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The objective of this study was to investigate the stress distributions of a surface-treated dental implant and bone tissue under physiological loading. For ensuring success of dental implant treatment, one must examine the magnitude and location of the maximum stresses. Stress analysis models were constructed from computer tomography data. Although several studies have investigated finite element models of dental implants, none have used an implant model with a nanoporous layer in a biomimetic geometrical mandible model. The novel implant surface used in this study, comprised of a microlevel porous containing a nanolevel porous structure, was complex and it was difficult to present due to the limitation of computer efficiency. However, this complex geometry was simplified using a film, to further investigate stresses resulting from 0 nm, 50 nm, 500 nm, 5 μm, and 50 μm surface treatment thicknesses. Results indicated that the stresses transferred more uniformly in implants with nanoporous surface treatments, and that the stresses decreased with increasing layer thickness. Our study showed that this could be potentially beneficial for understanding the stress properties of surface-treated layers for dental implants.

Dynamic spinal fixators, such as the Dynesys (DY) and K-ROD (KD) systems, are designed to restore spinal stability and to provide flexibility. The long-term complications of implant breakage and the biomechanics of the adjacent and the bridged levels using the KD system are still unknown. Therefore, this study aims to investigate and compare the biomechanical effects of the KD system and the DY system. Finite element (FE) models of the degenerated lumbar spine, the DY system, and the KD system were each reconstructed. Hybrid-controlled analysis was applied in the three FE models. The FE results indicated that the KD system supplies the most stiffness during extension and the least stiffness during flexion, in contrast to the DY system. In contrast to the DY system, the KD system increased the facet contact force of the adjacent level, but this system decreased the screw stress on the cranial adjacent disc and the pedicle during flexion.

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