Finite Element Analysis of Endocrown and Post-and-Core Abutments for Removable Partial Dentures with Different Framework Materials.

Purpose: To evaluate the stress distribution in endocrowns and post-and-core crowns used as abutments for a Kennedy Class I removable partial denture constructed with different framework materials.

Materials and methods: 3D models of a Kennedy Class I mandible were constructed. Cobalt-chromium (Co-Cr) and polyether ether ketone (PEEK) frameworks were simulated for Models 1 and 2, respectively. An endocrown and a fiber post-and-core crown for the mandibular left and right second premolar abutments, respectively, were simulated for both models. Lithium disilicate porcelain was defined for the crowns. A 200-N occlusal force was applied in the vertical and 30-degree oblique directions.

Results: The von Mises stresses were evaluated for the abutments and prostheses, and the principal stresses for the cortical bone under vertical and oblique loading. Endocrowns showed lower stress values than post-and-core crowns in both models. Post-and-core crowns generated the highest stress in Model 2 under vertical loading. The PEEK framework caused higher stress values on the abutments than Co-Cr. Compressive stresses were higher than tensile stresses in cortical bone. The highest compressive stress was observed around the left premolar cortical bone area in Model 1 under oblique loading. Oblique loading caused lower stress values than vertical loading, except for on the minor connectors and cortical bone.

Conclusion: From a biomechanical perspective, endocrowns may be more advantageous than post-and-core crowns when used as abutments for a Kennedy Class I removable partial denture. In addition, Co-Cr frameworks showed more favorable stress distribution on abutments than PEEK frameworks. Int J Prosthodont 2023;36:203-215. doi: 10.11607/ijp.7269.