UNIVERSIDADE ESTADUAL PAULISTA
“JÚLIO DE MESQUITA FILHO”
Instituto de Ciência e Tecnologia
Campus de São José dos Campos
SYSTEMATIC REVIEW DOI: https://doi.org/10.4322/bds.2025.e4646
1
Braz Dent Sci 2025 April/Jun;28 (2): e4646
This is an Open Access article distributed under the terms of the Creative Commons Attribution license (https://creativecommons.org/licenses/by/4.0/), which permits
unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Finite element methods in evaluating the stress distribution of
dental implant on bone tissue: a bibliometric study
Métodos de elementos finitos na avaliação da distribuição de tensão do implante dentário no tecido ósseo: um estudo
bibliométrico
Yousra HANZAZ1 , El Mostapha BOUDI2, Chadia OUAZZANI1 , Abdellah MOUSTAGHFIR3 , Abdellah DAMI1 ,
Lhousaine BALOUCH1 , Azzeddine ER-RAMLY3
1 - Mohammed V University in Rabat, Faculty of Medicine and Pharmacy, Laboratory of Biochemistry and Molecular Biology. Rabat,
Morocco.
2 - Mohammed V University in Rabat, Mohammadia School of Engineering, Mechanical Laboratory. Rabat, Morocco.
3 - Mohammed V University in Rabat, Faculty of Dental Medicine, Department of Fundamental Sciences, Laboratory of Research
Odontological, Biomaterials and Nanotechnology. Rabat, Morocco.
How to cite: Hanzaz Y, Boudi EM, Ouazzani C, Moustaghr A, Dami A, Balouch L, et al. Finite element methods in
evaluating the stress distribution of dental implant on bone tissue: a bibliometric study. Braz Dent Sci. 2025;28(2):e4646.
https://doi.org/10.4322/bds.2025.e4646
ABSTRACT
Finite element method FEM is a very useful method that facilitates the numerical analysis of evaluating mechanical
stress of different and complex geometries like dental implants. Objective: Identifying the published articles
that use FEM to evaluate and solve problems regarding the biomechanical behavior of dental implants and the
stress distribution on bone tissue. Material and Methods: The present study is a bibliometric analysis of the
publications in the Scopus database, summarizing studies that analyze the stress distribution of dental implants
on the bone using the FEM, during the period between 2003 and 2023, the study was conducted based on the
PRISMA framework, the documents were analyzed using VOSviewer software to visualize the bibliometric
network. Results: 606 articles were identied, the publication rate increased during the period studied, indicating
an increased interest in this eld.
T
he
International Journal of Oral and Maxillofacial Implants was
the most
prolic journal published by
Quintessence Publishing Company
. Brazil represents the most productive country
in the published studies on dental implant stress distribution using the FEM. Conclusion: FEM has shown an
important role in predicting stress distribution in bone around the dental implant device, which paves the way
for more improvement in achieving the long-term integrity of dental implants.
KEYWORDS
Bibliometric study; Bone tissue; Dental implant; Finite element method; Stress distribution.
RESUMO
O método de elementos nitos MEF é um método muito útil que facilita a análise numérica da avaliação do estresse
mecânico de geometrias diferentes e complexas, como os implantes dentários. Objetivo: Identicar os artigos
publicados que utilizam o MEF para avaliar e resolver problemas relacionados ao comportamento biomecânico
de implantes dentários e à distribuição de tensão no tecido ósseo. Material e Métodos: O presente estudo é uma
análise bibliométrica das publicações no banco de dados Scopus, resumindo estudos que analisam a distribuição
de tensão de implantes dentários no osso usando o MEF, durante o período entre 2003 e 2023, o estudo foi
realizado com base na estrutura PRISMA, os documentos foram analisados usando o software VOSviewer para
visualizar a rede bibliométrica. Resultados: Foram identicados 606 artigos, a taxa de publicação aumentou
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Hanzaz Y et al.
Finite element methods in evaluating the stress distribution of dental implant on bone tissue: a bibliometric study
Hanzaz Y et al. Finite element methods in evaluating the stress distribution of
dental implant on bone tissue: a bibliometric study
durante o período estudado, indicando um aumento do interesse nesse campo. O International Journal of Oral
and Maxillofacial Implants foi o periódico mais representativo publicado pela Quintessence Publishing Company.
O Brasil representa o país mais produtivo nos estudos publicados sobre distribuição de tensão em implantes
dentários usando o MEF. Conclusão: O MEF demonstrou um papel importante na previsão da distribuição de
tensão no osso ao redor do implante dentário, o que abre caminho para mais melhorias na obtenção da integridade
de longo prazo dos implantes dentários.
PALAVRAS-CHAVE
Estudo bibliométrico; Tecido ósseo; Implante dentário; Método de elementos nitos; Distribuição de tensão.
simulating the micromechanical behavior of
biological structures, enabling the modeling of
highly complicated structures like teeth, bone,
dental implants, and many other structures [17].
The FEM discretization minimizes the problem
by dividing a continuum body studied into small
nite elements [18]. these elements are connected
to one another by nodes, and the FEM, therefore,
solves the main problem examined [19]. The
FEM demonstrate an important role in medical
research to observe and analyze complicated
biomechanical systems to predict the mechanical
tissue response, that could be complex to be
examined in vivo or in vitro [20], which are
constrained by materials properties and conditions
of experimentation, FEM provides exact control
and modication of variables and leads to more
precise of biomechanical phenomena. The FEM
constitutes a widely utilized engineering tool
regarding dental applications [21]. Research
studies on dental implant stress distribution has
led to interest in the eld of oral implantology,
FEM allows therefore researchers to predict
the stress distribution in the contact area of
dental implant with surrounding bone [16], and
the understanding of the way that the clinical
situation affects the stress distribution allows for
improved prosthesis design, which can lead to a
decrease in the mechanical failures [22].
Multiple scientific research have been
conducted to analyze the mechanical behavior
of dental implant, bone tissue, material,
prosthesis using FEM, this study represents
a bibliometric study which is a quantitative
examination of the academic production in
the area of interest [23], that helps to learn
about the development of publications of the
subject studied, knowing the most signicant
authors, papers, and journals. VOSviewer
was used which is a software for constructing
and visualizing bibliometric networks, these
networks may include, journals, researchers,
INTRODUCTION
Tooth loss constitutes a global health issue [1].
The loss of anterior teeth impacts the aesthetic,
whereas loss in the posterior sector will impact
the masticatory function [2]. The restoration
treatment of partial or total loss requires a variety
of techniques [3], dental implants are commonly
utilized to replace one or multiple missing teeth [4],
and provide support for the placement of dental
prostheses [5]. In modern dentistry, after the
rst observation of the titanium screw discovered
by Dr. Per-Ingvar. Brånemark a professor at
the University of Gothenburg (Sweden), while
conducting an interesting experiment on rabbits
by inserting titanium chambers into their femurs,
the metal was completely integrated into the
bone [6,7]. The usage of dental implants, therefore,
has increased signicantly [8]. Then the notion
of “osseointegration” emerged with his implant,
dened by Brånemark as “
a direct structural and
functional connection between ordered, living bone,
and the surface of a load-carrying implant
” [9,10].
Biomechanics comprise the study of
forces that act on and generated whithin the
body, as well as the impact on tissue, fluids
or material utilized in research purpose [11],
biomechanical concepts in oral implantology
are as important as the clinical factors required
for oral rehabilitation [12]. Dental Implant
distribute the load of the masticatory forces, to the
surrounding bone tissue [13], An effective Stress
distribution from Implant to the bone is among
the reasons for dental implants success [14], in
turn the load transfer relies to several factors such
surrounding bone quality and quantity, type of
loading, prosthesis and Implant materials, the
Implant shape, length and diameter, Implant
surface structure and the bone-Implant contact,
and thus inuence stress distribution [15,16].
The nite element method (FEM) represents
one of the most frequent methods used for
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Hanzaz Y et al.
Finite element methods in evaluating the stress distribution of dental implant on bone tissue: a bibliometric study
Hanzaz Y et al. Finite element methods in evaluating the stress distribution of
dental implant on bone tissue: a bibliometric study
and publications, they can be constructed based
on citation, bibliographic coupling, co-citation,
or co-authorship relations [24]. The study was
carried out to know several variables regarding
the studies on dental implant stress analysis
using nite element methods during the last
2 decades, the data was extracted from the
Scopus Database, to achieve and respond to the
following research questions:
1. What is the distribution of publications on
dental implant stress analysis using nite
element methods during the last 2 decades?
2. What are the most signicant Journals in the
period studied?
3. Who are the most productive authors and
what countries are the most productive in
the eld studied?
4. What are the important research keywords
for dental implant stress analysis using nite
element methods during the last 2 decades?
By solving these questions, this study offers a
comprehensive path for future research on the use
of FEM in the dental implant eld, by identifying
the important contributors to the eld studied.
METHOD
This study employs the Preferred Reporting
Items for Systematic Reviews and Meta-Analyses
(PRISMA) framework (Figure 1) [25]. The
bibliometric study was conducted, based upon
the research publications retrieved from the
Scopus database (access date: 25/08/2024), used
keywords with the syntax: ((“dental implant”
OR “Tooth Implant”) AND (“finite element
method” OR “FEM” OR “nite element analysis”
OR “FEA”) AND (“bone” OR “osseointegration”
AND “stress distribution”)) AND NOT TITLE-ABS-
KEY (“animal*”) AND NOT TITLE-ABS-KEY (“in
vivo”)). The initial results hit 829 articles, then
the search was rened, the period was chosen to
be from 2003 to 2023. The choice of the period
was determined based on the increased number
of publications observed since 2003, with the
beginning of the publication of the rst article in
1975 in the area studied (Figure 2). Only English
articles document types at their nal publication
stage were considered and any other type of
document or language was excluded. Moreover,
after removing the duplicated article. There were
606 studies included in the study; the “Analyze
results” function in Scopus was used to extract
the analysis results base. VOSviewer software was
used for constructing and visualizing bibliometric
networks, co-occurrence analyses was utilized
to reveal the keywords clusters within the use of
FEM to analyze dental implant stress distribution
research subject.
RESULTS
Research question 1
This study investigated into dental
implant stress distribution using nite element
analysis. The rst ndings respond to the rst
research question regarding the distribution
of publications in the research area studied
during the period between 2003 and 2023.
Figure 2 shows that the number of published
documents increased in the period studied in
Scopus databases, ranging from 7 documents in
2003 to 60 documents in 2023 which represents
the highest number of documents, indicating a
growing signicance of the use of FEM in dental
implant application.
Research question 2
The second objective was to identify the 5
relevant journals to the eld of dental implant
stress distribution using nite element analysis
from 2003 to 2023 as shown in Table I. The
“
International Journal Of Oral And Maxillofacial
Implants
” was the rst prolic journal with a
cite score of 3.3 published by the Quintessence
Publishing Company. The most signicant article
in this journal in 2023 was
Machine Learning
and Articial Intelligence: A Web-Based Implant
Failure and Peri-implantitis Prediction Model for
Clinicians,
with 7 citations. The second journal
was ”
Journal Of Oral Implantology
” published
by Allen Press with a 2.3 cite score, with 282
total publications and 636 representing total
citations, The most relevant article in this journal
is
Digital Workflow for Designing CAD-CAM
Custom Abutments of Immediate Implants Based
on the Natural Emergence Prole of the Tooth to
be Extracted
with 7 citations. The third journal
was ”
Journal of Prosthetic Dentistry
” published
by Elsevier with a 7.0 cite score, with 1333 total
publications and 9336representing total citations,
The most cited article in this journal was
Articial
intelligence applications in implant dentistry: A
systematic review
, with 68 citations.
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Hanzaz Y et al.
Finite element methods in evaluating the stress distribution of dental implant on bone tissue: a bibliometric study
Hanzaz Y et al. Finite element methods in evaluating the stress distribution of
dental implant on bone tissue: a bibliometric study
Figure 1 - PRISMA framework for this review.
Figure 2 - Distribution of publications per year.
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Hanzaz Y et al.
Finite element methods in evaluating the stress distribution of dental implant on bone tissue: a bibliometric study
Hanzaz Y et al. Finite element methods in evaluating the stress distribution of
dental implant on bone tissue: a bibliometric study
Research question 3
The objective aimed to determine the most
productive authors. The Table II provides the
scientic productivity of the top 10 authors over
time on dental implant stress analysis using nite
element methods topic. Two authors represent
the most productive with 23 publications in the
eld during the period studied, thus researchers
are co-authors in the most of articles, the rst
was
Piza Pellizzer, Eduardo Piza
with a total
publication of 255, who started publishing in
2007 and achieved an h-index of 34 with 4588
citations, affiliated
to Universidade Estadual
Paulista
in Brazil, and from the same university
Ramos Verri, Fellippo Ramos
who started
Table I - The top 5 prolific Journals
Journal Publisher TP TC Cite score The most cited article in 2023 Times cited in 2023
International Journal Of
Oral And Maxillofacial
Implants
Quintessence
Publishing
Company
544 1802 3.3
Machine Learning and Artificial
Intelligence: A Web-Based
Implant Failure and Peri-
implantitis Prediction Model for
Clinicians
7
Journal Of Oral
Implantology Allen Press 282 636 2.3
Digital Workflow for Designing
CAD-CAM Custom Abutments of
Immediate Implants Based on the
Natural Emergence Profile of the
Tooth to be Extracted
7
Journal of Prosthetic
Dentistry Elsevier 1333 9336 7.0
Artificial intelligence applications
in implant dentistry: A systematic
review
68
Journal of
Prosthodontics
John Wiley &
Sons 516 4073 7.9
A Comparison of the Surface
and Mechanical Properties of
3D Printable Denture-Base
Resin Material and Conventional
Polymethylmethacrylate (PMMA)
46
Computer Methods
In Biomechanics And
Biomedical Engineering
Taylor & Francis 587 2393 4.1
Analysis of stress and
stabilization in adolescents with
osteoporotic idiopathic scoliosis:
finite element method
22
TP = total publication; TC = total citation.
Table II - The 10 prolific Authors
Author Year of first
publication TP H-index TC Current affiliation Country
Piza Pellizzer,
Eduardo Piza 2007 255 34 4588 Universidade Estadual Paulista “Júlio de Mesquita Filho” Brazil
Ramos Verri,
Fellippo Ramos 2007 86 28 2066 Universidade Estadual Paulista “Júlio de Mesquita Filho” Brazil
Noritomi, Pedro
Yoshito 2007 98 23 1453 Three-Dimensional Technologies Division, Campinas Brazil
Consani, Rafael
L.X. 2001 135 24 1896 Universidade Estadual de Campinas Brazil
Lemos, Cleidiel
Aparecido Arauj 2015 105 26 2116 Universidade Federal de Juiz de Fora Brazil
Mesquita, M. F. 1999 136 30 2056 Universidade Estadual de Campinas Brazil
Tribst, J. P.M. 2017 204 26 2507 Academisch Centrum Tandheelkunde Amsterdam Netherlands
Rocha, Eduardo
Passos 2000 77 21 1335 Universidade Estadual Paulista “Júlio de Mesquita Filho” Brazil
Bacchi, Ataís 2012 97 22 1365 Paulo Picanço School of Dentistry (FACPP), Fortaleza Brazil
Barão, Valentim
Adelino Ricardo 2006 277 38 5220 Universidade Estadual de Campinas Brazil
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Finite element methods in evaluating the stress distribution of dental implant on bone tissue: a bibliometric study
Hanzaz Y et al. Finite element methods in evaluating the stress distribution of
dental implant on bone tissue: a bibliometric study
with his rst document in 2007, published 86
documents and achieved an h-index of 28 with
2066 citations. Of the top 10 productive authors
Barão, Valentim Adelino Ricardo has the highest
number of publications of 277, and the highest
total citation of 5220, an h-index of 38 since
he began his research publication in 2006 in
Universidade Estadual de Campinas
in Brazil.
The research question 3 aimed also to identify
the most productive countries. The Table III
illustrates the analytical results of productive
countries in the field of dentistry. Brazil was
the most productive country and places first
demonstrating its signicant publication output,
with 113 total publications, the Universidade
Federal Do Paraná Curitiba represent the major
contributor. Turkey ranks second illustrating
the impactful research contribution, with 79
publications, strongly supported by the University
of Selcuk, Konya. China and India follows nearly
showing high research impact with 67 publications
each. Iran contributes significantly with 53
publication, Japan contributes with 38 publication
demonstrating the valuable contribution, United
States illustrate a signicant research engagement
with 31 publications, South Korea, Italy and
Taiwan with approximately matched publications
number (27, 25 and 24 respectively) each
contribute meaningfully and completes the top
ten countries on the topic of dental implant stress
analysis using nite element methods.
Research question 4
The objective of the question was to
determine the keywords co-occurrence network
(Figure 3), using VOSviewer the minimum
number of occurrences of a keyword chosen was
20, and then the minimum link strength is 321.
Overall, 117 keywords met the threshold criteria.
There are three clusters of keywords identied:
Cluster 1 shown in red (n = 50), Cluster 2 shown
in green (n=43), and Cluster 3 shown in blue
(n =24). The Table IV shows the clusters items
and the keywords used. The keywords “Finite
element analysis” with co-occurrence of 526 and
“Dental implants” with co-occurrence of 413 were
the author’s keywords frequently occurring in
the majority of the publication examined in this
study Table V.
DISCUSSION
Finite element analysis (FEA) is useful
for analyzing numerical strain and stress
inside materials and has been used widely in
dentistry [26]. The FEA is used to simulate
the stress distribution in the implant system,
the results reportedly contribute to improving
knowledge of the biomechanical behavior of
dental implants [27]. The objective and research
questions of this bibliometric study have been
answered and treated in sequence, considering
the ndings of the documents analyzed, collected
from the Scopus database.
The distribution of publications on dental
implant stress analysis using finite element
methods during the last 2 decades from 2003 to
2023, shows an increasing number of published
articles, starting with 7 articles a year, and that
in 2003, the number of publications subsequently
increased to 60 article in 2023, thus bringing
the highest number of articles published in the
period studied.
Table III - The 10 prolific countries
Educational Institution Country Total Publica-
tions
Universidade Federal Do
Paraná, Curitiba Brazil 113
School of Dentistry,
University of Selcuk,
Konya
Turkey 79
First Affiliated Hospital of
Wenzhou Medical College China 67
School of Dentistry,
University of Dundee,
Dundee, DD1 4HN, United
Kingdom
India 67
Faculty of Engineering,
Imam Khomeini
International University
Iran 53
Department of
Orthodontics, Division of
Clinical Research, Dental
Research Center, Tokyo,
Japan 38
College of Engineering
and Mineral Resources,
West Virginia University
United
States 31
School of Mechanical
Engineering, Yonsei
University, Seoul
South Korea 27
University of Rome
Tor Vergata, School of
Dentistry, School of
Medical Engineering,
Rome
Italy 25
Department of Mechanical
Engineering, Chang Gung
University, Tao-yuan,
Taiwan
Taiwan 24
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Finite element methods in evaluating the stress distribution of dental implant on bone tissue: a bibliometric study
Hanzaz Y et al. Finite element methods in evaluating the stress distribution of
dental implant on bone tissue: a bibliometric study
Table IV - Cluster of keywords and items of research
Cluster Themes Keywords 117
1 [red]
Finite element analysis
and osseointegration. [50
keywords]
Adult, alveolar bone, biomechanics, bone, bone and bones, bone density, bone remodeling,
bone stress, bone tissue, cancellous bone, computer aided design, computer assisted
tomography, cone beam computed tomography, controlled study, cortical bone, dental
implant, dental prostheses, dental prosthesis, elasticity, female, finite element analyse, finite
element analysis, finite element method, force, geometry, implant, loading, male, maxilla,
osseointegration, osteolysis, peri-implant bones, physiological stress, prosthesis design,
prosthesis, screws, simulation, stress, stress analysis, stress concentration, stress distribution,
stresses distribution, tensile strength, three dimensional finite element analysis, titanium,
tomography x-ray computed, trabecular bone, von mises stress, zirconia, zirconium,
2 [green]
Human tooth
implantation, denture, and
mastication [43 keywords]
Alveolar process, biological model, bite force, bone regeneration, comparative study,
compressive strength, computer simulation, dental care, dental implantation endosseous,
dental models, dental prosthesis design, dental prosthesis implant-supported, denture,
denture design, denture retention, denture overlay, denture partial fixed, edentulousness,
elastic modulus, human, humans, imaging three dimensional, incisor, jaw, jaw edentulous,
mandible, mastication, methodology, models anatomic, models biological, molar, molar tooth,
overlay denture, periodontal ligament, premolar tooth, surface properties, surface property,
three dimensional imaging, tooth implantation, tooth prosthesis, weight bearing, weight-
bearing, young modulus
3 [blue]
Mechanical stress. Dental
materials and computer-
aided design programs
[24 keywords]
Biomechanical phenomena, bone screw, bone screws, computer program, computer-aided
design, crowns, dental abutment, dental abutments, dental alloys, dental implant-abutment
design, dental implants, dental material, dental materials, dental porcelain, dental procedure,
dental stress analysis, implant-supported denture, materials testing, mechanical stress,
procedures, software, stress mechanical, tooth crown, tooth implant
Figure 3 - Network visualization map based on co-occurrence relation between all keywords, clustering is shown using colors, and the circle’s
size represents how many times a keyword has been used.
Moreover this study, shows that the most
relevant journals publishing on dental implant
and FEM areas was the
International Journal
Of Oral And Maxillofacial Implants
, the highly
referenced article focused on
Machine Learning
and Articial Intelligence: A Web-Based Implant
Failure and Peri-implantitis Prediction Model
for Clinicians,
the purpose of this article was
the development of a machine learning model
as a way that could predict peri-implantitis
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Finite element methods in evaluating the stress distribution of dental implant on bone tissue: a bibliometric study
Hanzaz Y et al. Finite element methods in evaluating the stress distribution of
dental implant on bone tissue: a bibliometric study
and dental failure for purpose to increase the
implant success [28]. These data about journals
and publications have a signicant impact on
scientic research for researchers, professionals,
and students in the subject of dental implant
eld, enabling to know more about the principal
research contributors, particularly in this area.
Furthermore, the prolic authors in this study
were
Piza Pellizzer
,
Eduardo Piza
and
Ramos
Verri, Fellippo Ramos
from
Universidade Estadual
Paulista “Júlio de Mesquita Filho”
in Brazil, they
co-author a scientic article titled
Stress analyzed
in bone tissue around single implants with different
diameters and veneering materials: A 3-D Finite
element study
, which represents the highest
citation of 74, the study used the 3D nite element
method to evaluate the distribution of stress on the
alveolar bone to a single prosthesis supported by
implant, different variables are studied (e.g. implant
diameter, veneering materials and loads), the
results indicates that an implant increased diameter
was more essential in distributing occlusal stresses
on the bone tissue than a changing in veneering
material [29]. These findings agree with the
studies [30,31] which concluded that an increase
in dental implant diameter was more signicant in
improving stress regarding a smaller dental implant
diameter. Based on the ndings publications many
variables are also studied to evaluate the stress
distribution that used the FEM, for example; the
evaluation of the effects of bone types on stress
distributions around the dental implant examined
in the studies [32-34]. The evaluation of dental
implant design presented in the studies [35,36].The
implant design also has a good correlation with the
load on the surrounding bone and the distribution
of biomechanical stress [37,38].
In addition, the ndings shows that Brazilian
dental research has produced significant
contributions in the use of FEM in dental
research area; it is shown also by the productive
authors, who represent 9 of 10 among the top
10 authors in this study. The presence of author
from the Netherlands among the top ten authors
highlights the importance of the topic of studying
dental implant stress distribution on bone tissue
using FEM and illustrates the globally work
being made, illustrating a growing research
community to advance understanding on this
eld. Demonstrating the rst rank occupied by
Brazil which was the leading country in terms
of the total number of publications. The country
pays great attention to this eld as seen by the
high number of research centers, with about 544
dental schools and 23 dental specialties recognized
by the Federal Council of Dentistry [39,40].
Additionally the top 10 countries showed a great
quantitative engagement in dentistry eld, by
contributing a signicant number of publications,
indicating the effort to advance scientic research
in area of using FEM to study the dental implant
stress distribution on the surrounding bone.
Furthermore, the analysis of keywords based
on co-occurrence relation using VOSviewer
showed that the dental implant stress analysis
using finite element methods research area
formed clusters. Cluster 1 (50 keywords): the
main theme can be discussed by the finite
element analysis and osseointegration; Cluster
2 (43 keywords) the theme was about Human
tooth implantation, denture, and mastication;
Cluster 3 (24 keywords) the theme was about
the mechanical stress, dental materials, and
the computer-aided design. In addition, the
keywords most often used by authors represent
areas of interest through the study period, the
most common keywords used are “Finite element
analysis” and “Dental implants”, showing the
greatest signicant growth over time.
Despite certain limits, FEM is a computational
study, and the clinical conditions may not be
perfectly replicated, in the most of the studies
the stress is often performed under static loads
although the fact that this is not the case in
reality [41]; while the anisotropic nature of the
bone has to be considered [16,42], in summary,
Table V - Keywords the most used
N° Keywords Occurrence
1 Finite element analysis 526
2 Dental implants 413
3 Human 320
4 Humans 307
5 Mechanical stress 300
6 Stress, Mechanical 289
7 Biomechanics 286
8 Dental stress analysis 271
9 Tooth implant 259
10 Computer simulation 189
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Finite element methods in evaluating the stress distribution of dental implant on bone tissue: a bibliometric study
Hanzaz Y et al. Finite element methods in evaluating the stress distribution of
dental implant on bone tissue: a bibliometric study
the use of FEM to evaluate stress distribution of
dental implants has shown a great evolution and
was observed by an increased publication studies
regarding our research area. Multiple factors
can inuence the load transferred at the bone
implant interface and could be examined using
FEM like dental implant length, diameter, design,
bone quality, number of implants used, and the
change in prosthesis material. The possibility of
repeating the experiments and changing variables
depending on the intended study was easier when
it could be difcult to study in vivo or clinically.
The results obtained may lead to improvements in
dental implant design for the long-term longevity
of the device and patient satisfaction.
This study presents some limitations that
may be addressed in future bibliometric studies,
consisting of the use of only one database for
publication searching, other sources could
provide different citation scores or numbers of
research articles. Additionally, the ndings of the
study are only relevant for the time point of the
study’s data extraction (25/08/2024), as citation
and publication volume vary over time.
CONCLUSION
The successful oral implantology treatment
relies on both the clinical protocols and the
biomechanical principles. The FEM provide
valuable utility as a tool for evaluating the
biomechanical behavior of the dental implant,
enabling further understand of the stress
distribution on the surrounding bone, providing
insight into the dental implant system functions,
this can lead to more improvements in implant
design and achieving the long term integrity
of the dental implant. This bibliometric study
provides a complete overview of the development
trajectory of the FEM in regarding dentistry
research area, during the period studied from
2003 to 2023 the number of publications has
increased remarkably. The researchers recognize
the signicance of this research area, particularly
in light of the current digital revolution.
Author’s Contributions
YH: Resources, Data Curation, Writing –
Original Draft Preparation, Writing – Review &
Editing, Visualization, Methodology, Software.
EMB: Supervision, Methodology, Visualization,
Writing – Original Draft Preparation, Validation.
CO: Supervision, Conceptualization, Writing –
Review & Editing, Validation. AM: Supervision,
Validation, Formal Analysis, Writing – Review &
Editing. AD: Conceptualization, Validation. LB:
Conceptualization, Validation. AER: Supervision,
Validation, Formal Analysis, Writing – Review &
Editing.
Conict of Interest
The authors have no proprietary, nancial,
or other personal interest of any nature or kind
in any product, service, and/or company that is
presented in this article.
Funding
This study received no funding.
Regulatory Statement
This study allows analyzing the bibliographic
data of the scientic production using bibliometric
processing tools, and does not involve any
experimentation involving human or animal
subjects.
List of abbreviations
CAD-CAM: Computer-aided design and Computer-
aided manufacturing
FEM: Finite element method
FEA: Finite element analysis
PRISMA: Preferred Reporting Items for Systematic
Reviews and Meta-Analyses
TC: Total citation
TP: Total publication
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dental implant on bone tissue: a bibliometric study
Date submitted: 2025 Jan 20
Accept submission: 2025 Apr 23
Chadia Ouazzani
(Corresponding address)
Mohammed V University in Rabat, Faculty of Medicine and Pharmacy, Laboratory
of Biochemistry and Molecular Biology, Rabat, Morocco.
Email: ouazcom@yahoo.fr
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