Alveolar bone atrophy can directly cause a decrease in bone level. The effect of this process on the service life of dental implants is unknown. The aim of this study was to determine the failure forms of the two-piece dental implants in the descending process of alveolar bone level, and the specific states of the components during the failure process. The CAD software SolidWorks was used to establish the model of alveolar bone and dental implants in this article. The finite element analysis was used to analyze the statics of the dental implants in the host oral model. The finite element analysis results showed that the stress concentration point of the implant and abutment in the implant system has changed greatly during the descending process of alveolar bone level, and indirectly increased the fatigue life of the same fatigue risk point. At the same time, the dental implants were tested in vitro in the descending process of alveolar bone level. Then, the fracture of the implant system was scanned by scanning electron microscope. The fatigue test results proved the finite element analysis hypothesis the central screw first fractured under fatigue and then caused an overload break of the implant and abutment.
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