title: Influence of bicortical techniques in internal connection placed in premaxillary area by 3D finite element analysis.
abstract: The aim of study was to evaluate the stress distribution in implant-supported prostheses and peri-implant bone using internal hexagon (IH) implants in the premaxillary area, varying surgical techniques (conventional, bicortical and bicortical in association with nasal floor elevation), and loading directions (0°, 30° and 60°) by three-dimensional (3D) finite element analysis. Three models were designed with Invesalius, Rhinoceros 3D and Solidworks software. Each model contained a bone block of the premaxillary area including an implant (IH, Ø4 × 10 mm) supporting a metal-ceramic crown. 178 N was applied in different inclinations (0°, 30°, 60°). The results were analyzed by von Mises, maximum principal stress, microstrain and displacement maps including ANOVA statistical test for some situations. Von Mises maps of implant, screws and abutment showed increase of stress concentration as increased loading inclination. Bicortical techniques showed reduction in implant apical area and in the head of fixation screws. Bicortical techniques showed slight increase stress in cortical bone in the maximum principal stress and microstrain maps under 60° loading. No differences in bone tissue regarding surgical techniques were observed. As conclusion, non-axial loads increased stress concentration in all maps. Bicortical techniques showed lower stress for implant and screw; however, there was slightly higher stress on cortical bone only under loads of higher inclinations (60°).
authors.affiliation: a Department of Dental Materials and Prosthodontics, Aracatuba Dental School , UNESP - Univ Estadual Paulista , Aracatuba , Brazil.
authors.forename: Fellippo Ramos
authors.initials: FR
authors.lastname: Verri
authors.affiliation: a Department of Dental Materials and Prosthodontics, Aracatuba Dental School , UNESP - Univ Estadual Paulista , Aracatuba , Brazil.
authors.forename: Ronaldo Silva
authors.initials: RS
authors.lastname: Cruz
authors.affiliation: a Department of Dental Materials and Prosthodontics, Aracatuba Dental School , UNESP - Univ Estadual Paulista , Aracatuba , Brazil.
authors.forename: Cleidiel Aparecido Araújo
authors.initials: CA
authors.lastname: Lemos
authors.affiliation: a Department of Dental Materials and Prosthodontics, Aracatuba Dental School , UNESP - Univ Estadual Paulista , Aracatuba , Brazil.
authors.forename: Victor Eduardo
authors.initials: VE
authors.lastname: de Souza Batista
authors.affiliation: c Department of Operative Dentistry, School of Dentistry , Federal University of Alfenas - UNIFAL-MG , Alfenas , Brazil.
authors.forename: Daniel Augusto Faria
authors.initials: DA
authors.lastname: Almeida
authors.affiliation: b Department of Pediatric and Community Dentistry, Aracatuba Dental School , UNESP - Univ Estadual Paulista , Aracatuba , Brazil.
authors.forename: Ana Caroline Gonçales
authors.initials: AC
authors.lastname: Verri
authors.affiliation: a Department of Dental Materials and Prosthodontics, Aracatuba Dental School , UNESP - Univ Estadual Paulista , Aracatuba , Brazil.
authors.forename: Eduardo Piza
authors.initials: EP
authors.lastname: Pellizzer
mesh_terms: D001863:Bone Screws; D003198:Computer Simulation; D015921:Dental Implants; D003776:Dental Porcelain; D020342:Finite Element Analysis; D006801:Humans; D003765:Models, Dental; D012984:Software; D013314:Stress, Mechanical
chemical_list: D015921:Dental Implants; D003776:Dental Porcelain
keywords: Dental implants; biomechanics; finite element analysis; stress distribution