Agglomeration effect on biomechanical performance of CNT-reinforced dental implant using micromechanics-based approach.

Dental implants have long played an important role in restoring lost teeth, but there are still concerns about their durability and long-term success. Commercial dental implants have traditionally been made of metallic and ceramic materials like titanium and zirconia; however, each kind of material has restrictions regarding osseointegration and mechanical characteristics that differ between native bone and the implant material, limiting the implant's longevity and reliability. To address these concerns, this research explores the use of carbon nanotubes (CNTs) in restorative dentistry, their excellent properties make them an ideal candidate for promoting bone growth around implanted device and ensuring long-lasting success. The objective of this study was to understand how CNT properties when incorporated into the titanium matrix may be able to better adapt to the oral environment taking into consideration the CNT agglomeration effects when designing reinforced nanocomposite materials for dental implant. A mathematical formulation of the micromechanics model was developed and improved to extend its application for the case of CNT-based composite materials for dental implants. A three dimensional (3D) model of bone structure around the osseointegrated dental implant was established considering different compositions of implant material. Finite Element Analysis (FEA) were conducted to assess the aggregation effect of implant incorporating CNTs into the titanium matrix, considering CNTs with both spherical inclusions (CNT clusters), and randomly dispersive ones (CNTs) in the titanium matrix, on osseointegration and bone remodeling around the dental implant and supporting bone system over a period of 48 months. Firstly, the effects of CNT-Ti implantation on time-dependent performance are evaluated in a computational remodeling framework. Then, Von Mises equivalent stresses are investigated to evaluate the stress distributions and micromotions in jaw bones of loaded implant with different composition of prosthetic material. Three agglomeration patterns are considered, particularly without agglomeration (zeta = xi), partial and complete agglomeration (zeta < xi, xi = 1). Further, the influence of CNTs volume fraction variation is taken into account to predict the mechanical response of the bony system after CNT-reinforced dental implantation. It can be inferred that the agglomeration of CNTs reduces the elastic stiffness of the matrix. This is due to the fact that when CNTs are agglomerated, the inter-tube contacts are reduced and the effective stiffness of the matrix is decreased.