Influence of prosthesis type and material on the stress distribution in bone around implants: A 3-dimensional finite element analysis (original) (raw)

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.

Finite‐Element Analysis of Stress on Dental Implant Prosthesis

Clinical Implant Dentistry and Related Research, 2009

ABSTRACTBackground: Understanding how clinical variables affect stress distribution facilitates optimal prosthesis design and fabrication and may lead to a decrease in mechanical failures as well as improve implant longevity.Purpose: In this study, the many clinical variations present in implant‐supported prosthesis were analyzed by 3‐D finite element method.Materials and Method: A geometrical model representing the anterior segment of a human mandible treated with 5 implants supporting a framework was created to perform the tests. The variables introduced in the computer model were cantilever length, elastic modulus of cancellous bone, abutment length, implant length, and framework alloy (AgPd or CoCr). The computer was programmed with physical properties of the materials as derived from the literature, and a 100N vertical load was used to simulate the occlusal force. Images with the fringes of stress were obtained and the maximum stress at each site was plotted in graphs for compa...

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...

A 3-D Finite Element Analysis of Stress Distribution on Implant-supported Fixed Prosthesis with Four Different Commercially Available Implant Systems

2020

AIM To investigate by the finite element analysis comparison of stress distribution on the cortical and cancellous bone in an implant-supported yttrium tetragonal zirconia polycrystals (Y-TZP FPD) in four different widely used implant systems under different loading conditions. MATERIALS AND METHODS Four 3-D finite element analysis (FEA) models of mandible having different implant systems with dimensions 8.0 mm × 5 mm in the second premolar and molar region were developed. In these models, abutment was tightened and 3-unit implant-supported Y-TZP FPD were cemented. A lateral force component of 100 N at 30° to the occlusal plane and a vertical intrusive force component of 250 N were applied to the central fossa of the FDP and the stress on bone around the implant was analyzed by FEA. RESULTS In the four implant systems, the maximum stress values on the crestal bone differ for the different implant systems for the two loading conditions applied. In both cases, the maximum stress value...

A comparative evaluation of stress distribution between an All-on-Four implant-supported prosthesis and the Trefoil implant-supported prosthesis: A three-dimensional finite element analysis study

The Journal of Indian Prosthodontic Society, 2022

Aim: The primary aim of this study is to analyse the stress distribution between an ALL ON FOUR implant supported prosthesis and the TREFOIL implant supported prosthesis with 3D finite element models. Settings and Design: An in vitro perspective Materials and Methods: Two mandibular three-dimensional Finite Element Models were constructed by the CREO version 5 software, in which Model A depicts a mandible with ALL ON FOUR implant supported prost hesis and Model B will depict TREFOIL implant supported prosthesis. Model A contains four implants, two anterior straight and posterior tilted implants (30°), a bar and denture containing acrylic teeth. In Model B, it contains three straight implants and a prefabricated compensatory bar with standardised dimensions. To evaluate and compare the stress distribution between the bone and implant interface, one deleterious cantilever load of upto 300 N is applied on the second molar bilaterally and simultaneously. Another full bite biting load of...

Stress Distribution Around Single Short Dental Implants: A Finite Element Study

The Journal of Indian Prosthodontic Society, 2014

Bone height restrictions are more common in the posterior regions of the mandible, because of either bone resorption resulting from tooth loss or even anatomic limitations, such as the position of the inferior alveolar nerve. In situations where adequate bone height is not available in the posterior mandible region, smaller lengths of implants may have to be used but it has been reported that the use of long implants (length C10 mm) is a positive factor in osseointegration and authors have reported failures with short implants. Hence knowledge about the stress generated on the bone with different lengths of implants needs scientific evaluation. The purpose of this study was to compare and evaluate the influence of different lengths of implants on stress upon bone in mandibular posterior area. A 3 D finite element model was made of the posterior mandible using the details from a CT scan, using computer software (ANSYS 12). Four simulated implants with lengths 6 mm, 8 mm, 10 mm and 13 mm were placed in the centre of the bone. A static vertical force of 250 N and a static horizontal force of 100 N were applied. The stress generated in the cortical and cancellous bone around the implant were recorded and evaluated with the help of ANSYS. In this study, Von Mises stress on a 6 mm implant under a static vertical load of 250 N appeared to be almost in the same range of 8 and 10 mm implant which were more as compared to 13 mm implant. Von Mises stress on a 6mm implant under a static horizontal load of 100 N appeared to be less when compared to 8, 10 and 13 mm implants. From the results obtained it may be inferred that under static horizontal loading conditions, shorter implants receive lesser load and thus may tend to transfer more stresses to the surrounding bone. While under static vertical loading the shorter implants bear more loads and comparatively transmit lesser load to the surrounding bone.

Stress distribution of two commercial dental implant systems: A three-dimensional finite element analysis

Journal of Dental Sciences, 2013

Background/purpose: This study investigates the stress distributions in an implant, abutment, and crown restoration with different implant systems, in various bone qualities, and with different loading protocols using a three-dimensional finite element model. Materials and methods: Eight three-dimensional finite element models with 16 test conditions containing four types of dental implants embedded in two different bone qualities (types II and IV) under 100-N axial and 30 oblique loading forces were applied to analyze the stress distribution in the crown restoration, abutment, abutment screw, implant, and supporting bone. Results: The highest maximum von Mises stress was noted in the abutment of a tissue-level implant with the Straumann system (1203.04 MPa) under a 30 oblique loading force. With axial load application, stresses in the screw and abutment of the NobelBiocare system were greater in the tissue-level implant (MK III) than in the bone-level implant (Active). The von Mises stresses in the cortical bone were mostly greater in the tissue-level implant (MK III) than in the bone-level implant (Active) of the NobelBiocare system. However, von Mises stresses in cancellous bone were mostly greater in the bone-level implant (Active) than in the tissue-level implant (MK III) of the NobelBiocare system. Conclusion: Within the limitations of the present study, the Straumann system produced greater stresses than the NobelBiocare system in type IV cortical bone, but they were almost equal in type II bone. By contrast, the NobelBiocare system produced greater stresses than the Straumann system in cancellous bone, regardless of the type of loading angle or bone quality.

Finite Element Analysis Of Stress Behaviour In A Novel Implant Platform Under Axial and Non -Axial Loading Conditions -An In Vitro Study

SciDoc Publishers, 2021

Background & Rationale: The most common technical complication observed in a dental implant prosthesis post-operatively, is screw loosening and occasionally, screw fracture. The aim of this study is to develop a novel implant-abutment connection which eliminates the use of a prosthetic screw and to evaluate the stress response of this novel connection under axial and non-axial loads simulating the mechanical loads present intraorally. Materials & Methods: Three dimensional models of implants with the conventional platform and the new bayonet mount platform were designed. The stress behaviour of the two models were evaluated using finite element analysis under axial and non-axial loading conditions. Results: Von Mises stresses are higher in the new model in the platform region of the implant fixture. Stress levels were maintained well below the yield limit for the new model under all loading conditions while the conventional design exceeded the yield limit for cortical bone under non-axial loading and in the fastening screw under all loading conditions. Conclusion: Despite the limitations of the method, it can be observed that the bayonet mount can serve as a suitable alternative implant-abutment connection in commercial implant systems. Further studies need to be performed to evaluate the feasibility of incorporating this platform design in commercial dental implants.

Stress analysis of different prosthesis materials in implant-supported fixed dental prosthesis using 3D finite element method

Dental Hypotheses, 2014

Introduction: In the present study, the finite element method (FEM) was used to investigate the effects of prosthesis material types on stress distribution of the bone surrounding implants and to evaluate stress distribution in three-unit implant-supported fixed dental prosthesis (FDP). Materials and Methods: A three-dimensional (3D) finite element FDP model of the maxillary second premolar to the second molar was designed. Three load conditions were statically applied on the functional cusps in horizontal (57.0 N), vertical (200.0 N), and oblique (400.0 N, θ = 120°) directions. Four standard framework materials were evaluated: Polymethyl methacrylate (PMMA), base-metal, porcelain fused to metal, andporcelain. Results: The maximum of von Mises stress in the oblique direction was higher than the vertical and horizontal directions in all conditions. In the bone-crestal section, the maximum von Mises stress (53.78 MPa) was observed in PMMA within oblique load. In FDPs, the maximum stress was generated at the connector region in all conditions. Conclusion: A noticeable difference was not observed in the bone stress distribution pattern with different prosthetic materials. Although, higher stress value could be seen in polymethyl methacrylate, all types of prosthesis yielded the same stress distribution pattern in FDP. More clinical studies are needed to evaluate the survival rate of these materials.