Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Stress Analysis of Endodontically Treated Tooth-Implant Different Connectors Designs in Maxillary Posterior Region: A Finite Element Analysis Publisher



Hashemi S1 ; Baghaei K1 ; Fathi A2 ; Aghadavoudi N1 ; Hashemi SS3 ; Atash R4 ; Khademi SS5
Authors
Show Affiliations
Authors Affiliations
  1. 1. Dental Students Research Committee, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Dental Prosthodontics, Dental Materials Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Private Practice in Isfahan, Iran
  4. 4. Department of Prosthodontics, School of Dentistry, Faculty of Medicine, Universite Libre de Bruxelles, Brussels, Belgium
  5. 5. Department of Prosthodontics, School of Dentistry, Islamic Azad University, Khorasgan Branch, Isfahan, Iran

Source: European Journal of Dentistry Published:2024


Abstract

Objectives Using finite element analysis (FEA), this study aimed to determine the effect of nonrigid connectors (NRCs) and their position on the success of tooth and implant-supported fixed prostheses in the maxillary posterior region. Materials and Methods Three three-dimensional FEA models were designed, presuming maxillary second premolar and first molar to be extracted. Implant (replacing first molar), abutment, bone (spongious and cortical), first premolar (containing dentin, root cement, gutta-percha, and casting post and core), periodontal ligament, and three three-unit cemented porcelain-fused-to-metal prostheses (a rigid one and two nonrigid) were modeled. The NRC was once on the tooth side and once on the implant side. The prostheses were loaded twice. The first molar (180 N) and premolars (120 N) teeth were subjected to progressive vertical and oblique (12-degree) loads, and maximum von Mises stress and strain in teeth and connectors were calculated for each model. Results The findings of the current study showed evidence that tooth-implant design with an NRC has significantly increased the average stress in the tooth. The average stress in dentin was 769.02 for the mesial connector and 766.95 for the distal connector, and this was only 731.59 for rigid connector. Furthermore, it was observed that rigid connector has considerably minimized the stress within the tooth-implant-supported fixed partial denture. The average stress for the crown and metal frame is 346.22 and 526.41 in rigid connector, while it is 1,172.9 and 2,050.9 for the nonrigid mesial connector. Conclusion Although distal NRC was more efficient than mesial NRC, using NRC will only reduce the stress applied to cortical bone and is not recommended in the posterior region of the maxilla. © 2023. The Author(s).
Related Docs
View other Related Docs
1. Investigating the Effect of Nonrigid Connectors on the Success of Tooth-And-Implant-Supported Fixed Partial Prostheses in Maxillary Anterior Region: A Finite Element Analysis (Fea), International Journal of Dentistry (2021)
2. Stress Distribution in 5-Unit Fixed Partial Dentures With a Pier Abutment and Rigid and Nonrigid Connectors With Two Different Occlusal Schemes: A Three-Dimensional Finite Element Analysis, International Journal of Dentistry (2023)
3. Stress Analysis of Different Prosthesis Materials in Implant-Supported Fixed Dental Prosthesis Using 3D Finite Element Method, Dental Hypotheses (2014)
4. Comparison of Stress and Strain Distribution Patterns in Canine Implant and Maxillary Bone in Three Occlusal Schemes Using Finite Element Analysis, European Journal of Dentistry (2024)
5. The Effect of Implant Angulation and Splinting on Stress Distribution in Implant Body and Supporting Bone: A Finite Element Analysis, European Journal of Dentistry (2015)
6. Effect of Type of Luting Agents on Stress Distribution in the Bone Surrounding Implants Supporting a Three-Unit Fixed Dental Prosthesis: 3D Finite Element Analysis, Dental Research Journal (2015)
7. The Effect of Abutment Angulation and Crown Material Compositions on Stress Distribution in 3-Unit Fixed Implant-Supported Prostheses: A Finite Element Analysis, International Journal of Dentistry (2022)
8. Finite Element Method Analysis of Stress Distribution to Supporting Tissues in a Class Iv Aramany Removable Partial Denture (Part Ii: Bone and Mucosal Membrane), Journal of Contemporary Dental Practice (2008)
Experts (# of related papers)
View all Related Experts
Mansour Rismanchian (20)
Amirhossein Fathi (17)
Other Related Docs
9. Finite Element Analysis of the Influence of Implant Inclination on Stress Distribution in Mandibular Overdentures, Journal of Oral Implantology (2015)
10. Effect of Cantilever Length on Stress Distribution Around Implants in Mandibular Overdentures Supported by Two and Three Implants, European Journal of Dentistry (2016)
11. The Effects of Splinting Periodontally Compromised Removable Partial Denture Abutments on Bone Stresses: A Three-Dimensional Finite Element Study, Journal of Dental Sciences (2010)
12. Comparison of the Outcomes and Complications of Three-Unit Porcelain-Fused-To-Metal Tooth-Implant-Supported Prostheses With Implant-Supported Prostheses: A Systematic Review and Meta-Analysis, Dental Research Journal (2023)
13. Comparison of Full-Arch Mandibular Reconstruction With Dental Implants Using Completely Splinted or Segmentally Splinted Prostheses With Two Different Occlusal Schemes: A Finite-Element Analysis, Journal of Prosthodontics (2024)
14. Implant-Retained Mandibular Bar-Supported Overlay Dentures: A Finite Element Stress Analysis of Four Different Bar Heights, Journal of Oral Implantology (2012)
15. Clinical Outcomes of Dental Implants Placed in Fresh Sockets: A Five-Year Retrospective Study, Saudi Dental Journal (2024)
16. Evaluation of the Three-Dimensional Accuracy of Implant Impression Techniques in Two Simulated Clinical Conditions by Optical Scanning, International Journal of Oral and Maxillofacial Implants (2015)
17. Dental Implants: Early Versus Standard Two-Stage Loading (Animal Study), Journal of Oral Implantology (2014)
18. Flexural Strengths of Implant-Supported Zirconia Based Bridges in Posterior Regions, Journal of Advanced Prosthodontics (2014)
19. Stress Analysis of Mandibular Implant-Retained Overdenture With Independent Attachment System: Effect of Restoration Space and Attachment Height, General Dentistry (2015)
20. Comparative Evaluation of the Effect of Core Type and Antirotational Post on Stress Distribution in an Endodontically Treated Maxillary First Molar: Fea, International Journal of Dentistry (2022)
21. The Effect of Placement Depth of Platform-Switched Implants on Periimplant Cortical Bone Stress: A 3-Dimensional Finite Element Analysis, Implant Dentistry (2013)
22. Bone Loss-Related Factors in Tissue and Bone Level Dental Implants: A Systematic Review of Clinical Trials, Journal of the Korean Association of Oral and Maxillofacial Surgeons (2021)
23. A Comparative Study of Fracture Resistance of Endodontically Treated Compromised Teeth With Different Post Systems: An in Vitro Study, Open Dentistry Journal (2023)
24. Effect of Shape and Design of the Internal Connection of Tissue-Level and Bone-Level Implants on Detorque Values and Removal Forces: An in Vitro Study, Journal of Prosthetic Dentistry (2024)
25. Stability of Implant-Abutment Connection in Three Different Systems After Fatigue Test, Journal of Indian Prosthodontic Society (2022)
26. Does the Crown-Implant Ratio Affect the Survival and Complications of Implant-Supported Prostheses? a Systematic Review, Journal of Prosthetic Dentistry (2024)
27. Internal and Marginal Fit Accuracy of Pre-Sintered Cad/Cam Implant-Supported Frameworks Before and After Porcelain Layering, International Journal of Oral and Maxillofacial Implants (2022)
28. One-Year Clinical and Radiographic Assessment of Fluoride-Enhanced Implants on Immediate Non-Functional Loading in Posterior Maxilla and Mandible: A Pilot Prospective Clinical Series Study, Clinical Oral Implants Research (2011)
29. The Effect of Ferrule/Crown Ratio and Post Length on the Applied Stress and Strain Distribution to the Endodontically Treated Maxillary Central Teeth: A Finite Element Analysis, Frontiers in Dentistry (2023)
30. Long-Term Clinical Outcomes of Single Crowns or Short Fixed Partial Dentures Supported by Short (≤6 Mm) Dental Implants: A Systematic Review, European Journal of Dentistry (2024)
31. Prevalence of Proximal Contact Loss Between Implant-Supported Prostheses and Adjacent Natural Teeth: An Umbrella Review, European Journal of Dentistry (2022)
32. Five Year Clinical Outcomes of Metal Ceramic and Zirconia-Based Implant-Supported Dental Prostheses: A Retrospective Study, Journal of Dentistry (2020)
33. Treatment Options for Oral Rehabilitation of the Atrophic Maxilla: A Literature Review, Avicenna Journal of Dental Research (2023)
34. The Effects of Implant Design, Bone Quality, and Insertion Process on Primary Stability of Dental Implants: An In-Vitro Study, International Journal of Biomedical Engineering and Technology (2020)
35. Effect of Labial Frenum Notch Size and Palatal Vault Depth on Stress Concentration in Maxillary Complete Dentures: A Finite Element Study, Journal of Contemporary Dental Practice (2009)
36. Do Metal Artifact Reduction Algorithms Influence the Detection of Implant-Related Injuries to the Inferior Alveolar Canal in Cbct Images?, BMC Oral Health (2024)
37. Effect of Steam and Dry Heat Sterilization on the Insertion and Fracture Torque of Orthodontic Miniscrews, Dental Research Journal (2020)
38. To Splint or Not to Splint Tooth and Adjacent Dental Implants: An Overview of Reviews, International Journal of Prosthodontics and Restorative Dentistry (2023)
39. Formulation of Treatment Plan in Pediatric Dental Implant Patients: A Systematic Review and Meta-Analysis, International Journal of Pharmaceutical Research (2019)
40. Applicability of Cone Beam Computed Tomography Gray Values for Estimation of Primary Stability of Dental Implants; [Aplicabilidade Dos Valores De Cinza Da Tomografia Computadorizada De Feixe Conico Na Estimativa Da Estabilidade Primaria De Implantes Dentarios], Brazilian Dental Science (2021)
41. How the Initial Retentive Force of Implant‑Supported Overdentures Can Be Affected With Splinted and Unsplinted Attachments Systems, Dental Research Journal (2021)
42. Enamel Matrix Derivatives As an Adjunct to Alveolar Ridge Preservation—A Systematic Review, Dentistry Journal (2023)
43. The Effect of Intraorifice Barriers (Theracal Lc, Lime-Lite and Ionoseal) on the Fracture Resistance and Failure Patterns of Endodontically Treated Teeth Submitted to Intracoronal Bleaching, Dental Research Journal (2023)
44. Shear Bond Strengths and Morphological Evaluation of Filled and Unfilled Adhesive Interfaces to Enamel and Dentine, International Journal of Dentistry (2012)
45. Comparison of the Microleakage of Mineral Trioxide Aggregate, Calcium-Enriched Mixture Cement, and Biodentine Orthograde Apical Plug, Dental Research Journal (2020)
46. Buckling Analysis of a Functionally Graded Implant Model for Treatment of Bone Fractures: A Numerical Study, ASME International Mechanical Engineering Congress and Exposition, Proceedings (IMECE) (2017)
47. Reconstruction of Natural Smile and Splinting With Natural Tooth Pontic Fiber-Reinforced Composite Bridge, Case Reports in Dentistry (2022)
48. Assessment of the Relationship Between Maximum Occlusal Force and Median Mandibular Flexure in Adults: A Clinical Trial Study, Journal of Indian Prosthodontic Society (2020)
49. Micromotion and Stress Distribution of Immediate Loaded Implants: A Finite Element Analysis, Clinical Implant Dentistry and Related Research (2009)
50. Significance of the Width of Keratinized Mucosa on the Health Status of the Supporting Tissue Around Implants Supporting Overdentures., The Journal of oral implantology (2009)