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Dental and Medical Problems
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Dental and Medical Problems
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Influence of the dental implant number and load direction on stress distribution in a 3-unit implant-supported fixed dental prosthesis

Authors: Marcos Paulo Motta Silveira; Larissa Mendes Campaner; Marco Antonio Bottino; Renato Sussumu Nishioka; Alexandre Luiz Souto Borges; João Pauo Mendes Tribst;

Influence of the dental implant number and load direction on stress distribution in a 3-unit implant-supported fixed dental prosthesis

Abstract

The choice between 2 or 3 implants to support a 3-unit implant-supported fixed dental prosthesis (FDP) still generates doubt in clinical practice.The aim of this study was to evaluate stress distribution in 3-unit implant-supported FDPs according to the implant number and load direction.A numerical simulation was performed to analyze stress and strain according to the implant number (2 or 3) and load direction (axial or oblique). A model of a jaw was created by means of the modeling software Rhinoceros, v. 5.0 SR8. External hexagon implants, micro-conical abutments and screws were also modeled. The final geometries were exported to the computer-aided engineering (CAE) software Ansys, v. 17.2, and all materials were considered homogeneous, isotropic and elastic. Different load directions were applied for each model (300 N) at the center of the prosthesis.The von Mises stress and strain values were obtained for the titanium structures and the bone, respectively. The implant number influenced the prosthesis biomechanics, with higher stress and strain concentrations when 2 implants were simulated. The oblique load also affected the mechanical response, showing higher stress and strain in comparison with the axial load, regardless of the implant number.It was concluded that for a 3-unit implant-supported FDP, a greater number of implants associated with axial loads can result in a better mechanical response during chewing.

Keywords

Dental Implants, 670, Stress distribution, Dental implants, Finite Element Analysis, Finite element analysis, Biomechanics, Computer Simulation, Dental Prosthesis, Implant-Supported, Stress, Mechanical, Fixed dentures

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    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
13
Top 10%
Average
Top 10%
Green
gold