title: Influence of crown-to-implant ratio on stress around single short-wide implants: a photoelastic stress analysis.
abstract: OBJECTIVE
  The aim of this study was to evaluate the photoelastic fringe patterns around two short-wide implants supporting single crowns with different crown-to-implant (C/I) ratios.
  
  
  METHODS
  External hexagon (EH) cylindrical implants (5 × 7 mm) or Morse Taper (MT) conical implants (5 × 6 mm) were embedded individually into photoelastic resin blocks. Each implant received a single metal-ceramic crown, with a C/I ratio of 1:1 or 2:1 (n = 10). Each set was positioned in a polariscope and submitted to a 0.5 kgf compressive load, applied axially or obliquely (30°). The polariscope images were digitally recorded, and based on isoclinal and isochromatic fringes, the shear stress was calculated at 5 predetermined points around each implant. Data were analyzed by two-way ANOVA (α = 0.05).
  
  
  RESULTS
  Under axial loading, the stress was concentrated at the crestal region, and there were no differences between C/I ratio or implant types. In contrast, under oblique loading, EH implants showed lower stress values than the MT group and the 2:1 C/I ratio showed higher stress concentration for both implant types (p < 0.05). Moreover, MT implants showed stress distribution through a higher area than the EH implant did, with a tendency to direct the stress toward the implant's apex under oblique loading.
  
  
  CONCLUSIONS
  MT conical short-wide implants showed higher stress values that were distributed through a higher area directed to the implant apex. The C/I ratio influences the stress distribution only under oblique loading.
authors.affiliation: Department of Implantology, São Leopoldo Mandic Dental School, Campinas, Brazil.
authors.forename: Bruno Salles
authors.initials: BS
authors.lastname: Sotto-Maior
authors.forename: Plinio Mendes
authors.initials: PM
authors.lastname: Senna
authors.forename: João Paulo
authors.initials: JP
authors.lastname: da Silva-Neto
authors.forename: Mauro Antônio
authors.initials: MA
authors.lastname: de Arruda Nóbilo
authors.forename: Altair Antoninha
authors.initials: AA
authors.lastname: Del Bel Cury
mesh_terms: D003442:Crowns; D015921:Dental Implants; D003776:Dental Porcelain / Q000737:chemistry* / Q000627:therapeutic use; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D003799:Dental Stress Analysis; D004548:Elasticity; D006801:Humans; D010781:Photography; D013314:Stress, Mechanical
chemical_list: D015921:Dental Implants; D003776:Dental Porcelain
keywords: Dental implant; biomechanics; crown-to-implant ratio; photoelastic stress analysis; short-wide implant; ultrashort implant