Design of metal-polymer structure for dental implants with stiffness adaptable to alveolar bone

Abstract Mechanical adaptability of implants to the surrounding alveolar bone is one of the critical factors that influences its long-term service. Experimental study shows that widely adopted titanium implants are prone to induce stress shielding due to the considerable mismatch of moduli between stiff implant and alveolar bone, which is considered to induce resorption of peri-implant bone tissues and impair the retention of implants. Moreover, current commercial dental implants with fixed stiffness are unable to meet various alveolar bone conditions of the patients of different ages and physical situations. To solve the two problems, a novel design of metal-polymer structure is proposed for dental implants, which combines two kinds of biocompatible materials, i.e., titanium and polyether-ether-ketone (PEEK). The proposed composite structure allows patient-specific adjustment of equivalent modulus for dental implant in a cost-effective way. In this paper, three designs are given and compared to show how an optimized biomechanical health degree of peri-implant bone can be achieved to fit the alveolar bone condition of patients.