Influence of different implant designs on stress distributions in all-on-four concept: A finite element analysis.

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Tác giả: Rabia Tül Adeviye Çankaya, Mehtap Muğlalı, Hasan Öztürk

Ngôn ngữ: eng

Ký hiệu phân loại: 133.594 Types or schools of astrology originating in or associated with a

Thông tin xuất bản: Scotland : Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 727534

The study aims to investigate the effect of different implant designs on stress distribution on the implant and mandibular bone in the All-on-four treatment concept using three-dimensional (3D) finite element analysis (FEA). A 3D FEA model was constructed based on the edentulous mandible's mean value. Eight different implant designs, consisting of two main groups with conical and cylindrical body geometry and four subgroups with four different thread designs, v-shaped, square, buttress, and reversible buttress in each group, were experimentally created in a computer environment. Implants 13 and 15 mm in length were inserted between the mental foraminas according to the All-on-Four concept, and the model was completed with an acrylic hybrid prosthesis created in a computer environment. A total force of 300N was applied with an oblique angle of 75° to the occlusal plane on the premolar and 1st molar teeth. Von Mises stresses (VMS) on the implants, and minimum principal stresses (Pmin) on the cortical and trabecular bones were evaluated using the 3D FEA. VMS and Pmin were lower in the cortical bone around conical, square-thread implants. Stress levels were highest on the cortical bone at the implant neck in all groups, with greater stress observed around posteriorly inclined implants. No direct relationship with trabecular bone was identified. Given the study's limitations, the results suggest using conical squared implants in the All-on-Four concept.
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