The effect of implant angulation and splinting on stress distribution in implant body and supporting bone: A finite element analysis
Identifieur interne : 005F91 ( Ncbi/Curation ); précédent : 005F90; suivant : 005F92The effect of implant angulation and splinting on stress distribution in implant body and supporting bone: A finite element analysis
Auteurs : Ebadian Behnaz [Iran] ; Mosharraf Ramin [Iran] ; Samaneh Abbasi [Iran] ; Memar Ardestani Pouya [Iran] ; Farzin Mahmood [Iran]Source :
- European Journal of Dentistry [ 1305-7456 ] ; 2015.
Abstract
The aim of this study was to investigate the influence of implant crown splinting and the use of angulated abutment on stress distribution in implant body and surrounding bone by three-dimensional finite element analysis.
For this study, three models with two implants at the site of mandibular right second premolar and first molar were designed (1): Both implants, parallel to adjacent teeth, with straight abutments (2): Anterior implant with 15 mesial angulations and posterior implant were placed parallel to adjacent tooth, (3): Both implants with 15 mesial angulations and parallel to each other with 15° angulated abutments. Restorations were modeled in two shapes (splinted and nonsplinted). Loading in tripod manner as each point 50 N and totally 300 N was applied. Stress distribution in relation to splinting or nonsplinting restorations and angulations was done with ABAQUS6.13.
Splinting the restorations in all situations, led to lower stresses in all implant bodies, cortical bone and spongy bone except for the spongy bone around angulated first molar. Angulated implant in nonsplinted restoration cause lower stresses in implant body and bone but in splinted models more stresses were seen in implant body in comparison with straight abutment (model 2). Stresses in nonsplinted and splinted restorations in cortical bone of angulated molar region were more than what was observed in straight molar implant (model 3).
Implant restorations splinting lead to a better distribution of stresses in implant bodies and bone in comparison with nonsplinted restorations, especially when the load is applied off center to implant body. Angulations of implant can reduce stresses when the application of the load is in the same direction as the implant angulation.
Url:
DOI: 10.4103/1305-7456.163235
PubMed: 26430356
PubMed Central: 4569979
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Research Center and Department of Prosthodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Dental Materialt Research Center and Department of Prosthodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan</wicri:regionArea><wicri:noRegion>Isfahan</wicri:noRegion></affiliation></author><author><name sortKey="Abbasi, Samaneh" sort="Abbasi, Samaneh" uniqKey="Abbasi S" first="Samaneh" last="Abbasi">Samaneh Abbasi</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of prosthodontics, School of Dentistry, Hamadan University of Medical Science, Hamadan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of prosthodontics, School of Dentistry, Hamadan University of Medical Science, Hamadan</wicri:regionArea><wicri:noRegion>Hamadan</wicri:noRegion></affiliation></author><author><name sortKey="Pouya, Memar Ardestani" sort="Pouya, Memar Ardestani" uniqKey="Pouya M" first="Memar Ardestani" last="Pouya">Memar Ardestani Pouya</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Mechanical Engineering, Isfahan University, Isfahan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Mechanical Engineering, Isfahan University, Isfahan</wicri:regionArea><wicri:noRegion>Isfahan</wicri:noRegion></affiliation></author><author><name sortKey="Mahmood, Farzin" sort="Mahmood, Farzin" uniqKey="Mahmood F" first="Farzin" last="Mahmood">Farzin Mahmood</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Mechanical Engineering, Isfahan University, Isfahan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Mechanical Engineering, Isfahan University, Isfahan</wicri:regionArea><wicri:noRegion>Isfahan</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26430356</idno><idno 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Ebadian" sort="Behnaz, Ebadian" uniqKey="Behnaz E" first="Ebadian" last="Behnaz">Ebadian Behnaz</name><affiliation wicri:level="1"><nlm:aff id="aff1">Dental Implant Research Center, Department of Prosthodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Dental Implant Research Center, Department of Prosthodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan</wicri:regionArea><wicri:noRegion>Isfahan</wicri:noRegion></affiliation></author><author><name sortKey="Ramin, Mosharraf" sort="Ramin, Mosharraf" uniqKey="Ramin M" first="Mosharraf" last="Ramin">Mosharraf Ramin</name><affiliation wicri:level="1"><nlm:aff id="aff2">Dental Materialt Research Center and Department of Prosthodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Dental Materialt Research Center and Department of Prosthodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan</wicri:regionArea><wicri:noRegion>Isfahan</wicri:noRegion></affiliation></author><author><name sortKey="Abbasi, Samaneh" sort="Abbasi, Samaneh" uniqKey="Abbasi S" first="Samaneh" last="Abbasi">Samaneh Abbasi</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of prosthodontics, School of Dentistry, Hamadan University of Medical Science, Hamadan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of prosthodontics, School of Dentistry, Hamadan University of Medical Science, Hamadan</wicri:regionArea><wicri:noRegion>Hamadan</wicri:noRegion></affiliation></author><author><name sortKey="Pouya, Memar Ardestani" sort="Pouya, Memar Ardestani" uniqKey="Pouya M" first="Memar Ardestani" last="Pouya">Memar Ardestani Pouya</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Mechanical Engineering, Isfahan University, Isfahan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Mechanical Engineering, Isfahan University, Isfahan</wicri:regionArea><wicri:noRegion>Isfahan</wicri:noRegion></affiliation></author><author><name sortKey="Mahmood, Farzin" sort="Mahmood, Farzin" uniqKey="Mahmood F" first="Farzin" last="Mahmood">Farzin Mahmood</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Mechanical Engineering, Isfahan University, Isfahan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Mechanical Engineering, Isfahan University, Isfahan</wicri:regionArea><wicri:noRegion>Isfahan</wicri:noRegion></affiliation></author></analytic><series><title level="j">European Journal of Dentistry</title><idno type="ISSN">1305-7456</idno><idno type="eISSN">1305-7464</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 id="st1"><title>Objective:</title><p>The aim of this study was to investigate the influence of implant crown splinting and the use of angulated abutment on stress distribution in implant body and surrounding bone by three-dimensional finite element analysis.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>For this study, three models with two implants at the site of mandibular right second premolar and first molar were designed (1): Both implants, parallel to adjacent teeth, with straight abutments (2): Anterior implant with 15 mesial angulations and posterior implant were placed parallel to adjacent tooth, (3): Both implants with 15 mesial angulations and parallel to each other with 15° angulated abutments. Restorations were modeled in two shapes (splinted and nonsplinted). Loading in tripod manner as each point 50 N and totally 300 N was applied. Stress distribution in relation to splinting or nonsplinting restorations and angulations was done with ABAQUS6.13.</p></sec><sec id="st3"><title>Results:</title><p>Splinting the restorations in all situations, led to lower stresses in all implant bodies, cortical bone and spongy bone except for the spongy bone around angulated first molar. Angulated implant in nonsplinted restoration cause lower stresses in implant body and bone but in splinted models more stresses were seen in implant body in comparison with straight abutment (model 2). Stresses in nonsplinted and splinted restorations in cortical bone of angulated molar region were more than what was observed in straight molar implant (model 3).</p></sec><sec id="st4"><title>Conclusion:</title><p>Implant restorations splinting lead to a better distribution of stresses in implant bodies and bone in comparison with nonsplinted restorations, especially when the load is applied off center to implant body. Angulations of implant can reduce stresses when the application of the load is in the same direction as the implant angulation.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Feitosa, Pc" uniqKey="Feitosa P">PC Feitosa</name></author><author><name sortKey="De Lima, Ap" uniqKey="De Lima A">AP de Lima</name></author><author><name sortKey="Silva Concilio, Lr" uniqKey="Silva Concilio L">LR Silva-Concílio</name></author><author><name sortKey="Brandt, Wc" uniqKey="Brandt W">WC Brandt</name></author><author><name sortKey="Neves, Ac" uniqKey="Neves A">AC Neves</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Grossmann, Y" uniqKey="Grossmann Y">Y Grossmann</name></author><author><name sortKey="Finger, Im" uniqKey="Finger I">IM Finger</name></author><author><name sortKey="Block, Ms" uniqKey="Block M">MS Block</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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