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Various kinds of implants of different diameters and connection types are used for patients with a range of bone densities and tooth sizes. However, comprehensive studies simultaneously analyzing the biomechanical effects of different diameters, connection types, and bone densities are scarce.

The purpose of this 3-dimensional finite element analysis study was to evaluate the stress and strain distribution on implants, abutments, and surrounding bones depending on different diameters, connection types, and bone densities.

Twelve 3-dimensional models of the implant, restoration, and surrounding bone were simulated in the mandibular first molar region, including 2 bone densities (low, high), 2 implant-abutment connection types (internal tissue level, internal bone level), and 3 implant diameters (3.5 mm, 4.0 mm, and 4.5 mm). The occlusal force was 200 N …