To replace missing teeth with dental implants is a common and clinically proven treatment option. However, there are still several complications with this kind of treatment. Besides biological complications like periimplantitis, the most common technical complication is loosening or fracture of the screw which is mainly due to fatigue. The purpose of this investigation is to appraise a ranking of the fatigue behavior of six different implant systems by finite element method (FEM) simulations in order to figure out the "worst case" implant system for the fatigue testing according to ISO standard 14801. The simulations were conducted according to the guidance of the US Food and Drug Association (FDA) "Reporting of Computational Modeling Studies in Medical Device Submissions".
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