scholarly journals An evaluation of the stress effect of different occlusion concepts on hybrid abutment and implant supported monolithic zirconia fixed prosthesis: A finite element analysis

2021 ◽  
Vol 13 (4) ◽  
pp. 216
Author(s):  
Nilgün Gulbahce Yesilyurt ◽  
Ali Riza Tuncdemir
Author(s):  
Mohammed Abusaad Siddiqui ◽  
Sudheer N ◽  
Dulala Vikram Raj ◽  
Aditi Chintamani Sabnis ◽  
Alluru Amrutesh ◽  
...  

The treatment modality for completely edentulous arches has shifted from complete dentures to dental implants during the last 15-20 years. Tilting of implants has reduced the concern of resorbed posterior ridges in completely edentulous patients with “All-on-four” and “All-on-six” concept of dental implants. The purpose of this study is to compare the biomechanical behaviour of the “All-on-four”, “All-on-six” models with tilted distal implants at different angulations of 30 and 45 ° with four parallel placed implant-supported fixed prosthesis, and six parallel placed implant-supported fixed prosthesis models as controls using three-dimensional finite element analysis. The results showed that in all the models, in cancellous bone, cortical bone, implant and prosthesis – “All-on-four” model with distal implants tilted at an angulation of 30° showed stress values less than or equivalent to all the other models except on the implant in the presence of cantilever and on prosthesis during full mouth biting load where maximum stresses were observed. The study shows that All-on-four concept with tilted distal implants at an angulation of 30° showed stress values favourable for the rehabilitation of completely edentulous maxilla, but the presence of cantilever remains an area of concern.


2020 ◽  
Vol 46 (5) ◽  
pp. 480-490
Author(s):  
Kasthuri Chidambaravalli ◽  
Vinod Krishnan

A key factor for a successful dental implant is the manner in which stresses are transferred to the surrounding bone. Strength of bone is directly related to its density. Maximum stresses are reported to be incurred by the crestal cortical bone surrounding the implant. Displacement of implants is significantly higher in soft cancellous bone than dense bone. Implants are often placed in bone of different densities to support fixed dental prostheses. This study was aimed at assessing stress and deformation generated by osseointegrated implants placed in bone of different densities on a cemented fixed prosthesis when subjected to static and dynamic loading. A 3-dimensional finite element analysis was done on a computer-aided design model simulating maxillary bone segment with 2 different bone densities (D2 and D4). The effect of loading was evaluated at the implant–bone interface, implant–abutment interface, abutment, implant abutment connecting screw, cementing medium, and fixed prosthesis. Stresses were calculated using von Mises criteria calibrated in megapascals and deformation in millimeters. These were represented in color-coded maps from blue to red (showing minimum to maximum stress/deformation), depicted as contour lines with different colors connecting stress/deformation points. The study found greater von Mises stress in D2 than D4 bone, and in D2 bone the component with higher stress was the implant. Deformation was greater in D4 than D2 bone, and in D4 bone the abutment-prosthesis interface showed more deformation.


2015 ◽  
Vol 28 (6) ◽  
pp. 627-630 ◽  
Author(s):  
Maria Menini ◽  
Paolo Pesce ◽  
Marco Bevilacqua ◽  
Francesco Pera ◽  
Tiziano Tealdo ◽  
...  

2021 ◽  
Vol 33 ◽  
pp. 734-747
Author(s):  
Dario Milone ◽  
Fabiana Nicita ◽  
Gabriele Cervino ◽  
Dario Santonocito ◽  
Giacomo Risitano

2019 ◽  
Vol 13 (2) ◽  
pp. 90-97 ◽  
Author(s):  
Mahmood Robati Anaraki ◽  
Ali Torab ◽  
Taymaz Mounesi Rad

Background. Monolithic zirconia is an emerging material for crowns and bridges. The possibility of full digital design has made it an attractive alternative material for implant-supported prostheses. A proper design is vital in the success of such a prosthesis like any other. This study, in the shortage of scientific evidence, has tried to assess the stress distribution of occlusal forces inside the implant-prosthesis system of a 3-unit bridge made of monolithic zirconia. Methods. A 3-unit monolithic zirconia bridge supported by two implant fixtures placed on the teeth #13 and #15 was digitalized. It was converted to a mesh of 59000 nodes and 34000 elements. Five types of occlusal forces (one as vertical centric, two at 15º and 30º simulating canine pattern of lateral movement, and two at 15º and 30º simulating group function pattern) were applied. The stress distribution among all the components of the implant-bridge system was assessed using Ansys Workbench 14 software and finite element analysis. Results. The maximum stress was between 286 and 546 MPa, which were found in either the fixture‒abutment screw area or in the upper part of the pontic connector between the canine and first premolar. The maximum pressure increased with an increase in the angle of occlusal force. Significantly higher stress was recorded in the group function occlusal pattern. Conclusion. Monolithic zirconia can be promising in designing bridges in the canine‒premolar area. However, proper design is necessary with more attention to the connectors and types of occlusal forces.


Sign in / Sign up

Export Citation Format

Share Document