scholarly journals Is Anterior Guidance a Key Factor on Planning Implant Treatment for Free-End Missing in the Posterior Mandible?

2019 ◽  
Vol 45 (2) ◽  
pp. 100-105 ◽  
Author(s):  
Mitsuharu Nagao ◽  
Chihiro Masaki ◽  
Mihoko Nakao ◽  
Yoshinori Ito ◽  
Shintaro Tsuka ◽  
...  

To perform safe implant treatment, the anatomical structure and bone quality at implant placement sites are evaluated based on a patient's computerized tomography (CT) data, but there is no definite method to determine placement sites and the appropriate number of implants. The objective of this study was to investigate the influence of the number and arrangement of implants on the stress distribution in 3-unit posterior fixed partial dentures for the posterior mandible by mechanical analysis using the finite element method. Three-dimensional finite element analysis models were constructed from the CT data of a patient with missing mandibular teeth (Nos. 35, 36, 37). Implant placement was simulated under various conditions. Superstructures were connected and fixed with a titanium frame. As the loading conditions, 400 N vertical and lateral loads (45° on the lingual side and 45° on the buccal side) were applied to the upper areas of Nos. 35, 36, and 37, and the stress distribution and frame displacement were evaluated. When a vertical force was applied, no difference of the von Mises stress was noted among the 5 experimental conditions. When lateral force was applied from the lingual and buccal sides at 45°, the stress was higher than that induced by vertical force under all conditions, and it was especially high under mesial and distal cantilever conditions. When displacement of the titanium frame was measured, the displacement caused by lateral force was greater than that due to vertical force. In addition, comparison between long and short distal cantilever bridges revealed that displacement of the titanium frame tended to be smaller when the short cantilever was used. These findings suggested that the stress on peri-implant tissues and displacement of the titanium frame vary depending on the configuration and number of implants, with greater stress and more marked displacement of the titanium frame being induced by lateral force when the number of implants is reduced and a cantilever bridge is selected.

2021 ◽  
Vol 25 (1) ◽  
pp. 46-52
Author(s):  
İlhan Kaya ◽  
Funda Tuğcu

Summary Background/Aim: The objective of this study was to evaluate the stress distribution on implants and supporting bone tissue in All-on-Four and conventional designs in edentulous mandible by using 3D finite element analysis. Material and Methods: The different five models were designed according to All-on-Four concept and conventional implant placement designs. While the first two models were involved in All-on-Four concept with two long implants, the remaining models were designed by conventional approaches with three implants in different location and length. After the modelling procedures, a load of masticatory force was applied and the stresses were evaluated. Results: It has been observed that principal stresses in both cortical and spongious bone tissue were concentrated in models of All-on-Four design. Less principal stress levels were found in models of conventional design. Similarly, von Mises stress values on implant surfaces were found to be higher in All-on-Four concept. Conclusions: In severely resorbed mandible, the use of conventional implant placement is recommended. Although All-on-Four design seems to be a reasonable alternative for edentulous mandible, evidence-based results of this approach should be supported by long-term follow-up studies.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Charles Savoldelli ◽  
Elodie Ehrmann ◽  
Yannick Tillier

AbstractWith modern-day technical advances, high sagittal oblique osteotomy (HSOO) of the mandible was recently described as an alternative to bilateral sagittal split osteotomy for the correction of mandibular skeletal deformities. However, neither in vitro nor numerical biomechanical assessments have evaluated the performance of fixation methods in HSOO. The aim of this study was to compare the biomechanical characteristics and stress distribution in bone and osteosynthesis fixations when using different designs and placing configurations, in order to determine a favourable plating method. We established two finite element models of HSOO with advancement (T1) and set-back (T2) movements of the mandible. Six different configurations of fixation of the ramus, progressively loaded by a constant force, were assessed for each model. The von Mises stress distribution in fixations and in bone, and bony segment displacement, were analysed. The lowest mechanical stresses and minimal gradient of displacement between the proximal and distal bony segments were detected in the combined one-third anterior- and posterior-positioned double mini-plate T1 and T2 models. This suggests that the appropriate method to correct mandibular deformities in HSOO surgery is with use of double mini-plates positioned in the anterior one-third and posterior one-third between the bony segments of the ramus.


2013 ◽  
Vol 2013 ◽  
pp. 1-12 ◽  
Author(s):  
Preeti Satheesh Kumar ◽  
Kumar K. S. Satheesh ◽  
Jins John ◽  
Geetha Patil ◽  
Ruchi Patel

Background and Objectives. A key factor for the long-term function of a dental implant is the manner in which stresses are transferred to the surrounding bone. The effect of adding a stiffener to the tissue side of the Hader bar helps to reduce the transmission of the stresses to the alveolar bone. But the ideal thickness of the stiffener to be attached to the bar is a subject of much debate. This study aims to analyze the force transfer and stress distribution of an implant-supported overdenture with a Hader bar attachment. The stiffener of the bar attachments was varied and the stress distribution to the bone around the implant was studied. Methods. A CT scan of edentulous mandible was used and three models with 1, 2, and 3 mm thick stiffeners were created and subjected to loads of emulating the masticatory forces. These different models were analyzed by the Finite Element Software (Ansys, Version 8.0) using von Mises stress analysis. Results. The results showed that the maximum stress concentration was seen in the neck of the implant for models A and B. In model C the maximum stress concentration was in the bar attachment making it the model with the best stress distribution, as far as implant failures are concerned. Conclusion. The implant with Hader bar attachment with a 3 mm stiffener is the best in terms of stress distribution, where the stress is concentrated at the bar and stiffener regions.


Nanomaterials ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. 1708 ◽  
Author(s):  
Maciej Zarow ◽  
Mirco Vadini ◽  
Agnieszka Chojnacka-Brozek ◽  
Katarzyna Szczeklik ◽  
Grzegorz Milewski ◽  
...  

By means of a finite element method (FEM), the present study evaluated the effect of fiber post (FP) placement on the stress distribution occurring in endodontically treated upper first premolars (UFPs) with mesial–occlusal–distal (MOD) nanohybrid composite restorations under subcritical static load. FEM models were created to simulate four different clinical situations involving endodontically treated UFPs with MOD cavities restored with one of the following: composite resin; composite and one FP in the palatal root; composite and one FP in the buccal root; or composite and two FPs. As control, the model of an intact UFP was included. A simulated load of 150 N was applied. Stress distribution was observed on each model surface, on the mid buccal–palatal plane, and on two horizontal planes (at cervical and root-furcation levels); the maximum Von Mises stress values were calculated. All analyses were replicated three times, using the mechanical parameters from three different nanohybrid resin composite restorative materials. In the presence of FPs, the maximum stress values recorded on dentin (in cervical and root-furcation areas) appeared slightly reduced, compared to the endodontically treated tooth restored with no post; in the same areas, the overall Von Mises maps revealed more favorable stress distributions. FPs in maxillary premolars with MOD cavities can lead to a positive redistribution of potentially dangerous stress concentrations away from the cervical and the root-furcation dentin.


Paleobiology ◽  
2019 ◽  
Vol 45 (1) ◽  
pp. 182-200 ◽  
Author(s):  
François Clarac ◽  
Florent Goussard ◽  
Vivian de Buffrénil ◽  
Vittorio Sansalone

AbstractThis paper aims at assessing the influence of the bone ornamentation and, specifically, the associated loss of bone mass on the mechanical response of the crocodylomorph osteoderms. To this end, we have performed three-dimensional (3D) modeling and a finite element analysis on a sample that includes both extant dry bones and well-preserved fossils tracing back to the Late Triassic. We simulated an external attack under various angles on the apical surface of each osteoderm and further repeated the simulation on an equivalent set of smoothed 3D-modeled osteoderms. The comparative results indicated that the presence of an apical sculpture has no significant influence on the von Mises stress distribution in the osteoderm volume, although it produces a slight increase in its numerical score. Moreover, performing parametric analyses, we showed that the Young's modulus of the osteoderm, which may vary depending on the bone porosity, the collagen fiber orientation, or the calcification density, has no impact on the von Mises stress distribution inside the osteoderm volume. As the crocodylomorph bone ornamentation is continuously remodeled by pit resorption and secondary bone deposition, we assume that the apical sculpture may be the outcome of a trade-off between the bone mechanical resistance and the involvement in physiological functions. These physiological functions are indeed based on the setup of a bone superficial vessel network and/or the recurrent release of mineral elements into the plasma: heat transfers during basking and respiratory acidosis buffering during prolonged apnea in neosuchians and teleosaurids; compensatory homeostasis in response to general calcium deficiencies. On a general morphological basis, the osteoderm geometric variability within our sample leads us to assess that the global osteoderm geometry (whether square or rectangular) does not influence the von Mises stress, whereas the presence of a dorsal keel would somewhat reduce the stress along the vertical axis.


2013 ◽  
Vol 07 (04) ◽  
pp. 484-491 ◽  
Author(s):  
Wagner Moreira ◽  
Caio Hermann ◽  
Jucélio Tomás Pereira ◽  
Jean Anacleto Balbinoti ◽  
Rodrigo Tiossi

ABSTRACT Objective: The purpose of this study was to evaluate the mechanical behavior of two different straight prosthetic abutments (one- and two-piece) for external hex butt-joint connection implants using three-dimensional finite element analysis (3D-FEA). Materials and Methods: Two 3D-FEA models were designed, one for the two-piece prosthetic abutment (2 mm in height, two-piece mini-conical abutment, Neodent) and another one for the one-piece abutment (2 mm in height, Slim Fit one-piece mini-conical abutment, Neodent), with their corresponding screws and implants (Titamax Ti, 3.75 diameter by 13 mm in length, Neodent). The model simulated the single restoration of a lower premolar using data from a computerized tomography of a mandible. The preload (20 N) after torque application for installation of the abutment and an occlusal loading were simulated. The occlusal load was simulated using average physiological bite force and direction (114.6 N in the axial direction, 17.1 N in the lingual direction and 23.4 N toward the mesial at an angle of 75° to the occlusal plan). Results: The regions with the highest von Mises stress results were at the bottom of the initial two threads of both prosthetic abutments that were tested. The one-piece prosthetic abutment presented a more homogeneous behavior of stress distribution when compared with the two-piece abutment. Conclusions: Under the simulated chewing loads, the von Mises stresses for both tested prosthetic-abutments were within the tensile strength values of the materials analyzed which thus supports the clinical use of both prosthetic abutments.


2011 ◽  
Vol 230-232 ◽  
pp. 1029-1033
Author(s):  
Xiao Qin Zhou ◽  
Shao Xin Zhao ◽  
Zhi Wei Zhu ◽  
Jie Qiong Lin ◽  
Dan Luo

In order to reveal the mechanistic characteristics during the elliptical vibration cutting (EVC), A simplified 2-D finite element model is developed. The characteristics of the cutting forces during the EVC process are investigated by comparison with the conventional cutting. The results indicate that the lower averaging values of cutting forces can be obtained and an obvious inverse phenomenon of the thrust force is also observed during the EVC process, which may be beneficial to the chip formation. A detailed analysis of the equivalent stress distribution during the EVC process is carried out. A transient stress distribution is observed during the EVC process, the highly localized Von Mises stress in the tool-chip contact region throughout one EVC cycle may help to form a more continuous chip and lead to the ductile regime removal of brittle materials.


2020 ◽  
Author(s):  
Kazuhiro Hasegawa ◽  
Tamon Kabata ◽  
Yoshitomo Kajino ◽  
Daisuke Inoue ◽  
Jiro Sakamoto ◽  
...  

Abstract Background Finite element analysis (FEA) has been previously applied for the biomechanical analysis of acetabular dysplasia and osteotomy. However, until now, there have been little reports on the use of FEA to evaluate the effects of pelvic tilt on stress distribution in the acetabulum. Methods We used the Mechanical Finder Ver. 7.0 (RCCM, Inc., Japan) to construct finite element models based on 3D-CT data of patients, and designed dysplasia, borderline, and normal pelvic models. For analysis, body weight was placed on the sacrum and the load of the flexor muscles of the hip joint was placed on the ilium. The pelvic tilt was based on the anterior pelvic plane, and the pelvic tilt angles were -20°, 0°, and 20°. The load of the flexor muscle of the hip joint was calculated using the moment arm equation.Results All three models showed the highest values of von Mises stress in the -20° pelvic tilt angle, and the lowest in the 20° angle. Stress distribution concentrated in the load-bearing area. The maximum values of von Mises stress in the borderline at pelvic tilt angles of -20° was 3.5Mpa, and in the dysplasia at pelvic tilt angles of 0° was 3.1Mpa. Conclusions The pelvic tilt angle of -20° of the borderline model showed equal maximum values of von Mises stress than the dysplasia model of pelvic tilt angle of 0°, indicating that pelvic retroversion of -20° in borderline is a risk factor for osteoarthritis of the hip joints, similar to dysplasia.


2021 ◽  
Vol 13 (2) ◽  
pp. 57-61
Author(s):  
Alireza Izadi ◽  
Fariboorz Vafaie ◽  
Armaghan Shahbazi ◽  
Mohamad Taghi Mokri vala

Background: This finite element analysis (FEA) evaluated stress distribution in implant-supported overdenture (ISO) and peri-implant bone using one extracoronal (ball) and two intracoronal (locator and Zest Anchor Advanced Generation (ZAAG)) attachment systems. Methods: In this in vitro study, the mandible was modelled in the form of an arc-shaped bone block with 33 mm height and 8 mm width. Two titanium implants were modelled at the site of canine teeth, and three attachments (ZAGG, locator, and ball) were placed over them. Next, 100 N load was applied at 90° and 30° angles from the molar site of each quadrant to the implants. The stress distribution pattern in the implants and the surrounding bone was analyzed, and the von Mises stress around the implants and in the crestal bone was calculated. Results: While minimum stress in peri-implant bone following load application at 30° angle was noted in the mesial point of the locator attachment, maximum stress was recorded at the distal point of the ball attachment following load application at 90° angle. Maximum stress around the implant following load application at 90° angle was noted in the lingual point of the ball attachment while minimum stress was recorded in the lingual point of the locator attachment following load application at 90° angle. Conclusions: According to the results, the locator attachment is preferred to the ZAAG attachment, and the ball attachment should be avoided if possible.


Author(s):  
Vinod Bandela ◽  
Ram Basany ◽  
Anil Kumar Nagarajappa ◽  
Sakeenabi Basha ◽  
Saraswathi Kanaparthi ◽  
...  

Purpose: To analyze the stress distribution and the direction of force in external hexagonal implant with crown in three different angulations. Materials and Methods: A total of 60 samples of geometric models were used to analyze von Mises stress and direction of force with 0-, 5-, and 10-degree lingual tilt. Von Mises stress and force distribution were evaluated at nodes of hard bone, and finite element analysis was performed using ANSYS 12.1 software. For calculating stress distribution and force, we categorized and labeled the groups as Implant A1, Implant A2, and Implant A3, and Implant B1, Implant B2, and Implant B3 with 0-, 5-, and 10-degree lingual inclinations, respectively. Inter- and intra-group comparisons were performed using ANOVA test. A p-value of ≤0.05 was considered statistically significant. Results: In all the three models, overall maximum stress was found in implant model A3 on the implant surface (86.61), and minimum was found on model A1 in hard bone (26.21). In all the three models, the direction of force along three planes was maximum in DX (0.01025) and minimum along DZ (0.002) direction with model B1. Conclusion: Maximum von Mises stress and the direction of force in axial direction was found at the maximum with the implant of 10 degrees angulation. Thus, it was evident that tilting of an implant influences the stress concentration and force in external hex implants.


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