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Finite element analysis of stability and functional stress with implant-supported maxillary obturator prostheses.

Identifieur interne : 005526 ( Ncbi/Merge ); précédent : 005525; suivant : 005527

Finite element analysis of stability and functional stress with implant-supported maxillary obturator prostheses.

Auteurs : Andréa Alves De Sousa [Brésil] ; Beatriz Silva Câmara Mattos [Brésil]

Source :

RBID : pubmed:25277029

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Abstract

Maxillary resections jeopardize the stability and functional stress generated by implanted-supported prostheses.

DOI: 10.1016/j.prosdent.2014.06.020
PubMed: 25277029

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pubmed:25277029

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<title xml:lang="en">Finite element analysis of stability and functional stress with implant-supported maxillary obturator prostheses.</title>
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<name sortKey="De Sousa, Andrea Alves" sort="De Sousa, Andrea Alves" uniqKey="De Sousa A" first="Andréa Alves" last="De Sousa">Andréa Alves De Sousa</name>
<affiliation wicri:level="4">
<nlm:affiliation>Dentist, Department of Maxillofacial Surgery, Prosthesis and Traumatology, School of Dentistry, University of São Paulo, São Paulo, Brazil.</nlm:affiliation>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Dentist, Department of Maxillofacial Surgery, Prosthesis and Traumatology, School of Dentistry, University of São Paulo, São Paulo</wicri:regionArea>
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<name sortKey="Mattos, Beatriz Silva Camara" sort="Mattos, Beatriz Silva Camara" uniqKey="Mattos B" first="Beatriz Silva Câmara" last="Mattos">Beatriz Silva Câmara Mattos</name>
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<nlm:affiliation>Associate Professor, Department of Maxillofacial Surgery, Prosthesis and Traumatology, School of Dentistry, University of São Paulo, São Paulo, Brazil. Electronic address: bscmatto@usp.br.</nlm:affiliation>
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<title xml:lang="en">Finite element analysis of stability and functional stress with implant-supported maxillary obturator prostheses.</title>
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<name sortKey="De Sousa, Andrea Alves" sort="De Sousa, Andrea Alves" uniqKey="De Sousa A" first="Andréa Alves" last="De Sousa">Andréa Alves De Sousa</name>
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<nlm:affiliation>Dentist, Department of Maxillofacial Surgery, Prosthesis and Traumatology, School of Dentistry, University of São Paulo, São Paulo, Brazil.</nlm:affiliation>
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<wicri:regionArea>Dentist, Department of Maxillofacial Surgery, Prosthesis and Traumatology, School of Dentistry, University of São Paulo, São Paulo</wicri:regionArea>
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<nlm:affiliation>Associate Professor, Department of Maxillofacial Surgery, Prosthesis and Traumatology, School of Dentistry, University of São Paulo, São Paulo, Brazil. Electronic address: bscmatto@usp.br.</nlm:affiliation>
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<series>
<title level="j">The Journal of prosthetic dentistry</title>
<idno type="eISSN">1097-6841</idno>
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<date when="2014" type="published">2014</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Alveolar Process (physiopathology)</term>
<term>Biomechanical Phenomena</term>
<term>Bite Force</term>
<term>Computer Simulation</term>
<term>Computer-Aided Design</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis Retention (instrumentation)</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Finite Element Analysis</term>
<term>Gingiva (physiopathology)</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional (methods)</term>
<term>Jaw, Edentulous (physiopathology)</term>
<term>Male</term>
<term>Maxilla (physiopathology)</term>
<term>Models, Anatomic</term>
<term>Palatal Obturators</term>
<term>Stress, Mechanical</term>
<term>Tomography, X-Ray Computed (methods)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Analyse des éléments finis</term>
<term>Conception assistée par ordinateur</term>
<term>Conception de prothèse dentaire</term>
<term>Contrainte mécanique</term>
<term>Femelle</term>
<term>Force occlusale</term>
<term>Gencive (physiopathologie)</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle ()</term>
<term>Maxillaire (physiopathologie)</term>
<term>Modèles anatomiques</term>
<term>Mâchoire édentée (physiopathologie)</term>
<term>Mâle</term>
<term>Obturateurs palatins</term>
<term>Phénomènes biomécaniques</term>
<term>Processus alvéolaire (physiopathologie)</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Rétention de prothèse dentaire (instrumentation)</term>
<term>Simulation numérique</term>
<term>Tomodensitométrie ()</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Dental Prosthesis Retention</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Imaging, Three-Dimensional</term>
<term>Tomography, X-Ray Computed</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr">
<term>Gencive</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Processus alvéolaire</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Alveolar Process</term>
<term>Gingiva</term>
<term>Jaw, Edentulous</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Biomechanical Phenomena</term>
<term>Bite Force</term>
<term>Computer Simulation</term>
<term>Computer-Aided Design</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Finite Element Analysis</term>
<term>Humans</term>
<term>Male</term>
<term>Models, Anatomic</term>
<term>Palatal Obturators</term>
<term>Stress, Mechanical</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="fr">
<term>Analyse des éléments finis</term>
<term>Conception assistée par ordinateur</term>
<term>Conception de prothèse dentaire</term>
<term>Contrainte mécanique</term>
<term>Femelle</term>
<term>Force occlusale</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Modèles anatomiques</term>
<term>Mâle</term>
<term>Obturateurs palatins</term>
<term>Phénomènes biomécaniques</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Rétention de prothèse dentaire</term>
<term>Simulation numérique</term>
<term>Tomodensitométrie</term>
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<front>
<div type="abstract" xml:lang="en">Maxillary resections jeopardize the stability and functional stress generated by implanted-supported prostheses.</div>
</front>
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<PMID Version="1">25277029</PMID>
<DateCompleted>
<Year>2016</Year>
<Month>02</Month>
<Day>02</Day>
</DateCompleted>
<DateRevised>
<Year>2014</Year>
<Month>12</Month>
<Day>03</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1097-6841</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>112</Volume>
<Issue>6</Issue>
<PubDate>
<Year>2014</Year>
<Month>Dec</Month>
</PubDate>
</JournalIssue>
<Title>The Journal of prosthetic dentistry</Title>
<ISOAbbreviation>J Prosthet Dent</ISOAbbreviation>
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<ArticleTitle>Finite element analysis of stability and functional stress with implant-supported maxillary obturator prostheses.</ArticleTitle>
<Pagination>
<MedlinePgn>1578-84</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.prosdent.2014.06.020</ELocationID>
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<Abstract>
<AbstractText Label="STATEMENT OF PROBLEM" NlmCategory="BACKGROUND">Maxillary resections jeopardize the stability and functional stress generated by implanted-supported prostheses.</AbstractText>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The purpose of this study was to evaluate the stability and functional stress caused by implanted-supported obturator prostheses in simulated maxillary resections of an edentulous maxilla corresponding to Okay Classes Ib, II, and III, with no surgical reconstruction.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">Implants were positioned in the residual maxilla, and bar-clip retention systems were designed for each experimental model. The 3-dimensional models of the maxillary resection and corresponding implanted-supported obturator prosthesis, constructed from a computed tomography scan, were used to develop a finite element mesh. Loads were simultaneously applied to the occlusal (80 N) and anterior (35 N) platforms corresponding to the prosthetic teeth. Qualitative analysis was based on the scale of maximum principal stress; values obtained by means of quantitative analysis were expressed in MPa.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The implant-supported obturator prostheses tended to rotate toward the surgical resection, the region with no osseous support. Tensile and compressive stresses in the gingival mucosa and in the cortical bone increased as the osseous support and the numbers of implants and clips diminished.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">All evaluated bar-clip retention systems displayed a tendency toward dislodgment of the obturator prosthesis, increasing as the osseous resection area amplified. The osseous tensile and compressive stresses resulting from the bar-clip retention system for Okay Classes Ib, II, and III maxillectomy may not be favorable to the survival rate of implants.</AbstractText>
<CopyrightInformation>Copyright © 2014 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
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<Author ValidYN="Y">
<LastName>de Sousa</LastName>
<ForeName>Andréa Alves</ForeName>
<Initials>AA</Initials>
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<Affiliation>Dentist, Department of Maxillofacial Surgery, Prosthesis and Traumatology, School of Dentistry, University of São Paulo, São Paulo, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Mattos</LastName>
<ForeName>Beatriz Silva Câmara</ForeName>
<Initials>BS</Initials>
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<Affiliation>Associate Professor, Department of Maxillofacial Surgery, Prosthesis and Traumatology, School of Dentistry, University of São Paulo, São Paulo, Brazil. Electronic address: bscmatto@usp.br.</Affiliation>
</AffiliationInfo>
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<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
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<ArticleDate DateType="Electronic">
<Year>2014</Year>
<Month>09</Month>
<Day>30</Day>
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<Country>United States</Country>
<MedlineTA>J Prosthet Dent</MedlineTA>
<NlmUniqueID>0376364</NlmUniqueID>
<ISSNLinking>0022-3913</ISSNLinking>
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<MeshHeading>
<DescriptorName UI="D000539" MajorTopicYN="N">Alveolar Process</DescriptorName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
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<DescriptorName UI="D017267" MajorTopicYN="N">Dental Prosthesis Design</DescriptorName>
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<QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName>
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<DescriptorName UI="D019094" MajorTopicYN="Y">Dental Prosthesis, Implant-Supported</DescriptorName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<DescriptorName UI="D020342" MajorTopicYN="Y">Finite Element Analysis</DescriptorName>
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<DescriptorName UI="D005881" MajorTopicYN="N">Gingiva</DescriptorName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName>
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<DescriptorName UI="D008953" MajorTopicYN="N">Models, Anatomic</DescriptorName>
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<DescriptorName UI="D013314" MajorTopicYN="N">Stress, Mechanical</DescriptorName>
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