Finite Element Analysis of Implant Stability Quotient (ISQ) and Bone Stresses for Implant Inclinations of 0°, 15°, and 20°.

This study aimed to utilize finite element analysis (FEA) to evaluate the primary stability of Cyroth dental implants (AoN Implants Srl, Grisignano di Zocco, Italy) under various biomechanical conditions, including different implant inclinations (0°, 15°, and 20°) and bone densities (D3 and D4). By comparing these results with those obtained from in vitro tests on polyurethane blocks, the study sought to determine whether FEA could provide stability information more quickly and efficiently than in vitro methods. The research involved correlating dental implant micro-mobility with the implant stability quotient (ISQ) using FEA to simulate the mechanical behavior of implants and the surrounding bone tissue. Additionally, the study assessed the error in ISQ value detection by comparing FEA results with in vitro tests on polyurethane blocks conducted under the same experimental conditions. Both the FEA simulations and in vitro experiments demonstrated similar trends in ISQ values. For the D3 bone block simulated by FEA, the difference from the in vitro test was only 1.27%, while for the D2 bone, the difference was 2.86%. The findings also indicated that ISQ increases with implant inclination and that bone quality significantly affects primary stability, with ISQ decreasing as bone density diminishes. Overall, this study showed that ISQ evaluation for dental implants can be effectively performed through FEA, particularly by examining micro-movements. The results indicated that FEA and in vitro polyurethane testing yielded comparable outcomes, with FEA providing a faster and more cost-effective means of assessing ISQ across various clinical scenarios compared to in vitro testing.