REVIEW   

Minerva Stomatologica 2020 February;69(1):55-62

DOI: 10.23736/S0026-4970.19.04263-8

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: English

Application of bioengineering devices for stress evaluation in dentistry: the last 10 years FEM parametric analysis of outcomes and current trends

Gabriele CERVINO ¹, Luca FIORILLO ^{1, 2}, Alina V. ARZUKANYAN ³, Gianrico SPAGNUOLO ^{3, 4}, Paola CAMPAGNA ⁵, Marco CICCIÙ ¹ ✉

¹ Department of Biomedical, Dental Sciences, Morphological and Functional Imaging, University of Messina, Messina, Italy; ² Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, Luigi Vanvitelli University of Campania, Naples, Italy; ³ Institute of Dentistry, I. M. Sechenov First Moscow State Medical University, Moscow, Russia; ⁴ Department of Neurosciences, Reproductive and Odontostomatological Sciences, Federico II University of Naples, Naples, Italy; ⁵ Department of General Surgery and Medical-Surgery Specialities, University of Catania, Catania, Italy

INTRODUCTION: Dentistry, therefore implantology, prosthetics, implant prosthetics or orthodontics in all their variants, are medical and rehabilitative branches that have benefited greatly from these methods of investigation to improve the predictability of rehabilitations. We will examine the Finite Element Method and Finite Element Analysis in detail. This method involves the simulation of mechanical forces from an environment with infinite elements, the real one, to a simulation with finite elements.
EVIDENCE ACQUISITION: The study searched MEDLINE databases from 2008 to 2018. Human use of FEM in vitro studies reported a contribution on oral rehabilitation through the use of FEM analysis. The initial search obtained 296 citations. After a first screening, the present revision considered the English-language works referred to human application of the FEM published in the last 10 years. Finally, 34 full texts were available after screening.
EVIDENCE SYNTHESIS: The ultimate aim of this review is to point out all the progress made in the field of bioengineering and therefore, thanks to this, in the field of medicine. Instrumental investigations such as FEM are an excellent tool that allows the evaluation of anatomical structures and any facilities for rehabilitation before moving on to experimentation on animals, so as to have mechanical characteristics and satisfactory load cycle testing.
CONCLUSIONS: FEM analysis contributes substantially to the development of new technologies and new materials in the biomedical field, being able to perform a large number of simulations without the need for patients or to perform human tests. Thanks to the 3D technology and to the reconstructions of both the anatomical structures and eventually the alloplastic structures used in the rehabilitations it is possible to consider all the mechanical characteristics, so that they can be analyzed in detail and improved where necessary. It is possible thanks to these methods to know what are the ideal characteristics of a material to promote an oral rehabilitation, so we know the characteristics, it remains only to take a step in the field of the industry for the construction of materials close to these characteristics.

KEY WORDS: Dentistry; Rehabilitation; Bioengineering