The influence of bone quality on the biomechanical behavior of full-arch implant-supported fixed prostheses.
Identifieur interne : 000924 ( PubMed/Corpus ); précédent : 000923; suivant : 000925The influence of bone quality on the biomechanical behavior of full-arch implant-supported fixed prostheses.
Auteurs : Leonardo Perez Faverani ; Valentim Adelino Ricardo Barão ; Gabriel Ramalho-Ferreira ; Juliana Aparecida Delben ; Mayara Barbosa Ferreira ; Idelmo Rangel Garcia Júnior ; Wirley Gonçalves AssunçãoSource :
- Materials science & engineering. C, Materials for biological applications [ 1873-0191 ] ; 2014.
English descriptors
- KwdEn :
- MESH :
- chemical : Dental Implants.
- chemistry : Bone and Bones.
- diagnostic imaging : Bone and Bones.
- Elastic Modulus, Finite Element Analysis, Humans, Jaw, Edentulous, Male, Mandible, Middle Aged, Stress, Mechanical, Tomography, X-Ray Computed.
Abstract
We evaluated the influence of bone tissue type on stress distribution in full-arch implant-supported fixed prostheses using a three-dimensional finite element analysis. Stresses in cortical and trabecular bones were also investigated. Edentulous mandible models with four implants inserted into the interforaminal region were constructed from different bone types: type 1 - compact bone; type 2 - compact bone surrounding dense trabecular bone; type 3 - a thin layer of compact bone surrounding trabecular bone; and type 4 - low-quality trabecular bone. The mandible was restored with a full-arch implant-supported fixed prosthesis. A 100-N oblique load was applied to the left lower first molar of the prosthesis. The maximum (σmax) and minimum (σmin) principal stress values were determined. The σmax in the type 4 cortical bone was 22.56% higher than that in the type 1 bone. The σmin values in the cortical bone were similar among all the bone types. For the superstructure, increases of 9.04% in the σmax and 11.74% in the σmin in G4 (type 4 bone) compared with G1 (type 1 bone) were observed. For the implants, the highest stress values were located in G4, and the lowest values were observed in G1. In the trabecular bone, the highest stress was generated in G1 and G2. In conclusion, the more compact bones (types 1 and 2) are the most suitable for supporting full-arch implant-supported fixed prostheses, and poor bone quality may increase the risk of biological and mechanical failure.
DOI: 10.1016/j.msec.2014.01.013
PubMed: 24582236
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pubmed:24582236Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The influence of bone quality on the biomechanical behavior of full-arch implant-supported fixed prostheses.</title><author><name sortKey="Faverani, Leonardo Perez" sort="Faverani, Leonardo Perez" uniqKey="Faverani L" first="Leonardo Perez" last="Faverani">Leonardo Perez Faverani</name><affiliation><nlm:affiliation>Department of Surgery and Integrated Clinic, Aracatuba Dental School, Univ Estadual Paulista (UNESP), José Bonifácio 1193, Araçatuba, São Paulo 16015-050, Brazil; Department of Dental Materials and Prosthodontics, Araçatuba Dental School, Univ Estadual Paulista (UNESP), José Bonifácio 1193, Araçatuba, São Paulo 16015-050, Brazil.</nlm:affiliation></affiliation></author><author><name sortKey="Barao, Valentim Adelino Ricardo" sort="Barao, Valentim Adelino Ricardo" uniqKey="Barao V" first="Valentim Adelino Ricardo" last="Barão">Valentim Adelino Ricardo Barão</name><affiliation><nlm:affiliation>Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Av Limeira, 901, Piracicaba, São Paulo, 13414-903, Brazil. Electronic address: barao@fop.unicamp.br.</nlm:affiliation></affiliation></author><author><name sortKey="Ramalho Ferreira, Gabriel" sort="Ramalho Ferreira, Gabriel" uniqKey="Ramalho Ferreira G" first="Gabriel" last="Ramalho-Ferreira">Gabriel Ramalho-Ferreira</name><affiliation><nlm:affiliation>Department of Surgery and Integrated Clinic, Aracatuba Dental School, Univ Estadual Paulista (UNESP), José Bonifácio 1193, Araçatuba, São Paulo 16015-050, Brazil.</nlm:affiliation></affiliation></author><author><name sortKey="Delben, Juliana Aparecida" sort="Delben, Juliana Aparecida" uniqKey="Delben J" first="Juliana Aparecida" last="Delben">Juliana Aparecida Delben</name><affiliation><nlm:affiliation>Department of Dental Materials and Prosthodontics, Araraquara Dental School, Univ Estadual Paulista (UNESP), Humaitá, 1680, Araraquara, São Paulo, 14801-903, Brazil.</nlm:affiliation></affiliation></author><author><name sortKey="Ferreira, Mayara Barbosa" sort="Ferreira, Mayara Barbosa" uniqKey="Ferreira M" first="Mayara Barbosa" last="Ferreira">Mayara Barbosa Ferreira</name><affiliation><nlm:affiliation>Department of Dental Materials and Prosthodontics, Araçatuba Dental School, Univ Estadual Paulista (UNESP), José Bonifácio 1193, Araçatuba, São Paulo 16015-050, Brazil.</nlm:affiliation></affiliation></author><author><name sortKey="Garcia Junior, Idelmo Rangel" sort="Garcia Junior, Idelmo Rangel" uniqKey="Garcia Junior I" first="Idelmo Rangel" last="Garcia Júnior">Idelmo Rangel Garcia Júnior</name><affiliation><nlm:affiliation>Department of Surgery and Integrated Clinic, Aracatuba Dental School, Univ Estadual Paulista (UNESP), José Bonifácio 1193, Araçatuba, São Paulo 16015-050, Brazil.</nlm:affiliation></affiliation></author><author><name sortKey="Assuncao, Wirley Goncalves" sort="Assuncao, Wirley Goncalves" uniqKey="Assuncao W" first="Wirley Gonçalves" last="Assunção">Wirley Gonçalves Assunção</name><affiliation><nlm:affiliation>Department of Dental Materials and Prosthodontics, Araçatuba Dental School, Univ Estadual Paulista (UNESP), José Bonifácio 1193, Araçatuba, São Paulo 16015-050, Brazil.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:24582236</idno><idno type="pmid">24582236</idno><idno type="doi">10.1016/j.msec.2014.01.013</idno><idno type="wicri:Area/PubMed/Corpus">000924</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000924</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The influence of bone quality on the biomechanical behavior of full-arch implant-supported fixed prostheses.</title><author><name sortKey="Faverani, Leonardo Perez" sort="Faverani, Leonardo Perez" uniqKey="Faverani L" first="Leonardo Perez" last="Faverani">Leonardo Perez Faverani</name><affiliation><nlm:affiliation>Department of Surgery and Integrated Clinic, Aracatuba Dental School, Univ Estadual Paulista (UNESP), José Bonifácio 1193, Araçatuba, São Paulo 16015-050, Brazil; Department of Dental Materials and Prosthodontics, Araçatuba Dental School, Univ Estadual Paulista (UNESP), José Bonifácio 1193, Araçatuba, São Paulo 16015-050, Brazil.</nlm:affiliation></affiliation></author><author><name sortKey="Barao, Valentim Adelino Ricardo" sort="Barao, Valentim Adelino Ricardo" uniqKey="Barao V" first="Valentim Adelino Ricardo" last="Barão">Valentim Adelino Ricardo Barão</name><affiliation><nlm:affiliation>Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Av Limeira, 901, Piracicaba, São Paulo, 13414-903, Brazil. Electronic address: barao@fop.unicamp.br.</nlm:affiliation></affiliation></author><author><name sortKey="Ramalho Ferreira, Gabriel" sort="Ramalho Ferreira, Gabriel" uniqKey="Ramalho Ferreira G" first="Gabriel" last="Ramalho-Ferreira">Gabriel Ramalho-Ferreira</name><affiliation><nlm:affiliation>Department of Surgery and Integrated Clinic, Aracatuba Dental School, Univ Estadual Paulista (UNESP), José Bonifácio 1193, Araçatuba, São Paulo 16015-050, Brazil.</nlm:affiliation></affiliation></author><author><name sortKey="Delben, Juliana Aparecida" sort="Delben, Juliana Aparecida" uniqKey="Delben J" first="Juliana Aparecida" last="Delben">Juliana Aparecida Delben</name><affiliation><nlm:affiliation>Department of Dental Materials and Prosthodontics, Araraquara Dental School, Univ Estadual Paulista (UNESP), Humaitá, 1680, Araraquara, São Paulo, 14801-903, Brazil.</nlm:affiliation></affiliation></author><author><name sortKey="Ferreira, Mayara Barbosa" sort="Ferreira, Mayara Barbosa" uniqKey="Ferreira M" first="Mayara Barbosa" last="Ferreira">Mayara Barbosa Ferreira</name><affiliation><nlm:affiliation>Department of Dental Materials and Prosthodontics, Araçatuba Dental School, Univ Estadual Paulista (UNESP), José Bonifácio 1193, Araçatuba, São Paulo 16015-050, Brazil.</nlm:affiliation></affiliation></author><author><name sortKey="Garcia Junior, Idelmo Rangel" sort="Garcia Junior, Idelmo Rangel" uniqKey="Garcia Junior I" first="Idelmo Rangel" last="Garcia Júnior">Idelmo Rangel Garcia Júnior</name><affiliation><nlm:affiliation>Department of Surgery and Integrated Clinic, Aracatuba Dental School, Univ Estadual Paulista (UNESP), José Bonifácio 1193, Araçatuba, São Paulo 16015-050, Brazil.</nlm:affiliation></affiliation></author><author><name sortKey="Assuncao, Wirley Goncalves" sort="Assuncao, Wirley Goncalves" uniqKey="Assuncao W" first="Wirley Gonçalves" last="Assunção">Wirley Gonçalves Assunção</name><affiliation><nlm:affiliation>Department of Dental Materials and Prosthodontics, Araçatuba Dental School, Univ Estadual Paulista (UNESP), José Bonifácio 1193, Araçatuba, São Paulo 16015-050, Brazil.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Materials science & engineering. C, Materials for biological applications</title><idno type="eISSN">1873-0191</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bone and Bones (chemistry)</term><term>Bone and Bones (diagnostic imaging)</term><term>Dental Implants</term><term>Elastic Modulus</term><term>Finite Element Analysis</term><term>Humans</term><term>Jaw, Edentulous</term><term>Male</term><term>Mandible</term><term>Middle Aged</term><term>Stress, Mechanical</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="chemistry" xml:lang="en"><term>Bone and Bones</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Bone and Bones</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Elastic Modulus</term><term>Finite Element Analysis</term><term>Humans</term><term>Jaw, Edentulous</term><term>Male</term><term>Mandible</term><term>Middle Aged</term><term>Stress, Mechanical</term><term>Tomography, X-Ray Computed</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We evaluated the influence of bone tissue type on stress distribution in full-arch implant-supported fixed prostheses using a three-dimensional finite element analysis. Stresses in cortical and trabecular bones were also investigated. Edentulous mandible models with four implants inserted into the interforaminal region were constructed from different bone types: type 1 - compact bone; type 2 - compact bone surrounding dense trabecular bone; type 3 - a thin layer of compact bone surrounding trabecular bone; and type 4 - low-quality trabecular bone. The mandible was restored with a full-arch implant-supported fixed prosthesis. A 100-N oblique load was applied to the left lower first molar of the prosthesis. The maximum (σmax) and minimum (σmin) principal stress values were determined. The σmax in the type 4 cortical bone was 22.56% higher than that in the type 1 bone. The σmin values in the cortical bone were similar among all the bone types. For the superstructure, increases of 9.04% in the σmax and 11.74% in the σmin in G4 (type 4 bone) compared with G1 (type 1 bone) were observed. For the implants, the highest stress values were located in G4, and the lowest values were observed in G1. In the trabecular bone, the highest stress was generated in G1 and G2. In conclusion, the more compact bones (types 1 and 2) are the most suitable for supporting full-arch implant-supported fixed prostheses, and poor bone quality may increase the risk of biological and mechanical failure.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24582236</PMID><DateCompleted><Year>2014</Year><Month>10</Month><Day>28</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-0191</ISSN><JournalIssue CitedMedium="Internet"><Volume>37</Volume><PubDate><Year>2014</Year><Month>Apr</Month><Day>01</Day></PubDate></JournalIssue><Title>Materials science & engineering. C, Materials for biological applications</Title><ISOAbbreviation>Mater Sci Eng C Mater Biol Appl</ISOAbbreviation></Journal><ArticleTitle>The influence of bone quality on the biomechanical behavior of full-arch implant-supported fixed prostheses.</ArticleTitle><Pagination><MedlinePgn>164-70</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.msec.2014.01.013</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0928-4931(14)00014-9</ELocationID><Abstract><AbstractText>We evaluated the influence of bone tissue type on stress distribution in full-arch implant-supported fixed prostheses using a three-dimensional finite element analysis. Stresses in cortical and trabecular bones were also investigated. Edentulous mandible models with four implants inserted into the interforaminal region were constructed from different bone types: type 1 - compact bone; type 2 - compact bone surrounding dense trabecular bone; type 3 - a thin layer of compact bone surrounding trabecular bone; and type 4 - low-quality trabecular bone. The mandible was restored with a full-arch implant-supported fixed prosthesis. A 100-N oblique load was applied to the left lower first molar of the prosthesis. The maximum (σmax) and minimum (σmin) principal stress values were determined. The σmax in the type 4 cortical bone was 22.56% higher than that in the type 1 bone. The σmin values in the cortical bone were similar among all the bone types. For the superstructure, increases of 9.04% in the σmax and 11.74% in the σmin in G4 (type 4 bone) compared with G1 (type 1 bone) were observed. For the implants, the highest stress values were located in G4, and the lowest values were observed in G1. In the trabecular bone, the highest stress was generated in G1 and G2. In conclusion, the more compact bones (types 1 and 2) are the most suitable for supporting full-arch implant-supported fixed prostheses, and poor bone quality may increase the risk of biological and mechanical failure.</AbstractText><CopyrightInformation>Copyright © 2014 Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Faverani</LastName><ForeName>Leonardo Perez</ForeName><Initials>LP</Initials><AffiliationInfo><Affiliation>Department of Surgery and Integrated Clinic, Aracatuba Dental School, Univ Estadual Paulista (UNESP), José Bonifácio 1193, Araçatuba, São Paulo 16015-050, Brazil; Department of Dental Materials and Prosthodontics, Araçatuba Dental School, Univ Estadual Paulista (UNESP), José Bonifácio 1193, Araçatuba, São Paulo 16015-050, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Barão</LastName><ForeName>Valentim Adelino Ricardo</ForeName><Initials>VA</Initials><AffiliationInfo><Affiliation>Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Av Limeira, 901, Piracicaba, São Paulo, 13414-903, Brazil. Electronic address: barao@fop.unicamp.br.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ramalho-Ferreira</LastName><ForeName>Gabriel</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Surgery and Integrated Clinic, Aracatuba Dental School, Univ Estadual Paulista (UNESP), José Bonifácio 1193, Araçatuba, São Paulo 16015-050, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Delben</LastName><ForeName>Juliana Aparecida</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>Department of Dental Materials and Prosthodontics, Araraquara Dental School, Univ Estadual Paulista (UNESP), Humaitá, 1680, Araraquara, São Paulo, 14801-903, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ferreira</LastName><ForeName>Mayara Barbosa</ForeName><Initials>MB</Initials><AffiliationInfo><Affiliation>Department of Dental Materials and Prosthodontics, Araçatuba Dental School, Univ Estadual Paulista (UNESP), José Bonifácio 1193, Araçatuba, São Paulo 16015-050, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Garcia Júnior</LastName><ForeName>Idelmo Rangel</ForeName><Initials>IR</Initials><AffiliationInfo><Affiliation>Department of Surgery and Integrated Clinic, Aracatuba Dental School, Univ Estadual Paulista (UNESP), José Bonifácio 1193, Araçatuba, São Paulo 16015-050, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Assunção</LastName><ForeName>Wirley Gonçalves</ForeName><Initials>WG</Initials><AffiliationInfo><Affiliation>Department of Dental Materials and Prosthodontics, Araçatuba Dental School, Univ Estadual Paulista (UNESP), José Bonifácio 1193, Araçatuba, São Paulo 16015-050, Brazil.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>01</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Mater Sci Eng C Mater Biol Appl</MedlineTA><NlmUniqueID>101484109</NlmUniqueID><ISSNLinking>0928-4931</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001842" MajorTopicYN="N">Bone and Bones</DescriptorName><QualifierName UI="Q000737" MajorTopicYN="Y">chemistry</QualifierName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015921" MajorTopicYN="Y">Dental Implants</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055119" MajorTopicYN="N">Elastic Modulus</DescriptorName></MeshHeading><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></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013314" MajorTopicYN="N">Stress, Mechanical</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014057" MajorTopicYN="N">Tomography, X-Ray Computed</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Dental implants</Keyword><Keyword MajorTopicYN="N">Finite element analysis</Keyword><Keyword MajorTopicYN="N">Prostheses and implants</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>09</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2013</Year><Month>12</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>01</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>3</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>3</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>10</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24582236</ArticleId><ArticleId 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