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Biomechanical aspects of two different implant-prosthetic concepts for edentulous maxillae.

Identifieur interne : 009242 ( Ncbi/Curation ); précédent : 009241; suivant : 009243

Biomechanical aspects of two different implant-prosthetic concepts for edentulous maxillae.

Auteurs : U R Benzing [Allemagne] ; H. Gall ; H. Weber

Source :

RBID : pubmed:7744438

Descripteurs français

English descriptors

Abstract

Two essentially different implant-prosthetic concepts are known for the treatment of edentulous maxillae. One concept propagates a "concentrated" arrangement of four to six implants in the premolar and anterior regions with a fixed cantilever superstructure. An alternative is a "spread-out" implant arrangement of six implants placed in the tuberosity, premolar, and anterior regions. The prosthetic rehabilitation consists of a fixed horseshoe-shaped bar and a removable prosthesis. A cantilever situation is avoided. The biomechanical aspects of these implant-prosthetic concepts were studied with clinical strain-gauge measurements and theoretical three-dimensional analysis using the finite element method. Results revealed that the distribution of bone stresses is more favorable with a spread-out implant arrangement than with a concentrated implant arrangement and cantilever restoration. The resistance to bending of a superstructure has an influence on bone stress concentration that should not be ignored. Stresses are controlled not only by the number or distribution of implants, but also by the material and design of the superstructure.

PubMed: 7744438

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Le document en format XML

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<nlm:affiliation>Department of Prosthodontics, University of Tübingen, Germany.</nlm:affiliation>
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<term>Dental Implantation, Endosseous</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
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<term>Gold Alloys (chemistry)</term>
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<term>Maxilla (surgery)</term>
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<term>Alliage dentaire ()</term>
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<term>Conception de prothèse dentaire</term>
<term>Contrainte mécanique</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire ()</term>
<term>Maxillaire (physiopathologie)</term>
<term>Modèles biologiques</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (physiopathologie)</term>
<term>Phénomènes biomécaniques</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Propriétés de surface</term>
<term>Rotation</term>
<term>Résines synthétiques ()</term>
<term>Résistance à la traction</term>
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<term>Mâchoire édentée</term>
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<term>Jaw, Edentulous</term>
<term>Maxilla</term>
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<term>Jaw, Edentulous</term>
<term>Maxilla</term>
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<term>Biomechanical Phenomena</term>
<term>Dental Implantation, Endosseous</term>
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<term>Dental Prosthesis Design</term>
<term>Elasticity</term>
<term>Humans</term>
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<term>Stress, Mechanical</term>
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<term>Tensile Strength</term>
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<term>Alliages d'or</term>
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<term>Implants dentaires</term>
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<term>Phénomènes biomécaniques</term>
<term>Pose d'implant dentaire endo-osseux</term>
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<div type="abstract" xml:lang="en">Two essentially different implant-prosthetic concepts are known for the treatment of edentulous maxillae. One concept propagates a "concentrated" arrangement of four to six implants in the premolar and anterior regions with a fixed cantilever superstructure. An alternative is a "spread-out" implant arrangement of six implants placed in the tuberosity, premolar, and anterior regions. The prosthetic rehabilitation consists of a fixed horseshoe-shaped bar and a removable prosthesis. A cantilever situation is avoided. The biomechanical aspects of these implant-prosthetic concepts were studied with clinical strain-gauge measurements and theoretical three-dimensional analysis using the finite element method. Results revealed that the distribution of bone stresses is more favorable with a spread-out implant arrangement than with a concentrated implant arrangement and cantilever restoration. The resistance to bending of a superstructure has an influence on bone stress concentration that should not be ignored. Stresses are controlled not only by the number or distribution of implants, but also by the material and design of the superstructure.</div>
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