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


Topcu Ersöz M. B., Mumcu E.

JOURNAL OF ADVANCED PROSTHODONTICS, cilt.14, sa.6, ss.346-359, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 14 Sayı: 6
  • Basım Tarihi: 2022
  • Doi Numarası: 10.4047/jap.2022.14.6.346
  • Dergi Adı: JOURNAL OF ADVANCED PROSTHODONTICS
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.346-359
  • Anahtar Kelimeler: Biomechanics, Finite element analysis, Polyetheretherketone, Zirconia, Titanium, ALL-ON-4 CONCEPT, EDENTULOUS MAXILLAE, STRESS PATTERNS, QUALITY, POLYETHERETHERKETONE, ZIRCONIA, TITANIUM, BEHAVIOR, PEEK
  • Eskişehir Osmangazi Üniversitesi Adresli: Evet

Özet

PURPOSE. Four and six implant-supported fixed full-arch prostheses with various framework materials were assessed under different loading conditions. MATERIALS AND METHODS. 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 degrees 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. RESULTS. 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. CONCLUSION. 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. [J Adv Prosthodont 2022;14:346-59]