IMPLANT BIOMECHANICS IN CARDIOVASCULAR PATIENTS. INSIGHTS INTO OCCLUSAL FORCES, STRESS DISTRIBUTION, AND ADAPTIVE STRATEGIES

Authors: Liliana SACHELARIE, Viorel ŢARCĂ, Vasile BUSUIOC, Eliza DRĂGAN, Delia BAHRIM3, Vasile CEPOI, Voichiţa MOGOŞ

Abstract:

Cardiovascular diseases (CVDs) significantly influence systemic health, potentially impacting dental implants’ biomechanical behavior and stability. The present study investigates the forces, stress distribution, and necessary biomechanical adaptations in dental implant procedures for patients with CVD. Methods: A cohort of 120 patients (60 males and 60 females) with controlled cardiovascular diseases underwent dental implant therapy—Finite Element Analysis (FEA), which simulated stress distribution on implants under standard occlusal forces. Clinical follow-ups evaluated implant stability and bone integration over 12 months. Results: Patients with CVD exhibited altered stress patterns, with higher peri-implant stress concentrations in the posterior regions. Adaptations such as using wider implants and adjusting occlusal forces improved stress distribution and reduced mechanical complications. Implant success rates were 95% after one year, with no significant gender differences. Conclusions: Biomechanical adaptations tailored to patients with CVD enhance implant stability and reduce complications. Our study emphasizes the importance of individualized treatment planning in this vulnerable population.

Keywords:
  • biomechanics
  • cardiovascular
  • IMPLANT