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Stress-strain distribution at bone-implant interface of two splinted overdenture systems using 3D finite element analysis

  • Hussein, Mostafa Omran (Prosthodontics, Prosthodontic Department, Faculty of Dentistry, Qassim University, Dental Implant Committee, College of Dentistry, Qassim University)
  • Received : 2013.03.27
  • Accepted : 2013.07.10
  • Published : 2013.08.31

Abstract

PURPOSE. This study was accomplished to assess the biomechanical state of different retaining methods of bar implant-overdenture. MATERIALS AND METHODS. Two 3D finite element models were designed. The first model included implant overdenture retained by Hader-clip attachment, while the second model included two extracoronal resilient attachment (ERA) studs added distally to Hader splint bar. A non-linear frictional contact type was assumed between overdentures and mucosa to represent sliding and rotational movements among different attachment components. A 200 N was applied at the molar region unilaterally and perpendicular to the occlusal plane. Additionally, the mandible was restrained at their ramus ends. The maximum equivalent stress and strain (von Mises) were recorded and analyzed at the bone-implant interface level. RESULTS. The values of von Mises stress and strain of the first model at bone-implant interface were higher than their counterparts of the second model. Stress concentration and high value of strain were recognized surrounding implant of the unloaded side in both models. CONCLUSION. There were different patterns of stress-strain distribution at bone-implant interface between the studied attachment designs. Hader bar-clip attachment showed better biomechanical behavior than adding ERA studs distal to hader bar.

Keywords

References

  1. Misch CE. Dental implant prosthetics. St. Louis, Mo: Mosby; 2005, p. 204-34.
  2. DeBoer J. Edentulous implants: overdenture versus fixed. J Prosthet Dent 1993;69:386-90. https://doi.org/10.1016/0022-3913(93)90186-R
  3. Sadowsky SJ, Caputo AA. Effect of anchorage systems and extension base contact on load transfer with mandibular implant- retained overdentures. J Prosthet Dent 2000;84:327-34. https://doi.org/10.1067/mpr.2000.109378
  4. Cekic C, Akca K, Cehreli MC. Effects of attachment design on strains around implants supporting overdentures. Quintessence Int 2007;38:e291-7.
  5. Celik G, Uludag B. Photoelastic stress analysis of various retention mechanisms on 3-implant-retained mandibular overdentures. J Prosthet Dent 2007;97:229-35. https://doi.org/10.1016/j.prosdent.2007.02.006
  6. Fanuscu MI, Caputo AA. Influence of attachment systems on load transfer of an implant-assisted maxillary overdenture. J Prosthodont 2004;13:214-20. https://doi.org/10.1111/j.1532-849X.2004.04041.x
  7. Wang HY, Zhang YM, Yao D, Chen JH. Effects of rigid and nonrigid extracoronal attachments on supporting tissues in extension base partial removable dental prostheses: a nonlinear finite element study. J Prosthet Dent 2011;105:338-46. https://doi.org/10.1016/S0022-3913(11)60066-8
  8. Brewer AA, Morrow RM. Overdentures. 2nd ed. St. Louis, CV Mosby Co, 1980.
  9. Tabata LF, Assuncao WG, Barao VA, Gomes EA, Delben JA, de Sousa EA, Rocha EP. Comparison of single-standing or connected implants on stress distribution in bone of mandibular overdentures: a two-dimensional finite element analysis. J Craniofac Surg 2010;21:696-702. https://doi.org/10.1097/SCS.0b013e3181d7f202
  10. Menicucci G, Lorenzetti M, Pera P, Preti G. Mandibular implant- retained overdenture: finite element analysis of two anchorage systems. Int J Oral Maxillofac Implants 1998;13:369-76.
  11. Chun HJ, Park DN, Han CH, Heo SJ, Heo MS, Koak JY. Stress distributions in maxillary bone surrounding overdenture implants with different overdenture attachments. J Oral Rehabil 2005;32:193-205. https://doi.org/10.1111/j.1365-2842.2004.01407.x
  12. Mericske-Stern R. Force distribution on implants supporting overdentures: the effect of distal bar extensions. A 3-D in vivo study. Clin Oral Implants Res 1997;8:142-51. https://doi.org/10.1034/j.1600-0501.1997.080209.x
  13. Tokuhisa M, Matsushita Y, Koyano K. In vitro study of a mandibular implant overdenture retained with ball, magnet, or bar attachments: comparison of load transfer and denture stability. Int J Prosthodont 2003;16:128-34.
  14. Mariano LOH, Sartori EA, Broilo JR, Shinkai RSA, Corso L, Marczak RJ. Stresses in implant-supported overdentures with bone resorption: A 3-D finite element analysis. Rev Odonto Cienc 2012;27:41-6. https://doi.org/10.1590/S1980-65232012000100008
  15. Ochiai KT, Williams BH, Hojo S, Nishimura R, Caputo AA. Photoelastic analysis of the effect of palatal support on various implant-supported overdenture designs. J Prosthet Dent 2004;91:421-7. https://doi.org/10.1016/j.prosdent.2004.02.017
  16. Assuncao WG, Gomes EA, Rocha EP, Delben JA. Threedimensional finite element analysis of vertical and angular misfit in implant-supported fixed prostheses. Int J Oral Maxillofac Implants 2011;26:788-96.
  17. van Staden RC, Guan H, Loo YC. Application of the finite element method in dental implant research. Comput Methods Biomech Biomed Engin 2006;9:257-70. https://doi.org/10.1080/10255840600837074
  18. Savadi RC, Agarwal J, Agarwal RS, Rangarajan V. Influence of Implant Surface Topography and Loading Condition on Stress Distribution in Bone Around Implants: A Comparative 3D FEA. J Indian Prosthodont Soc 2011;11:221-31. https://doi.org/10.1007/s13191-011-0105-6
  19. Prakash V, D'Souza M, Adhikari R. A comparison of stress distribution and flexion among various designs of bar attachments for implant overdentures: a three dimensional finite element analysis. Indian J Dent Res 2009;20:31-6. https://doi.org/10.4103/0970-9290.49058
  20. Tanino F, Hayakawa I, Hirano S, Minakuchi S. Finite element analysis of stress-breaking attachments on maxillary implantretained overdentures. Int J Prosthodont 2007;20:193-8.
  21. Bendjaballah MZ. The effect of non-contact conditions in a splinted fixed partial denture on the load sharing mechanism: a finite element study. J Bionic Eng 2012;9:336-42.
  22. Barao VA, Assuncao WG, Tabata LF, Delben JA, Gomes EA, de Sousa EA, Rocha EP. Finite element analysis to compare complete denture and implant-retained overdentures with different attachment systems. J Craniofac Surg 2009;20:1066-71. https://doi.org/10.1097/SCS.0b013e3181abb395
  23. Vafaei F, Khoshhal M, Bayat-Movahed S, Ahangary AH, Firooz F, Izady A, Rakhshan V. Comparative stress distribution of implant-retained mandibular ball-supported and barsupported overlay dentures: a finite element analysis. J Oral Implantol 2011;37:421-9. https://doi.org/10.1563/AAID-JOI-D-10-00057
  24. Federick DR, Caputo AA. Effects of overdenture retention designs and implant orientations on load transfer characteristics. J Prosthet Dent 1996;76:624-32. https://doi.org/10.1016/S0022-3913(96)90441-2
  25. Daas M, Dubois G, Bonnet AS, Lipinski P, Rignon-Bret C. A complete finite element model of a mandibular implant-retained overdenture with two implants: comparison between rigid and resilient attachment configurations. Med Eng Phys 2008;30:218-25. https://doi.org/10.1016/j.medengphy.2007.02.005
  26. Liu J, Pan S, Dong J, Mo Z, Fan Y, Feng H. Influence of implant number on the biomechanical behaviour of mandibular implant-retained/supported overdentures: a three-dimensional finite element analysis. J Dent 2013;41:241-9. https://doi.org/10.1016/j.jdent.2012.11.008
  27. Osman RB, Elkhadem AH, Ma S, Swain MV. Finite element analysis of a novel implant distribution to support maxillary overdentures. Int J Oral Maxillofac Implants 2013;28:e1-10. https://doi.org/10.11607/jomi.2303
  28. Misch CE. Contemporary Implant Dentistry. 3rd ed. St. Louis, Mo: Mosby; 2008, p. 293-314.
  29. Chen IC, Brudvik JS, Mancl LA, Rubenstein JE, Chitswe K, Raigrodski AJ. Freedom of rotation of selected overdenture attachments: an in vitro study. J Prosthet Dent 2011;106:78-86. https://doi.org/10.1016/S0022-3913(11)60099-1
  30. el-Sheikh AM, Hobkirk JA. Force transmission in bar-retained implant-stabilised mandibular over-dentures: an in-vitro study. Eur J Prosthodont Restor Dent 2002;10:173-8.
  31. Bergendal T, Engquist B. Implant-supported overdentures: a longitudinal prospective study. Int J Oral Maxillofac Implants 1998;13:253-62.
  32. Ueda T, Kremer U, Katsoulis J, Mericske-Stern R. Long-term results of mandibular implants supporting an overdenture: implant survival, failures, and crestal bone level changes. Int J Oral Maxillofac Implants 2011;26:365-72.
  33. Rismanchian M, Dakhilalian M, Bajoghli F, Ghasemi E, Sadr- Eshkevari P. Implant-retained mandibular bar-supported overlay dentures: a finite element stress analysis of four different bar heights. J Oral Implantol 2012;38:133-9. https://doi.org/10.1563/AAID-JOI-D-09-00037.1
  34. Preiskel HW. Precision attachments in prosthodontics: The applications of intracoronal and extracoronal attachments. 1st ed. Chicago, Quintessence Pub. Co., 1984.
  35. Takayama Y, Yamada T, Araki O, Seki T, Kawasaki T. The dynamic behaviour of a lower complete denture during unilateral loads: analysis using the finite element method. J Oral Rehabil 2001;28:1064-74. https://doi.org/10.1046/j.1365-2842.2001.00759.x
  36. Davidovits P. Physics in biology and medicine. 3rd ed. Academic Press, 2007.
  37. Rismanchian M, Dakhilalian M, Bajoghli F, Ghasemi E, Sadr- Eshkevari P. Implant-retained mandibular bar-supported overlay dentures: a finite element stress analysis of four different bar heights. J Oral Implantol 2012;38:133-9. https://doi.org/10.1563/AAID-JOI-D-09-00037.1
  38. Merdji A, Bouiadjra BB, Chikh BO, Mootanah R, Aminallah L, Serier B, Muslih IM. Stress distribution in dental prosthesis under an occlusal combined dynamic loading. Mater Des 2012;36:705-13. https://doi.org/10.1016/j.matdes.2011.12.006

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