Biomechanical Finite Element Analysis of Short and Long Implants In The Resorbed Maxillary Posterior Region

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Biomechanical Finite Element Analysis of Short and Long Implants In The Resorbed Maxillary Posterior Region | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Biomechanical Finite Element Analysis of Short and Long Implants In The Resorbed Maxillary Posterior Region Nisa Nur Dinçer, Ammar Tarık Dinçer, Elif Öncü This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-6063957/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Background This aim of this study is to analyze different implant treatment concepts in the maxillary posterior region. The effects of using short or long implants, with or without bone graft, are investigated in terms of strength and integrity. Methods Three different 3D models were generated from a CBCT scan: short implant (SI), long implant after sinus lifting with graft (LISG) and long implant after sinus lifting without graft (LIS). After the necessary implant parts were integrated, the models were analyzed via finite element method (FEM). The resultant stress values in the cortical and cancellous bones are evaluated by applying vertical and oblique forces. The integrity and stability of plant parts have also been investigated. The treatment concepts are compared on the basis of the FEA results. Results FEA demonstrated that short implants resulted in greater stress concentrations within the peri-implant bone than long implants did. The maximum principal stress values in cortical bone were 100 MPa (tensile) and 133 MPa (compressive), whereas those in cancellous bone were 14 MPa (tensile) and 16 MPa (compressive), all of which are within physiological limits. Compared with short implants, long implants, with or without grafts, significantly reduced stress levels. There were significant reductions in both compression and tensile stresses in long implants. The stress distribution patterns indicated that oblique loading led to increased palatal stress concentration. Conclusions Although the stresses occurring in the short implant concept are greater under both masticatory loading conditions, the results obtained for both the short and long implant concepts remain within physiological limits where the bone can maintain its continuity without deformation. Trial registration Clinical trial number: Not applicable. Finite element analysis Dental implant Maxilla Sinus lift Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-6063957","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":421782256,"identity":"25f7a205-cd2b-44e8-9fa4-90ee105f0d50","order_by":0,"name":"Nisa Nur Dinçer","email":"","orcid":"","institution":"Necmettin Erbakan University","correspondingAuthor":false,"prefix":"","firstName":"Nisa","middleName":"Nur","lastName":"Dinçer","suffix":""},{"id":421782257,"identity":"6d13b008-e29a-4192-b1a4-466735227d68","order_by":1,"name":"Ammar Tarık Dinçer","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA4klEQVRIiWNgGAWjYPACZh4w9cEATBkQr4VxhoEBVEsCYS0wjURo4Z92OvFzBYO1jDn74WOfbQr+JDawN2+TYPxxD6cWidu5myXPMKTzWPakJc/OMTBIbOA5VibBkFCM25rbuRskGxgO8xjc4DFmBmuRyDEDasHtMnmgLT8hWvg/M1uAtMi/wa/F4HbuNpgtzMwMYFt48GsxBGqxbDBI5zE4k2bM2GNgbNzGk1ZskZCGW4sc0GE3Gyqs7Q2OH37M8OOPnGw/++GNNz7Y4NYCdR4Smw1EENIwCkbBKBgFowA/AAAmNEmQt0o1DQAAAABJRU5ErkJggg==","orcid":"","institution":"Istanbul Technical University","correspondingAuthor":true,"prefix":"","firstName":"Ammar","middleName":"Tarık","lastName":"Dinçer","suffix":""},{"id":421782258,"identity":"2c849607-f846-436d-905b-c22e07362c10","order_by":2,"name":"Elif Öncü","email":"","orcid":"","institution":"Necmettin Erbakan University","correspondingAuthor":false,"prefix":"","firstName":"Elif","middleName":"","lastName":"Öncü","suffix":""}],"badges":[],"createdAt":"2025-02-19 12:08:28","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-6063957/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-6063957/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":82541078,"identity":"482e1dfa-ff43-416f-b175-e85d49c35d64","added_by":"auto","created_at":"2025-05-12 16:46:40","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":980937,"visible":true,"origin":"","legend":"","description":"","filename":"FullManuscriptDINCER.pdf","url":"https://assets-eu.researchsquare.com/files/rs-6063957/v1_covered_7f32749b-5711-47a7-b616-5e62bb0edf16.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Biomechanical Finite Element Analysis of Short and Long Implants In The Resorbed Maxillary Posterior Region","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Finite element analysis, Dental implant, Maxilla, Sinus lift","lastPublishedDoi":"10.21203/rs.3.rs-6063957/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-6063957/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cb\u003eBackground\u003c/b\u003e\u003c/p\u003e \u003cp\u003eThis aim of this study is to analyze different implant treatment concepts in the maxillary posterior region. The effects of using short or long implants, with or without bone graft, are investigated in terms of strength and integrity.\u003c/p\u003e\u003cp\u003e\u003cb\u003eMethods\u003c/b\u003e\u003c/p\u003e \u003cp\u003eThree different 3D models were generated from a CBCT scan: short implant (SI), long implant after sinus lifting with graft (LISG) and long implant after sinus lifting without graft (LIS). After the necessary implant parts were integrated, the models were analyzed via finite element method (FEM). The resultant stress values in the cortical and cancellous bones are evaluated by applying vertical and oblique forces. The integrity and stability of plant parts have also been investigated. The treatment concepts are compared on the basis of the FEA results.\u003c/p\u003e\u003cp\u003e\u003cb\u003eResults\u003c/b\u003e\u003c/p\u003e \u003cp\u003eFEA demonstrated that short implants resulted in greater stress concentrations within the peri-implant bone than long implants did. The maximum principal stress values in cortical bone were 100 MPa (tensile) and 133 MPa (compressive), whereas those in cancellous bone were 14 MPa (tensile) and 16 MPa (compressive), all of which are within physiological limits. Compared with short implants, long implants, with or without grafts, significantly reduced stress levels. There were significant reductions in both compression and tensile stresses in long implants. 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