Minimum Principal Stress Values Research Articles

Dental Versus Zygomatic Implants in the Treatment of Maxillectomy: A Finite Element Analysis.

This study analyzed the stress distributions on zygomatic and dental implants placed in the zygomatic bone, supporting bones, and superstructures under occlusal loads after maxillary reconstruction with obturator prostheses. A total of 12 scenarios of 3-dimensional finite element models were constructed based on computerized tomography scans of a hemimaxillectomy patient. Two obturator prostheses were analyzed for each model. A total force of 600 N was applied from the palatal to buccal bones at an angle of 45°. The maximum and minimum principal stress values for bone and von Mises stress values for dental implants and prostheses were calculated. When zygomatic implants were applied to the defect area, the maximum principal stresses were similar in intensity to the other models; however, the minimum principal stress values were higher than in scenarios without zygomatic implants. In models that used zygomatic implants in the defect area, von Mises stress levels were significantly higher in zygomatic implants than in dental implants. In scenarios where the prosthesis was supported by tissue in the nondefect area, the maximum and minimum principal stress values on cortical bone were higher than in scenarios where implants were applied to defect and nondefect areas. In patients who lack an alveolar crest after maxillectomy, a custom bar-retained prosthesis placed on the dental implant should reduce stress on the zygomatic bone. The stress was higher on zygomatic implants without alveolar crest support than on dental implants.

Static and dynamic stress analysis of different crown materials on a titanium base abutment in an implant-supported single crown: a 3D finite element analysis

BackgroundThis Finite Element Analysis was conducted to analyze the biomechanical behaviors of titanium base abutments and several crown materials with respect to fatigue lifetime and stress distribution in implants and prosthetic components.MethodsFive distinct designs of implant-supported single crowns were modeled, including a polyetheretherketone (PEEK), polymer-infiltrated ceramic network, monolithic lithium disilicate, and precrystallized and crystallized zirconia-reinforced lithium silicates supported by a titanium base abutment. For the static load, a 100 N oblique load was applied to the buccal incline of the palatal cusp of the maxillary right first premolar. The dynamic load was applied in the same way as in static loading with a frequency of 1 Hz. The principal stresses in the peripheral bone as well as the von Mises stresses and fatigue strength of the implants, abutments, prosthetic screws, and crowns were assessed.ResultsAll of the models had comparable von Mises stress values from the implants and abutments, as well as comparable maximum and minimum principal stress values from the cortical and trabecular bones. The PEEK crown showed the lowest stress (46.89 MPa) in the cervical region. The prosthetic screws and implants exhibited the highest von Mises stress among the models. The lithium disilicate crown model had approximately 9.5 times more cycles to fatique values for implants and 1.7 times more cycles to fatique values for abutments than for the lowest ones.ConclusionsWith the promise of at least ten years of clinical success and favorable stress distributions in implants and prosthetic components, clinicians can suggest using an implant-supported lithium disilicate crown with a titanium base abutment.

Dental versus zygomatic implants in the treatment of maxillectomy: a finite element analysis.

This study analyzed the stress distributions on zygomatic and dental implants placed in the zygomatic bone, supporting bones, and superstructures under occlusal loads after maxillary reconstruction with obturator prostheses. 12 scenarios of three-dimensional finite element models were constructed based on computed tomography scans of a patient who had hemimaxillectomy. Two obturator prostheses were analyzed for each model. A total force of 600 N was applied from the palatal to buccal bones at an angle of 45°. The maximum and minimum principal stress values for bone and also the von Misses stress values for dental implants and prostheses were calculated. When zygomatic implants were applied to the defect area, the maximum principal stresses were similar in intensity to the other models; however, the minimum principal stress values were higher than in scenarios without zygomatic implants. In models that used zygomatic implants in the defect area, von Misses stress levels were significantly higher in zygomatic implants than in dental implants. In scenarios where the prosthesis was supported by tissue in the non-defect area, the maximum and minimum principal stress values on cortical bone were higher than in scenarios where implants were applied to both defect and non-defect areas. In patients who lack an alveolar crest after maxillectomy, reduced stress on the zygomatic bone is expected if a custom bar-retained prosthesis is placed on the dental implant. The stress was higher on zygomatic implants without alveolar crest support than on dental implants.

The Distribution Law of Ground Stress Field in Yingcheng Coal Mine Based on Rhino Surface Modeling

The distribution law of the ground stress field is of great significance in guiding the design of coal mine roadway alignment, determining the parameters of roadway support, and preventing and controlling the impact of ground pressure in coal mines. A geostress inversion method combining Rhino surface modeling and FLAC3D 6.0 numerical simulation software is proposed. Based on the geological data of the coal mine and the results of on-site measurements, a three-dimensional geological model of Yingcheng Coal Mine is established for the geostress inversion, and the distribution law of the geostress field in Yingcheng Coal Mine is obtained. Research shows the following: (1) The horizontal maximum principal stress values of the Yingcheng Mine are between 33.9 and 35.3 MPa, the horizontal minimum principal stress values are between 23.6 and 25.4 MPa, and the direction of the horizontal maximum principal stress is roughly in the southwest to west direction; (2) the three-way principal stress magnitude relationship is σH > σv > σh, indicating that the horizontal stress dominates in the study area, which belongs to the slip-type stress state; (3) The maximum principal stress of No. 3 coal seam is 33.1–34.8 MPa, the middle principal stress is 27.5–29.2 MPa, and the minimum principal stress is 17.3–22.9 MPa. Due to the influence of topography and burial depth, there is a phenomenon of stress concentration in some areas. By comparing the inversion values with the measured values, the accuracy of the geostress inversion is high, and the initial geostress inversion method based on Rhino surface modeling accurately inverts the geostress distribution pattern of the Yingcheng coal mine.

Single implant retained overdentures: Evaluation of effect of implant length and diameter on stress distribution by finite element analysis.

Single implant retained mandibular overdenture treatment has been shown to be a minimally invasive, satisfactory, and cost-effective option for edentulous individuals. However, the impact of implant diameter and length on stress distribution at the implant, bone, and other components in this treatment approach remains unclear. The purpose of this 3D finite element analysis was to evaluate the effect of implant length and diameter on equivalent von Mises stress and strain distribution in single implant retained overdentures at bone, implant, and prosthetic components. Nine models were constructed according to implant lengths (L) (8, 10, 12mm) and diameters (D) (3.3, 4.1, 4.8mm). The implants were positioned axially, in the midline of the mandible. A 3D model of the edentulous mandible was created from a computed tomography image. A single implant, abutment with insert PEEK and a housing, acrylic denture, and Co-Cr framework were modeled separately. In the ANSYS software program, occlusal loads were applied as 150 N, bilaterally vertical direction, or unilaterally oblique direction to the first molar. Minimum principal stress values were evaluated for bone and equivalent von Mises stress and strain values were evaluated for implant and prosthetic components. Von Mises stress values for vertical load increased at implant, housing, and insert PEEK for all groups when the length of the implant increased. When oblique load was applied, 3.3mm diameter implant groups showed maximum von Mises stress values for implants, cortical bone, cancellous bone, and housing among all groups. A minimum stress level for implant was found in D4.1/L8 group. Regarding the insert PEEK, strain values were found to be higher as the diameter of the implant increased both for vertical and oblique loads. Cortical bone showed higher minimum principal stress values as compared to cancellous bone under both loading conditions. The 3.3mm diameter implant groups exhibited the highest von Mises stress and strain values for both loading conditions at the implant. The diameter of the implant had a greater impact on stress and strain levels at the implant site compared to length. For vertical loading, stress value increased at implant, housing, and PEEK when the length of the implant increased.

Effect of different implant locations and abutment types on stress and strain distribution under non-axial loading: A 3-dimensional finite element analysis

Background/purposeDental implants have been a popular treatment for replacing missing teeth. The purpose of this study was to investigate the impact of engaging (hexagonal) and non-engaging (non-hexagonal) abutments in various six-unit fixed prosthesis on the stress distribution and loading located in the implant neck, implant abutment, and surrounding bone. Materials and methodsThree implants were digitally designed and inserted parallel to each other in edentulous sites of the maxillary right canine, maxillary right central incisor, and maxillary left canine. Titanium base engaging abutments, non-engaging abutments and connecting screws were designed. Five distinct models of 6-unit fixed dental prosthesis were created, each featuring different combinations of various abutments. Forces (45-degree angle) were applied to the prosthesis, allowing for the analysis of the stress distribution on the implant neck and abutments, and the maximum and minimum principal stress values on the cortical and trabecular bone. ResultsVon Mises stress values and stress distributions located in the implant neck region due to the applied loading forces were analyzed. The overall stress values were highest while employing the hexagonal abutments. The maxillary left canine with a hexagonal abutment (model 5) reported the highest von mises value (64.71 MPa) while the maxillary right canine with a non-hexagonal abutment (model 4) presented lowest von mises value (56.69 MPa). ConclusionThe results suggest that both the various abutment combinations (engaging and non-engaging) on five different models have a similar influence on the distribution of stress within the implant system.

Sloped marginal configuration design of implants as an alternative innovation to the grafting operations: a three-dimensional finite element analysis

Aim: Dental implant operations often require bone grafting due to bone resorption in the buccal area, which make the treatment more complicated, increase the risk of complications, and results in extra costs and prolongation of treatment. This study aimed to evaluate the biomechanical behavior of the implants with a sloped marginal configuration design in the alveolar ridge with a level difference between the buccal and lingual bone levels using three-dimensional finite element analysis (FEA) method. 
 Material and Method: Two implant models with different marginal configuration designs were used in this study. Implants were placed in the posterior edentulous mandible models in which the buccal region had a 2 mm more resorption according to lingual region which were created by imitating natural bone resorption with FEA. Bone grafting was performed on the exposed buccal surface in the conventional flat marginal configuration implant model (Model 1). In contrast, the sloped marginal configuration implants were compatible with the difference in bone level and placed directly without any additional surgical procedures (Model 2). Than three unit fixed partial dentures were designed. The design of cortical and cancellous bones, prosthetic components, implants, abutment screws and abutments covering those in the edentulous mandible models were transferred to digital three-dimensional models that were created to mimicking the real structures. The models were fixed below and behind of the mandible with zero movement. Load transfer characteristics of both models under these essential limitations were evaluated under 200N foodstuff force.
 Results: The highest von Mises stress value was observed as 69.300 MPa in Model 1 and 126.870 MPa in Model 2. The maximum principal stress values were 28.236 N/mm2 and 63.449 N/mm2; the minimum principal stress values were 38.346 N/mm2 and 43.643 N/mm2 in Model 1 and Model 2, respectively. The highest von Mises stress value, maximum principal stress and minimum principal stress values were found higher in Model 2 which was created with sloped marginal configuration design of implants but all values were observed within acceptable physiological limits.
 Conclusion: The sloped marginal configuration design of implants can be a non-invasive and more economical treatment alternative modality compared to conventional flat marginal configuration implants with advanced surgeries during implant placement.

Does a sloped neck implant design facilitate All-on-4 surgeries? A three-dimensional finite element analysis

Aim: In the treatment of edentulous resorbed mandibles using All-on-4 concept, the distal part of posteriorly tilted implants with a conventional flat neck design is usually embedded in the bone, which may lead to improper installation or positioning of angled multiunit abutments. Bone trimming from the distal area, where the implant neck is embedded in the bone, is typically necessary to avoid this complication. This study aimed to evaluate the biomechanical behavior of a sloped marginal neck configuration of implant posteriorly tilted at 30° in edentulous mandibles using a three-dimensional finite element analysis (FEA). Methodology: The sloped neck implants were posteriorly tilted at 30° without any further operation in the edentulous mandibular model designed using the FEA. The tilted conventional flat neck implants were placed at the same length, diameter, and angle, and 2 mm2 of bone was trimmed from the distal area. Similar multiunit abutments, two conventional flat neck implants axially placed on the anterior side, titanium frameworks, and acrylic resin prosthetic dentures were created for both models. The biomechanical behaviors of the models were evaluated by applying a foodstuff force of 50 N to the incisors, 100 N to the premolars, and 150 N to the molar cantilever. Results: The von Mises stress value of the sloped neck implants (158.489 MPa) was lower than that of the conventional flat neck implants (177.208 MPa). Both the maximum and minimum principal stress values ​​in the surrounding cortical and cancellous bones were within the acceptable physiological limits. Conclusion: Sloped neck implants can be placed easily and are less invasive than conventional flat neck implants; thus, they can be a treatment alternative that can facilitate the All-on-4 concept. How to cite this article: Toprak ME. Does a sloped neck implant design facilitate All-on-4 surgeries? A three-dimensional finite element analysis. J Med Dent Invest 2023;4:e230310. https://doi.org/10.5577/jomdi.e230310 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

Application of the in-situ stress testing technology for the design of operating pressure of underground gas storage reservoir

The appropriate design of the operating pressure of underground gas storages (UGSs) is of great significance to their safe and profitable operation. In situ stress is basic data for determining the upper limit pressure of UGSs, analyzing fault stability in reservoir areas, and evaluating trap tightness. Generally, the design of the upper limit gas injection pressure of UGSs is a comprehensive geomechanical problem. After research and comparison of measurement methods, it is believed that the measurement of in situ stress induced by hydraulic fracturing can accurately obtain the in situ stress value near the wellbore, and having knowledge about the reservoir stress path will considerably decrease the risk of reservoir and cap rock instability during gas injection and production. Taking Well C1, an oil reservoir-type UGS in Block M, eastern China as an example, this paper introduces the use of hydraulic fracturing (HF) in situ stress testing technology to obtain the minimum principal stress values of the caprock, reservoir and floor intervals of Well C1. The measured minimum principal stress of the caprock is 32.8–36.8 MPa. Because it is an old well, the minimum principal stress of the reservoir is 33.7–34.2 MPa after correction of the in situ stress measurement according to the theory of elasticity. Based on the comprehensive analysis of the measured in situ stress data, it is believed that the safe upper limit of the reservoir-type gas storage in Block M is 27.2 MPa.

Stress distribution of endodontically treated mandibular molars with varying amounts of tooth structure restored with direct composite resin with or without cuspal coverage: A 3D finite element analysis.

Decision-making regarding whether cuspal coverage is required or not for the restoration of root canal-treated posterior teeth is still a matter of challenge for the dentist. Four models of endodontically treated mandibular molars with mesio-occlusal (MO) cavity were designed and simulated with direct composite resin restorations. Group 1A - cavity width <½ the intercuspal distance restored without cuspal coverage, Group 1B - same as Group 1A but with cuspal coverage, Group 2A - MO cavity width >½ but <2/3rd the intercuspal distance restored without cuspal coverage, and Group 2B - same as Group 2A but with cuspal coverage. The models received occlusal load to simulate a mastication load. Static finite element analysis (FEA) was adopted for predicting the stress distribution generated in the restored tooth by the loading condition. FEA of the models have shown that the variations in stress values were significant in bulk-fill material compared to enamel and other structures. Comparing the maximum and minimum principal stress values in the overall region demonstrated that 2A was safer, whereas 2B was found to be the worst case. The results indicate that restoration of endodontically treated mandibular molar with loss of one marginal ridge with composite resin without cuspal coverage revealed minimal internal stress values and showed the best performance overall.

Influence of different crown heights on shorter implants with different lengths, diameters, and designs at atrophic posterior mandible: A finite element analysis

Aim: The aim of the study is to compare the stresses cause of different crown heights on short implants with different lengths, diameters and designs under axial and oblique loads on the cortical bone and implant system using finite element analysis.&#x0D; Methodology: In the atrophic posterior mandible, 4 different implants of different sizes and designs were placed in the first molar region. Metal supported porcelain crowns with three different heights (10 mm, 12.5 mm, 15 mm) were designed on computer. Total of 12 study models were created. Axial and oblique loads were applied and by finite element analysis method Von Mises values in implant and abutment; maximum and minimum principal stress values in cortical bone were evaluated.&#x0D; Results&#x0D; Compared to axial load, significantly higher stress values were found at implant and cortical bone in obliquelly loaded models. As the length and diameter of the implant increased, the stresses on the cortical bone decreased. Compared to the threaded implant, the plateau design implant caused less stress on the bone under vertical loads, while causing more stress on the oblique.&#x0D; Unlike to the literature, it was observed that the stresses on the implant was higher in the larger diameter implant compared to the narrower.&#x0D; Conclusions&#x0D; As a result of the stress values obtained within the limits of the analysis, when the lengths of the crowns restored on short implants were compared, it was determined that the axial forces were at an acceptable level under all conditions.

Pipkin Type-II Femoral Head Fracture - A Biomechanical Evaluation by the Finite-Element Method.

Objective To evaluate the biomechanical capacity of two forms of fixation for Pipkin type-II fractures, describing the vertical fracture deviation, the maximum and minimum principal stresses, and the Von Mises equivalent stress in the syntheses used. Materials and Methods Two internal fasteners were developed to treat Pipkin type-II fractures through finite elements: a 3.5-mm cortical screw and a Herbert screw. Under the same conditions, the vertical fracture deviation, the maximum and minimum principal stresses, and the Von Mises equivalent stress in the syntheses used were evaluated. Results The vertical displacements evaluated were of 1.5 mm and 0.5 mm. The maximum principal stress values obtained in the upper region of the femoral neck were of 9.7 KPa and 1.3 Kpa, and the minimum principal stress values obtained in the lower region of the femoral neck were of -8.7 KPa and -9.3 KPa. Finally, the peak values for Von Mises stress were of 7.2 GPa and 2.0 GPa for the fixation models with the use of the 3.5-mm cortical screw and the Herbert screw respectively. Conclusion The fixation system with the Herbert screw generated the best results in terms of reduction of vertical displacement, distribution of the maximum principal stress, and the peak Von Mises equivalent stress, demonstrating mechanical superiority compared to that of the 3.5-mm cortical screw in the treatment of Pipkin type-II fractures.

Finite element analysis of the biomechanical effects of titanium and Cfr-peek additively manufactured subperiosteal jaw implant (AMSJI) on maxilla

The aim of this study is to examine the stresses that will occur under occlusal forces on the cortical bone, spongious bone and the subperiosteal implant systems made of Titanium and%60 Carbon fiber reinforced Polyether ether ketone (PEEK) material. Two different models of subperiosteal implant systems on maxilla made of Titanium and %60 Carbon fiber reinforced Polyether ether ketone (PEEK) material. As a result of vertical and oblique forces, the stress values and distributions on the subperiosteal implant systems and bone were examined. After applying the three different force protocols, von Mises stress, Maximum principal stress and Minimum principal stress values and distribution on the subperiosteal implant body, fixation screws, cortical and spongious bone were analyzed by finite element analysis. In all scenarios, the von Mises values ​​on the Titanium subperiosteal implant system were found to be approximately twice on the 60% carbon fiber reinforced PEEK subperiosteal implant system plates. Subperiosteal implants produced from titanium and carbon fiber reinforced PEEK material exhibited similar stress values on cortical and spongious bone. According to the results of this study, 60% Carbon fiber reinforced PEEK material can be considered as an alternative material to titanium since it exhibits similar biomechanical behavior with titanium subperiosteal implants on cortical and spongious bone. In order to be routinely used as dental subperiosteal implant material, it should be supported by long-term in vivo studies.

Finite element analysis of intraosseous distal radioulnar joint prosthesis

BackgroundJoint replacement is one of the options to retrieve the interosseous distal radioulnar joint (DRUJ) function. DRUJ prosthesis has recently been introduced clinically to treat DRUJ instability. This article analyzes the biomechanical behavior of the prosthesis during different loadings by the finite element method.MethodsCT images of a healthy 33 years old man were used to construct the three-dimensional geometry of the forearm bone. Then two models, a healthy foreman (Model A) and a damaged model with an inserted interosseous prosthesis (Model B), were constructed to analyze and compare the foreman's biomechanical behavior under different loading conditions using the finite element method. Both models were examined during pronation and supination with 500, 1000, 2000, and 5000 N.mm values. Also, both models were subjected to volar and dorsal loads with values of 10, 30, and 50 N and traction force with 100, 150, and 200 N.ResultsMaximum and minimum principal stresses were evaluated for bones in all conditions, and von Mises stress was considered for the prosthesis and fixing screws. In supination, the maximum stress in Model A is significantly higher than the Model B. However, the maximum principal stress of both models is similar during volar and dorsal loading. In Model A, the maximum principal stress in traction is much smaller than in Model B. The absolute value of minimum principal stress in pronation and supination in Model B is higher than in Model A. The prostheses and screws are subjected to higher stresses during pronation than supination. Also, the amount of stress created in prostheses and screws during volar and dorsal loading is almost equal. In traction loading, screws are subjected to significantly high stresses.ConclusionOur study indicates that the interosseous DRUJ prosthesis can perform the foreman's normal daily activities. This prosthesis provides the ability similar to a normal hand.Level of evidenceIV.

HOW IMPORTANT ARE THE IMPLANT INCLINATION AND THE INFRASTRUCTURE MATERIAL USED IN IMPLANT SUPPORTED FIXED PROSTHESES?

Objectives: The aim of this study is to evaluate the stress , which is caused by the fixed prosthesis under oblique forces around dental implants and bone by using different infrastructure materials and different inclusions, by 3-dimensional finite element analysis method. Materials and Methods: The 3D finite element models of the mandible, dental implants and prostheses were prepared. The anterior and posterior implants were designed 10 mm in length and 4.3 mm in diameter. The anterior implant was placed parallel to each model. Posterior implant designed to make inclinations those mesial 17, distal 17, buccal 17, lingual 17. Implant supported fixed restorations were divided into 3 main groups according to the infrastructure materials. These materials were; chromium-cobalt, zirconia, polyetheretherketone (PEEK). In each model, a total of 500 N oblique force was applied from the buccal tubercle crests to the buccolingual direction at an angle of 30 degrees to the long axis of the tooth. Maximum principal stress and minimum principal stress values in the bone models were taken. In addition, maximum von Mises stress values were obtained from implants and substructure materials. Results: When the stress findings in the mandible during oblique loading were evaluated, it was found that the stresses on the cortical bone were higher than the stresses on the trabecular bone. It was observed that the highest stress values occurred in the implants. Conclusions: It is thought that chromium-cobalt and zirconia-based ceramic bridge restorations are more positive in terms of stress distribution than PEEK-based ceramic bridge restorations.

Biomechanical investigation of maxillary implant-supported full-arch prostheses produced with different framework materials: a finite elements study.

Four and six implant-supported fixed full-arch prostheses with various framework materials were assessed under different loading conditions. In the edentulous maxilla, the implants were positioned in a configuration of four to six implant modalities. CoCr, Ti, ZrO2, and PEEK materials were used to produce the prosthetic structure. Using finite element stress analysis, the first molar was subjected to a 200 N axial and 45° oblique force. Stresses were measured on the bone, implants, abutment screw, abutment, and prosthetic screw. The Von Mises, maximum, and minimum principal stress values were calculated and compared. The maximum and minimum principal stresses in bone were determined as CoCr < ZrO2 < Ti < PEEK. The Von Mises stresses on the implant, implant screw, abutment, and prosthetic screws were determined as CoCr < ZrO2 < Ti < PEEK. The highest Von Mises stress was 9584.4 Mpa in PEEK material on the prosthetic screw under 4 implant-oblique loading. The highest maximum principal stress value in bone was found to be 120.89 Mpa, for PEEK in 4 implant-oblique loading. For four and six implant-supported structures, and depending on the loading condition, the system accumulated different stresses. The distribution of stress was reduced in materials with a high elastic modulus. When choosing materials for implant-supported fixed prostheses, it is essential to consider both the number of implants and the mechanical and physical attributes of the framework material.

Evaluation of the stress distribution in the cortical bone caused by variations in implant applications in patients with bruxism: A three-dimensional finite element analysis

Aim: To evaluate the stress distribution in the cortical bone under parafunctional forces with different occlusal thicknesses, monolithic zirconia with different implant diameters, and number variations in implant-supported fixed prosthetic restorations applied in patients with bruxism.&#x0D; Methodology: The tomographic sections of the previously registered mandible were used in order to model the mandible. Modeled bone height is 30 mm, cortical bone thickness is 1.5 mm, and trabecular bone thickness is modeled as 13 mm. By placing two implants in the created bone model, a three-member main model (Group 1), the number of implants was increased, three implants supported the Group 2 models, the diameter of the implants was increased, and the Group 3 models were created. The created Group 1, 2, 3 models, the occlusal thickness was divided into subgroups with 1.0, 1.5, and 2.0 mm, respectively (Groups A, B, and C). The groups were applied in two directions: vertical and 30o oblique. Stress values under forces were analyzed by finite element stress analysis.&#x0D; Results: Under vertical loading, the maximum principal stress value in the cortical bone was found to be lowest in Group 2C, and the highest maximum principal stress value was found in Group 1A. The minimum principal stress value in the cortical bone was found to be the lowest in Group 3C, and the highest minimum principal stress value was found in Group 1A. Under oblique loading, the maximum principal stress value in the cortical bone was found to be the lowest in Group 3C and the highest maximum principal stress value was found in Group 1A. The minimum principal stress value in the cortical bone was found to be lowest in Group 3C, and the highest minimum principal stress value was found in Group1A.&#x0D; Conclusion: Stresses caused by oblique forces are more than vertical forces. Increasing the occlusal thickness of the implant fixed prosthesis material, implant diameter, and number reduce the minimum and maximum principal stress values in the cortical&#x0D; &#x0D; How to cite this article: Kantaci Y, Ülkü SZ. Evaluation of the stress distribution in the cortical bone caused by variations in implant applications in patients with bruxism: A three-dimensional finite element analysis. Int Dent Res 2021;11(Suppl.1):194-200. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.27&#x0D; &#x0D; Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

Evaluation of Stresses on Implant, Bone, and Restorative Materials Caused by Different Opposing Arch Materials in Hybrid Prosthetic Restorations Using the All-on-4 Technique.

The long-term success of dental implants is greatly influenced by the use of appropriate materials while applying the “All-on-4” concept in the edentulous jaw. This study aims to evaluate the stress distribution in the “All-on-4” prosthesis across different material combinations using three-dimensional finite element analysis (FEA) and to evaluate which opposing arch material has destructive effects on which prosthetic material while offering certain recommendations to clinicians accordingly. Acrylic and ceramic-based hybrid prosthesis have been modelled on a rehabilitated maxilla using the “All-on-4” protocol. Using different materials and different supports in the opposing arch (natural tooth, and implant/ceramic, and acrylic), a multi-vectorial load has been applied. To measure stresses in bone, maximum and minimum principal stress values were calculated, while Von Mises stress values were obtained for prosthetic materials. Within a single group, the use of an acrylic implant-supported prosthesis as an antagonist to a full arch implant-supported prosthesis yielded lower maximum (Pmax) and minimum (Pmin) principal stresses in cortical bone. Between different groups, maxillary prosthesis with polyetheretherketone as framework material showed the lowest stress values among other maxillary prostheses. The use of rigid materials with higher moduli of elasticity may transfer higher stresses to the peri implant bone. Thus, the use of more flexible materials such as acrylic and polyetheretherketone could result in lower stresses, especially upon atrophic bones.

The influence of framework material on stress distribution in maxillary complete-arch fixed prostheses supported by four dental implants: a three-dimensional finite element analysis

The purpose of the present study was to compare the stress distribution patterns of four materials used for the framework of All-on-4 prostheses. Following framework materials were evaluated: PEKK, PEEK, titanium, and monolithic zirconia. Bilateral 150 N axial and oblique loads were applied in the first molar region and analyzed using FEA. The highest maximum principal stress and minimum principal stress values in cortical bone were found to appear with PEKK and PEEK frameworks around the posterior dental implants upon oblique loading. The fabrication of frameworks from rigid materials in All-on-4 prostheses reduces stress in dental implants and peri-implant bone when the distal implants are tilted 30°.

Biomechanical Behavior of All-on-4 and M-4 Configurations in an Atrophic Maxilla: A 3D Finite Element Method.

BackgroundIn edentulous patients, the concept of 4 implants with early loading has been widely used in clinical settings. In the case of bone atrophy in the anterior maxilla, using short implants or an angulated implant may be a good choice for treatment. The occlusal scheme remains a key aspect of All-on-4. The aim of this study was to use the 3-dimensional (3D) finite element method (FEM) to evaluate how different All-on-4 designs for canine-guided and group function occlusion affected the distribution of stress in the atrophic premaxilla.Material/MethodsA 3D edentulous maxilla model was created and in 3D FEM, 3 different configurations – M4, All-on-4, and short implant – were modeled by changing the anterior implants and using 2 different occlusal schemes. For each model, the occlusal load was applied to simulate lateral movements. For cortical bone, the maximum and minimum principal stress values were generated, and for ductile materials, von Mises stress values were obtained.ResultsNo significant differences were detected among the models; generally, however, the highest stress values were observed in the M-4 model and the models with short implants. Slightly higher stress values were observed in the group function occlusion group than in the canine-guided occlusion group.ConclusionsTo promote better primary stabilization, M-4 or short implant configurations with canine-guided occlusion appear to be preferable for patients who have severe atrophy in the anterior maxilla.