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  4. Numerical prediction of peri-implant bone adaptation: Comparison of mechanical stimuli and sensitivity to modeling parameters
 
research article

Numerical prediction of peri-implant bone adaptation: Comparison of mechanical stimuli and sensitivity to modeling parameters

Piccinini, Marco  
•
Cugnoni, Joel  
•
Botsis, John  
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2016
Medical Engineering & Physics

Long term durability of osseointegrated implants depends on bone adaptation to stress and strain occurring in proximity of the prosthesis. Mechanical overloading, as well as disuse, may reduce the stability of implants by provoking bone resorption. However, an appropriate mechanical environment can improve integration. Several studies have focused on the definition of numerical methods to predict bone per-implant adaptation to the mechanical environment. Existing adaptation models differ notably in the type of mechanical variable adopted as stimulus but also in the bounds and shape of the adaptation rate equation. However, a general comparison of the different approaches on a common benchmark case is still missing and general guidelines to determine physically sound parameters still need to be developed. This current work addresses these themes in two steps. Firstly, the histograms of effective stress, strain and strain energy density are compared for rat tibiae in physiological (homeostatic) conditions. According to the Mechanostat, the ideal stimulus should present a clearly defined, position and tissue invariant lazy zone in homeostatic conditions. Our results highlight that only the octahedral shear strain presents this characteristic and can thus be considered the optimal choice for implementation of a continuum level bone adaptation model. Secondly, critical modeling parameters such as lazy zone bounds, type of rate equation and bone overloading response are classified depending on their influence on the numerical predictions of bone adaptation. Guidelines are proposed to establish the dominant model parameters based on experimental and simulated data. (C) 2016 IPEM. Published by Elsevier Ltd. All rights reserved.

  • Details
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Type
research article
DOI
10.1016/j.medengphy.2016.08.008
Web of Science ID

WOS:000387197800024

Author(s)
Piccinini, Marco  
Cugnoni, Joel  
Botsis, John  
Ammann, Patrick
Wiskott, Anselm
Date Issued

2016

Publisher

Elsevier

Published in
Medical Engineering & Physics
Volume

38

Issue

11

Start page

1348

End page

1359

Subjects

Bone adaptation

•

Implants integration

•

Overloading

•

Specimen-specific

•

Finite element

•

Gait

•

Mechanical stimulus

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LMAF  
Available on Infoscience
January 24, 2017
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/133716
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