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Finite element analysis of 2 immediate loading systems in edentulous mandible: rigid and semirigid splinting of implants.

Identifieur interne : 001499 ( PubMed/Checkpoint ); précédent : 001498; suivant : 001500

Finite element analysis of 2 immediate loading systems in edentulous mandible: rigid and semirigid splinting of implants.

Auteurs : Marcelo Fontes Teixeira [Brésil] ; Saturnino Aparecido Ramalho ; Ivete Aparecida De Mattias Sartori ; Roberto Brunow Lehmann

Source :

RBID : pubmed:20147815

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English descriptors

Abstract

The objective of this study was to evaluate the stress on the cortical bone around single body dental implants supporting mandibular complete fixed denture with rigid (Neopronto System-Neodent) or semirigid splinting system (Barra Distal System-Neodent).

DOI: 10.1097/ID.0b013e3181cc7ffc
PubMed: 20147815


Affiliations:


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pubmed:20147815

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<title xml:lang="en">Finite element analysis of 2 immediate loading systems in edentulous mandible: rigid and semirigid splinting of implants.</title>
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<name sortKey="Teixeira, Marcelo Fontes" sort="Teixeira, Marcelo Fontes" uniqKey="Teixeira M" first="Marcelo Fontes" last="Teixeira">Marcelo Fontes Teixeira</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Oral Implantology, Faculty of Dentistry, Veiga de Almeida University, Rio de Janeiro, Brazil. mfonttes@uol.com.br</nlm:affiliation>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Department of Oral Implantology, Faculty of Dentistry, Veiga de Almeida University, Rio de Janeiro</wicri:regionArea>
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<settlement type="city">Rio de Janeiro</settlement>
<region type="state">État de Rio de Janeiro</region>
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<author>
<name sortKey="Ramalho, Saturnino Aparecido" sort="Ramalho, Saturnino Aparecido" uniqKey="Ramalho S" first="Saturnino Aparecido" last="Ramalho">Saturnino Aparecido Ramalho</name>
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<name sortKey="De Mattias Sartori, Ivete Aparecida" sort="De Mattias Sartori, Ivete Aparecida" uniqKey="De Mattias Sartori I" first="Ivete Aparecida" last="De Mattias Sartori">Ivete Aparecida De Mattias Sartori</name>
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<name sortKey="Lehmann, Roberto Brunow" sort="Lehmann, Roberto Brunow" uniqKey="Lehmann R" first="Roberto Brunow" last="Lehmann">Roberto Brunow Lehmann</name>
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<wicri:regionArea>Department of Oral Implantology, Faculty of Dentistry, Veiga de Almeida University, Rio de Janeiro</wicri:regionArea>
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<name sortKey="De Mattias Sartori, Ivete Aparecida" sort="De Mattias Sartori, Ivete Aparecida" uniqKey="De Mattias Sartori I" first="Ivete Aparecida" last="De Mattias Sartori">Ivete Aparecida De Mattias Sartori</name>
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<title level="j">Implant dentistry</title>
<idno type="eISSN">1538-2982</idno>
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<term>Computer Simulation</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Stress Analysis (methods)</term>
<term>Denture, Complete, Immediate</term>
<term>Elasticity</term>
<term>Finite Element Analysis</term>
<term>Humans</term>
<term>Jaw, Edentulous (physiopathology)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Mandible (physiology)</term>
<term>Models, Biological</term>
<term>Periodontal Splints</term>
<term>Stress, Mechanical</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Analyse des éléments finis</term>
<term>Analyse du stress dentaire ()</term>
<term>Attelles parodontales</term>
<term>Contrainte mécanique</term>
<term>Humains</term>
<term>Mandibule (physiologie)</term>
<term>Modèles biologiques</term>
<term>Mâchoire édentée (physiopathologie)</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire complète immédiate</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Simulation numérique</term>
<term>Élasticité</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Stress Analysis</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr">
<term>Mandibule</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Mandible</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" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Computer Simulation</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Immediate</term>
<term>Elasticity</term>
<term>Finite Element Analysis</term>
<term>Humans</term>
<term>Models, Biological</term>
<term>Periodontal Splints</term>
<term>Stress, Mechanical</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Analyse des éléments finis</term>
<term>Analyse du stress dentaire</term>
<term>Attelles parodontales</term>
<term>Contrainte mécanique</term>
<term>Humains</term>
<term>Modèles biologiques</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire complète immédiate</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Simulation numérique</term>
<term>Élasticité</term>
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<front>
<div type="abstract" xml:lang="en">The objective of this study was to evaluate the stress on the cortical bone around single body dental implants supporting mandibular complete fixed denture with rigid (Neopronto System-Neodent) or semirigid splinting system (Barra Distal System-Neodent).</div>
</front>
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<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">20147815</PMID>
<DateCompleted>
<Year>2010</Year>
<Month>05</Month>
<Day>10</Day>
</DateCompleted>
<DateRevised>
<Year>2010</Year>
<Month>02</Month>
<Day>11</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1538-2982</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>19</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2010</Year>
<Month>Feb</Month>
</PubDate>
</JournalIssue>
<Title>Implant dentistry</Title>
<ISOAbbreviation>Implant Dent</ISOAbbreviation>
</Journal>
<ArticleTitle>Finite element analysis of 2 immediate loading systems in edentulous mandible: rigid and semirigid splinting of implants.</ArticleTitle>
<Pagination>
<MedlinePgn>39-49</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1097/ID.0b013e3181cc7ffc</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The objective of this study was to evaluate the stress on the cortical bone around single body dental implants supporting mandibular complete fixed denture with rigid (Neopronto System-Neodent) or semirigid splinting system (Barra Distal System-Neodent).</AbstractText>
<AbstractText Label="METHODS AND MATERIALS" NlmCategory="METHODS">Stress levels on several system components were analyzed through finite element analysis. Focusing on stress concentration at cortical bone around single body dental implants supporting mandibular complete fixed dentures with rigid (Neopronto System-Neodent) or semirigid splinting system (Barra Distal System-Neodent), after axial and oblique occlusal loading simulation, applied in the last cantilever element.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The results showed that semirigid implant splinting generated lower von Mises stress in the cortical bone under axial loading. Rigid implant splinting generated higher von Mises stress in the cortical bone under oblique loading.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">It was concluded that the use of a semirigid system for rehabilitation of edentulous mandibles by means of immediate implant-supported fixed complete denture is recommended, because it reduces stress concentration in the cortical bone. As a consequence, bone level is better preserved, and implant survival is improved. Nevertheless, for both situations the cortical bone integrity was protected, because the maximum stress level findings were lower than those pointed in the literature as being harmful. The maximum stress limit for cortical bone (167 MPa) represents the threshold between plastic and elastic state for a given material. Because any force is applied to an object, and there is no deformation, we can conclude that the elastic threshold was not surpassed, keeping its structural integrity. If the force is higher than the plastic threshold, the object will suffer permanent deformation. In cortical bone, this represents the beginning of bone resorption and/or remodeling processes, which, according to our simulated loading, would not occur.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Teixeira</LastName>
<ForeName>Marcelo Fontes</ForeName>
<Initials>MF</Initials>
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<Affiliation>Department of Oral Implantology, Faculty of Dentistry, Veiga de Almeida University, Rio de Janeiro, Brazil. mfonttes@uol.com.br</Affiliation>
</AffiliationInfo>
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<LastName>Ramalho</LastName>
<ForeName>Saturnino Aparecido</ForeName>
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<LastName>de Mattias Sartori</LastName>
<ForeName>Ivete Aparecida</ForeName>
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<LastName>Lehmann</LastName>
<ForeName>Roberto Brunow</ForeName>
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<Language>eng</Language>
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<Country>United States</Country>
<MedlineTA>Implant Dent</MedlineTA>
<NlmUniqueID>9206481</NlmUniqueID>
<ISSNLinking>1056-6163</ISSNLinking>
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<CitationSubset>D</CitationSubset>
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<MeshHeading>
<DescriptorName UI="D003198" MajorTopicYN="N">Computer Simulation</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D019094" MajorTopicYN="Y">Dental Prosthesis, Implant-Supported</DescriptorName>
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<DescriptorName UI="D003799" MajorTopicYN="N">Dental Stress Analysis</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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<DescriptorName UI="D003825" MajorTopicYN="N">Denture, Complete, Immediate</DescriptorName>
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<DescriptorName UI="D004548" MajorTopicYN="N">Elasticity</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D020342" MajorTopicYN="N">Finite Element Analysis</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName>
<QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName>
<QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName>
<QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008954" MajorTopicYN="Y">Models, Biological</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010516" MajorTopicYN="Y">Periodontal Splints</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D013314" MajorTopicYN="N">Stress, Mechanical</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
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<Year>2010</Year>
<Month>2</Month>
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<Hour>6</Hour>
<Minute>0</Minute>
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<affiliations>
<list>
<country>
<li>Brésil</li>
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<li>État de Rio de Janeiro</li>
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<settlement>
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<name sortKey="Lehmann, Roberto Brunow" sort="Lehmann, Roberto Brunow" uniqKey="Lehmann R" first="Roberto Brunow" last="Lehmann">Roberto Brunow Lehmann</name>
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<name sortKey="Teixeira, Marcelo Fontes" sort="Teixeira, Marcelo Fontes" uniqKey="Teixeira M" first="Marcelo Fontes" last="Teixeira">Marcelo Fontes Teixeira</name>
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