of fracture.
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Research context

OpenAlex topics: Dental Implant Techniques and Outcomes · Dental materials and restorations · Orthodontics and Dentofacial Orthopedics

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Manufacturing Engineering Department, Faculty of Industrial Engineering and Robotics, National University of Science and Technology Politehnica Bucharest, 313 Splaiul Independenţei, 060042 Bucharest, Romania

Doctoral School, “Carol Davila” University of Medicine and Pharmacy, 37 Dionisie Lupu Street, 020021 Bucharest, Romania

Faculty of Medical Engineering, National University of Science and Technology Politehnica Bucharest, 1-7 Gh Polizu Street, 011061 Bucharest, Romania

Department of Dental Techniques, “Carol Davila” University of Medicine and Pharmacy, 8, Eroii Sanitari Blvd., 050474 Bucharest, Romania

Advanced Polymer Materials Group, Faculty of Chemical Engineering and Biotechnologies, National University of Science and Technology Politehnica Bucharest, 1-7 Gh Polizu Street, 011061 Bucharest, Romania

Megagen Dental Laboratory, 38 Delea Nouă Street, 030925 Bucharest, Romania

Funding

the Executive Agency for Higher Education, Research, Development and Innovation Funding, UEFISCDI

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