Mateus Favero Barra Grande, G. Lopes, M. Teixeira, A. Pelegrine, J. Matos, R. S. Nishioka
The maxillary bone restriction can limit the implants position to support a full-arch prosthesis. Objective: Therefore, this study evaluated the biomechanical behavior of a full-arch prosthesis supported by six implants in different configurations: group A (implants inserted in the region of canines, first premolars and second molars), group B (implants inserted in the region of first premolar, first molar and second molar) and group C (implants in second premolar, first premolar and second molar). Material and Methods: The models were analyzed by the finite element method validated by strain gauge. Three types of loads were applied: in the central incisors, first premolars and second molars, obtaining results of von-Mises stress peaks and microstrain. All registered results reported higher stress concentration in the prosthesis of all groups, with group C presenting higher values in all structures when compared to A and B groups. The highest mean microstrain was also observed in group C (288.8 ± 225.2 μ ε/ μ ε ), however, there was no statistically significant difference between the evaluated groups. In both groups, regardless of the magnitude and direction of the load, the maximum von-Mises stresses recorded for implants and prosthesis displacements were lower in group A. Conclusion: It was concluded that an equidistant distribution of implants favors biomechanical behavior of full-arch prostheses supported by implants; and the placement of posterior implants seems to be a viable alternative to rehabilitate totally edentulous individuals.
{"title":"Mechanical behavior of implant-supported full-arch prostheses in different\u0000 locations in the maxilla: 3D-FEA and strain gauge analysis","authors":"Mateus Favero Barra Grande, G. Lopes, M. Teixeira, A. Pelegrine, J. Matos, R. S. Nishioka","doi":"10.4322/bds.2023.e3771","DOIUrl":"https://doi.org/10.4322/bds.2023.e3771","url":null,"abstract":"The maxillary bone restriction can limit the implants position to support a full-arch prosthesis. Objective: Therefore, this study evaluated the biomechanical behavior of a full-arch prosthesis supported by six implants in different configurations: group A (implants inserted in the region of canines, first premolars and second molars), group B (implants inserted in the region of first premolar, first molar and second molar) and group C (implants in second premolar, first premolar and second molar). Material and Methods: The models were analyzed by the finite element method validated by strain gauge. Three types of loads were applied: in the central incisors, first premolars and second molars, obtaining results of von-Mises stress peaks and microstrain. All registered results reported higher stress concentration in the prosthesis of all groups, with group C presenting higher values in all structures when compared to A and B groups. The highest mean microstrain was also observed in group C (288.8 ± 225.2 μ ε/ μ ε ), however, there was no statistically significant difference between the evaluated groups. In both groups, regardless of the magnitude and direction of the load, the maximum von-Mises stresses recorded for implants and prosthesis displacements were lower in group A. Conclusion: It was concluded that an equidistant distribution of implants favors biomechanical behavior of full-arch prostheses supported by implants; and the placement of posterior implants seems to be a viable alternative to rehabilitate totally edentulous individuals.","PeriodicalId":37577,"journal":{"name":"Brazilian Dental Science","volume":"186 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77912182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}