An investigation of tooth/implant-supported fixed prosthesis designs with two different stress analysis methods: an in vitro study.
OBJECTIVE
Tooth/implant-supported fixed prostheses (TIFPs) present biomechanical design problems, because the implant is rigidly anchored within the alveolus, and the tooth is attached by the periodontal ligament that allows movement. While TIFP designs with rigid connectors (RCs) are preferred by many clinicians, the designs containing non-rigid connectors (NRCs) are suggested as a method to compensate for these mobility differences. However, studies have failed to show the advantage of one design over the other. This study examined stresses formed around the implant and natural tooth abutments under occlusal forces, using two dimensional finite element (2D-FEM) and photoelastic stress analysis methods (PSAM).


METHODS
Connection of TIFP designs were investigated in distal extension situations using stress analysis interpreted with the 2D-FEM and PSAM. Three TIFP (screw type implant, 3.75 mm x 13 mm) models with various connection designs (i.e., rigidly connected to an abutment tooth, connected to an abutment tooth with an NRC, connected to an abutment implant with an NRC) were studied. The stress values of the three models loaded with vertical forces (250 N) were analyzed.


RESULTS
The highest level of stresses around the implant abutment was noted on the TIFPs with the RC. On the other hand, NRCs incorporated into prostheses at the site of the implant abutment reduced the level of stresses in bone.


CONCLUSIONS
It could be suggested that if tooth and implant abutments are to be used together as fixed prostheses supports, NRCs should be placed on the implant abutment-supported site.
Ozçelik
TuncerBurak
T
Department of Prosthodontics, University of Baskent, Faculty of Dentistry, Ankara, Turkey. tbozcelik@yahoo.com
Ersoy
Ahmet Ersan
AE
D019245:Compressive Strength; D015921:Dental Implants; D017267:Dental Prosthesis Design / Q000379:methods*; D019094:Dental Prosthesis, Implant-Supported / Q000379:methods*; D003799:Dental Stress Analysis / Q000379:methods*; D020342:Finite Element Analysis
D015921:Dental Implants