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The influence of cantilever length and implant inclination on stress distribution in maxillary implant-supported fixed dentures.

Identifieur interne : 001042 ( PubMed/Checkpoint ); précédent : 001041; suivant : 001043

The influence of cantilever length and implant inclination on stress distribution in maxillary implant-supported fixed dentures.

Auteurs : Marco Bevilacqua [Italie] ; Tiziano Tealdo ; Maria Menini ; Francesco Pera ; Alexei Mossolov ; Carl Drago ; Paolo Pera

Source :

RBID : pubmed:21194582

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English descriptors

Abstract

The benefits and limitations of jaw treatments with tilted versus vertical implants, as well as prosthesis design with and without posterior cantilevers, have been extensively discussed. However, biomechanical advantages associated with cantilevers in fixed dentures (FDs) and tilted implants in the maxillae are less well documented.

DOI: 10.1016/S0022-3913(10)60182-5
PubMed: 21194582


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pubmed:21194582

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<name sortKey="Bevilacqua, Marco" sort="Bevilacqua, Marco" uniqKey="Bevilacqua M" first="Marco" last="Bevilacqua">Marco Bevilacqua</name>
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<nlm:affiliation>Department of Prosthetic Dentistry, University of Genoa, Genoa, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Prosthetic Dentistry, University of Genoa, Genoa</wicri:regionArea>
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<name sortKey="Tealdo, Tiziano" sort="Tealdo, Tiziano" uniqKey="Tealdo T" first="Tiziano" last="Tealdo">Tiziano Tealdo</name>
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<name sortKey="Menini, Maria" sort="Menini, Maria" uniqKey="Menini M" first="Maria" last="Menini">Maria Menini</name>
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<name sortKey="Pera, Francesco" sort="Pera, Francesco" uniqKey="Pera F" first="Francesco" last="Pera">Francesco Pera</name>
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<name sortKey="Mossolov, Alexei" sort="Mossolov, Alexei" uniqKey="Mossolov A" first="Alexei" last="Mossolov">Alexei Mossolov</name>
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<name sortKey="Drago, Carl" sort="Drago, Carl" uniqKey="Drago C" first="Carl" last="Drago">Carl Drago</name>
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<name sortKey="Pera, Paolo" sort="Pera, Paolo" uniqKey="Pera P" first="Paolo" last="Pera">Paolo Pera</name>
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<nlm:affiliation>Department of Prosthetic Dentistry, University of Genoa, Genoa, Italy.</nlm:affiliation>
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<name sortKey="Menini, Maria" sort="Menini, Maria" uniqKey="Menini M" first="Maria" last="Menini">Maria Menini</name>
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<name sortKey="Mossolov, Alexei" sort="Mossolov, Alexei" uniqKey="Mossolov A" first="Alexei" last="Mossolov">Alexei Mossolov</name>
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<term>Biomechanical Phenomena</term>
<term>Computer Simulation</term>
<term>Dental Alloys (chemistry)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture, Complete, Upper</term>
<term>Elastic Modulus</term>
<term>Finite Element Analysis</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional (methods)</term>
<term>Jaw, Edentulous (physiopathology)</term>
<term>Maxilla (physiology)</term>
<term>Models, Biological</term>
<term>Software</term>
<term>Stress, Mechanical</term>
<term>User-Computer Interface</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Alliage dentaire ()</term>
<term>Analyse des éléments finis</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Contrainte mécanique</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle ()</term>
<term>Implants dentaires</term>
<term>Interface utilisateur</term>
<term>Logiciel</term>
<term>Maxillaire (physiologie)</term>
<term>Module d'élasticité</term>
<term>Modèles biologiques</term>
<term>Mâchoire édentée (physiopathologie)</term>
<term>Phénomènes biomécaniques</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Simulation numérique</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="chemistry" xml:lang="en">
<term>Dental Alloys</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
<term>Imaging, Three-Dimensional</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr">
<term>Maxillaire</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr">
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Biomechanical Phenomena</term>
<term>Computer Simulation</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture, Complete, Upper</term>
<term>Elastic Modulus</term>
<term>Finite Element Analysis</term>
<term>Humans</term>
<term>Models, Biological</term>
<term>Software</term>
<term>Stress, Mechanical</term>
<term>User-Computer Interface</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Alliage dentaire</term>
<term>Analyse des éléments finis</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Contrainte mécanique</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Implants dentaires</term>
<term>Interface utilisateur</term>
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<term>Module d'élasticité</term>
<term>Modèles biologiques</term>
<term>Phénomènes biomécaniques</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée</term>
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<front>
<div type="abstract" xml:lang="en">The benefits and limitations of jaw treatments with tilted versus vertical implants, as well as prosthesis design with and without posterior cantilevers, have been extensively discussed. However, biomechanical advantages associated with cantilevers in fixed dentures (FDs) and tilted implants in the maxillae are less well documented.</div>
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<PMID Version="1">21194582</PMID>
<DateCompleted>
<Year>2011</Year>
<Month>06</Month>
<Day>02</Day>
</DateCompleted>
<DateRevised>
<Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1097-6841</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>105</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2011</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>The Journal of prosthetic dentistry</Title>
<ISOAbbreviation>J Prosthet Dent</ISOAbbreviation>
</Journal>
<ArticleTitle>The influence of cantilever length and implant inclination on stress distribution in maxillary implant-supported fixed dentures.</ArticleTitle>
<Pagination>
<MedlinePgn>5-13</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/S0022-3913(10)60182-5</ELocationID>
<Abstract>
<AbstractText Label="STATEMENT OF PROBLEM" NlmCategory="BACKGROUND">The benefits and limitations of jaw treatments with tilted versus vertical implants, as well as prosthesis design with and without posterior cantilevers, have been extensively discussed. However, biomechanical advantages associated with cantilevers in fixed dentures (FDs) and tilted implants in the maxillae are less well documented.</AbstractText>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The purpose of this study was to compare and analyze, via 3-dimensional (3-D) finite element analysis, stresses transmitted to tilted versus vertical implants and the surrounding periimplant bone in the maxillae.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">A 3-D edentulous maxillary model was created using customized computer software (FEMAP 8.3). Four implants were virtually placed in the premaxilla and splinted with an FD. Keeping the prosthesis length constant, 4 different configurations were evaluated with the distal implants inclined 0, 15, 30, and 45 degrees; cantilever extensions were 13, 9, 5, and 0 mm, respectively. A vertical load (150 N) was applied to the distal portion of the posterior cantilevers. Von Mises' stress values transmitted to periimplant bone and at the metal framework of FDs on implants were evaluated in cancellous and cortical bone.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The maximum stresses recorded in periimplant bone for the vertical implants were 75.0 MPa (distal implants), 35.0 MPa (mesial implants), and 95.0 MPa for the metal frameworks. Tilted distal implants, with consequent reduction of the posterior cantilevers, resulted in decreased stress values for all of the variables: -12.9%, -18.3%, and -11.5% for the 15-degree configuration; -47.5%, -52.6%, and -31.3% for the 30-degree configuration; and -73.5%, -77.7%, and -85.6% for the 45-degree configuration</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Finite element analysis data regarding rehabilitation of atrophic maxillae revealed that tilted distal implants, rigidly splinted with an FD, decrease stress in the periimplant bone and frameworks. This treatment modality seems to be a valid therapeutic alternative to conventional maxillary fixed complete prostheses supported by vertical dental implants with posterior cantilevers.</AbstractText>
<CopyrightInformation>Copyright © 2011 The Editorial Council of the Journal of Prosthetic Dentistry. Published by Mosby, Inc. All rights reserved.</CopyrightInformation>
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<ISSNLinking>0022-3913</ISSNLinking>
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