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A two-short-implant-supported molar restoration in atrophic posterior maxilla: A finite element analysis

Identifieur interne : 000A95 ( Main/Exploration ); précédent : 000A94; suivant : 000A96

A two-short-implant-supported molar restoration in atrophic posterior maxilla: A finite element analysis

Auteurs : Ho-Yong Song [Corée du Sud] ; Yoon-Hyuk Huh [Corée du Sud] ; Chan-Jin Park [Corée du Sud] ; Lee-Ra Cho [Corée du Sud]

Source :

RBID : PMC:4993844

Abstract

PURPOSE

The aim of this study was to investigate the stress distribution of 2-short implants (2SIs) installed in a severely atrophic maxillary molar site.

MATERIALS AND METHODS

Three different diameters of internal connection implants were modeled: narrow platform (NP), regular platform (RP), and wide platform (WP). The maxillary first molars were restored with one implant or two short implants. Three 2SI models (NP-oblique, NP-vertical, and NP-horizontal) and four single implant models (RP and WP in a centered or cantilevered position) were used. Axial and oblique loadings were applied on the occlusal surface of the crown. The von Mises stress values were measured at the bone-implant, peri-implant bone, and implant/abutment complex.

RESULTS

The highest stress distribution at the bone-implant interface and the peri-implant bone was noticed in the RP group, and the lowest stress distribution was observed in the 2SI groups. Cantilevered position showed unfavorable stress distribution with axial loading. 2SI types did not affect the stress distribution in oblique loading. The number and installation positions of the implant, rather than the bone level, influenced the stress distribution of 2SIs. The implant/abutment complex of WP presented the highest stress concentration while that of 2SIs showed the lowest stress concentration.

CONCLUSION

2SIs may be useful for achieving stable stress distribution on the surrounding bone and implant-abutment complex in the atrophic posterior maxilla.


Url:
DOI: 10.4047/jap.2016.8.4.304
PubMed: 27555900
PubMed Central: 4993844


Affiliations:


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Le document en format XML

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<title>MATERIALS AND METHODS</title>
<p>Three different diameters of internal connection implants were modeled: narrow platform (NP), regular platform (RP), and wide platform (WP). The maxillary first molars were restored with one implant or two short implants. Three 2SI models (NP-oblique, NP-vertical, and NP-horizontal) and four single implant models (RP and WP in a centered or cantilevered position) were used. Axial and oblique loadings were applied on the occlusal surface of the crown. The von Mises stress values were measured at the bone-implant, peri-implant bone, and implant/abutment complex.</p>
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<p>The highest stress distribution at the bone-implant interface and the peri-implant bone was noticed in the RP group, and the lowest stress distribution was observed in the 2SI groups. Cantilevered position showed unfavorable stress distribution with axial loading. 2SI types did not affect the stress distribution in oblique loading. The number and installation positions of the implant, rather than the bone level, influenced the stress distribution of 2SIs. The implant/abutment complex of WP presented the highest stress concentration while that of 2SIs showed the lowest stress concentration.</p>
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<p>2SIs may be useful for achieving stable stress distribution on the surrounding bone and implant-abutment complex in the atrophic posterior maxilla.</p>
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<name sortKey="Yilmaz, C" uniqKey="Yilmaz C">C Yilmaz</name>
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<name sortKey="Korkmaz, T" uniqKey="Korkmaz T">T Korkmaz</name>
</author>
</analytic>
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<analytic>
<author>
<name sortKey="Cha, Hs" uniqKey="Cha H">HS Cha</name>
</author>
<author>
<name sortKey="Kim, Ys" uniqKey="Kim Y">YS Kim</name>
</author>
<author>
<name sortKey="Jeon, Jh" uniqKey="Jeon J">JH Jeon</name>
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<author>
<name sortKey="Lee, Jh" uniqKey="Lee J">JH Lee</name>
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<li>Corée du Sud</li>
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<name sortKey="Song, Ho Yong" sort="Song, Ho Yong" uniqKey="Song H" first="Ho-Yong" last="Song">Ho-Yong Song</name>
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<name sortKey="Cho, Lee Ra" sort="Cho, Lee Ra" uniqKey="Cho L" first="Lee-Ra" last="Cho">Lee-Ra Cho</name>
<name sortKey="Huh, Yoon Hyuk" sort="Huh, Yoon Hyuk" uniqKey="Huh Y" first="Yoon-Hyuk" last="Huh">Yoon-Hyuk Huh</name>
<name sortKey="Park, Chan Jin" sort="Park, Chan Jin" uniqKey="Park C" first="Chan-Jin" last="Park">Chan-Jin Park</name>
<name sortKey="Song, Ho Yong" sort="Song, Ho Yong" uniqKey="Song H" first="Ho-Yong" last="Song">Ho-Yong Song</name>
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