Does matching relation exist between the length and the tilting angle of terminal implants in the all-on-four protocol? stress distributions by 3D finite element analysis
Identifieur interne : 001226 ( Main/Exploration ); précédent : 001225; suivant : 001227Does matching relation exist between the length and the tilting angle of terminal implants in the all-on-four protocol? stress distributions by 3D finite element analysis
Auteurs : Xiaomei Li [République populaire de Chine] ; Zhizhong Cao [République populaire de Chine] ; Xiaoqian Qiu [République populaire de Chine] ; Zhen Tang [République populaire de Chine] ; Lulu Gong [République populaire de Chine] ; Dalin Wang [République populaire de Chine]Source :
- The Journal of Advanced Prosthodontics [ 2005-7806 ] ; 2015.
Abstract
To explore whether there is matching relation between the length and the tilting angle of terminal implants in the All-on-Four protocol by studying the effects of different implant configurations on stress distributions of implant, bone, and framework.
Four implants were employed to support a full-arch fixed prosthesis and five three-dimensional finite element models were established with CT images, based on the length (S and L) and distal tilt angle (0°, 30° and 45°) of terminal implants for an edentulous mandible, which named: Tilt0-S, Tilt30-S, Tilt30-L, Tilt45-S and Tilt45-L. An oblique 240 N was loaded at second molar. The von Mises Stresses were analyzed. The implants were consecutively named #1 to #4 from the loading point.
1) Tilt0-S had the greatest stress on the implants, with the other groups exhibiting variable reductions; the four implants of Tilt45-L demonstrated the greatest reduction in stress. 2) Tilt0-S had the greatest stress at bone around #1 implant neck, and Tilt45-L exhibited the least stress, which was a 36.3% reduction compared to Tilt0-S. 3) The greatest stress in the framework was found on the cantilevers distal to #1 implant. Tilt45-S exhibited the least stress.
Matching different length and tilting angle of the terminal implants led to variable stress reductions on implants, bone and the superstructure. By optimizing implant configuration, the reduction of stress on implants and surrounding bone could be maximized. Under the present condition, Tilt45-L was the preferred configuration. Further clinical testings are required.
Url:
DOI: 10.4047/jap.2015.7.3.240
PubMed: 26140176
PubMed Central: 4486620
Affiliations:
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stress distributions by 3D finite element analysis</title><author><name sortKey="Li, Xiaomei" sort="Li, Xiaomei" uniqKey="Li X" first="Xiaomei" last="Li">Xiaomei Li</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Stomatology, Changhai Hospital, Shanghai, China.</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Stomatology, Changhai Hospital, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Cao, Zhizhong" sort="Cao, Zhizhong" uniqKey="Cao Z" first="Zhizhong" last="Cao">Zhizhong Cao</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Stomatology, Changhai Hospital, Shanghai, China.</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Stomatology, Changhai Hospital, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Qiu, Xiaoqian" sort="Qiu, Xiaoqian" uniqKey="Qiu X" first="Xiaoqian" last="Qiu">Xiaoqian Qiu</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Stomatology, Changhai Hospital, Shanghai, China.</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Stomatology, Changhai Hospital, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Tang, Zhen" sort="Tang, Zhen" uniqKey="Tang Z" first="Zhen" last="Tang">Zhen Tang</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Stomatology, Changhai Hospital, Shanghai, China.</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Stomatology, Changhai Hospital, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Gong, Lulu" sort="Gong, Lulu" uniqKey="Gong L" first="Lulu" last="Gong">Lulu Gong</name><affiliation wicri:level="1"><nlm:aff id="A2">School of Life Sciences and Technology, Tongji University, Shanghai, China.</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>School of Life Sciences and Technology, Tongji University, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Dalin" sort="Wang, Dalin" uniqKey="Wang D" first="Dalin" last="Wang">Dalin Wang</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Stomatology, Changhai Hospital, Shanghai, China.</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Stomatology, Changhai Hospital, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></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="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>PURPOSE</title><p>To explore whether there is matching relation between the length and the tilting angle of terminal implants in the All-on-Four protocol by studying the effects of different implant configurations on stress distributions of implant, bone, and framework.</p></sec><sec><title>MATERIALS AND METHODS</title><p>Four implants were employed to support a full-arch fixed prosthesis and five three-dimensional finite element models were established with CT images, based on the length (S and L) and distal tilt angle (0°, 30° and 45°) of terminal implants for an edentulous mandible, which named: Tilt0-S, Tilt30-S, Tilt30-L, Tilt45-S and Tilt45-L. An oblique 240 N was loaded at second molar. The von Mises Stresses were analyzed. The implants were consecutively named #1 to #4 from the loading point.</p></sec><sec><title>RESULTS</title><p>1) Tilt0-S had the greatest stress on the implants, with the other groups exhibiting variable reductions; the four implants of Tilt45-L demonstrated the greatest reduction in stress. 2) Tilt0-S had the greatest stress at bone around #1 implant neck, and Tilt45-L exhibited the least stress, which was a 36.3% reduction compared to Tilt0-S. 3) The greatest stress in the framework was found on the cantilevers distal to #1 implant. Tilt45-S exhibited the least stress.</p></sec><sec><title>CONCLUSION</title><p>Matching different length and tilting angle of the terminal implants led to variable stress reductions on implants, bone and the superstructure. By optimizing implant configuration, the reduction of stress on implants and surrounding bone could be maximized. Under the present condition, Tilt45-L was the preferred configuration. Further clinical testings are required.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Strassburger, C" uniqKey="Strassburger C">C Strassburger</name></author><author><name sortKey="Kerschbaum, T" uniqKey="Kerschbaum T">T Kerschbaum</name></author><author><name sortKey="Heydecke, G" uniqKey="Heydecke G">G Heydecke</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="Branemark, Pi" uniqKey="Branemark P">PI Branemark</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Branemark, Pi" uniqKey="Branemark P">PI Branemark</name></author><author><name sortKey="Svensson, B" uniqKey="Svensson B">B Svensson</name></author><author><name 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