Mechanical behavior of implant-supported full-arch prostheses in different locations in the maxilla: 3D-FEA and strain gauge analysis (original) (raw)

Effect of Maxillary Implants Region and Loading Condition in the Stress Distribution of Implant-Supported Full-Arch Prosthesis: 3D-FEA

2021

The effect of the different dental implants positioning region on the stress performance of the implant-supported prosthesis is not yet clear. This study evaluated the dental treatment with six dental implants in three different models and three different occlusal loading conditions, in terms of the biomechanical response of implants, prosthetic screw and maxilla, using three-dimensional finite element analysis. The finite element models were modelled containing external hexagon implants, as well as a Cobalt-Chromium superstructure. Three types of loads were applied: in the area of the central incisors, first premolar and in the second molars. For the finite element simulations, the von-Mises stress peaks in the implant and in the surrounding cortical bone were analyzed. All recorded results reported higher values for the implant-supported prosthesis in group C compared to the groups A and B. The highest stress values, regardless the evaluated model, was in the prosthesis in group C...

Stress patterns on implants in prostheses supported by four or six implants: a three-dimensional finite element analysis

The International Journal of Oral Maxillofacial Implants, 2010

PURPOSE: Using the three-dimensional finite element method (FEM), this study compared the biomechanical behavior of the "All-on-Four" system with that of a six-implant-supported maxillary prosthesis with tilted distal implants. The von Mises stresses induced on the implants under different loading simulations were localized and quantified.MATERIALS AND METHODS: Three-dimensional models representing maxillae restored with an "All-on-Four" and with a six-implant-supported prosthesis were developed in three-dimensional design software and then transferred into FEM software. The models were subjected to four different loading simulations (full mouth biting, canine disclusion, load on a cantilever, load in the absence of a cantilever). The maximum von Mises stresses were localized and quantified for comparison.RESULTS: In both models, in all loading simulations, the peak stress points were always located on the neck of the distal tilted implant. The von Mises stress values were higher in the "All-on-Four" model (7% to 29%, higher, depending on the simulation). In the presence of a cantilever, the maximum von Mises stress values increased by about 100% in both models.CONCLUSIONS: The stress locations and distribution patterns were similar in the two models. The addition of implants resulted in a reduction of the maximum von Mises stress values. The cantilever greatly increased the stress.