Three dimensional finite element analysis of the stress distribution around the mandibular posterior implant during non-working movement according to the amount of cantilever
Identifieur interne : 000293 ( Main/Exploration ); précédent : 000292; suivant : 000294Three dimensional finite element analysis of the stress distribution around the mandibular posterior implant during non-working movement according to the amount of cantilever
Auteurs : Ji-Man Park [Corée du Sud] ; Hyun-Joo Kim [Corée du Sud] ; Eun-Jin Park [Corée du Sud] ; Myung-Rae Kim [Corée du Sud] ; Sun-Jong Kim [Corée du Sud]Source :
- The Journal of Advanced Prosthodontics [ 2005-7806 ] ; 2014.
Abstract
In case of large horizontal discrepancy of alveolar ridge due to severe resorption, cantilevered crown is usually an unavoidable treatment modality. The purpose of this study was to evaluate the clinical criteria for the placement of the aforementioned implant crown.
The mandible model with 2 mm thick cortical bone and cancellous bone was fabricated from CT cross-section image. An external connection type implant was installed and cantilevered crowns with increasing offset of 3, 4, 5, 6, and 7 mm were connected. Vertical load and 30° oblique load of 300 N was applied and stress around bone and implant component was analyzed. A total of 14 cases were modeled and finite element analysis was performed using COSMOS Works (Solid works Inc, USA).
As for the location of the vertical load, the maximum stress generated on the lingual side of the implant became larger according to the increase of offset distance. When the oblique load was applied at 30°, the maximum stress was generated on the buccal side and its magnitude gradually decreased as the distance of the offset load increased to 5 mm. After that point, the magnitude of implant component's stress increased gradually.
The results of this study suggest that for the patient with atrophied alveolar ridge following the loss of molar teeth, von-Mises stress on implant components was the lowest under the 30° oblique load at the 5 mm offset point. Further studies for the various crown height and numbers of occusal points are needed to generalize the conclusion of present study.
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DOI: 10.4047/jap.2014.6.5.361
PubMed: 25352958
PubMed Central: 4211052
Affiliations:
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Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Private Practice, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Park, Eun Jin" sort="Park, Eun Jin" uniqKey="Park E" first="Eun-Jin" last="Park">Eun-Jin Park</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Prosthodontics, Ewha Womans University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Prosthodontics, Ewha Womans University, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Myung Rae" sort="Kim, Myung Rae" uniqKey="Kim M" first="Myung-Rae" last="Kim">Myung-Rae Kim</name><affiliation wicri:level="3"><nlm:aff 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Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Hyun Joo" sort="Kim, Hyun Joo" uniqKey="Kim H" first="Hyun-Joo" last="Kim">Hyun-Joo Kim</name><affiliation wicri:level="3"><nlm:aff id="A2">Private Practice, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Private Practice, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Park, Eun Jin" sort="Park, Eun Jin" uniqKey="Park E" first="Eun-Jin" last="Park">Eun-Jin Park</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Prosthodontics, Ewha Womans University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Prosthodontics, Ewha Womans University, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Myung Rae" sort="Kim, Myung Rae" uniqKey="Kim M" first="Myung-Rae" last="Kim">Myung-Rae Kim</name><affiliation wicri:level="3"><nlm:aff id="A3">Department of Oral and Maxillofacial Surgery, Ewha Womans University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Ewha Womans University, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Sun Jong" sort="Kim, Sun Jong" uniqKey="Kim S" first="Sun-Jong" last="Kim">Sun-Jong Kim</name><affiliation wicri:level="3"><nlm:aff id="A3">Department of Oral and Maxillofacial Surgery, Ewha Womans University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Ewha Womans University, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">The Journal of Advanced Prosthodontics</title><idno type="ISSN">2005-7806</idno><idno type="eISSN">2005-7814</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>PURPOSE</title><p>In case of large horizontal discrepancy of alveolar ridge due to severe resorption, cantilevered crown is usually an unavoidable treatment modality. The purpose of this study was to evaluate the clinical criteria for the placement of the aforementioned implant crown.</p></sec><sec><title>MATERIALS AND METHODS</title><p>The mandible model with 2 mm thick cortical bone and cancellous bone was fabricated from CT cross-section image. An external connection type implant was installed and cantilevered crowns with increasing offset of 3, 4, 5, 6, and 7 mm were connected. Vertical load and 30° oblique load of 300 N was applied and stress around bone and implant component was analyzed. A total of 14 cases were modeled and finite element analysis was performed using COSMOS Works (Solid works Inc, USA).</p></sec><sec><title>RESULTS</title><p>As for the location of the vertical load, the maximum stress generated on the lingual side of the implant became larger according to the increase of offset distance. When the oblique load was applied at 30°, the maximum stress was generated on the buccal side and its magnitude gradually decreased as the distance of the offset load increased to 5 mm. After that point, the magnitude of implant component's stress increased gradually.</p></sec><sec><title>CONCLUSION</title><p>The results of this study suggest that for the patient with atrophied alveolar ridge following the loss of molar teeth, von-Mises stress on implant components was the lowest under the 30° oblique load at the 5 mm offset point. Further studies for the various crown height and numbers of occusal points are needed to generalize the conclusion of present study.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Br Nemark, Pi" uniqKey="Br Nemark P">PI Brånemark</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Adell, R" uniqKey="Adell R">R Adell</name></author><author><name sortKey="Lekholm, U" uniqKey="Lekholm U">U Lekholm</name></author><author><name sortKey="Rockler, B" uniqKey="Rockler B">B Rockler</name></author><author><name sortKey="Br Nemark, Pi" uniqKey="Br Nemark P">PI Brånemark</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brunski, Jb" uniqKey="Brunski J">JB Brunski</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sones, Ad" uniqKey="Sones A">AD Sones</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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sortKey="Park, Ji Man" sort="Park, Ji Man" uniqKey="Park J" first="Ji-Man" last="Park">Ji-Man Park</name></region><name sortKey="Kim, Hyun Joo" sort="Kim, Hyun Joo" uniqKey="Kim H" first="Hyun-Joo" last="Kim">Hyun-Joo Kim</name><name sortKey="Kim, Myung Rae" sort="Kim, Myung Rae" uniqKey="Kim M" first="Myung-Rae" last="Kim">Myung-Rae Kim</name><name sortKey="Kim, Sun Jong" sort="Kim, Sun Jong" uniqKey="Kim S" first="Sun-Jong" last="Kim">Sun-Jong Kim</name><name sortKey="Park, Eun Jin" sort="Park, Eun Jin" uniqKey="Park E" first="Eun-Jin" last="Park">Eun-Jin Park</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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