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Effects of implant alignment and load direction on mandibular bone and implant: finite element analysis

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Á¤ÇöÁÖ ( Chung Hyun-Ju ) - Chonnam National University School of Dentistry Department of Periodontology
¹ÚÂù ( Park Chan ) - Chonnam National University School of Dentistry Department of Prosthodontics
À±±Í´ö ( Yun Kwi-Dug ) - Chonnam National University School of Dentistry Department of Prosthodontics
ÀÓÇöÇÊ ( Lim Hyun-Pil ) - Chonnam National University School of Dentistry Department of Prosthodontics
¹Ú»ó¿ø ( Park Sang-Won ) - Chonnam National University School of Dentistry Department of Prosthodontics
¾çÈ«¼Ò ( Yang Hong-So ) - Chonnam National University School of Dentistry Department of Prosthodontics

Abstract


Purpose: To evaluate the effects of load direction, number of implants, and alignment of implant position on stress distribution in implant, prosthesis, and bone tissue.

Materials and Methods: Four 3D models were made to simulate posterior mandible bone block: two implants and 3-unit fixed dental prosthesis (FDP) with a pontic in the center (model M1), two implants and 3-unit FDP with a cantilever pontic at one end (model M2), FDP supported by three implants with straight line placement (model M3) and FDP supported by three implants with staggered implant configuration (model M4). The applied force was 120 N axially or 120 N obliquely.
Results: Peak von Mises stresses caused by oblique occlusal force were 3.4 to 5.1 times higher in the implant and 3.5 to 8.3 times higher in the alveolar bone than those stresses caused by axial occlusal force. In model M2, the connector area of the distal cantilever in the prosthesis generated the highest von Mises stresses among all models. With the design of a large number of implants, low stresses were generated. When three implants were placed, there were no significant differences in the magnitude of stress between staggered arrangement and straight arrangement.

Conclusion: The effect of staggering alignment on implant stress was negligible. However, the number of implants had a significant effect on stress magnitude.

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finite element analysis; dental restoration failure; dental stress analysis; implant supported prosthesis; occlusal force

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